Category Archives: Urinary Tract Infection/Pyelonephritis

Dear Sir, Take my cordial respect. I am from Bangladesh. My mother is suffering acute kidney problems. She is 54 years old. She is also a patient of diabetic for 24 years above and taking insulin two times daily. Urine infection was occurred past days and water comes in her body, especially in her belly now. She has also high blood pressure. Now she is taking drugs as doctor’s suggestion but improvement is not showing. If you want, I can send her drug list. In this situation, I need your suggestion. With best regards.

I am not able to recommend medical treatment without performing a complete history and physical examination. Treatment of the urine infection and monitoring of her kidney function should be performed by the physicians caring for your mother. Further treatment will … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues

Father is 92. Home bound. Has had a catheter for over 5 years. Limited kidney function but urine output is good and shows no sign of infection. But he is experiencing bladder spasms. He is on the correct diet; using cranberry juice, no caffeine, no salt, no sugar etc. Believe spasms from catheter irritation and maybe from a low dose of furosemide 10 mg/daily. Has constipation on and off and have tried and are using Miralax, Mylanta and gas and bloating pills over the counter as doctor suggested. Has slight reddish color to urine/blood, but not bad, it has been worst in the past. No smell or signs of urinary infection. Drinking plenty of cranberry juice and water. How can we reduce the spasms more? They are worst right after a catheter change (but doesn’t start till about 10 hours later) and are reduced over time. Yesterday, we almost had to go to the ER because he couldn’t deal with the pain. He had a surgical procedure while in the hospital 2 months ago due to blood clots/and full blockage after a change where they cleaned out the bladder. Had residual clots for about 3 weeks after that. He feels good about a week before the cath change is due and then has to go through all this again once the cath change is done. We’ve tried different nurses, different urinary doctors, ER and etc. Is there any other things that we can try? I read that maybe Detrol/Norpamin, or maybe Buscupan may help. What do you think?

Bladder spasms in men are very common with long term indwelling bladder catheters. There are no good medications for this. In some cases, bladder suppositories containing narcotics have been used, but narcotics in the elderly commonly induce confusion and sedation. … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues

I am contacting you on behalf of my daughter. She is 23 and has had chronic kidney infections since 6 Mos old. We have done vcug’s which initially showed reflux, but when the last one was done at 9 showed little to no reflux. She even tried prophalytic antibiotic treatment. That worked for a while. Finally at 17 she begged to stop looking for an answer. I relented but now she’s 23 and just let me know the problems are starting again. In November she was put on an antibiotic and it initially worked but as soon as she stopped taking them she had symptoms again. She was in the ER 2 weeks ago and was given an antibiotic infusion. She was then put on po antibiotics and finished those 7 days ago. Today she sent me this: “So about a week off of antibiotics and suddenly have some of the worst flank pain I’ve had. The adventure continues. I started hurting at like 2. When I’m laying down it’s minor pain, but when standing up it’s completely overwhelming.” Do you have any ideas? Anyone you can suggest she see? Any ideas would be greatly appreciated. Thank you for your time and consideration.

In most situations where bladder or kidney infections fail to clear, there is an anatomical problem with the urinary tracts. This comes under the expertise of a urologist. I am a nephrologist and I have no surgical expertise related to … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello Doctor. My brother was diagnosed with UTI and kidney stone. The urologist said this cause was as result of narrow part of ureter connecting kidney with bladder. First operation was performed to insert stent and my brother has some relief. Now the urologist said that the permanent solution is to cut off the narrow part of ureter and join the join the good part together. I want to know if this is the best solution?

I am a nephrologist and do not have any surgical expertise. A urologist is a surgeon and deals with questions of the urinary tract and surgery. I suggest that you seek any advice about this type of surgery from a … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis

My son is passing urine frequently. I met the doctor. We did urine culture and sensitivity test. The report shown klebsiella pneumoniae 10^5 4_6pus cells. Please clarify, Sir.

The results that you describe suggest that your son has a urinary tract infection. This may require treatment with antibiotics.

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues

I had a UTI or kidney infection a few weeks ago. My Dr. knew about it but did not prescribe me any meds so I didn’t think it was important or bad enough to be seen in an ER. Ever since the infection, I’ve been more tired than usual, appetite is down. I’m using my inhaler more often and my back hurts. Should I go be seen in an ER or by a Dr. different than my own as I don’t feel that she really cares about me or what my issues are?

If you were not examined by your physician, I suggest that you visit with your physician in her office. If you only made her aware of your concerns, but you were not examined, then she may have withheld antibiotics until … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Medication and Kidney Disease, Urinary Tract Infection/Pyelonephritis

Hi. My name is John and I’m having lower back problems with changes in my pee. It‘s less than usual and my bladder hurts a bit followed by my thighs swelling. My creatinine level is 0.87.

I am unable to make a specific diagnosis without performing a complete history and physical examination. I am unable to diagnose a kidney disease based on the information that you provide. You need to see your physician and have an … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

I have had a urinary tract infection for most of the last 1 1/2 years. I have been doctoring with a urologist and he has given me various antibiotics but it keeps coming back very often which is most of the time. He says the only reason he can think of for the infection is that I have an almost two mm kidney stone. His next step is to crush the stone and remove it by going up through the urethra with a laser. Is it possible that the kidney stone is the cause of the infection? Are there any other possible causes? Are there any other cures? My family doctor suggests that I follow the urologist’s advice. Thank you for your help.

The problem that you pose is a urological problem. I am a nephrologist and do not perform any surgery. I suggest that you follow your family physician’s advice.  A urologist is a surgeon and performs procedures related to lower urinary … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urinary Tract Infection/Pyelonephritis, Urological Issues

Can you recommend what kind of doctor to see if two nephrologists can’t diagnose my problem with frequent kidney pain attacks (ER three times in three months) with blood in the urine? All tests prove normal kidney function.

Blood in the urine should be evaluated by a urologist. I suggest that you consult with a urologist. If your kidney function is normal, this is likely lower urinary tract disease.

Posted in Ask the Doctor, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis, Urological Issues

I had over a dozen UTIs from 2011-2013, did a bladder wash with Elmiron, was diagnosed with Mild Interstitial Cystitis, and have had 5 diagnosed kidney infections in less than 2 years, from late 2016 to now. I’ve noticed that with the UTIs, I have painful urination, but with the kidney infections I only feel the pain at my kidneys. I don’t have most of the symptoms for kidney infection (fever, chills, frequent urination, burning while urinating, nausea, cloudy urine), and when a urinalysis is conducted, it’s always clear. But the urine culture always comes back positive. How my infections manifest has changed, but I’m not sure whether to be concerned about how they’re changing. Do you have any insight? Thank you.

The problem that you describe is a bladder problem. I am a nephrologist and do not have any expertise in bladder disease. A urologist is a surgeon and has expertise with bladder diseases and treatment. I suggest that you consult … Continue reading

Posted in Ask the Doctor, Urinary Tract Infection/Pyelonephritis, Urological Issues