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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pus In Urine?

having a sharp pain n the abdomen-(lower) on the left side and also feel slight numbness in the left leg.

abdomen sonography is normal, all organs normal size but the urine retention was said to be significant. Then i was asked to give urine sample which mentioned mild amount of pus with the urine, please advise
Fri, 4 Nov 2016
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General Surgeon 's  Response
Hello and thank you for asking HCM.

Let me explain a few things before giving the diagnosis and what can be done.
Our urine is sterile. No bacteria,only a small amount of white cells, WBCs - ≤2-5 WBCs/hpf .Pus contains dead cells, bacteria and white blood cells. Pus in urine signifies that the body is fighting an infection in the lower or upper urinary tract. So we have an urinary tract infection (UTI)

Our bladder is in our lower abdomen part so an infection of our bladder (cystitis) might give us the pain that you have.
Also you might have other symptoms as well like the ones that i will write below:
-the urge to urinate
-burning sensation while urinating
-passing cloudy or strong-smelling urine
-blood in the urine
-Low grade fever

What can be done? Well you need to start antibiotics as soon as possible,before this infection goes at your kidneys.

If i was your doctor i would prescribe fluoroquinolones (ciprofloxacine) or cephalosporins to treat your infection while waiting the result of the urine culture. (it will show the kind of bacteria responsible for the infection and the antibiotics that this bacteria is sensitive ). Ibuprofen for the symptoms.

Also you need to have plenty of fluids,2-3 liters each day.
Chamomile tea,or rose tea are perfect to be used for UTI, 1 or 2 cups each day. They help the bladder clean itself and fight the infection.

So i suggest you go at your family doctor/physition and get the recipe with antibiotics to treat this infection.

If you have any other question,please feel free to contact me.

Dr.Endri Katro
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What Causes Pus In Urine?

Hello and thank you for asking HCM. Let me explain a few things before giving the diagnosis and what can be done. Our urine is sterile. No bacteria,only a small amount of white cells, WBCs - ≤2-5 WBCs/hpf .Pus contains dead cells, bacteria and white blood cells. Pus in urine signifies that the body is fighting an infection in the lower or upper urinary tract. So we have an urinary tract infection (UTI) Our bladder is in our lower abdomen part so an infection of our bladder (cystitis) might give us the pain that you have. Also you might have other symptoms as well like the ones that i will write below: -the urge to urinate -burning sensation while urinating -passing cloudy or strong-smelling urine -blood in the urine -Low grade fever What can be done? Well you need to start antibiotics as soon as possible,before this infection goes at your kidneys. If i was your doctor i would prescribe fluoroquinolones (ciprofloxacine) or cephalosporins to treat your infection while waiting the result of the urine culture. (it will show the kind of bacteria responsible for the infection and the antibiotics that this bacteria is sensitive ). Ibuprofen for the symptoms. Also you need to have plenty of fluids,2-3 liters each day. Chamomile tea,or rose tea are perfect to be used for UTI, 1 or 2 cups each day. They help the bladder clean itself and fight the infection. So i suggest you go at your family doctor/physition and get the recipe with antibiotics to treat this infection. If you have any other question,please feel free to contact me. Dr.Endri Katro