Question 1

My urine culture shows E. coli resistant to many drugs, including ciprofloxacin and levofloxacin. However, in a different, well established lab (operating since 1965), the same test done three times shows the bacteria are susceptible to these drugs. Which lab results should I trust? How is it possible to get two different results for the same bacteria? The prior lab used automated sensitivity testing, while the other lab reports in vitro DST results

Question 2

Hi doctor, I had a urine routine test because I felt a mild burning sensation in the vaginal area. The report was almost normal, showing 4 to 6 pus cells and 2 to 4 epithelial cells. After a week of taking Niftas 100 mg tablet, I was feeling okay. I also had my period when I started taking this UTI medicine. On the 7th day of my menstrual flow, I did masturbation, and the next hour I saw a few blood spots. My flow had already stopped on the 5th day. Why is there spotting? Is it related to a serious health issue? I still feel mild itching and burning in the vaginal area. Is this an infection? I did another urine test today. The report shows pus cells 2 to 4, epithelial cells 6 to 8, and a few traces of protein (albumin). Please suggest if this is normal or if I need other medicine. I have attached both reports the first week and todays urine report. Please help me?

Question 3

I have 30 to 40 pus cells and 20 to 25 epithelial cells per hpf in my urine report. I am also experiencing nausea, occasional burning sensation during urination, and mild pain in the lower abdomen and sometimes on both sides of the flank. I am currently taking Nitrobact 100. I have attached my report for your reference.

I have been experiencing severe itching while urinating and need to go to the bathroom very frequently, about every 30 minutes. My urine test report came back normal. Could you please advise why this problem might be occurring?

Despite normal tests, symptoms may be due to urethral irritation, early UTI, or interstitial cystitis. A repeat test with culture is advised. Also consider pelvic ultrasound.

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