HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Severe Urine Infection And Pain Near Vagina

Posted on Wed, 12 Aug 2015

Question: Hi
I have very bad urine infection for the last six weeks.. I am concerned as I have tried three antibiotics and it is still there.. I have pain lower down near the vaginal area.
do you think blood tests and an mri scan of the pelvis would be worth a scan..is an ultrasound of the pelvis a better idea..urine has been sent to the lab and it is normal..urine frequency and pain is my problem..should I see a gynaecologist or a urologist..see previous medical history if possible

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
You have UTI .

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have UTI

It is likely that the antibiotics that you have taken may not be effective for the reason being that the organisms causing UTI may not be sensitive to those antibiotics.

Please consult qualified Urologist for clinical examination and get following basic tests done under his guidance
1)Routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to
2) Ultrasound of the abdomen and pelvis to rule out urinary stone

In the meanwhile take broad spectrum antibiotics like Cefixine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water .To keep your urine dilute This will help to control dysuria.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (27 minutes later)

thanks. my doctor wrote me a letter for an MRI of the pelvis.. will this show up anything..could this be a gynao problem..i have been on cefixine before and it did not work.
thanks
XXXX

I have also had a urinary test done and nothing showed up

Answered by Dr. Dr. P. T. Patil (8 minutes later)

Brief Answer:
Get the suggested preliminary tests done .

Detailed Answer:
Hello
Thanks for follow up .Your Gynecologist has carried out vaginal examination and is she suspecting some serious issue ?.for suggesting to get MRI done

Normally I prefer to do Ultrasound Scanning first and go for MRI if required or if Ultrasound Scanning is is inconclusive or detects any other suspicious pathology.

Routine urine test does not detect causative organisms .Doing urine culture will guide us to take appropriate antibiotics to combat infection .

Thanks and Ragards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (11 hours later)

no I have not seen a gynologist..I have seen my doctor who suggested an mri of the pelvis... I had a fistogram (on the scan it reads fistogram) done in may.. is this the same thing.this suggested a fistula..have written on this site before.. where can I get a urine culture test done..should I have asked my doctor to get ultrasound scanning done for pelvis and abdominal instead..i am due to see my gynolcolgist on the 26th of August..i never had any major problems in this area.. only benign cists..had untrasound of pelvis done last year and all was fine..
I have spinal issues.. you can see from my note..s previously.. hope this is not the problem..
thanks

Answered by Dr. Dr. P. T. Patil (13 minutes later)

Brief Answer:
Get Ultrasound Scanning of abdomen and pelvis done

Detailed Answer:
Hellow
Thanks for query .Get ultrasound Scanning of the abdomen and pelvis and Urine culture done .

I do not think that you have any serious issue .You have UTI which can be treated with appropriate antibiotics taken judiciously for 2-3 weeks .
Thanks and Regards.

Revert back after you get your urine culture report .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (53 minutes later)

thanks.. can a doctor do a urine culture test
thanks

Answered by Dr. Dr. P. T. Patil (42 minutes later)

Brief Answer:
Urine culture is done in Pathology Laboratory .

Detailed Answer:
hello
Thanks for follow up.
Urine culture is done in Pathology laboratory .Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (11 minutes later)

can my doctor do this and send it to the pathology department or is it usually done in a hospital
also..i have a letter to get an mri done of the pelvis.. is this ok
will this save me having to go back and get my doctor to write up letters to get ultrasounds done of the pelvis and the abdomen done...saves money do.. will this show all that needs to be known..;thanks

Answered by Dr. Dr. P. T. Patil (7 minutes later)

Brief Answer:
Urine Culture can be done in laboratory attache to Hospital

Detailed Answer:
Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (31 hours later)

is it normal to experience pain with urinary infection?
is it normal to have it for so long.
also I have a lot of disc issues..including spinal stenosis in neck. see scans..
is this related at all to this
thanks

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Read details below

Detailed Answer:
Hello
Thanks for follow up.

Pain is bound to be there till the infection controlled .
Your urinary symptoms and pain are not related to disc problem in cervical region as the nerves innervation for Bladder comes from lower down in spinal cord.

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Yogesh D