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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Left Abdomen And Back Pain With Calf Muscle Soreness?

I went to the dr on Monday with pain in my lower left abdomen and lower left back pain. Urinalysis showed infection as UTI possible kidney infection. Dr. gave antibiotics and pain meds. I feel much better, however I still have a little pain in the same site as described above and my left calf muscle feels very sore. Is this normal?
Fri, 2 Dec 2016
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General & Family Physician 's  Response
hi and pleased to answer you

you are suffering from acute pyelonephritis. and the re-evaluation of the treatment is essential at the 48th-72nd hour and at D7, to check the quality of the initial prescription of the antibiotics (chosen molecule, dosage) and to adapt it to clinical and antibiogram (check the absence of adverse effects). Follow-up is initially clinical (disappearance of fever and disappearance of lower back pain). The realization of a systematic urinalysis to ensure the disappearance of germs is controversial. For some, an urinalysis is not necessary in case of disappearance of the clinical signs. For others, a systematic urinalysis is recommended 1 week and 4 to 6 weeks after cessation of treatment or just 4 to 6 weeks after discontinuation of treatment. If clinical signs persist or if worsening occurs beyond 48 to 72 hours, a new clinical, biological evaluation and radiological (renal CT) is recommended. Imaging looks for an unnoticed obstacle, pyonephrosis, renal abscess, perirenal collection.
I urge you to contact your nephrologist.
may this help you
best wishes
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What Causes Left Abdomen And Back Pain With Calf Muscle Soreness?

hi and pleased to answer you you are suffering from acute pyelonephritis. and the re-evaluation of the treatment is essential at the 48th-72nd hour and at D7, to check the quality of the initial prescription of the antibiotics (chosen molecule, dosage) and to adapt it to clinical and antibiogram (check the absence of adverse effects). Follow-up is initially clinical (disappearance of fever and disappearance of lower back pain). The realization of a systematic urinalysis to ensure the disappearance of germs is controversial. For some, an urinalysis is not necessary in case of disappearance of the clinical signs. For others, a systematic urinalysis is recommended 1 week and 4 to 6 weeks after cessation of treatment or just 4 to 6 weeks after discontinuation of treatment. If clinical signs persist or if worsening occurs beyond 48 to 72 hours, a new clinical, biological evaluation and radiological (renal CT) is recommended. Imaging looks for an unnoticed obstacle, pyonephrosis, renal abscess, perirenal collection. I urge you to contact your nephrologist. may this help you best wishes