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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Abdominal Pain, Smaller Urine Quantity, Inflated Belly Size, Urine Report Showed High ESR, Swab Test Showed Pus Cells. Diagnosis?

hi i am ansa ,unmarried i visit to doctor with lower abdomen pain there was no other specific symptom swab test show pus formation without any germ . with passing of time i progress symptom of less quantity of urine and report show ESR =70 . belly increasing in size I am very worried about this plz guaid me for diagnosing and medicine
Mon, 22 Oct 2012
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Pulmonologist,  's  Response
Hi
Thanks for your query
Plenty of pus cells without any organism in geberal pyogenic culture in urine indicates presence of sterile pyuria or tuberculosis. You need to start an antibiotic course preferably ciprofloxacin 500 mg twice daily for 2 weeks, take plenty of water around 4 litre/day with an urinary alkaliser. With these you need to have an USG of pelvic organ done to detect any lower abdominal pathology and should consult an urologist to rule out any pathology in the urinary tract. Cystoscopy should be done in refractory casses.
Thank you.
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Lower Abdominal Pain, Smaller Urine Quantity, Inflated Belly Size, Urine Report Showed High ESR, Swab Test Showed Pus Cells. Diagnosis?

Hi Thanks for your query Plenty of pus cells without any organism in geberal pyogenic culture in urine indicates presence of sterile pyuria or tuberculosis. You need to start an antibiotic course preferably ciprofloxacin 500 mg twice daily for 2 weeks, take plenty of water around 4 litre/day with an urinary alkaliser. With these you need to have an USG of pelvic organ done to detect any lower abdominal pathology and should consult an urologist to rule out any pathology in the urinary tract. Cystoscopy should be done in refractory casses. Thank you.