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What Causes Pain While Urination Even After Antibiotic Intake?

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Posted on Wed, 30 Jul 2014
Question: I started antibiotics 48 hours ago for a uti. I still have pain when urinating, chills, and now swollen glands in the groin. Could it be getting worse?
doctor
Answered by Dr. Michelle Gibson James (8 minutes later)
Brief Answer:
if continue may need antibiotic change

Detailed Answer:
HI, thanks for using healthcare magic

Normally symptoms start to decrease at least slightly by 48 to 72 hours. If over the next 24 hours there is no improvement or your symptoms continue to worsen then your antibiotics may need to be changed.

At that time, your doctor may consider whether the bacteria causing the infection is resistant the antibiotic chosen.

A repeat urine analysis to the lab may be needed to reassess the bacteria. The lab would be able to determine the bacteria involved and which antibiotics it would resist or respond to if used.

In addition, you need to remember to use copious fluids to flush the kidneys.

Summary: (1)consider waiting another 24 hours unless symptoms worsen
(2)may need a change in antibiotics
(3)copious fluids

I hope this helps, feel free to ask any other questions


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (1 hour later)
Thank you for the response. The pain while urinating has increased and the muscles on my legs have become so sore that its difficult to walk. Is this normal or at what point do i go to the ER?
doctor
Answered by Dr. Michelle Gibson James (9 hours later)
Brief Answer:
need to be seen as soon as you can

Detailed Answer:
HI

Sorry about the late reply

You should consider going to the ER if the pain is increasing. It is also unusual to experience muscle pain as well.

You would need re evaluation, it is likely that the bacteria is resistant.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (23 hours later)
Last question: diagnosed now with prostatitis. The all over muscle aching is worse than ever. Could it be a reaction to the first antibiotic, nitrofurantoin? If so, is it anything to be concerned with or does it generally pass?
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
not likely related to nitrofurantoin

Detailed Answer:
HI

The prostate forms part of the male urinary tract, this means that your infection may involve different aspects of the urinary tract (urethra, bladder, ureter, kidneys and prostate)

The aches and pains are not likely due to the nitrofurantoin, this is not known to cause effects on the joints and muscles.

Bacterial and viral infection can sometimes be associated with co existing joint and muscle pains but they should resolve as your infection starts to resolve.

You can feel free to ask anything else if not clear

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Causes Pain While Urination Even After Antibiotic Intake?

Brief Answer: if continue may need antibiotic change Detailed Answer: HI, thanks for using healthcare magic Normally symptoms start to decrease at least slightly by 48 to 72 hours. If over the next 24 hours there is no improvement or your symptoms continue to worsen then your antibiotics may need to be changed. At that time, your doctor may consider whether the bacteria causing the infection is resistant the antibiotic chosen. A repeat urine analysis to the lab may be needed to reassess the bacteria. The lab would be able to determine the bacteria involved and which antibiotics it would resist or respond to if used. In addition, you need to remember to use copious fluids to flush the kidneys. Summary: (1)consider waiting another 24 hours unless symptoms worsen (2)may need a change in antibiotics (3)copious fluids I hope this helps, feel free to ask any other questions