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Recurring fever due to kidney stones - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1764 Questions
Doctor :   hi
Doctor :  
how can i help u?
User :   hello sir
User :   what is the diagnosis for
User :   epithelial cell - few, calciun oxalate+, and traces of protein (10mg/dl), rest everything is normal in urine test
Doctor :   ok
Doctor :   any other tests performed like urine culture/sensitivity?

User :   fever , cough ,cold, pain behind the ears to neck
User :   ya urine cultur n b.Sugar
User :   B. sugar (r) 148
User :   culture urine is awaited
Doctor :  
ok
User :   there is a feeling of pufiness in stomach , burning sensation in urine
User :   with lemon yellow colour
User :   chest congestion
Doctor :  
calcium oxalate in urine is associated with kidney stones
User :   oki
Doctor :  
this burning sensation in the urine might be because of the kidney stones
User :   ya there is verry light pain in rt side
User :   on movement
Doctor :  
ok
Doctor :  
kidney stones also precipitate urinary tract infection
Doctor :  
which might be the reason for fever
User :   doc has given me microcef 200, and urispas
User :   fever is reccuring type
Doctor :  
ok
Doctor :  
u are also having abdominal distension right?
User :   face feel hot when in fever
Doctor :   ok

User :   yes
Doctor :   do u have any frequency/urgency of urine?
User :   no
User :   i am goin only 3 -4 times in a day
Doctor :   ok

Doctor :  
cough ,cold are entirely different entities
User :   what is it apart from stone?
Doctor :  
this fever may be sometimes because of respiratory tract infection also
Doctor :  
its just infection
User :   because i have tendency of stone
Doctor :   u have tendency of stones?previously where u diagnosed as having stones?
User :   i am a smoker n taker alcohol also
Doctor :  
ok
User :   yes once 7 years back
Doctor :  
ohk
Doctor :  
whats stones?
Doctor :   ant thing specific like uric acid stones/calcium stones?
User :   normal kidney stone which passed of by itself before i was going for endoscopy
Doctor :  
good
User :   sedimentation type tat i remember
Doctor :  
ok
User :   wat about the traces of proteins ?
Doctor :  
ITS NORMAL
Doctor :  
first thing is to confirm kidney stones by XRAY OF ABDOMEN
User :   ok
Doctor :   xray abdomen KUB
User :   ok
Doctor :   if it is small ,it will pass on itself
User :   there is one more problem
Doctor :   if ur urine culture is negative then fever is because of respiratory tract infection
Doctor :  
yes please proceed
User :   while urinating the speed with which it flows is less as compared to earlier there is very less pressure
Doctor :  
ok
Doctor :  
it will happeen becasue of any block in the flow of urine due to obstruction
Doctor :  
obstruction may be becasue of stones
User :   esinophils is 0.4
User :   n MCH is 33.30
Doctor :  
blood esonophils?
User :   in CBC test
Doctor :  
ok
Doctor :  
ok
Doctor :  
ESONOPHIS NORMAL
Doctor :  
its MCHC>?
Doctor :  
33.30 PERCENTAGE RIGHT?
User :   no MCH 33.30 pg range 27.00- 32.00
Doctor :   OK
Doctor :  
ITS NOT MCH ITS MCHC
User :   oki
Doctor :   even thats almost normal
User :   so what is ur suggestion getting my complete picture.
User :   x-ray will gety it done
User :   hope nothing serious
Doctor :   nothing will be serious
Doctor :  
but lets rule out kidney stones
User :   then
Doctor :  
from how many days u are having cough,congestion?
User :   4-5 days
Doctor :  
what exactly u mean by congestion?
Doctor :   fever also from 5 days?
User :   pain in chest below ribs when breathe deep starts coughing
User :   heavy feeling in chest
User :   mucus is not clear
Doctor :  
ok
User :   brownish in colour
Doctor :   mucus brownish in colour?

User :   some wat grey n brown
User :   not black or red
Doctor :  
did ur doctor check ur lungs?
User :   ya with stats
Doctor :   steth?
Doctor :  
ok what did he tell?
User :   yes
User :   nothing just gave me microcef 200, urispass n bro zedex fx
Doctor :  
did he tell any thing about lung infection or pneuomonia?
User :   n asked to conduct urine routine and culture and b.sugar
User :   not nothing
Doctor :  
ok
Doctor :  
fine
User :   y could it be pneuomonia
Doctor :   pneumonia means nothing but infection of lung proper
User :   ok
Doctor :   do u have any difficulty in breathing?
User :   like i started having medicine
User :   since day befor night
User :   no
Doctor :  
ok
User :   and feeling much better
Doctor :  
fine
Doctor :  
good
User :   sin ce today after noon fever is not there
Doctor :   good
User :   the problem is that doctor is not available to go through the report thats why bothering you
Doctor :  
antibiotic is working'
Doctor :  
no no
Doctor :  
u are always welcome
Doctor :  
we are here to clear ur doubts
User :   thanks
User :   so wat is yor final say on my condition and diagnosis with treatment tips
Doctor :   ur fever is clearly becaus eof infection
Doctor :  
cough ,cold ,congestion ..its all because of upper respiratory tract infection
Doctor :  
and this abdomminal bloating and reduced urine flow and stomach pain might be because of kidney stones
Doctor :  
which cvan be confirmed by xray KUB
User :   ok
Doctor :  
regarding treatment continue using same antibiotics
User :   ok
Doctor :  
and i wanna stress ons ome diet changes which will help in preventing kidney stones
User :   whats that?
Doctor :  
avoid leaf tea and powdered coffee. Spinach and rhubarb .
User :   ok
User :   abt B.sugar?
Doctor :  
blood sugar is 148 right?
User :   yes
Doctor :  
after taking food or before food?
User :   random
User :   after food
Doctor :  
ok
User :   is it fine
User :   ?
Doctor :  
ITS FINE
User :   any thing more u would like to add sir
Doctor :  
yes
Doctor :   DRINK AS MUCH AS WATER AS POSSIBLE

User :   ok
Doctor :  
this is gold standard which u should follow
User :   and
Doctor :  
thats it
Doctor :  
for now
User :   sir i wanna quit smoking
Doctor :   good
User :   tried couple of time but temptation to smoke dsnt allow
Doctor :   it is long term preocess
Doctor :  
quit smoking slowly
User :   ok
Doctor :   dont be an a hurry
User :   ya i hav reduced to 5-6 cig from 50-60
Doctor :  
thats good
User :   but to leave it further
Doctor :  
and now slowly start nicotine chewing gums
User :   is seems to be diffficult
User :   come by wat name in market
Doctor :  
u can ask for nicotine chewing gums
User :   ok
Doctor :  
and slowly quit even that also
User :   ok
User :   lets see
Doctor :  
hmm
User :   thank you very much for your valuble time
Doctor :  
Is there any thing else I can help you with?


User :   no thank you
User :   sir
Doctor :   please fill the feed back form
User :   done that sir
Doctor :  
thakns
Doctor :  
bye take care'
User :   tc bye bye
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