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UTI in pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   Hi Doc
User :   Are you a GP or a specialist
Doctor :   Gp
User :   My wife is 3 months pregnant and she has urine infection
Doctor :  
User :   she has taken antibiotics but the problem is still there
User :   first she tool amoxilcillan
User :   then cefeclon
Doctor :  
User :   first questions are these safe in pregnancy
User :   next what to do now since the infection is still there
Doctor :  
yes the drugs what she has taken are very much safe in the pregnancy
User :   The local doc has sent urine test
User :   again
Doctor :  
User :   and will prescribe next set of antibiotics
User :   is this safe
Doctor :   what symptoms does she have now?
User :   what are the risks of urine infections in relation to pregnancy
User :   generally no symptoms
User :   what are the symptoms like anyway
Doctor :  
than how was she diagnosed to have urinary tract infections??
User :   ie by having urine culture test
Doctor :  
do you have the urine analysis test report?
User :   not here with me
Doctor :   why was she asked to get the urine culture ?
User :   as part of her pregnancy tests
Doctor :  
what did the culture say and which bacteria growth was there?
User :   pregancy confirmation
User :   i dont have the report with me
Doctor :  
pregnancy confirmation is by urine HCG analysis and not culture
User :   She first did HCG analysis
Doctor :  
User :   and found infection
User :   then sent for urine culuture
Doctor :   ok
User :   since i dont have the report with me whats your general view on this
User :   risks in pregancy
User :   what types of antibiotics she can take
Doctor :   first of all she does not have any symptoms and the infection is found from the investigations.
User :   what if its not cured till late preganacy
User :   what are the common symptoms
Doctor :   and with out the investigations reports it is difficult to tell what it is?
Doctor :   urinary symptoms will be like painful urination, frequent urination, fever with chills and rigors, pain in the lower abdomen
Doctor :  
some times vomiting and diarrhea also occurs
User :   ok
Doctor :   light brown to dark coloration of the urine also may happen
User :   only slight white discharge
User :   otherwise generally no concrete symptoms
Doctor :   that may be the part of the pregnancy where there will be increased discharge
User :   ok
User :   she also has low blood pressure
User :   ie 105/50
Doctor :   this is not related to the UTI
User :   ok
Doctor :   she has a urine test during the confirmation of the pregnancy
Doctor :   that test report is the key
User :   ok
Doctor :  
to say what it is
User :   but generally how risky is urine infection to pregnancy
Doctor :   urinary tract infection is very common in the pregnancy
Doctor :  
and it is easily treated also
User :   what if it continues?
Doctor :  
only in neglected cases it will cause trouble
User :   what do u mean neglected cases
Doctor :   who do not take proper medical care
User :   suppose its not treated. does she need to take tabs throughout her pregnancy
User :   what does she need to do for proper medical care
User :   Will it affect the baby anyway?
Doctor :  
your doctor is doing the right thing now by having multiple tests to see that the infection does not continue
Doctor :  
regarding your question of affecting your baby
Doctor :   it is unlikely that the present infection will cause any affection to the growing fetus
User :   my doc today said that my wife may have to take it throughout her pregnancy- is that safe- i mean tabs throughout
Doctor :  
she might have indicated to take the iron and folic acid tabs through out the pregnancy
User :   apart from that she said if the infection doesnt go she will have to take anitbiotics throughout
Doctor :   it is very unlikely that infection doesn't go, with the present day medications it is very rare
User :   ok
User :   would u suggest any medication or common antibiotics given in urine infections
User :   any common names
Doctor :   the antibiotic to be taken will be decided based on the urine CULTURE and SENSITIVITY report
User :   ok
Doctor :  
only culture is been sent in the initially
Doctor :  
now culture and SENSITIVITY also is sent i suppose
User :   yes
Doctor :  
this will tell which antibiotic to be taken
User :   Is there any way low blood pressure affects pregnancy
Doctor :   what symptoms she have because of low BP?

User :   dizzy
User :   weakness
Doctor :   what is her hemoglobin levels?
User :   it was on the edge
User :   in her last preganacy she was diagonsed with minor thelasmiya
User :   lucky i didnt have it
User :   so it was okay
Doctor :   ok

User :   so whats your view now on low blood pressure
Doctor :  
as long as the hemoglobin levels are good and the baby is getting adequate blood supply, low bp is not of concern
User :   Does she need to take any extra supplements
User :   or any tablets
User :   She is taking Ferrotab
Doctor :   no no extra tablets is required apart from the iron and folic acid tablet
Doctor :  
ferrotab is the iron supplement
User :   so it sufficient
User :   or she should take folic acid too
Doctor :   yes folic acid tablet she needs to take
User :   ok
Doctor :  
folvit 5 mg tab every day one tab she should take
User :   ok
User :   what about pregncare
Doctor :  
apart from that she needs to have the general improvement in the food with more of green leafy vegetables
Doctor :  
does she take egg or non vegetarian diet?
User :   she does take egg
Doctor :  
one egg every day is advisable
User :   what could be the reasons for low pressure?
User :   She also feels that her heartbeart is very fast
Doctor :   have you got this checked with a physician?
User :   last count was 91
User :   they cant tell the reason
Doctor :  
91 is ok with in normal limit
Doctor :  
the cause for her low blood pressure is idiopathic
User :   what is idiopathic
User :   my wife hasnt been takining folic acids
User :   can she take it from now
User :   she was just relying on ferrotab
Doctor :   it means non specific, to be simpler there is no specific reason but may be multiple factors together giving rise to low BP
Doctor :   yes she can take folic acid
Doctor :  
it is a vitamin tablet
User :   so both ferrotab and folic acid
User :   i mean should be good
Doctor :   yeah that will be good

User :   So looks like i will have to get hold of urine culture report and chat with some doc next time
User :   so i can get some concrete answers
Doctor :   it is better you get the urine routine analysis report also and than the urine culture report also the present urine culture and sensitivity report, it will be easier for us to give specific opinion
User :   ok
Doctor :   for time being she can continue the cefeclor tab it is very safe in pregnancy
User :   ok
Doctor :  
and in fact it is the drug of choice in the pregnancy
User :   ok
Doctor :   to consume more water so that she goes to urination frequently
User :   any other tips
Doctor :  
this prevents the infection from spreading upwards
Doctor :  
key here is frequent urination so that the infection doesn't spread upwards
User :   If its spreads upwards it can harm the baby right
Doctor :  
so most important is the consumption of water
Doctor :   yes if it spreads upward it can infect the baby also
User :   any specific harm it can do the baby
Doctor :   yes it cause brain infection in the baby
User :   what does brain infection do?
Doctor :  
it can cause permanent mental impairment to death of the baby
User :   It can be serious
Doctor :   yes it is serious
Doctor :  
if the baby in the womb is infected it may cause death of the baby and abortion also
User :   ok
Doctor :  
it can even threaten mothers life
Doctor :  
not to worry and get scared with this
User :   how does it affect mothers life?
Doctor :  
you are getting good medical care from the doctor
Doctor :   it will cause septicemia in the mother
Doctor :  
septicemia will cause multi organ failure
User :   thats scary
User :   have u come across these types of cases
Doctor :   yes
Doctor :  
and most of them are neglected cases
Doctor :   neglected cases means who do not take proper medical care or do not follow doctors advise
User :   any herbal medicine you woud advise for unrine infection
Doctor :   sorry i practice allopathy and i have no info regarding herbal medicines
User :   ok
User :   anyway thanks for advise
Doctor :   is there anything else i can help you with?
User :   no thats all right
Doctor :  
thanks for consulting health care magic
Doctor :  
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Doctor :   we are available 24/7
User :   thanks
Doctor :   please do log in if you have any medical query
Doctor :  
bye for now
User :   bye
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