Announcement

Collapse
No announcement yet.

Serious bladder infection

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

    Serious bladder infection

    Hey all, I'm a 23 year old c5/6 incomplete quad going on nine years post injury. I use condom drainage and intermittent caths (not nearly as often as I should). I've had several UTI's in the past, but am currently battling the worst one yet.

    I woke up at about 4am two nights ago in a feverish sweat, and when I looked down at my night bag I was horrified to see the contents were crimson with blood. Spent a good part of the next day in the ER (mostly just waiting)

    I got an ultrasound, and the Doc said my kidneys are in tip top shape, (what a relief) but my bladder wall is looking a bit thick. So they gave me 2 caps of macrobid (nitrofuantoin) and a prescription for 7 more days worth.

    My question to you guys is: How long will the antibiotics take before I begin to notice an effect?

    Thanks

    Jacob
    Last edited by JVS; 10 Jun 2010, 6:16 PM. Reason: spelling
    C5/6 incomplete
    April 16th, 2002

    #2
    JVS, was this your SCI physician or urologist? Do you have one?

    You should start feeling better within 48 hours IF you are on the right antibiotic. I hope they did a culture and sensitivity. You need to call at 48-72 hours after having this urine sample obtained to be sure that this is the correct one for your UTI. It may not be, and then it should be changed. Also, for people with SCI, UTIs should be considered "complex" UTIs, not simple UTIs as occur in ABs. Treatment for a symptomatic UTI should be for 10-14 days, not just 7 days.

    I am concerned about your bladder wall thickening and trebeculation. This is often a symptom of a high pressure bladder, which in the long run will not only damage your kidneys, but also significantly increase your risks for UTIs. When did you last have urodynamics? Are you taking any anticholnergic medications (Ditropan, Detrol, Vesicare, Sanctura, etc.)??

    Reflex voiding often is associated with a high pressure bladder, and long term kidney problems as well as decompensation (where the bladder muscle stops reflexively emptying well or at all). It would be much preferrable for you to use meds to stay dry and do intermittent cath 4-6X daily if you are able to do this. Have you ever had a sphincterotomy?

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

    Comment


      #3
      Thank you so much for the reply. I was living sort of disconnected from society for several years and have only recently moved to an area where I can have a physician, and not an SCI specialist at that.

      The doctor who helped me in the ER was the one who gave me the scrip and all the information I'm putting forth here. One thing I forgot to mention that he said was that from the ultrasound images there appeared to be a small amount of air in my bladder? This worried me quite a bit...

      During my visit to the ER I was given the contact info for a urologist and will be setting up an appointment. The last time I had urodynamics was about 6 years ago .

      As far as medication is concerned I take nothing. I keep a regular bowel schedule every two days and my diet is balanced and I've removed even laxatives and stool softeners from rotation. (although I've been going a lot more since starting these antibiotics)

      By dry meds you're talking about something that will stop me from reflex voiding altogether? I know that I know nothing about the science behind it all but to me that sounds a bit scary. And wouldn't doing 4-6x intermittent caths per day increase the chances of passing germs along and causing more UTIs? I don't mean to sound like I know what Im talking about, just curious...
      I haven't had a sphincterotomy. Would this result in me still reflex voiding, just easier on the bladder and subsequently the kidneys? Would I still need to cath 4-6x per day?

      Thank you once again for taking the time to help me

      Jacob
      C5/6 incomplete
      April 16th, 2002

      Comment


        #4
        Dear JVS I hope and wish all the best for you I also am a Incomplete quad .
        UTI's are horrible , i've had more than my share of them and it is rough
        Blood in a bag is a sighn of a possible potential problem , My bladder is neurgenic and I use a medication like Detrol for the situation . Lately i've been on oxybutanin .

        Everything SCI Nurse asked and said is right on the money
        Here at CCC youre not alone at all
        Last year I had something similar and went through all of those urodynamic / culture , Er stuff exactly as SCI Nurse explained
        It is as though they read my mind
        Take it easy and Drink plenty of water and keep voiding try not retaining because your kidneys could get damaged eventually .
        A good urologist could pin point the problem and make everything easier
        Air in your bladder could induce infections this is why drinking lot's of liquids and voiding , flushing out your urologic system is so important .

        I also relate to the way you lived in a disconnected way of life I am somewhat of a country Gal hermit
        Being I live in the real country and everything is far from me it is very important that Now I keep direct focus with my Dr's . I try hard not to hold back because of my fears of UTI or ruining my kidney's , especially with all of the damage my internal organs endured throughout the years .
        Keep smiling
        Sincerely;
        Gypsylady

        Comment


          #5
          No, reflex voiding with a high pressure bladder and probably a significant residual urine not only is harder on your kidneys long term than intermittent cath 5-6X daily, but it also makes you more prone to UTIs.

          (KLD)
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

          Comment


            #6
            Originally posted by SCI-Nurse View Post
            No, reflex voiding with a high pressure bladder and probably a significant residual urine not only is harder on your kidneys long term than intermittent cath 5-6X daily, but it also makes you more prone to UTIs.

            (KLD)
            Thank you, I really have limited knowledge about all this stuff. I'm very sorry if I sound rude, I'm just scared.

            Gypsylady: thank you so much for reading and replying, it makes me feel so much better knowing I'm not alone in this..
            C5/6 incomplete
            April 16th, 2002

            Comment

            Working...
            X