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Suggest Treatment For Lower Back Pain And Blood In Urine

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Posted on Mon, 20 Jun 2016
Question: I just finished a 10 day perscription for a possible UTI with blood in my urine and low back pain, plus light stomach cramping. The antibiotic prescribed was levofloxacin 500 mg. I still have the same symptoms but with much less blood in my urine. I still have a feeling of fullness in my belly. I have been drinking lots of water and taking my normal medications and vitamins. No fever. I don't feel terrible but I tend to get anxious about any health issues. What do you suggest as a next step?
I am a 58 year old female.
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Answered by Dr. Bonnie Berger-Durnbaugh (32 minutes later)
Brief Answer:
Some thoughts on this

Detailed Answer:
Hello XXXX,

When you say a possible UTI, was a culture done, and a sensitivity report to determine which antibiotics the causative agent is sensitive or resistant to?

Your initial symptoms warranted a urinalysis. A urinalysis can give an indication of whether there may be stones or a urinary tract infection. If signs of an infection, then a culture and sensitivity should be done.

If these have not been done, then it is time to do so. The results of a culture at this point might be a bit muddled if the levofloxacin partially but not completely treated an infection.

I also think imaging studies would be appropriate to see if there are any stones.

My guess is that your doctor gave you a 10 day course because he or she suspected there might be mild kidney involvement in your possible UTI - otherwise an uncomplicated UTI is usually treated with fewer days of antibiotics. But when suspecting a kidney infection, a urinalysis and culture are imperative. By the way, I say a possibility of a mild kidney infection because if severe, there is fever and nausea and flank pain.

I hope this information helps. Please let me know if I can provide further information or clarification.
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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Suggest Treatment For Lower Back Pain And Blood In Urine

Brief Answer: Some thoughts on this Detailed Answer: Hello XXXX, When you say a possible UTI, was a culture done, and a sensitivity report to determine which antibiotics the causative agent is sensitive or resistant to? Your initial symptoms warranted a urinalysis. A urinalysis can give an indication of whether there may be stones or a urinary tract infection. If signs of an infection, then a culture and sensitivity should be done. If these have not been done, then it is time to do so. The results of a culture at this point might be a bit muddled if the levofloxacin partially but not completely treated an infection. I also think imaging studies would be appropriate to see if there are any stones. My guess is that your doctor gave you a 10 day course because he or she suspected there might be mild kidney involvement in your possible UTI - otherwise an uncomplicated UTI is usually treated with fewer days of antibiotics. But when suspecting a kidney infection, a urinalysis and culture are imperative. By the way, I say a possibility of a mild kidney infection because if severe, there is fever and nausea and flank pain. I hope this information helps. Please let me know if I can provide further information or clarification.