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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Cipro For Pyelonephritis. WBC Count High, Bacteria And Protein In Urine. Should I Go To ER?

I was diagnosed with Pyelonephritis on the 4th (one week a go) I was put on cipro,zofran, and percocet I went for a follow up appointment on the 7th and my white blood count was still high, and my urine still had bacteria and protien in it. Today I have no more Zofran or percocet and I am EXTREMLY queasy and my lower back (flank) area is cramping badly and radiates to my groin . I called my doctor earlier but she was not in and can not get back to me until friday should I go to the ER?
Fri, 26 Jul 2013
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  User's Response
Hi, many thanks for utilizing HCM!

It appears to be stone related pain or due to infection..Needs to be investigated.
Kindly do Urine culture & sensitivity test, RFT, Sr. Uric acid,
Ultrasound KUB, X-ray KUB.
You haven't mentioned your age.
Persistent infection can be due to several causes including Diabetes Mellitus,
So check your blood sugar level.

Start antibiotics as per the culture & sensitivity report by parenteral
route (if required), also antispasmodics, analgesics, diuretics (if required) with your Urologist's opinion.
Drink plenty of water so that at least 3 litres of urine is voided in 24 hrs.

Wish you a speedy recovery.
Take care.
With warm regards.
Thanks!
I find this answer helpful
Nephrologist,  Dr. Deepak Sharma's  Response
It appears that you still have significant infection.Ciprofloxacin resistence is extremely common.Therefore,I suggest that you immediately start Inj Piptaz 4.5gm 8 hrly IV daily at least for 7 days.
Before taking first dose you give samples for Urine & Blood culture.
I find this answer helpful
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Taking Cipro For Pyelonephritis. WBC Count High, Bacteria And Protein In Urine. Should I Go To ER?

Hi, many thanks for utilizing HCM! It appears to be stone related pain or due to infection..Needs to be investigated. Kindly do Urine culture & sensitivity test, RFT, Sr. Uric acid, Ultrasound KUB, X-ray KUB. You haven t mentioned your age. Persistent infection can be due to several causes including Diabetes Mellitus, So check your blood sugar level. Start antibiotics as per the culture & sensitivity report by parenteral route (if required), also antispasmodics, analgesics, diuretics (if required) with your Urologist s opinion. Drink plenty of water so that at least 3 litres of urine is voided in 24 hrs. Wish you a speedy recovery. Take care. With warm regards. Thanks!