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Recurring urinary tract infection, itching and white discharge - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   How can I help you
User :   hai
User :   ii am xxxxx
User :   21/f
User :   i am doing college
User :   hello
User :   u there
Doctor :   Yes xxxxx please proceed with your medical query
User :   my college lavoratory is not clean
User :   bt i ahd to use it
User :   so,i have got urinary infection
Doctor :   ok
User :   i consulted the doctor
Doctor :   since when are you having this problem?
Doctor :   ok
User :   since last 5 months
Doctor :   was a Complete Urine Examination done?
User :   yes
Doctor :   what medications did you use till now?
User :   i went to the doctor regardinthis problem
User :   took tests
User :   then medicined
Doctor :   when was the last time the CUE was done?
User :   CUE?????
User :   test??
Doctor :   urine examination
Doctor :   Complete Urine Examination (CUE)
User :   i took CUE 5 months back a
Doctor :   ok
Doctor :   what is the problem now?
Doctor :   at present
User :   and now i dnt take any medicines
Doctor :   ok
User :   and so last week i had another CUE
Doctor :   ok
User :   the result says
User :   urine routine: color:strw yello,transparency:clear,albumin:nil,sugar:blue
Doctor :   pus cells?
User :   deposit shows:1 to 2 pus cells/hpf
Doctor :   any pus cells?
Doctor :   ok
User :   0 to 2 epithelial cells/hpf
Doctor :   any other abnormality?
Doctor :   ok
User :   urine culture::: Doctor :   ok
User :   moderated\ and pure pseudomonos aeroginosa grown in culture (68,000 organisms/ml)
Doctor :   ok
User :   wat can be done for the culture growth?
Doctor :   ok
Doctor :   are you having any symptoms now?
User :   i had itchin
User :   bt it has been reduced bt not completely
Doctor :   Yes so the entire duration since the start of the first symptom till now would be
User :   march 08
Doctor :   Do you have any White discharge per vagina in between your periods or cycles and any other medical illness
User :   i have white discharge slightly
User :   do u want the results of cue that i took 5 months ao
User :   ago
Doctor :   ok, Have you consulted the Gynecologist for the same
Doctor :   No it may not be of much help now
User :   i consulted a doctor a urologist
Doctor :   since you have an existing infection site am only \trying to arrive at the possible source
Doctor :   ok
User :   ok
Doctor :   Any Anti-Biotics that were given
User :   i dnt have the chemical name of the tablet i took
Doctor :   How many days did you take and what was the daily dosage
User :   pl wait sir,i am refering
User :   23/2/08:t.starcet(night),RLOC(mornig),SHELCAL 500(morning),annovate oinment(3 times a day)
Doctor :   Since you have been having recurrent infection i would suggest you to take Urine for Culture and Sensitivity test done and that will give what the pseudomonas organism in you is susceptible to and based on that take the appropriate measures which i shall enumerate here in to prevent this infection in future..
User :   si took the urine culture and sensitivity test on 24/7/08
Doctor :   ok
User :   i gave the result of that test
User :   to you few minutes back
Doctor :   What does that say as to what are the anti biotic that your bacteria s are susceptible to
Doctor :   you have mentioned the Growth but not the sensitivity report though
User :   i will give u now
User :   sensitive to:O Floxacin(16mms),Amikacin(18mms),Norfloxacin(17mms),Tobramycin(15mms),Gentamycin(15mms)
Doctor :   Has it mentioned any resistance any where .
User :   Intermediat::: Ceftazidime(16mms),Cephotaxime(17mms),Cefepime(16mms)
User :   Resistant to:::Nalidixic Acid,Nitrofurantoin,Cefuroxime,Ampicillin Sulbactum,Tetracyclin,Co-Trymoxazole,Piperacillin
User :   do u need anything else
Doctor :   Ok i think it would be good if you can get to a different doctor or urologist in Bangalore If you need we can assist you in finding you one here
Doctor :   i have sufficient report from you it was good and there are drugs that can be given less expensive once and better results
User :   i am residing in xxxxx
Doctor :   how ever these are fwe measures that you can follow
Doctor :   ok
User :   what does the report says?is it very serious???
Doctor :   No it is very normal for any UTI case and in your case its much more clear
Doctor :   but there are medications that could have been given which your organism were susceptible to and it would have gone by now
User :   the infection is half way to the kidney said the doctor
Doctor :   but any ways since your having some symptoms i would suggest you to consult a senior Gynecologist or Urologist for further treatment if you are starting on
Doctor :   ok
User :   are my kidneys affected
User :   okay
Doctor :   Did he do the Creatinine and Urea test to see how the Kidney is functioning
User :   no
Doctor :   Drink plenty of water to dilute your urine and help flush out bacteria.
User :   min how many liters per day
User :   ?
Doctor :   Just get the Blood Urea and Serum creatinine test they are cheap and will not hurt you too and if they are fine there
Doctor :   is nothing to worry about the Kidneys
Doctor :   4-5 liters of water during the day is a must and get to your college and ask them to
User :   okay
Doctor :   provide you better Toilets or atleast get them cleaned ever day
Doctor :   since hygiene is the cause
User :   okay
Doctor :   Avoid coffee, alcohol, and soft drinks containing citrus juices and caffeine until your infection has cleared.
Doctor :   Cranberry juice has infection-fighting properties.
Doctor :   You need to take it too
Doctor :   Avoid retaining your urine for a long time after you feel the urge to void.
User :   okay doctor
Doctor :Please fill the feedback form say done when done
User :   wat about my food
Doctor :   Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra.
Doctor :   Avoid potentially irritating feminine products like douches and powders, in the genital area can irritate the urethra.
Doctor :   There are no Diet restrictions at all plenty of Fluids will be the Key 4-5 liters is the must that you need to take
Doctor :   Are you there xxxxx ?
Doctor :   Are you there ?
User :   yes sir
User :   /madam
Doctor :   Is there any thing else that I could help you with?
User :   i was fillin the feedback form
Doctor :   Ok
Doctor :   are you done with the Form xxxxx
User :   yes
Doctor :   Is there nay thing else ?
Doctor :   Any
User :   will drinkin plenty of water alone flush out the bacteria
User :   should i go for medication also
User :   ?
Doctor :   Yes that is the first thing that you need to do even before you start medications
User :   normaly i take lots of chocolates and sweets
Doctor :   No if your having no Symptoms then i would suggest you to take plenty of Fluids and then after
User :   will that also contribute to the bacterial growth and my infection
Doctor :   That will need to go now since they have lot of Caffeine in them
User :   oh
Doctor :   and that can irritate the Mucosa and cause the Infection
User :   sorry,...u mean that it is better to avoid sweets ans chocolates????
Doctor :   Yes
User :   ok
User :   wen i come for ur consultation next time will i be able to contact you
User :   or anybody else
User :   ?
Doctor :   You can have a chat with any doctor
Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
Doctor :   Else you can Ask for me
Doctor :   Dr. xxxxx
User :   thank you sir.
User :   thanyou verrrrrrryyyyyyyy much
User :   for ur concern
User :   bye
Doctor :   You are Welcome
Doctor :   Bye for now
User :   bye
Doctor :   Are you back
Doctor :   I have to close this window since there is no response form your side
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