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Urinary tract infection, fever after having sex - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   gynec prblm                                                            
User :   Hi
User :   hi
User :   How can I help you?
User :   whos on line?
User :   may i know ur name doc?
User :   I am Dr
User :   I am a general practitioner.
User :   ok
User :   my gf & me had intercourse a week before after that she cant empty her while pee
User :   Ok
User :   frequency also has been increased
User :   Ok
User :   after that she had some antibiotics
User :   Ok
User :   considering an infection
User :   ciprofloxacin 500 mg 3 tablets
User :   & vitamin C
User :   Ok
User :   though she can empty herself now while peeing but the frequency hasnt been reduced neither she can hold
User :   May I know her age?
User :   23
User :   Since when is she on antibiotics?
User :   last 3days
User :   Is she having urine incontinance?
User :   means?
User :   I mean is she having dribbling of the urine also?
User :   nop but she cant hold for a second
User :   Ok
User :   Does she have burning sensation while passing urine?
User :   Is she having fever?
User :   nop
User :   Does she report of pain while passing urine or pain in the abdomen?
User :   ye she has fever today
User :   Does she report of pain while passing urine or pain in the abdomen?
User :   nop
User :   Ok
User :   no pain yet
User :   May I know who suggested the use of ciprofloxacin?
User :   a nurse
User :   Did she undergo an urine test?
User :   nopactually she took it without any test
User :   Ok
User :   Does she have any other medical illness?
User :   actually she cant go to a doc alone due to some constraints
User :   ye she has ovarian cyst.other than that she is absolutely fine
User :   Ok
User :   Let me brief you.
User :   She definitely has symptoms of urinary tract infection.
User :   where the treatment is the use of antibiotics.
User :   ok
User :   Though ciprofloxacin is the commonly used antibiotics for its treatment, the best and the effective antibiotics for the present infection (specific for her) can only be suggested by a urine test.
User :   ok
User :   And since you report presence of fever and persistence of the symptoms inspite of 3 days use of antibiotics, there are possible chances that ciprofloxacin has not been effective in treating her condition now.
User :   Hence she requires those urine test.
User :   ok
User :   Its better that she reports to a doctor for physical examination and for those urine test.
User :   Based on those test, she may need change of antibiotics.
User :   In the mean time, she can continue with the ciprofloxacin and the vitamin supplements.
User :   actually she got rid of passing small urine using ciprofloxacin
User :   Also suggest her to drink plenty of water atleast 1 to 2 litre per day is essential.
User :   ok
User :   The symptoms of improvement in the infection is reduction in the fever and improvement of her symptoms.
User :   if they occur in the next two days, then those test may not be required.
User :   Have you followed what I have suggested?
User :   ok
User :   Do you have any other query?
User :   ye doc
User :   Please proceed.
User :   actually doc on health care magic has suggested to take meftal 500 mg & solution
User :   shall she take those too?
User :   She can take those.
User :   Meftal 500 mg can be stopped if she does not have pain.
User :   ok
User :   Do you have any other query?
User :   what about vitamin C supplement?
User :   Yes, there is no harm in taking vitamin supplements.
User :   She can continue those.
User :   Alone antibiotic can cure UTI?
User :   Antibiotics are the main stay of treatment.
User :   The other medications are supportive in nature.
User :   ok
User :   shall she take anything other than antibiotic.if so can you suggest
User :   Drinking plenty of water as suggested is equally important along with the antibiotics.
User :   Apart from the antibiotics and hydration,
User :   Abstraining from sexual activity till her symptoms improve may be necessary.
User :   ok
User :   A good nutritious diet is also essential, a diet rich with vegetables and fruits can also help.
User :   And finally, if she is unable to consult the doctor, then watch for these symptoms.
User :   Persistence of high fever, development of any new symptoms, development of pain abdomen, passing blood in the urine.
User :   If any such symptoms develop, then its absolutely necessary to see the doctor,.
User :   Have you followed what I have suggested?
User :   ciprofloxacin 500 mg is fine a day?
User :   The dose is 500mg twice a day.
User :   yup
User :   Do you have any other query?
User :   is cystitis & UTI diff?
User :   yes, cystitis is a complication of UTI
User :   is it doc ?
Doctor :   Yes
User :   does she need any inflammatory or anticholerological drugs ?
User :   anti spasmodic?
Doctor :   She was on meftal 500 mg for how long?
User :   nop she didnt have meftal at all?
Doctor :   OK, she has no pain or colic right?
User :   yup no pain at all
Doctor :   Then there is no need of any other drugs
User :   ok
User :   Symptoms of cystitis and UTI are diff?
Doctor :   Urinary bladder is part of urinary tract
Doctor :   Infection of Urinary bladder is called cystitis
User :   ok
Doctor :   UTI may or may not include cystitis
Doctor :   Symptoms are almost the same
User :   And treatment?
Doctor :   Same, but more aggressive
Doctor :   may need intra venous antibiotics
User :   ok
User :   I heard that urinary bladder got stretched during cystitis.Is it possible to regain the shape of bladder using anti biotic only?
Doctor :   Yes
User :   ok
User :   Does ovarian cyst play any role in UTI?
User :   Does emergency contraceptive leads to or complicate these case?
Doctor :   No
User :   ok
User :   Is solution available in ?
User :   U there doc?
User :   Is solution available in ?
Doctor :   Yes
User :   o which brand name?
User :   on which brand name?
User :   You there?
Doctor :   Sorry, some technical problem
User :   ok
User :   On which brand name solution is available in?
Doctor :   It is sold as itself
User :   ok
User :   Shall she take
Doctor :   Not necessary, has she been
Doctor :   prescribed by the nurse?
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