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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Suggestion For UTI, Chills, Fever, Lower Back And Lower Abdominal Pain?

My family doc has prescribed me Cipro, Macobid and now Amoxicillian (3 times per day) for a UTI. Have been suffering from UTIs for years. All the above meds have not made me feel better at all. I have a low grade fever, very bad chills, pain in my lower back (on the left side) pain in my lower left abdomen (the pain has been on and off for months now). I don't know what this could be. The emerg doctor told me to have a CT scan (many docs have told me these scans cause cancer because of the high radiation). Is this the only way that I can see what is wrong with me? I have already had an ultrasound which I believe did not determine anything. Could this be a kidney stone?
Wed, 19 Mar 2014
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OBGYN,  's  Response
Hi, I had gone through your query and understand your concerns.You have a problem of recurrent Urinary tract infections(UTIs).May I suggest the following:

1.A urinary culture and antibiotic sensitivity test.This test will help in identifying the causative microorganism and also guide for appropriate antibiotics.This test can be done at any pathology laboratory,preferably give the early morning voided sample of urine.
2.A blood glucose test,this will help to rule out diabetes ,as diabetes is most common cause of recurrent UTIs.
3.A CT scan;here i would like to clarify that CT scan is safe and the dose of radiation used in CT scan is low and does not cause any cancer.So be assured that you can safely undergo CT scan.As you have mentioned that your ultrasound did not determine anything,doing a CT scan is worthwhile.

recurrent UTIs could be due to kidney stone or due to untreated diabetes.
Also I will suggest you to drink at least 4-5 liter of water daily.This helps in clearing the organisms and thud prevents UTI.
You should also take a mild antepyretic like paracetamol 500 mg for your fever and chills.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
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Any Suggestion For UTI, Chills, Fever, Lower Back And Lower Abdominal Pain?

Hi, I had gone through your query and understand your concerns.You have a problem of recurrent Urinary tract infections(UTIs).May I suggest the following: 1.A urinary culture and antibiotic sensitivity test.This test will help in identifying the causative microorganism and also guide for appropriate antibiotics.This test can be done at any pathology laboratory,preferably give the early morning voided sample of urine. 2.A blood glucose test,this will help to rule out diabetes ,as diabetes is most common cause of recurrent UTIs. 3.A CT scan;here i would like to clarify that CT scan is safe and the dose of radiation used in CT scan is low and does not cause any cancer.So be assured that you can safely undergo CT scan.As you have mentioned that your ultrasound did not determine anything,doing a CT scan is worthwhile. recurrent UTIs could be due to kidney stone or due to untreated diabetes. Also I will suggest you to drink at least 4-5 liter of water daily.This helps in clearing the organisms and thud prevents UTI. You should also take a mild antepyretic like paracetamol 500 mg for your fever and chills. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.