UTI problem

[papiharu]

I am 32 years old male, two months back i woke up with urgent need to urinate and the frequency increased to 10 times in an hour. I had body ache slight feverand headache. since I was not accessible to good doc i suspected UTI and to cipro for three days. i got relieved from my problem but exactly after 10 days i suffered from similar problem but quite severe. i had blood in my urine alongwith witish discharge.  I went to a local doc and he gave me some antbiotic and i got relieved but then i started getting dizzy for another five days, after that i was alright but then i had a doubt that i still have UTI so I went to uro for check up, my ultrasound was normal except for the urine culture it shows more WBC and presence of few bacteria " escheria coli". the doc prescribed me nitrofurant for 10 days. for 20 days or so i got relieved and as I am a atheletic person I started going to gym and started running o a tread mill for about 40-50 minutes daily and about 2 hrs in gym. I was doing these regularly feeling healthy but one fine day i experienced acute stomach ache in the night followed by constipation and back ache with whitish discharge. i took paracetomol for my back ache and I went o visit doc he said it is normal since I m married and my family is not with me, but following day i started suffering severely from fever and headache then i went to doc and he advised me to go for urine analysis and culture.
As i went home after that i could not collect my report and after returning from home i collected my report and it reads as follows:

urinalysis
appearance ........hazy
WBC.....................detected large nos
RBC.......................0-1
Bacteria...................detected (+++)

Culture, urine with susceptibility
polymorpho nuclear leukocytes................8-10
Culture......................................................positive
Organisim.........................................Escherichia coli

sensitivity test was done and I dont have much idea about it but Nitrofuranton shows the highest sensitivty with <=32, since the doc said he wants to change the medication he prescribed me amikacin sulphate injection, levofloxacin which has <=2 sensitivty and amikacin is <=16. he also prescribed me multivitamin.

my question to you is whether i should take those medication since i cant go to the hospital everyday fro injection as i m undergoing training and my exam is going on. is there any other medicine for my problem?

I would be very grateful if you could give me some advice as i am in dillema whether to take the prescribed medication or not since at present i dont have the problem and the report pertains to the time when i was sick i.e 14 days back.

could i leave the injection and take only the levofoxacin?

please do give me suggestion as soon as possible as i m deeply worried.

one thing i forgot to tell i still have dizzyness and slight headache.

[papiharu]

Hi
Thank you for the advice, my concern is should i start the medication right away or wait till I get another UTI prob. since i dont have the problem at present and doc has prescribed me amikacin sulphate injection and levoflaxacin for five days. i dont want to go for injection at the moment since I am not easily accessible to hospital. could i postpone my injection for another 10 days or so becase by then I will be accessible to nearest hospital or should i go for some other medication as suggested by you.

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
If the highest sensitivity is to nitrofurantoin then you can take these tablets, 50 to 100 mg thrice or 4 times a day. If you get the longer acting versions then you can take 100 mg twice a day. There are several brands available: brand names; Macrobid, Furadantin, Macrodantin, Nitro Macro and Urantoin. A full course is seven days. Otherwise you will have to take a combination of antibiotics of lower sensitivity as prescribed. Nitrofurantoin is contraindicated if you have kidney problems. First please ask the doctor who is treating you and then start this.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!