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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Back Pain

Hi I currently went to dr with back pain & my urine culture was positive for Beta hemolytic strep group b (50,000-100,000 colonies). My back pain has been persitant for 3 months. I just finished a round of 500mg augmentin & theres been no change in back pain. Please help with advice.
Mon, 1 Sep 2014
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  User's Response
Hi, thanks for posting your concern in the HCM.
I think you may have got a complicated UTI. You should have a repeat urinalysis and Urine for culture and sensitivity testing. If the infection persists, your antibiotic treatment should be guided by sensitivity report.
You should also have a USG of lower abdomen to rule out any renal pathology or stone in the urinary tract or any ovarian pathology.
Concurrent genital tract infection and pelvic inflammatory diseases are common in patients with UTI. Therefore, you should also consult a gynaecologist for evaluation.
For the time being, you should maintain good oral hydration.
You should also have the following blood tests done-
Complete blood count, urea, creatinine, electrolytes, uric acid.
For increased pain, you may have Tab Paracetamol 500 mg SOS, min. 6hr interval between two tables.
You should consult your local urologist for further evaluation.
For any further questions, please write back.
Regards,
Dr. Kaushik
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Suggest Treatment For Back Pain

Hi, thanks for posting your concern in the HCM. I think you may have got a complicated UTI. You should have a repeat urinalysis and Urine for culture and sensitivity testing. If the infection persists, your antibiotic treatment should be guided by sensitivity report. You should also have a USG of lower abdomen to rule out any renal pathology or stone in the urinary tract or any ovarian pathology. Concurrent genital tract infection and pelvic inflammatory diseases are common in patients with UTI. Therefore, you should also consult a gynaecologist for evaluation. For the time being, you should maintain good oral hydration. You should also have the following blood tests done- Complete blood count, urea, creatinine, electrolytes, uric acid. For increased pain, you may have Tab Paracetamol 500 mg SOS, min. 6hr interval between two tables. You should consult your local urologist for further evaluation. For any further questions, please write back. Regards, Dr. Kaushik