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UTI, Kidney Stones, Nausea, Knee Pain, Tinnitus In Ear, Migraines. What Could This Illness Be?

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Posted on Wed, 12 Sep 2012
Question: Diagnosed UTI and Kidney stones four days ago; put on cipro, tramadol, and phenazopyrid. Symptoms of extreme nausea, chills, pain in right flank, pain under right ribcage, constant migraine, right knee pain, clammy, and tinnitus in right ear indicated going to the ER yesterday. After a CT, xray, urinalysis, and blood tests; they ruled out pneumonia and blood clots. No stones appeared in the urinalysis either.

The urinalysis showed a WBC count of 3-5, no blood, and Moderate bacteria. My blood was normal with the exception of a 46 value for lymphocytes. The CT and xray revealed only a small phleboliths within the left inferior hemipelvis and an abundant amount of retained stool. Tests showed I continue to be dehydrated (even though I'm drinking as much as possible).

The Doctor is extending the Cipro for another four days and prescribed Ondasetron for the nausea. As of this morning, the migraines, tinnitus and rib pain have gotten worse. I've now started to slightly twitch in my hands. All other symptoms remain.
What could this illness be, and why are the symptoms worsening?
Forgot to include that I have two red lines that appeared yesterday on my right breast. They both are approximately 2-3mm width and 2 inches long. The lines are approximately 2 inches apart from each other.
doctor
Answered by Dr. Avinash Ignatius (6 hours later)
Hi,
Thanks for posting your query.
Your symptoms are likely to be due to an episode of acute pyelonephritis, in which the kidney is inflamed due to some infection.
It is possible that the infecting organism is resistant to ciprofloxacin which is why there is no response to treatment and the symptoms are worsening.
Getting a urine culture with sensitivity would help to choose an appropriate antibiotic.
The red rash/lines could be due to allergic reaction. It would be helpful if you could answer the following questions:
•     Do these lines itch?
•     Are the lines present anywhere else on the body?
•     Are any new lines appearing?
•     Could it be due to pressure from any garment?
Awaiting your reply
Regards

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Avinash Ignatius (21 minutes later)
Thank you for your prompt response.

The lines do not itch, no new lines are present, nor are new lines appearing, and they cannot be from pressure from a garment. The color is nearly burgundy. I find it odd they appear on the same side I'm having the pain in my ribs, flank, and knee.

Thursday was when I went to Urgent Care, and Saturday the Emergency Room. It is unfortunate neither place tested my urine to identify the organism causing so much trouble.
The xray showed an abundant amount of stool. I've taken three laxatives today, and nothing has worked to remedy the situation. Is this related to the illness, or coincidence?
Thank you, again.

Kind regards,
XXXXXXX
doctor
Answered by Dr. Avinash Ignatius (14 minutes later)
Dear XXXXXXX
Thanks for reverting.

If the lines persist, I would suggest that you consult your primary care physician and get them examined. Alternatively, you can upload a picture of the same and I'll try my best to help you. It is unlikely that it is related to the rib pain or nausea.

The bowel habits of any person can get disturbed during an acute illness and there is no need to worry about them.

I would strongly suggest a urine culture be done before any new antibiotics are added.

I hope I have answered your query. Please accept my answer if you have no further queries.

Regards
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Aparna Kohli
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Answered by
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Dr. Avinash Ignatius

Nephrologist

Practicing since :2001

Answered : 119 Questions

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UTI, Kidney Stones, Nausea, Knee Pain, Tinnitus In Ear, Migraines. What Could This Illness Be?

Hi,
Thanks for posting your query.
Your symptoms are likely to be due to an episode of acute pyelonephritis, in which the kidney is inflamed due to some infection.
It is possible that the infecting organism is resistant to ciprofloxacin which is why there is no response to treatment and the symptoms are worsening.
Getting a urine culture with sensitivity would help to choose an appropriate antibiotic.
The red rash/lines could be due to allergic reaction. It would be helpful if you could answer the following questions:
•     Do these lines itch?
•     Are the lines present anywhere else on the body?
•     Are any new lines appearing?
•     Could it be due to pressure from any garment?
Awaiting your reply
Regards