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Lower abdomen discomfort
My father is 79 years old. He has been having a burning feeling in his lower abdomen for the last 4 days. His urine flow is normal.
A few days ago, he was admitted to the hospital for an angiography test and had a catheter for 5 days. We have been giving him Citralka syrup and Ciprofloxacin 500 for the last 3 days, but there is no relief.
He is currently taking the following medicines:
Bisoprol fumarate 2.5 mg
Dytor 10 mg (twice daily)
Rapilif D 8 mg
Rosagold 10 mg
Syndopa Plus
Evion 400
Lonazep 0.5 mg
Attached are the following:
1) Urine routine and culture report
2) USG Whole abdomen done on 12th Feb 2026.
Answers (9)
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Avoid fried and spicy food
Water intake mor3
Do connect and consult
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Likely from recent catheter.
Take regular paracetamol.
Make sure not constipated.
All the best.
www.jgsr-health-education.in
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He has chronic cardiac failure, bilateral renal cysts, enlarged prostate. He should consult a physician physically for clinical examination and treatment accordingly.
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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.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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