I'm dealing with a urinary tract infection and my test results are a bit worrying. They showed that there are many pus cells, occasional epithelial cells, and a few gram-negative bacilli. It also mentioned an E. coli colony count of 100,000ml. I'm not sure what to do next, could you guide me on the best way to treat this?

Dr Chandra P

General Practitioner

• MBBS
• 5+ Yrs

Consult Now

Urinary tract infections (UTIs) can be uncomfortable and painful. Based on your test results: _Gram Stain Results_ 1. _Pus cells_: Indicates a significant infection. 2. _Occasional epithelial cells_: Normal finding. 3. _Few gram-negative bacilli_: Suggests a bacterial infection. _Culture Results_ 1. _E. coli_: A common cause of UTIs. 2. _Colony count > 100,000mL_: Indicates a significant bacterial load. _Treatment Recommendations_ 1. _Antibiotics_: Your doctor will likely prescribe antibiotics to treat the E. coli infection. Common options include: - Nitrofurantoin - Trimethoprim-sulfamethoxazole - Ciprofloxacin 2. _Duration of treatment_: Typically 7-14 days, depending on the severity of the infection and your overall health. 3. _Pain management_: Your doctor may recommend pain relievers, such as acetaminophen or ibuprofen, to help manage discomfort. 4. _Hydration_: Drink plenty of water to help flush out the bacteria. 5. _Urinary analgesics_: Medications like phenazopyridine can help relieve burning sensations during urination. _Follow-up_ 1. _Complete the antibiotic course_: Finish the full treatment course, even if symptoms improve before completing the medication. 2. _Follow-up urine culture_: Schedule a follow-up urine culture to ensure the infection has cleared.

Answered 12 days ago