I'm really worried because my urine culture test showed an E. coli count of 80,000, and it's been like this for a while now. My urologist prescribed antibiotics a few months back, and after taking them for two weeks, the count went up when I stopped. The medicine was switched, but now Im seeing E. coli again. I got an ultrasound KUB which turned out normal and did semen cultures as well, which showed another infection. Even after another round of antibiotics, the infection was still there. Ive been experiencing sharp abdominal pain and sometimes in the rectum, with my urine smelling bad. Why do I keep getting these recurring infections in both my urine and semen cultures? What could be causing this, and what tests should I consider doing next?

Answered by 1 Apollo Doctors

Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

Consult Now

It sounds like you're dealing with a persistent E. coli infection that may not have fully cleared despite antibiotics. Chronic or recurrent infections can be due to incomplete treatment, an underlying issue like a urinary tract abnormality, or antibiotic resistance. It's important to consider a urine culture with antibiotic sensitivity testing, possibly imaging studies beyond ultrasound (like CT or MRI), and reviewing the semen culture results to address any underlying causes. A urologist or infectious disease specialist could help explore further options.

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Answered 04/07/2025

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