M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Ranchi
There is no urine infection but there is some local infection definitely. You probably need probiotics and some vaginal tablets. For complete treatment you can contact me.
M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Ranchi
You need probiotics and maybe another group of antibiotics. It should be treated fully after some blood and urine tests. You can contact me for discussion and treatment.
Hi,
your symptoms look more like allergic rhinitis or could be simple viral (flu). Please exclude any allergen that might have triggered your symptoms. Antibiotics do not play any role in such cases. Substitute cetirizine with tab allegra 120 mg twice a day for 4-5 days. Otrivin nasal drops twice a day for 3 days followed by steam.
Hope this helps!
Urispas two times a day after food for ten days.
Citralka liq10 ml with half glass of water three times a day after food. For ten to fifteen days. Safe, no side effects.
If you and your family members are affected then it is most probably covid infection. You need to get your brother tested for covid. Amd start the medication. If any more queries pls contact me.
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, Diploma In Laparoscopy
General Surgeon, Begusarai
Sorry to hear about how your mother has suffered so much
I am here to help however I can.
(1) puss cells in urine but no growth on culture could indicate "sterile pyuria" which is common in elderly women. Possible reason for this may also be recent or incomplete antibiotic course. There are also several organisms that could cause uti, they may be present in bladder/urine but do not grow on culture media and they are capable of causing hematuria.
(2) there can be several obstructive (obstruction of urine passage) and non-obstructive causes for urinary retention. An obstruction at the vesicoureteral junction (vuj) on one side can cause backpressure leading to dilatation of ureter and hydronephrosis of that side. Neurogenic bladder (not obstructive) can cause the same problems. Both of these conditions can lead to formation of bladder diverticula. Doctors usually do a test called ivp to rule out any blockage to urinary pathway.
(3) niftas (nitrofurantoin), macpee (bethanechol) can have side effects like pain abdomen, nausea/vomiting, diarrhea, etc.
(4) macpee - severe side effects of macpee include tachycardia (fast heart beat), severe abdominal pain & fainting. (5) veltam (tamsulosin) can also cause tachycardia (increased heart rate), arrythmia (irregular heart rate), hypotension (decreased blood pressure), etc. *as far as her abdominal pain/discomfort is concerned - any of the above three medications could be the cause for that. *for decreased spo2 and increased pulse - since she has had niftas, macpee and veltam for over 25 days a sudden reaction to them is unlikely. Now the only remaining medication that could cause this is zifi.
(6) zifi (cefixime) - serious reaction to zifi has been reported where it caused dyspnoea / hypoxemia (decreased spo2), taachycardia (increased pulse / heart rate) and hypotension (decreased blood pressure). Usually this starts within hours of the first dose but you need to contact your doctor at the earliest if your mother is facing these problems.
(7) yes, she might need a urinary catheter specially if she is confined to her bed mostly - an intermittent catheterization for draining urine could work.
(8) along with treatment your mother would need all the emotional/mental support she can get from you and your family.
I hope I have answered most of your questions. If you need any more help from me, you can contact me on private chat here at Lybrate. I wish your mother good health and you the strength to get through this.
Once you start zifi it should be completed, so continue for 5 days, econorm sachet has no side effects so you can give for 3 days and then discontinue. You can give animal milk if the source is good, you have to boil it, add sugar, don't add water and give it with spoon or glass, avoid bottle.
MBBS, , Diploma in Child Health (DCH), Fellowship in Neonatology
Pediatrician, Ernakulam
When you have an acute attack like this it is mandatory to give short course antibiotics and deworming treatment. But in future you should resort to clean habits at home and outside. Only then this can be prevented. Giving home made curds everyday is good (natural probiotic).