Yeh hai patient ko uti tha dj stunt se pir usko hta diya tha abhi bhi

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Yeh hai patient ko uti tha dj stunt se pir usko hta diya tha abhi bhi stone jo h kidney se ureter main aa gya hai aur aur. Wese maine. Urimax z tablet aur Amoxicillin sensitive hai jo antibiotic di hai

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ureteral stone AND urinary infection

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EAU guidelines urolithiasis obstructed kidney signs urinary tract infection urgent decompression

Reports se jo important baatein dikhti hain:

WBC/TLC 16.7 thousand aur neutrophils/ANC badhe hue hain: infection/inflammation ka support karta hai.
Creatinine 1.48 mg/dL aur eGFR 66.5: kidney function par kuch stress ho sakta hai, khas kar agar ureter me stone se blockage/hydronephrosis ho.
Malaria negative, sugar normal.
Stone kidney se ureter me aa gaya hai aur pehle DJ stent nikal chuka hai. Is situation me UTI + ureteric obstruction ko lightly nahi lena chahiye.

Amoxicillin sensitive culture me aaya hai to doctor ne jis formulation, dose aur duration me prescribe kiya hai, usi tarah poora course lena chahiye. Lekin agar stone urine ka flow rok raha ho, to antibiotic akela kabhi-kabhi kaafi nahi hota. Urologist ko decide karna hota hai ki urgent drainage, repeat DJ stent, nephrostomy, ya ureteroscopy ki zarurat hai ya nahi. International urology guidance bhi infected obstructed kidney ko urgent decompression wali emergency maanta hai. EAU stone guideline

Urimax-Z aam taur par stone ko ureter se pass hone me madad ke liye diya jata hai, par ye infection ya blockage ko treat nahi karta.

Aaj hi urologist / emergency me dikhaiye, especially if any of these are present:

fever, chills/kapkapi, weakness
tez kamar ya pet ka dard, vomiting
urine bahut kam hona, urine rukna
pulse tez, chakkar, confusion
antibiotics shuru karne ke 24-48 ghante baad bhi symptoms ya fever rehna

Meri practical advice: fever ho ya na ho, raised WBC + creatinine + ureteric stone ke context me same-day urology review karaiye. Saath me urine culture-sensitivity report, USG/CT KUB report showing stone size/location and hydronephrosis, aur current medicines le jaiye. Stone ka exact size aur ureter me location bhej den, to pass hone ki possibility aur next step ko better explain kar sakta hoon.

M khud urologist hu

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Understood. I over-explained it at a layperson level, sorry.

From the shared reports alone: neutrophilic leukocytosis (TLC 16.7, ANC 12.64) with creatinine 1.48 mg/dL/eGFR 66.5 supports active infection plus possible obstructive renal insult, but I could not see the NCCT/USG stone size, level, hydronephrosis grade, urine routine/culture organism, or sensitivity panel in these images.

If amoxicillin is culture-sensitive and the patient is clinically stable, afebrile, non-toxic, with no worsening AKI or significant obstruction, culture-directed treatment plus MET may be reasonable. But with residual/migrated ureteric calculus post-DJ removal, persistent pyuria/leukocytosis, fever, obstruction or renal-function deterioration would lower the threshold for repeat upper-tract decompression rather than antibiotic-only management. Antibiotics alone are not definitive in an infected obstructed system. This aligns with the EAU urolithiasis guidance.

If you send the CT KUB impression and urine culture sheet, I can give a focused second opinion on whether the present course is more consistent with observation/MET versus urgent re-stenting, PCN, or definitive URS timing.

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