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Pus in the urine
Hello B and D,
If the urine test came out with pus and doctor is prescribing antibiotic Trimethoprim 200mg twice a day for 5 days, is there an alternative of taking the antibiotics? -
8 Replies
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Hi – did the doctor run a culture to confirm or rule out the pyuria (pus in urine) is caused by a bacterial infection to warrant antibiotics? I ask because while UTIs may be the most common cause, there are other reasons why that can happen and antibiotics may not be warranted.
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was there a 3rd page you wanted to share? It’s just showing a square with an X.
Is this a chronic issue or recent? Was there an illness or recent infection like UTI?
The white blood cell differentials do show a pattern of chronic or acute bacterial infection (higher neutrophils and lower lymphocytes), hence their recommendation for antibiotics.
However, here’s a paper on the possible causes of sterile pyuria to consider and a differential diagnosis based on symptoms (see image below).
[image.png]Considering the corresponding symptoms is important!!And if you prefer to dig deeper and get a 2nd opinion, I’d recommend you make an appointment with Dr. Sean Penny at Bedaya Polyclinic.
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Hello Bernadette,
Thank you for your getting back to me. It is actually for my sister. I will ask her to have a second opinion.
I tried uploading the third picture but couldn’t. I will try once more. -
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Hello Bernadette,
Thank you for getting back to me and for recommending the doctor. I have sent the third page which I couldn’t upload earlier.
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got it. Share with her the paper I posted above so she can have an idea of the possible root causes to further investigate.
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Thank you so much. I really appreciate it.
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