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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medication for urine infection

hI, I am from the UK but living in Kenya and a bit worried about my condition. I had a urine infection for which I was prescribed antibiotics and finished the course last week. Wanting to know if it had cleared I took another urine test and it shows Epithelial Cells 4-8/HPF AND Pus Cells 8-10/HPF. The pus cells I don't think showed in my last test. Yesterday I started feeling quite ill, vomited and felt very weak. I had a test for malaria which proved negative. I'm wondering if I have a sexually transmitted disease. It is painful when I have sex. I have just taken a blood test and a vaginal swab and am waiting for the results. To be honest I'm not confident in the quality of care here, poor hygiene at the clinic i took the tests and I don't have much faith in the clinicians. Any thoughts on my condition. I'm still feeling very weak and not at all like eating since yesterday lunchtime.
Tue, 9 May 2017
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Urologist 's  Response
Firstly, urine with pus cells >5/HPF indicates urinary tract infection. Despite taking antibiotics, u have persistence of infection. This could be due to culture resistant antibiotic or a persistent source or recent srxual contact.
U need to get urine culture, Ultrasound KUB.
Avoid sexual contact at least for 2-3 weeks.
Treat ur infection with culture sensitive antibiotics, preferably broad spectrum. If any source of infection is found on ultrasound, it has to be treated.
If u have vaginal discharge, u may probably also have Sexually Transmitted Disease, which again needs to be treated with appropriate antibiotics.
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Suggest medication for urine infection

Firstly, urine with pus cells 5/HPF indicates urinary tract infection. Despite taking antibiotics, u have persistence of infection. This could be due to culture resistant antibiotic or a persistent source or recent srxual contact. U need to get urine culture, Ultrasound KUB. Avoid sexual contact at least for 2-3 weeks. Treat ur infection with culture sensitive antibiotics, preferably broad spectrum. If any source of infection is found on ultrasound, it has to be treated. If u have vaginal discharge, u may probably also have Sexually Transmitted Disease, which again needs to be treated with appropriate antibiotics.