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Doctor insights on: Complicated Uti Treatment Nephrolithiasis

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Treatment of cystitis cystica?

Treatment of cystitis cystica?

Treat if symptomatic: Cystitis cystica is commonly associated with recurrent utis in children who need to be on long term antibiotic prophylaxis to control or prevent utis. Diagnosed by cystoscopic examination & frequently an incidental finding in adults. Dose not require tretment if subject is devoid of bladder symptoms &/or does not suffer from multiple utis. ...Read more

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Kidney Stone (Definition)

Solutes precipitate and combine to form stones formed of calcium oxalate usually around a nidus of uric acid. Other solutes that form stones are ca and mg phosphates, cystine, and uric acid staghorn calculi form in the presence of chronic urinary tract infections. Stones can be painful, may require ...Read more


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How is diagnosis hydronephrosis secondary to staghorn calculi diagnosed?

How is diagnosis hydronephrosis secondary to staghorn calculi diagnosed?

CT scan is best: Kidney ultrasound is not the best modality for diagnosis of staghorn calculus. It is very good in diagnosing hydronephrosis. Most cost effective way, which will give an accurate diagnosis is a plain abdominal X-ray plus kidney ultrasound. ...Read more

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Is acute pyelonephritis more treatable than chronic pyelonephritis?

Is acute pyelonephritis more treatable than chronic pyelonephritis?

Yes: Pyelonephritis means infection of the kidney. Acute means severe. If it is of recent origin it must be treated immediately and fully. Chronic pyelonephritis means that condition is not acute but has been smouldring for a while. it damages the kidneys and it cannot be reversed ...Read more

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How effective is a ureteric stent for treating acute renal failure?

How effective is a ureteric stent for treating acute renal failure?

Depends: If the cause of renal failure is due to ureteral obstruction then very effective! The key is to address the obstruction ASAP in order to avoid any permanent damage to the kidneys. Important to monitor for post obstructive diuresis marked excessive urination after relief of obstruction. But, post-obstructive diuresis/natriuresis are good prognostic indicators of renal function recovery. ...Read more

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What is the best medication for UTI complicated by pyelonephritis?

What is the best medication for UTI complicated by pyelonephritis?

By sensitivities: Urine should have had a culture with bacterial sensitivities by micrbiology done, sensitivity testing should indicate choice of a few suitable antibiotics. Nitrofurantoin should not be used, although effective at sterilizing urine does not achieve any tissue levels and thus isn't effective in treating pyelonephritis. ...Read more

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Surgery withheld pending resolved UTI ecoli chronic prostatitis refractory to past 8wks of antibiotics. What is the most aggressive drug of choice?

Surgery withheld pending resolved UTI ecoli chronic prostatitis refractory to past 8wks of antibiotics.   What is the most aggressive drug of choice?

Depends on the bug. : The antibiotic of choice is dictated by the susceptibility of the particular bacteria in the urine. Not all e. Coli are the same with respect to their response to the same antibiotics. If your UTI hasn't responded to 8 weeks treatment, it could be that the e. Coli is resistant to the antibiotics tried or that a prostate abscess is present. A urologist could help you. ...Read more

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How complicated is kidney stone removal surgery?

How complicated is kidney stone removal surgery?

It depends: To make a generalization, it depends primarily on the size of the stone as well as the location. Anatomic factors may also play a role. Most stone procedures are not complicated; some may be if stones are large and/or multiple, infection is present, etc. ...Read more

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Is bladder stone curable?

Is bladder stone curable?

Very curable: Most bladder stones can be broken up into little pieces or dust by endoscopic laser or lithoclast lithotripsy (breaking up stone by laser or "jackhammer" type instrument passed via cystoscope). Broken pieces or "dust" can be irrigated, juctioned out or remaining small pieces grasped. Very large stones (> than an egg) are sometimes best removed by open surgery. Patient cured then prevent new ones. ...Read more

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Could sumycin (tetracycline) antibiotics cure a lower UTI infection (urethra)?

Could sumycin (tetracycline) antibiotics cure a lower UTI infection (urethra)?

Depends on organism: Sometimes tetracycline can treat a UTI. Please check with your doctor. Don't just take old meds that are lying around. ...Read more

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Cepholosporins for bladder/ kidney infection?

Cepholosporins for bladder/ kidney infection?

Kidney and bladder: Can work but it depends on the area and the resistance of the bacteria in same. These differ place to place. It will work if the culture was done and it showed sensitivity. ...Read more

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How effective is a urinary catheterization for treating a kidney infection?

How effective is a urinary catheterization for treating a kidney infection?

Urinary cath: It is not usually used to treat but is a common cause of UTI. If can't pass urine then will need to put in cath to clear infection at first. ...Read more

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Having cystoscopy and ureteroscopy. Procedure? Have chronic pylonephris with reoccuring utis

Having cystoscopy and ureteroscopy. Procedure? Have chronic pylonephris with reoccuring utis

Sounds legit.: These are reasonable tests to have done when one has chronic pyelo. There may be an abnormality which can be seen on scope alone. ...Read more

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Treatment for ureter calculi other than surgery?

Treatment for ureter calculi other than surgery?

Several Options: Options for getting a stone out of a ureter depend on size, location, and composition of the stone. For small stones, "medical expulsive therapy" may be sufficient: take an Alpha blocker (tamsulosin), drink plenty of fluid, and hope the stone passes. If the stone is in upper ureter and can be seen on plain xray, shockwave lithotripsy is preferred. Otherwise ureterroscopy, laser, and stent. ...Read more

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Whats treatment in us for urinary tract infection and kidney infection?

Whats treatment in us for urinary tract infection and kidney infection?

Antibiotics: Antibiotics are given to treat upper and lower urinary tract infections, based upon the infectious organism, usually gram negative species, such as e. Coli. ...Read more

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Symthons & treatment for kidney stones?

Symthons & treatment for kidney stones?

A lot of pain: The symptoms overlap a lot with urinary tract infection since the same area is inflamed. Frequency, and pain. The pain is mainly bladder with extension to the kidney with UTI, and in the kidney with extension to the bladder with stones. Blood in urine (mostly visible) w. stones. Fever/signs of infection with infection. ...Read more

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Age2- Renal US: kidney without interval growth. Hx: duplex kidney, pylonephritis, ureteral stump infection- sx corrected

Age2- Renal US: kidney without interval growth. Hx: duplex kidney, pylonephritis, ureteral stump infection- sx corrected <age1, what can this mean?

Urological problems: Anatomical malformations of the kidneys and urinary tract are common causes of infections. When the kidneys themselves get infected, it's called pyelonephritis, a dangerous and urgent problem which needs antibiotics and close follow up. Your child needs to see a urologist. ...Read more

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Is urinary tract malformation curable?

Is urinary tract malformation curable?

Possibly: Depending on the type of malformation, it could be correctable with surgical reconstruction, stent placement or other methods. Discuss this with your doc, who will likely send you to a urologist for further evaluation. ...Read more

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Dr. James Lin Dr. Lin
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What is effective for treating kidney stones and gall stones?

Dr. James Lin Dr. Lin
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What is effective for treating kidney stones and gall stones?

Here are some...: The cause and treatment for kidney stone and gallstone are entirely not the related. There are 3 ways of treating kidney stones including ESWL, percutaneous nephrolithotripsy, & transureteroscopic laser lithotripsy, depending on the size of stone, renal anatomical structures, and the availability of professional proficiency and institutional facilities. For treating gallstones, laparoscopic... ...Read more

Dr. Louis Gallia
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Urinary Tract Infection (Definition)

A urinary tract infection, also known as an UTI, may involve the kidney, ureter, bladder, or urethra. A common cause is an intestinal bacteria, E. coli. Common symptoms include a frequent urge to urinate, and pain or burning when urinating. Antibiotics are typically ...Read more


Dr. James Lin
1,983 doctors shared insights

Urinary Tract Infections (Definition)

A urinary tract infection (often called UTI) is most commonly caused by bacteria and usually refers to an infection in the bladder. Not all bacteria that grows from the urine represents an infection, so the need for antibiotics is determined by your ...Read more