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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Getting Continuous Pain In Left Upper Abdomen And Back. USG Shows Mild Inflammation In Kidney, Taking Mikacin Injections. Advise ?

Hi, From last 2 months, I am getting continuous pain in my left upper abdomen And back.On doing ultrasound sonography , mild. inflammation is seen un left kidney... I got ultrasound done 5 times. And took many medicines and antibiotics for urinary tract and kidney infection . Currently I am taking mikacin injections also.please advise.
Sat, 20 Jul 2013
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General & Family Physician 's  Response
hi
thankyou for consulting hcm
sir,
after going through your complaints wat I feel is you might be suffering from renal infections that too persistently,inspite being on medication,is jus because of overlooking the focus of infection which could be a calculi some where down in the urinary tract which most of the times we cant detetct it through ultrasound abdomen,what I suggest you is get an X ray KUB and CT abdomen done while your on your meds,...
hope I have answered ur query at par uur satisfaction
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  User's Response
Hi, many thanks for the query!
Tuberculosis of the urinary tract causes sterile pyuria (plenty of pus cells in urine but with negative urine culture)
You need to do- Urine examination for TB (RT-PCR), CBC, RFT, X-ray KUB,
also Urine (Culture & Sensitivity) and as per the report, start antibiotics by parenteral route if needed with your Urologist's opinion.
If urine report is positive for TB, then AKT should be started immediately with your doctor's opinion.
Also do- Blood Sugar Level & if diabetic, good control of blood sugar is necessary while treating UTI.
Wish you a good health.
Take care.
Regards.
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Getting Continuous Pain In Left Upper Abdomen And Back. USG Shows Mild Inflammation In Kidney, Taking Mikacin Injections. Advise ?

hi thankyou for consulting hcm sir, after going through your complaints wat I feel is you might be suffering from renal infections that too persistently,inspite being on medication,is jus because of overlooking the focus of infection which could be a calculi some where down in the urinary tract which most of the times we cant detetct it through ultrasound abdomen,what I suggest you is get an X ray KUB and CT abdomen done while your on your meds,... hope I have answered ur query at par uur satisfaction