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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Weakness, Loss Of Appetite, UTI, Nausea, Fever, Have Pus Cells In Urea. Done CT Scan. Suggest

Hi Doctor, My mum underwent a surgery on the 11th of Feb for prolapse of the rectum and urethea (I do not know the exact terminology),anyways she was feeling very weak,no appetite and within 2 weeks after the surgery she developed UTI ,Her pus cell count was 300.SHE WAS PUT ON ANTIBIOTIC intraveniously for 8 days and she was getting better but still not 100 %.after a few days again she was feeling feverish,nausea no appetite,Dr refered her to a urologist and after doing some bloodwork,her counts were 40 - 45,he has put her on 1 week medication and if it does not come down they will have to hospitalise her and do some procedure intravenously,Dr can you pls advice as to why are the pus cells still there and is this related to her surgery,is it lifethreatening,would you advice a ultra sound or CT SCAN,PLS HELP WE ARE ALL SO WORRIED
Sat, 30 Mar 2013
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General & Family Physician,  's  Response
Hello,
Thanks for posting your query.
Your mother is having post-surgical complication and got infection of urinary tract. Puss cells on urine analysis are dead white blood cells which fight against bacteria. It indicates bacterial infection, E.coli is common bacterium causing UTI but other bacteria may cause it.
As your mother could not recover after using antibiotics, it is quite possible that bacteria are resistant to that antibiotic ,however, some times doctor do not know what bacteria is growing inside and prescribe a drug that dose not kill it, so you need to perform urine culture and sensitivity to find out bacteria and drug that would help.
continue medication prescribed by urologist for recommended period then revisit him.
Hope it helps.
Take care!
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Weakness, Loss Of Appetite, UTI, Nausea, Fever, Have Pus Cells In Urea. Done CT Scan. Suggest

Hello, Thanks for posting your query. Your mother is having post-surgical complication and got infection of urinary tract. Puss cells on urine analysis are dead white blood cells which fight against bacteria. It indicates bacterial infection, E.coli is common bacterium causing UTI but other bacteria may cause it. As your mother could not recover after using antibiotics, it is quite possible that bacteria are resistant to that antibiotic ,however, some times doctor do not know what bacteria is growing inside and prescribe a drug that dose not kill it, so you need to perform urine culture and sensitivity to find out bacteria and drug that would help. continue medication prescribed by urologist for recommended period then revisit him. Hope it helps. Take care!