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UTI Diagnosed
I have been diagnosed with UTI klebsiellia pnemonia and doctor prescribed moxlcav 625 as per the sensitivity report still my urinary freq not reduced.
Never got classic symptoms of burning or fever . Only freq urination.
Answers (41)
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Kindly contact me through practo online consultation for further treatment plan and advice
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Kindly post the reports. Will help you in a better way. Feel free to consult
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Reports are required for consultation.
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feel free to consult.
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Hello. Klebsiella pneumoniae infections can sometimes take longer to show clinical resolution, or the urinary frequency could be due to persistent bladder inflammation (cystitis) even after the bacteria are cleared. Since you do not have fever or burning, isolated urinary frequency can also stem from non-infectious causes or incomplete eradication of the bacteria.
Medical Considerations & Adjustments:
1)Complete the Antibiotic Course: Ensure you finish the full prescribed course of Moxclav 625 as per your sensitivity report, even if symptoms persist. Do not stop midway.
2)Urine Alkalinizer (e.g., Syrup Cital / Alkamax): 2 teaspoons in a glass of water twice or thrice daily for 3–5 days. This helps soothe the irritated bladder lining and reduces the urge to urinate frequently.
3)Antispasmodic (if frequency/urgency is bothersome): Tab. Flavoxate 200 mg (or Solifenacin)twice daily for 3–5 days can help relax the bladder muscles and reduce frequent urinary urgency
Next Steps
1)Repeat Urine Culture & Sensitivity (RE-CULTURE): 48 to 72 hours after completing your antibiotic course, get a repeat urine routine and culture test done to confirm that the Klebsiella infection has been completely cleared.
2)Evaluate Non-Infectious Causes: If the urine culture comes back sterile (negative for bacteria) but frequency persists, consider getting evaluated for non-bacterial causes such as Overactive Bladder (OAB) or Diabetes (check fasting blood sugar / HbA1c)
.
3)Urologist Consultation: If frequency continues to bother you despite finishing treatment and clear urine reports, schedule a consultation with a Urologist for further evaluation (such as an Ultrasound KUB to check post-void residual urine volume)
Health Tips
1)Hydration: Drink 2.5 to 3 liters of water daily to flush out the urinary tract, but avoid drinking excessive fluids right before bedtime.
2)Bladder Irritants: Avoid caffeine (coffee/tea), carbonated drinks, artificial sweeteners, alcohol, and very spicy foods, as these directly irritate the bladder lining and increase frequency.
3)Urination Habits: Do not hold urine for long periods. Try double voiding (urinating, waiting a minute, and trying again) to ensure complete bladder emptying.
Hygiene: Maintain good perineal hygiene and wear breathable cotton underwear.
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You can consult online.
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Consult online will guide you further
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It would have been great if you have posted urine culture and sensitivity report. That actually helps to finalize which antibiotic suits you..... Moxclav 625mg is a good drug. If you have taken complete course of antibiotics without fail, it will definitely heal UTI.
Klebsiella pneumoniae can cause a urinary tract infection (UTI) when bacteria from the gut enter the urinary tract, often linked to hospital stays, catheters, or weak immune systems, and it requires a urine test and targeted prescription antibiotics due to possible drug resistance.
Uncomplicated Cases: Susceptible strains may be treated with targeted oral agents like nitrofurantoin, trimethoprim-sulfamethoxazole, or fosfomycin.
Complicated or Resistant Strains: Extended-spectrum beta-lactamase (ESBL) or multidrug-resistant strains often require carbapenems (such as meropenem or ertapenem) or aminoglycosides (such as amikacin)
Next Steps
feel free to consult me on practo for further evaluation and management
Health Tips
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Have u ever had these same symptoms before ?
Or have you been diagnosed for UTI before
Next Steps
You have to share the Urine Microscopy and Culture report
And Also the other supportive medicines you are taking
Health Tips
Drink Plenty of fluids.
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Go for nitrofurantoin
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As u got the drug according to the drug sensitivity !!! The uti will get cured nothing to worry about it!!! The increased urine frequency has many reasons and check the sugar levels
Next Steps
Have plenty of water
Use the drug till prescribed time
Health Tips
Consult us if we are more concerned and we will look into it
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SinceHow many days are you taking antibiotic
How much is your water intake
What is your urinalysis
Are you diabetic
What other medication are you taking with this
Giving other information will help
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Frequent urination may take 48–72 hours (sometimes longer) to improve even after starting an antibiotic that the organism is sensitive to. Continue Moxclav exactly as prescribed.
Next Steps
If no improvement review with Urine culture, urine R/M, blood sugar and consult with ur Physician
Health Tips
avoids unnecessary antibiotic changes
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How many day u have taken antibiotics
If u taken for 5 to 7 day and
Symptoms persist then
Next Steps
repeat urine culture and sensitivity
Health Tips
Precautions to avoid false results
Clean area
Midstream sample
Sterile container
Before antibiotics
If already on treatment:
Inform doctor
Sometimes sample taken after stopping drug (48 hrs)
Send within 1 hour
Prefer early morning urine
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Start taking urine alkaliser 5ml in 20 ml-30ml water, thrice daily and drink at least 3 L of water daily.
Next Steps
If symptoms persists, consult
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Where is the sensitivity report?
How many tablets of moxclav you have taken?
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Take the antibiotics course completely to subside the bacterial infection and take the syrup alkacip with 5ml
In 50 ml of mixed with water and wait for few days
Next Steps
Just relax and continue treatment and take alkalizer syrup
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It’ll take 72 hrs for symptoms to subside.even after antibiotics cystitis will persist for a few days causing dysuria and frequency
Next Steps
Nothing to worry.drink barley water
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Nothing to worry about..Everything takes time...Just complete the course and drink more water...if problems still persist... kindly consult me...
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Contact
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It will take few days to control as antibiotics have been just started.
Add Tab pan40 once daily before breakfast
Tab Bifilac - 1 tablet daily after dinner
Syrup Alkasol - 1 tsp to be mixed in half glass water and drink it, do it twice daily
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Consult with urologist
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Terific, need long term treatment with patience. Consult superspecialist like urologist
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Can you please share the culture and sensitivity report . As it completely depends on how sensitive the organism is To MOXCLAV ..
We might have to change the treatment.
Next Steps
Repeat Urine RE/ME and culture and sensitivity
Health Tips
If flank pain/blood in urine please contact SOS
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Add potassium citrate syp.with 10 ml. of water in 2 time a day.continue medicine with pantop dsr and sporolac. to reduce antibiotic induced diarrhea.
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Add citralka 5ml every 8hours. What abt kleibsella pneumonia symptoms? Please share details then I can help you further.
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Don't worry, sir. Since you've only started the antibiotic 1–2 days ago, it may take a little more time for your symptoms to improve. Burning during urination usually starts to decrease within 24–48 hours, while urinary frequency may take about 3–7 days to improve as the infection gradually subsides. If you still don't notice any improvement in your symptoms after that, or if they get worse, you should consult a nearby urologist for further evaluation.
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Frequency alone continuing after your antibiotic course is done still needs a look, even without fever or burning. A follow-up urine culture with your prescribing doctor will confirm whether the infection has actually cleared.
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Dr. Shetty Mallikarjun
General Physician
12 yrs exp
Hyderabad
Yes—urinary frequency can persist even when the antibiotic is appropriate, and the absence of burning or fever does not necessarily exclude a UTI. However, if frequency is the only symptom and it is not improving, it is worth reassessing whether the Klebsiella infection is actually the cause of the symptom.
Next Steps
don't change the antibiotic without repeating culture test
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Dr. Raghavi
General Physician
4 yrs exp
Chennai
Kindly check with your blood Sugar levels also. A raised blood sugar value can cause increase frequency of urination.
Otherwise -
Good hydration
Avoid being in AC rooms for long hours
Prevent usage of public toilets as much as possible
Clean toilet habits .
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Please visit a urologist
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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. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Yogita
General Physician
5 yrs exp
Rohtak
It's okay ,it will take time.
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Dr Minakshee
General Physician
3 yrs exp
Bhubaneswar
Hi Dear, just complete your Antibiotic course , it will take some time for complete resolution of the symptom. Drink plenty of water it will help .
Next Steps
if the symptoms persist visit nearby hospital.
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
It will take time to get back to your normal routine as the dose of antibiotics just started complete the dose and visit to doctor after completion of dose
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Change meds
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