Your father (79 years old) has:
• Burning lower abdominal sensation for 4 days
• Recent catheter for 5 days
• Urine flow normal
• On Ciprofloxacin for 3 days
• Urine culture: No growth
• Urine routine: Mild pus cells (3–4), otherwise normal
• Ultrasound:
• Moderate prostatomegaly
• Bilateral simple renal cysts (benign)
• Grade I fatty
liver
• Bilateral basal pleural effusion with passive hepatic congestion (suggestive of heart strain)
Important conclusion:
This does NOT look like an active urinary infection (culture is negative).
Continuing antibiotics is unlikely to help.
Most likely cause of his burning pain is:
• Post-catheter bladder irritation
• Bladder spasm
• Prostate-related irritation
• Mild inflammatory cystitis (non-bacterial)
At his age, after 5 days catheterization, this is common.
The ultrasound heart-related findings are separate but important and need cardiology follow-up.
Next Steps
✔ Discuss stopping Ciprofloxacin (since culture is negative)
✔ Urology consultation for:
• Post-void residual urine
• Prostate assessment
✔
Kidney function and
electrolytes check
✔ Consider bladder antispasmodic (doctor prescribed)
Urgent hospital visit if:
• Fever
• Confusion
• Reduced urine output
• Severe abdominal pain
• Increasing breathlessness (due to pleural effusion)
Also, cardiology review is important because pleural effusion + hepatic congestion suggests fluid overload from heart condition.
Health Tips
✔ Maintain moderate hydration (do not overload fluids due to heart condition)
✔ Avoid acidic juices
✔ Continue Rapilif for prostate
✔ Monitor urine output daily
✔ Watch for swelling in legs or breathlessness
Right now, this appears to be post-catheter inflammatory bladder irritation, not infection, but because he is 79 with heart disease and ultrasound signs of congestion, this situation needs careful medication balancing.
I strongly recommend booking an online consultation with all reports and medication list so we can review everything together and create a coordinated cardiology + urology plan to prevent complications and give him proper relief safely.