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What Can Be Done When Urine Test Results Show Pus Cells While On Duonem-200 For About 2 Months?

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Posted on Wed, 26 Jul 2023
Question: I AM 60 YEARS OLD (MALE). URINE TEST RESULTS SHOW PUS CELLS (10-12/HPF) RED BLOOD CELLS (5-6/HPF) AND A FEW EPITHELIAL CELLS. NO CAST.

ADVISE PLEASE
doctor
Answered by Dr. Remy Koshy (1 hour later)
Brief Answer:
Need more details

Detailed Answer:

Hello,

Before I can guide you with proper treatment, I would like you to brief me more on the symptoms you are experiencing.

Kindly revert with more details.

Regards,
Dr. Remy Koshy
General & Family Physician
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Remy Koshy (1 hour later)
there is no fever. however since last 5-6 months i have reduced weight by 4-5 kgs. yes i was taking one medicine "DUONEM (200) FROM LAST 2 MONTHS. I HAVE A HISTORY OF KIDNEY STONE ALSO SINCE LAST 30 YEARS OR MORE.

PLEASE SPECIFY IF YOU REQUIRE ANY FURTHER DETAILS
doctor
Answered by Dr. Remy Koshy (1 hour later)
Brief Answer:
Follow up answer

Detailed Answer:

Hello,

Your test results seem to be suggestive of an active urinary tract infection.

I would like to know if you have any symptoms like:

- Burning sensation while passing urine
- lower abdominal pain
- lower backache
- increased frequency of passing urine

If I was your treating physician, I would suggest you to start on a course of antibiotic such as T. OFLOX 200mg for a period of 5 days. Also, it would be worthwhile to consult a urologist for further examination and evaluation of the urinary tract.

I hope this helps. Please feel free to discuss further for any related queries.

Regards,
Dr. Remy Koshy
General & Family Physician
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Remy Koshy (11 minutes later)
NO SIR,

NONE OF THE ABOVE 4 SYMPTOMS. T. OFLOX 200mg- 2 TIMES A DAY OR 1 PER DAY PLEASE ? AT PRESENT THE "SERUM CREATININE" is 1.11 mg./100 ML. AND URINE CULTURE SHOWS- NO GROWTH.
doctor
Answered by Dr. Remy Koshy (21 minutes later)
Brief Answer:
Follow up answer

Detailed Answer:

Hello,

Yes, there can be a presence of UTI even with negative urine culture as the growth of the bacteria can be scarce enough to not to be taken up in the culture.

I would suggest you to take T. OFLOX 200mg twice daily for 5 days. This should help to clear out the infection .

Serum Creatinine value of 1.1 is normal. Nothing to worry.

I hope this helps.

Regards,
Dr. Remy Koshy
General & Family Physician
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Remy Koshy

General & Family Physician

Practicing since :2014

Answered : 476 Questions

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What Can Be Done When Urine Test Results Show Pus Cells While On Duonem-200 For About 2 Months?

Brief Answer: Need more details Detailed Answer: Hello, Before I can guide you with proper treatment, I would like you to brief me more on the symptoms you are experiencing. Kindly revert with more details. Regards, Dr. Remy Koshy General & Family Physician