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ESR and Hb level. Found E. Coli in urine culture. Why fatigue?

My wife, Anita, 55 years old, has got high ESR level of 110 and her Hb is 10. She has fever variation between 99F and 100F since 3 weeks. Her blood culture , abdomen CT , chest X Ray are OK. She has fatigue, nausea, anorexia . Has lost 10 kg weight without any dieting or exercise regimen in last 3 years. She is a type 2 diabetic and has high TG s since last 10 years.Her blood sugar is 140 fasting, cholesterol is 500. Has got unbearable pain in both arms since one month. Had to be admitted in hospital last week and given Inj. Amikacin for 5 days for E. Coli. found in urine culture . Her echo says, left ventricular hypertrophy.She is feeling better but gets fatigued easily. USG abdomen showed high residual urine in bladder. Her elder sister has myloma and had bone marrow transplant recently. Could you kindly advise please? Thanks!
Asked On : Sun, 19 Aug 2012
Answers:  1 Views:  165
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General & Family Physician 's  Response
Hi Abhay,

Thanks for writing in.

All her symptoms of nausea, anorexia, fatigue, fever, high ESR , might be due to the urinary tract infection. Once the infection clears from her body, she might feel fine.

Another reason for her fatigue might be due to anxiety, due to the fact that her sister is diagnosed with myeloma.

Elevated blood sugars and cholesterol levels are other causes of fatigue.

To help in treating all the above conditions, I would advise her to do regular exercise 30 - 45 minutes a day 5 days a week. Exercise releases endorphins which might make her feel good. Is she is not used to exercising, start gradually with 10-15 minutes a day , and as days pass gradually increase it to 30- 45 minutes a day. Exercise is good for reducing sugar levels,cholesterol levels.

Sign up for yoga/relaxation classes, which will help allay any anxiety.

Drink plenty of fluids . It will help clear the urinary tract infection.
Ensure regular periodic emptying of the bladder.
Abstain from sexual intercourse till the infection clears.
Once the infection is cleared , to prevent further episodes of urinary tract infection, it would be wise to empty the bladder before and after intercourse.

Preferably use olive oil for cooking and in salads as olive oil helps in cutting down the cholesterol levels. Oats as a porridge in skim milk is good for reducing blood sugars as well as cholesterol levels.
Avoid fatty, deep fried food. Avoid red meat like mutton.
Chicken and egg whites can be consumed occassionally.

Hope this helps.

Dr. Divya Kuttikrishnan
Answered: Sun, 19 Aug 2012
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