instruction: hello doctor I have recurring ti last time a few months back after taking medicines for the recurring ti results were normal I took vital syearup and antibiotics after experiencing pain recently I again went for urine test and it shows rbc epithelial cells and bacteria I have attached the reports I was consulting a gynecologist prior to this but she told me to consult a urologist I have attached my last ultrasound and kidney function test along with today urine test
output: hi after reviewing your complains and your blood and urine test with ultrasound reports kidney functions are normal your ultrasound is normal your urine analysis showed pus cells and few red cells and white blood cells my question is do you have symptoms like difficulty in passing urine or pain while passing urine if not then did you have urine culture result before your antibiotics treatment if you have documented ti before and you got treated then you have pus cells and white cells in urine your test might have been performed soon after antibiotics the possibilities are incomplete treatment or chronic inflammation of the urinary bladder as sending infections are also common in postmenopausal period you will need to follow up with urine culture test if it is negative and you have no symptoms then no need to treat if it is negative and you are still having symptoms pain while passing urine we need to do more tests I hope to follow up you after urine culture results as preventive measure you need proper hydration cranberry juice yogurt and proper hygiene cystitis incomplete treatment urine culture cystitis bacterial to cystitis observation and hydration cranberry juice yogurt days after urine culture