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Suggest Treatment For Urinary Tract Infection

Posted on Fri, 8 May 2015

Question: Hi I am a 63 y/o women with ruq pressure pain. I have had this for many years off and on. Many testsno abnormalities. diagnosed with ibs. My skin is very dry. I think i'm dehydrated.Never thirsty. Dry scaley rash groin area,back of head and palm of left hand. nauseous at times. many age spot on arms last two years. I ordered ketodiastix a year ago. Checked my ketones very high,, trace protien, low bacteria in urine. checked my blood sugar was 103 fasting. I use to be a nurse years ago, have disabled son where i need a lot of medical supplies. very depressed and not eating or drinking much just take care of my son. tired all the time my doctor is retired, and oncologist moved to XXXXXXX could this be gallbladder problem or dehydration. Also hav abcessed tooth with channel which drains into cyst near corner of mout.h no fever.

Answered by Dr. Dr. Klerida Shehu (17 hours later)

Brief Answer:
Please follow teh suggestions below...

Detailed Answer:
Hi my dear,

I have gone through your medical history carefully and understood your concerns. I am sorry for the situation your son is in and about your current situation too. I am surprised with your strength and courage to assist your ill son.

All your current situation and fatigue you have been having while taking care of your son and forgetting about yourself, is causing your current health problems: dehydration and lack of energy.

You should take care of yourself too. If you eat well, you will get enough energy to take care of your son and your daily activities. Thus, your overall health will be improved too.

With regards to high ketones level, can you please provide a copy of the test report? So, I can analyze them and understand the possible cause to high ketones.

Apart fasting blood sugar, I'd advise to run:
- oral glucose tolerance test
- HbA1C test

to rule out diabetes completely.

Hope it was of help! God bless!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Klerida Shehu (9 hours later)

Hi, I forgot to tell you i have trace bilirubim, and urobiligin in my urine. wbc's and nittrites in urine. test done by regent urine sticks i bought online. would this still be dehydration or something worse. I'm very worried I'm all my disabled son has.
Hi I forgot to tell you I have trace bilirubin, trace urobiigin, 1+ wbc's, 1+ nitrites in my urine. I tested it with regent urine sticks I bought online a year or more ago. Their not expired. could this be caused by kidney disease,uti, liver disease or dehydration. I'm very frightened for my son, in case something happens to me.

Answered by Dr. Dr. Klerida Shehu (15 hours later)

Brief Answer:
Figures indicating urinary tract infection...

Detailed Answer:
Hi my dear,

The presence of trace bilirubin, urobilinogen, WBC and nitrites in urine are indicative for urinary tract infection. As long as there is no trace of protein, then, this can be temporary.

Please bare in mind that in cases of dehydration, where less water or nutrients are consumed, it is common for bacteria to multiple and couple urinary pathways. That's why I highly recommend to:
- increase fluids intake: water, tea, etc
- take OTC urine pH neutralizers containing cranberry and magnesium citrate

If no improvement within a few days up to 1 week, you should take a lab urine analysis and urine culture and sensitivity testing to determine the right antibiotic to use.

Hope it was of help!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Klerida Shehu (31 hours later)

HI, THIS IS LAURILEE BORK AGAIN. I'V BEEN CONVERSING WITH DR. SHERU.
I'M VERY WORRIED. YESTERDAY I CHECKED MY URINE AND FOUND TRACE BILIRUBIN AND UROBILIGIN, PROTIEN TRACE WBC"S AND TRACE NITRATES.
TODAY MY UROBILIGIN IS HIGH. ALSO YESTERDAY MY KETONES WERE HIGH. I HAVEN'T BEEN EATING OR DRINKING WELL. IWAS VERY DEHYDRATRD. TO MAKE THINGS WORS I HAVE REAL LOOSE STOOLS THAT ARN'T NORNAL, THERER BROWN BUT WHEN I WIPE MYSEL IT'S BRIGHT YELLOW ON THE TISSUE. I HAVE PRESSURE FEELING AROUND MY LIVER. MY SKIN IS NORMAL. YESREDAY MY URINE WAS XXXXXXX BUT TODAY ITS NORMAL. I HAVE VEEN DRINKING ALOT OF WATER AND A BOTTLE OF GATERADE.. I'M VERY CONCERNED. THANKS

Answered by Dr. Dr. Klerida Shehu (13 hours later)

Brief Answer:
Symptoms suggestive for urinary tract infection

Detailed Answer:
Hi back my dear,

I understand your concern. 1

Again, your urine analysis (dipstick) you ran yesterday and today are suggestive for urinary tract infection.

The yellow stool you saw might be because you are having loose stool with frequent bowel movements. However, the presence of high urobiline and bilirubin in urine might be suggestive for possible gallbladder issues.

At this point, I highly recommend to :
- run urine analysis in the labnad you need to start oral antibiotics
- run abdominal ultrasound
- continue drinking plenty of water
- take OTC magnesium citrate and cranberry supplements to optimize urine ph
- probiotics are necessary to optimize intestinal flora
- take a complete liver/kidney /pancreas function test

Wish fast recovery!
Dr.Klerida

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Above answer was peer-reviewed by : Dr. Pradeep Vitta