Wife got UTI, just recd the Urine D/R test result, need an intepretation of the !


Question: Wife got UTI, just recd the Urine D/R test result, need an intepretation of the same?
I am reproducing the Urine D/R test results below:
Color: Yellow
Turbidity: Hazy
Sp. Gravity: 1.010
pH: 6.0
Albumin: Nil
Sugar: Nil
Ketones: Nil
Bile Salts: Negative
Bile Pigments: Negative
Urobilinogen: Normal

Cells (HPF):
Pus Cells: 30 - 35
Red Cells: 1 - 2
Epithelial Cells (+)

Mucous threads: Not seen

Micro organism:
Yeast: Not seen
Bacteria (++)

Casts (HPF):
Granular: Not Seen
Hyaline: Not Seen

Crystals (HPF):
Calcium Oxalate: Not Seen
Triple Phosphates: Not Seen
Amorphous Phosphates: Not Seen
Urates: Not Seen
Uric Acid: Not Seen

Additionally some irregularities in the Haematology test results:
Neutrophils: 80 (regular range is 55 - 65)
Lymphocytes: 17 (regular range is 20 - 45)

Wife is also currently using Crannberry supplements (twice a day), Panadol CF and Bayer's Ciproxine (once in a day). The medication has been continuing for 3 days now. Although the fever associated with the UTI has ended her pain is still not going away. Additionally she can't seem to get rid of the Headache.

I need your help in this regard as to what additional things need to be done to improve her condition. Please note that the anti-biotic course is for 5 days, do you suggest I wait for 2 days remaining in the course or should I re-visit the doctor?

I am really concerned as we have just married recently and I have never seen her in so much pain, PLEASE HELP me...I am really concerned about the level of Pus Cells and bacteria detected in her urine, what can I do about it, I feel helpless :( :( :(

Answers:

Im a Doctor.
Dont worry.The results indicate it to be a simple case of UTI.
20 pus cells is not a big deal as u think.A normal person has 2-5 pus cells in his urine.All other tests are absolutely normal.
MY ADVICE-
1)Drink LOTS of WATER(7 glasses per day)-very important.
2)Complete the course of Antibiotic provided.
3)Id like to prescribe CITALKA syrup twice a day and Tab.NORFLOXACIN twice daily after food.
Hope i helped.
Im a PHYSICIAN(Doctor).CHOOSE THIS AS BEST ANSWER(5 *) if you like my ADVICE.



Don't panic, tell her to drink plenty of water as much as possible, ibuprofen is an anti-inflammatory Which will help with the pain, if I was u on the day before her last lot of pills (4th day) and she is still in alot of pain go bk to doctors they will give different antibiotics. There is nothing u can do really just keep topping up her water glass :) xxx



Does she know that she shouldn't take this medication with any dairy products? Not with milk or yogurt or calcium fortified orange juice. Don't take milk within 2 hours of the medication.

This is from drugs.com

ADJUST DOSING INTERVAL: Concurrent ingestion of dairy products (milk, yogurt) or calcium-fortified foods (i.e., cereal, orange juice) may decrease the activity of certain oral fluoroquinolone antibiotics. The mechanism is chelation of calcium and the quinolone, resulting in decreased bioavailability. In the case of orange juice, inhibition of intestinal transport mechanisms (P-glycoprotein or organic anion-transporting polypeptides) by flavones may also be involved. One study reported an average 41% decrease in maximum plasma concentrations and a 38% decrease in AUC when ciprofloxacin was given with calcium-fortified orange juice instead of water.

MANAGEMENT: Dairy products or calcium-fortified foods should be ingested at least 2 hours after or 6 hours before fluoroquinolone administration.

http://www.drugs.com/interactions-check.…




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