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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms Of UTI And What Medicines Should I Take?

im 23 y/o, 4"11, 43 kgs, i had UTI when i was pregnant 1 year ago.

do i have UTI if my urinalysis results are these color: yellow, transparency: hazy, reaction: acidic, ph: 6.0, spec gravity: 1.005, rbc 0-1/hpf, pus cells: 0-3/hpf, squamous: few, bacteria: few, mucus threads: few, others are negative. what medicine do i need to take?
Wed, 6 May 2015
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General & Family Physician 's  Response
Hi,

Welcome to healthcare magic

Thanks for writing.

I am Dr. Saddiq ul abidin. I have your question completely, I understand your concern and i will try to help you in best way possible.

For UTI to be labelled on a urinalysis, the most significant finding is the presence of pus cells or WBC, in more than 5-8 quantity/HPF, though a clear cut demarcation has not been drawn, because associated history of burning micturation and urinary symptoms like urgency, frequency and fever are also given due importance. Other associated findings are leukocyte esterase to be positive, while in certain nitrogen fixing bacteria, presence of nitrite may also be a clue. In severe UTI's or the ones caused by stones or obstructive uropathies, RBC may also be significantly raised.

The presence of bacteria alone, indicate contamination of the sample mostly.

The detailed analysis report which you have shared is suggesting however the presence of an acidic urine. For which i would have suggested you, the use of some alkylating agent like Citrosoda sachet twice daily for at least five days, if you were my patient.

If you are experiencing the symptoms like the ones i have mentioned above, you can however have a urine culture to be sure and then treat the infection if the cultures turn out to be positive, and you can let your treating physician chose by the sensitivity spectrum according to the culture if positive.

I hope this answered your question, If you have more queries, i am happy to answer, otherwise rate before closing the discussion.

Regards
Dr. Saddiq ul abidin
M.B.B.S ( Licensed Family Physician)
Resident Medicine
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What Are The Symptoms Of UTI And What Medicines Should I Take?

Hi, Welcome to healthcare magic Thanks for writing. I am Dr. Saddiq ul abidin. I have your question completely, I understand your concern and i will try to help you in best way possible. For UTI to be labelled on a urinalysis, the most significant finding is the presence of pus cells or WBC, in more than 5-8 quantity/HPF, though a clear cut demarcation has not been drawn, because associated history of burning micturation and urinary symptoms like urgency, frequency and fever are also given due importance. Other associated findings are leukocyte esterase to be positive, while in certain nitrogen fixing bacteria, presence of nitrite may also be a clue. In severe UTI s or the ones caused by stones or obstructive uropathies, RBC may also be significantly raised. The presence of bacteria alone, indicate contamination of the sample mostly. The detailed analysis report which you have shared is suggesting however the presence of an acidic urine. For which i would have suggested you, the use of some alkylating agent like Citrosoda sachet twice daily for at least five days, if you were my patient. If you are experiencing the symptoms like the ones i have mentioned above, you can however have a urine culture to be sure and then treat the infection if the cultures turn out to be positive, and you can let your treating physician chose by the sensitivity spectrum according to the culture if positive. I hope this answered your question, If you have more queries, i am happy to answer, otherwise rate before closing the discussion. Regards Dr. Saddiq ul abidin M.B.B.S ( Licensed Family Physician) Resident Medicine