Suggest Treatment For Severe Kidney Infection

Posted on Sat, 13 Aug 2016

Question: I have been dignosed with kidney infection which is not curing with medicines...and my doctor hs put me on amikacin injection ..for 5 days. But problem is that i have 2 doses of amikacin injection and my ear starts aching very badly... Now i told to doctor about this.. He said that this injection cant get you earpain but can reduce your hearing... And once the course is complete and u leave injection ur hearing will become normal nothing to worry... So should i continue this injcection or switch to other injection .... As in internet i have read person can become permanent deff.. So is it true...... And plz name other injection which i can have

Answered by Dr. Sumit Bhatti (56 minutes later)

Brief Answer:
PTA, I/A. Change amikasin if these tests are abnormal.

Detailed Answer:
Hi,

Thank you for your query.

1. Get a PTA ( Pure Tone Audiometry ) and I / A ( Impedance Audiometry / Tympanometry ) tests done.

2. Amikacin usually causes hearing loss as it is ototoxic. Ear pain is likely to be due to some other cause such as an ear infection or ear pressure changes.

3. If these tests are normal, you can continue the treatment and check every few days.

4. Any alternative to amikacin should be based on culture and sensitivity reports.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumit Bhatti (25 minutes later)

1 thing i want to ask is that is this hearingloss permanent or temporary as my doctor said dont worry hearing loss is temporary.... Im vey scared....

Answered by Dr. Sumit Bhatti (20 minutes later)

Brief Answer:
Initially temporary, later irreversible. N-AC helps.

Detailed Answer:
Hi,

Thank you for writing back.

1. The ototoxicity of amikacin is initially temporary in the very early stages but will be irreversible later.

2. Ask your doctor to start n-acetylcystine (N-AC) to help delay ototoxicity if amikacin has to be continued.

3. The ear tests are also important to monitor the side effects.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumit Bhatti (4 minutes later)

If bychance by using amykacin i cant be able to hear in future... Then there is any way i can get back my hearing... Any surgery or medicines other than hearing aids... Becuse i m just 24 yrs not married and im very much scared....... As all other medicines are not working this injection is working.... Plz tell me to start a medcine which can be taken with amikacin so it do not cause ototoxity

Answered by Dr. Sumit Bhatti (24 hours later)

Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for writing back.

1. Only some patients on amikacin develop hearing loss. There are many patients who safely complete their course of amikacin without any problem.

2. Please Ask your doctor to start n-acetylcystine (N-AC) to help delay ototoxicity if amikacin has to be continued.

3. Get the ear tests (PTA & I/A) done and upload the reports here or directly at bit.ly/Dr-Sumit-Bhatti

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Sumit Bhatti (44 hours later)

Plz tell the name of tablet u mentioned above.... NAC(n acytyl cystine )... This is salt but plz name the tablet which i can get here from chemist

I told here chemist to give NAC but he said plz name the tablet

And hearing tests are to be done from ent doctor orany lab

Answered by Dr. Sumit Bhatti (4 hours later)

Brief Answer:
Details as described below:

Detailed Answer:
Hi,

Thank you for writing back.

1. There are many brands of n - acetylcysteine such as Mucinac and Mucomelt.

2. The hearing tests are done by an Audiologist.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar