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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Lupus, Got Rid Of Ecoli In Urine. Severe Sweating, Nausea, Headache. Taking Prednisone. Reason?

I have Lupus ...I have just gotten over 10 months of ecoli in my urine w/many antibiotics ...now, my urine is very dark and reddsh....I drink 2-3 quarts of water per day, I have severe sweatting in day and especially in evening...twice this week I ve felt nautious in the evening with a headaceh....I take 10 mg. of prednisone per day...what could this be?
Thu, 8 Nov 2012
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Allergist and Immunologist,  's  Response
Hello,
The immunosuppressant medication you are on for the lupus does not help with the infection. However, over 10 months of E Coli infection is very unusual unless there is a diverticulum in the bladder or some sort of anatomical abnormality that is harboring this bacteria.
Cranberry juice has been shown to be very helpful in preventing recurrent UTIs.
You also need a 9AM cortisol and 4PM cortisol test and may require a short synacthen test to ensure you do not have secondary adrenal insufficiency to explain the other symptoms.
I hope you are on Vit D3 and Calcium plus bisphosphonates to protect against bone loss due to the steroids.
Please get in touch with your Rheumatologist as soon as possible.
Thanks.
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Have Lupus, Got Rid Of Ecoli In Urine. Severe Sweating, Nausea, Headache. Taking Prednisone. Reason?

Hello, The immunosuppressant medication you are on for the lupus does not help with the infection. However, over 10 months of E Coli infection is very unusual unless there is a diverticulum in the bladder or some sort of anatomical abnormality that is harboring this bacteria. Cranberry juice has been shown to be very helpful in preventing recurrent UTIs. You also need a 9AM cortisol and 4PM cortisol test and may require a short synacthen test to ensure you do not have secondary adrenal insufficiency to explain the other symptoms. I hope you are on Vit D3 and Calcium plus bisphosphonates to protect against bone loss due to the steroids. Please get in touch with your Rheumatologist as soon as possible. Thanks.