Category Archives: Urinary Tract Infection/Pyelonephritis

Two years ago I had a kidney stone that seemed to get lodged in the ureter, as that’s where my pain was, (front lower left) not back. Passed successfully at home. Now, I’ve had some dull flank/back pain on the same side for a couple of months now. (Intermittently, I have short pain in same spot as before, ureter) I went to the Doctor and had a urinalysis, showed some very light blood, not visible; but it was just a day or so before my period was to start, but I’ve had white flakey floaties in my urine, then and now still 6-8 weeks later. The back/flank pain is still dull, and intermittent, but present more than not. I’ve looked up causes of white flakey floaters, and I’m thinking more kidney as I’ve had kidney stones twice, once when I was pregnant in 2001, then in winter of 2016. I don’t take any meds or have any other health problems besides being slightly overweight. I do have low vitamin D, and tested depleted just before having stones in 2016 and was put on high dose of D supplements. (I quit taking after stones thinking there might be a connection) 48 year old female non-smoker. My Doctor thought with my history I might just be getting ready to pass a stone but it’s been 6-8 weeks; same symptoms. Is it worth going for another urinalysis? Her next thought was imaging which is expensive; CT. Any thoughts on the particles in urine and the length of symptoms? Appreciated!

I am unable to provide a specific diagnosis based on the information that you present. In order to provide a diagnosis, I would need to perform a complete history and physical examination as well as perform a urinalysis by personally … Continue reading

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

Hello. My mother’s creatinine level is 2.2mg/dl from last week’s report. She had DJ stenting and a drain operation last month but unfortunately a problem of urine infection occurred and she is feeling weaker. No other symptoms seen as of yet, only stiffness in the body. Doctor suggested us to give her Niftran 100mg medicine.

Niftran is a nitrofurantoin antibiotic that can be used to treat a urinary tract infection. It should not be used in patients who have an estimated glomerular filtration rate (eGFR) of less than 30 milliliters per minute per 1.73 meters … Continue reading

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

Hello Doctor: I have stage three kidney disease, age 69, female, diabetic, COPD and have had CABG x 3 in 2002 with RCA 100 PERCENT BLOCKED, not fixable. My glucose levels are not in total control, they run around 200, I take Humalog and Levemir. I am now, the past four months, hardly able to urinate. I am under care of kidney and urologist. Urologist did a cystoscopy, said no cancer in the bladder, then left the room without answering my questions. When I checked out of the office that day, the clerk said that I didn’t need to come back unless I wanted to learn self catheter. I could not believe just a clerk told me, not the doctor. I don’t understand. The doctor never said anything about it. Now for three months I am having constant UTIs and hard to urinate and painful. So, seems I am on antibiotics all the time. Seems like a lot of fluid going into my tissues. My kidney doctor is no help and is fed up with me for some reason. Can you give me a glimmer of hope or am I just about to the end? I don’t know anything and very frightened. I am 100 pounds overweight at this point. And lots of fluid on me. I do take Lasix every day but don’t know if I should even be taking that or not. I would appreciate anything you could tell me. Thank you for your time. I am so overwhelmed with all the medical conditions that I have.

From the description of your circumstances, I would suggest that you consult with your primary care physician (PCP) and seek clarification as to the recommendations of all of your consultants. It sounds like you have not had a good experience … Continue reading

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

Hello, I have a very low appetite with an on and off fever, painful urinating and 10-15 RBCs in my urine. I am a male; 50 years. What could be the cause?

I am unable to make a specific diagnosis based on the information that you present. It could be bladder or urinary tract infection. It could be prostate infection. I suggest you have an examination by your physician.

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

My patient was diagnosed with UTI and was given Levofloxacin Hemihydrate tablets 750 mg; 1 tablet a day. He has taken it for four days now but the fever is still on and the appetite is very low. How can we go about it?

I am unable to make a diagnosis based on the information that you present. If it has been only four days, it may be taking some time to resolve the infection. I suggest re-examination by a physician looking for other … Continue reading

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

About 6 months ago I started to have no control of my bladder. I’m a truck driver and when standing my urine just flooded out. I saw a urologist, he had me try a prescription but I had little success. A lot of the time my urine has a very bad “fishy” odor & is very cloudy. I drink diet cranberry juice and 8 to 10 glasses of water every day. I’m a diabetic, (A1c 6.4) & HBP. Last Dr. visit I was told I was in stage 3 kidney disease. She assured me this was normal in my age group, 64. I’m very concerned regarding the “fishy” odor and cloudiness. It does get better when I get off the truck for home time. Should I see a kidney specialist? Thank you for your time & attention!

The problem that you describe is a urological problem. I am a nephrologist and have no expertise in the treatment of bladder or lower urinary tract disease. I suggest that you continue to consult with a urologist or a gynecologist.

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

Sir, 6 months back I had a stone in the right kidney, size 11mm. The stone was crushed and removed through urinary tract. That time my creatinine was slightly high, 1.5. After removing the stone, creatinine become normal. After a few days, I had a UTI and my creatinine went to 1.5. I took the medicines for the UTI and the creatinine went back to normal. 16 days later, my creatinine increased; the reading was 1.25 (reference- 0.6 to 1.1) and there was infection in urine. I took antibiotics. After 10 days of antibiotic course, my creatinine is 1.27 (ref- 0.6 to 1.17), and my TSH is 7.98. I have been suffering from High Blood pressure for the last 38 years. At present, I am taking Cilacar M and Cilcar 20 mg at night. Previously I was taking Telmasartin 40 mg + Amlodeepin 5 mg combination. But after the slight increase of creatinine, the medicines have been changed. I always feel dehydrated and burning in my urine. At night, I have to go to bathroom nearly 8 to 10 times to pass the urine, but day time I am OK. Please advise sir. What precautions should I take to protect my kidneys. My BP is around 130/90 or 140/85.

I am unable to make a specific diagnosis based on the information that you present. I am unable to offer medical advice without being able to perform a complete history and physical examination. Your symptoms are concerning for lower urinary … Continue reading

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

: Hello, My GFR is 28 currently. When I was 20, I had toxic shock syndrome and was on dialysis for a few months and regained about 80% of my function back. I lived a normal life until 2009 when my function changed and I was told I was stage 2 kidney disease. And then about 2013ish I was I was stage three. Just recently I had to have a heart test that used dye and it seems to have changed my GFR from 39 to 28, so I been told. So, as of last month my GFR is 28. During that doctor visit my kidney doctor stated that my urine test had blood and that I needed to see a urologist. The kidney doctor states that it could be something with my bladder. So, an appointment is scheduled for June to see a urologist. My question is if I am now stage four isn’t finding blood in my urine one of the symptoms of stage four? And I asked if it could be from my kidneys and he said no. So, I am confused. Maybe I misunderstood what the doctor said or meant. Can you help? I know you don’t know my history and I tried giving you what I thought might help you without boring you to death…lol thank you.

Isolated blood in the urine as a new finding is not a characteristic of chronic kidney disease (CKD). Blood in the urine most commonly comes from the lower urinary tract rather than the kidneys. Hence, I believe it is entirely … Continue reading

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

Hi, I’m having pain urinating, occasional back pain and low grade fever. The doctor prescribed Ciprofloxacin tablet for 5 days and Epimag. I finished the antibiotic but I still have fever. My urine test result pus 6-8, rbc3-4, epithelial cells++, and specific gravity 1.015. My urine culture is negative. Please help me. I’m confused. Thank you.

I am not able to make a specific diagnosis based on the information that you present. Your symptoms suggest a urinary tract infection but if your urine culture is negative for growth of bacteria, then further testing will be required. … Continue reading

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

Hi Dr, My father, aged 55 years, was on dialysis for 6 months and has gone under kidney transplant on 24 April 2019. Post transplant his creatinine level is normal, blood levels is around 10 + (Rbc). Small Bladder ( 80ml). All reports are normal. However, he is facing two issues: Tac Levels are around 4 post transplant (Increased dose, but levels are around 4 only). Recently put on cyclosporine (Test results are awaited). Second issue frequent urination (every half an hour 100ml) may be due to small bladder. In his urine culture, Klebsiella Pneumoniae is intermittently found. Around 60,000 bacteria count. Any suggestions will be helpful.

I am not able to make treatment recommendations without performing a complete history and physical examination. The Tacrolimus levels that you mention are commonly kept between 8 and 12 nanograms per milliliter (ng/ml) immediately after transplantation. This drug is commonly … Continue reading

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