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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Pain In The Lower Side Accompanied With Frequent Urination?

My friend has pain in the lower left side of her back - for 2 days; frequent urination; vomiting. She was treated for e-coli in October - November (5 rounds of antibiotics); a UTI after that (E-coli found in urine culture - 4 rounds of antibiotics). This recent pain started after she strained really hard moving a freezer with a dolly. She is 61 years old, no other major health issues. Has an appointment with her urologist on Monday but should she go to the ER sooner?
Wed, 22 Jan 2014
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General & Family Physician,  's  Response
Hello dear,

The reason for persistence of UTI after treatment & repeated recurrence can be due to:
1. Inadequate duration of treatment
2. Inappropriate dosage of the medications
3. Inappropriate selection of antibiotics against the causative organism.
4. Improper treatment of underlying cause of the UTI.

Under such circumstances, the following corrective measures should be taken:
1. Discuss regarding the adequate duration of treatment with the treating physician.
2. Discuss regarding the proper dosage of medications depending on age and body weight.
3. Culture & sensitivity of the urine to be done for selection of appropriate antibiotic.
4. Additional investigations like X ray KUB (Kidney Ureter & Bladder) and Ultrasound scan of abdomen & pelvis will be helpful in detecting any hidden focus of infection in the Genito urinary tract.

Wishing your friend a good health.
Take care.
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What Could Cause Pain In The Lower Side Accompanied With Frequent Urination?

Hello dear, The reason for persistence of UTI after treatment & repeated recurrence can be due to: 1. Inadequate duration of treatment 2. Inappropriate dosage of the medications 3. Inappropriate selection of antibiotics against the causative organism. 4. Improper treatment of underlying cause of the UTI. Under such circumstances, the following corrective measures should be taken: 1. Discuss regarding the adequate duration of treatment with the treating physician. 2. Discuss regarding the proper dosage of medications depending on age and body weight. 3. Culture & sensitivity of the urine to be done for selection of appropriate antibiotic. 4. Additional investigations like X ray KUB (Kidney Ureter & Bladder) and Ultrasound scan of abdomen & pelvis will be helpful in detecting any hidden focus of infection in the Genito urinary tract. Wishing your friend a good health. Take care.