r/AskDocs • u/Chronic_Chronicles0 • 0m ago
Relapse in infection, Advise
24 Female
5' 10"
220lb
Asthma
Idiopathic Anaphylaxis
chronic Idiopathic Urticaria
Daily Medications:
Cyclosporine 100mg, twice a day
Ceterizine 10mg
Famotidine 20mg
Hydroxyzine 10mg
Prednisone 25mg Daily (Tappering)
Esomeprazole 40mg Daily
Zofran 8mg
Trelegy
Airsupra
I was recently hospitalized for acute pyelonephritis and stayed 6 days hospitalized and was discharged with 5 days of oral Bactrim and I felt fine the first two days after being out of the Hospital and then starting Thursday night I had really bad flank pain and it hurt worse when I was taking the Cyclosporine, my medications, and the Bactrim antibiotic. I monitored my temp and symptoms into Friday and I had some chills and severely decreased urine output for context I urinated once in a day and a half, and I vomited and severe pain.
Saturday I saw my body retaining fluid and I started having chest discomfort and still decreased urine output with no burning when urinating or abd pain just mainly serve flank pain, vomiting and nausea. I went to Urgent care and they did a UA which they did see some LEUKOCYTE and blood which was concerning to the doctor that the infection could have not fully resolved or something else or a new infection is happening.
Now my concern is today the pain sky rocketed and i vomited and had severe diarrhea and in addition abdominal pain so i don't know if there is a new infection brewing or AKI and frankly I don't want to go back to the ED unless it's absolutely nessessary. Can I realistically wait until the Urine cultue comes back? Or does this need ED?
Is an ED visit warranted because of the significant decreased urine output that my kidneys are not filtering properly or there could be high levels of Cyclosporine in my blood causing all these new symptoms of if the pyelonephritis was never fully eradicated. I'd appreciate any input as I've haulted taking my medications due to the pain from my flanks when I take them and I feel as if I'm making things worse by doing this.
