Patient :My girlfriend had symptoms of a UTI. She went to her doctor yesterday, who took a urinalysis. The doctor prescribed Cipro 500, 2x a day. The urinalysis results are attached. She is very concerned though, because she started to have very bad back pain yesterday. She feels a little better today, but still has back pain. Our fear is a spread to the kidneys. Are her symptoms normal? Should she go to the emergency room, or wait until her follow up appointment tomorrow? This is her first time getting a UTI. It likely was caused by sexual activity. Furthermore, are there steps we can take in the future to prevent UTI?
Thanks for the query.
A urinary tract infection can present with burning urination, increased frequency and vomiting. It can be associated back ache and pain in the abdomen. The doctor has started on the right antibiotics. Also, a urine for culture and sensitivity may be needed. It will take 48 hours. A symptomatic improvement will happen in 48 hours of antibiotic therapy.
However, kidney stones must be ruled out. Only chronic urinary tract infection can cause a kidney infection or hydronephrosis. We need to do an ultrasound for confirmation.
Drink plenty of water and have a bland diet. Drink cranberry juice and maintain feminine hygiene. Avoid sexual intercourse until she recovers completely.
Hope this helps.
Feel free to write back for any clarification.
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