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What Causes Pus In Urine?

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Posted on Fri, 20 Nov 2015
Question: I am a SCI patient (Spinal Cord Injured) and my body is paralyzed. I am on CIC (Clean Intermittent Catheterization) to empty the urine from bladder. CIC time is in every 4 hours. From last 5 days I am having fever range between 99-102. In my urine routine test report pus cells have been found. I attaching the report. Please have a look and let me know what medicines need to take and what other precautions are required?
doctor
Answered by Dr. Matthew J. Mangat (2 hours later)
Brief Answer:
Urinary infection is most likely.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist,i must advise you to continue with CIC every 4hours.
Most likely, you've developed an urinary infection(UTI).
That's the reason for the fever.
The confirmatory test for this is, urine culture, which's most sensitive and accurate.
Your report of urine routine, is highly suggestive of the same.
After giving urine sample for a culture test, start an antibiotic.
Ciprofloxacin twice daily is most commonly started, till culture report is available.
If fever continues to rise,after two days of Ciprofloxacin, an injectable antibiotic will be needed. Also check blood routine, creatinine and sugar.
Drink 10-12 glasses of liquids daily.
Paracetamol tablets 8th hourly is advised, till fever subsides completely.
Once fever subsides, an ultrasound scan of abdomen is advisable.
According to reports,your doctor will advise further treatment.
You may send reports here, for an expert opinion.
Wish you a speedy recovery.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Matthew J. Mangat (3 days later)
Hi, I have tried Ciprofloxacin as per your advise but still having 100-102 fever. I am attaching my urine culture and blood routine report. Please have a look and advise what needs to do further as it is being more than a week I am having fever.
doctor
Answered by Dr. Matthew J. Mangat (14 hours later)
Brief Answer:
Injectable antibiotic needed.

Detailed Answer:
Hi XXXXXXX
Having gone through your culture reports, you've active urinary infection
Most likely, that's the cause for the fever.
You need to start injectable antibiotic, like Amikacin, shown sensitive in culture.
Before starting and during treatment,you need to check creatinine level.
Wish you a speedy recovery.
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. Sonia Raina
doctor
Answered by
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Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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What Causes Pus In Urine?

Brief Answer: Urinary infection is most likely. Detailed Answer: Hello XXXXXXX and welcome to HCM. As an Urologist,i must advise you to continue with CIC every 4hours. Most likely, you've developed an urinary infection(UTI). That's the reason for the fever. The confirmatory test for this is, urine culture, which's most sensitive and accurate. Your report of urine routine, is highly suggestive of the same. After giving urine sample for a culture test, start an antibiotic. Ciprofloxacin twice daily is most commonly started, till culture report is available. If fever continues to rise,after two days of Ciprofloxacin, an injectable antibiotic will be needed. Also check blood routine, creatinine and sugar. Drink 10-12 glasses of liquids daily. Paracetamol tablets 8th hourly is advised, till fever subsides completely. Once fever subsides, an ultrasound scan of abdomen is advisable. According to reports,your doctor will advise further treatment. You may send reports here, for an expert opinion. Wish you a speedy recovery.