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Tigimax 50 MG Injection Health Feed

Asked for female, 31 years old from Kolkata
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CCP, MBA, Bachelor of Ayurveda, Medicine...read more

Ayurveda•Karnal
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Take chandraprabha vati 2 tab before food twice a day and sy. udumbaravaleh 2 tsf twice daily after food. Have Punarnava & gokshur kwath 1 cup in morning empty stomach. DO these for 1 month & the recurrent UTI problem will go.
2961 people found this helpful
Asked for male, 71 years old from Delhi
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I am having urinary infection. Urine routine report and urine culture is as follows urine examination test report urine r/m & flowcytometry investigation result units urine image 68 years / m physical examination 40 ml volume yellow color sl. Cloudy transparency nil deposit 1.020 specific gravity 8 reaction/ph chemical examination negative albumin norm sugar 10 blood /ul negative ketone bodies negative bilirubin negative nitrite 500 leucocytes /ul norm urobilinogen microscopic examination 639.6 wbc (/ul) /ul 0 - 40 100-120/hpf pus cells 10.0 rbc (/ul) /ul 0 - 20 2-3/hpf r. B. C. 2.0 epithelial cells (/ul) /ul 0 - 28 0-1/hpf epithelial cells 1.65 casts (/ul) /ul 0 - 2 microbiology urine culture/ sensitivity & mic urine image 68 years / m specimen urine organism isolated escherichia coli colony count 1, 00, 000 /ml esbl positive + ampicillin resistant (>=32) piperacillin + tazobactam sensitive (<=4) ceftriaxone resistant (16) cefepime sensitive (<=1) ertapenem sensitive (<=0.5) imipenem sensitive (<=0.25) meropenem sensitive (<=0.25) amikacin sensitive (<=2) gentamicin sensitive (<=1) ciprofloxacin sensitive (0.5) tigecycline sensitive (<=0.5) nitrofurantoin sensitive (<=16) trimethoprim/sulfamethoxazole resistant (>=320) cefoperazone/sulbactam sensitive (<=8) colistin sensitive (<=0.5) cefuroxime axetil resistant>=64 cefuroxime resistant (>=64) augmentin sensitive 4 nalidixic acid resistant>=32 what medicine should I take. I am taking cipro 500mg1bd+augmentin 1000mg1bd. I want a second opinion from an expert since medicine prescribed is by general physician.

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Fellowship of the Royal College of Surge...read more

Urologist•Ahmedabad
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Dear ,
if you are taking ciprofloxacin 500 mg then take 1 hour before meals or 2 hours after meals with only water and not with milk for 15 days and check urine again to see pus cells have come down to 5 or less. Medications fine.
3029 people found this helpful
Asked for male, 32 years old from Pune
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About my wife back pain started in her lumber and thoracic back portion in the month of feb. 2012. We started treatment under local doctor's advice and took pain killers and some muscle relaxant and pain healed. But, it got repeated every week and we did the same treatment for the span of month. After that we did total analysis and it was found that there is compression at d8-d-9 and infection from d8-d10 and l3-l4 of spine. Then we did biopsy (first biopsy) of developed lesions and all reports were normal. At this time othopedician doctor advise us that it can be non-detectable tb infection (as it is non-pulmonary) and we started akt-4 on the basis of symptoms even though mtb was negative up to 4th week of culture growth. She took akt-4 for 20 months (june 2012 to feb-2014). During last 6 months of this time of period she was absolutely fine and started normal movements which were restricted during initial part of treatment. Infection was healed partially, and lesions was also started to disappear. We monitored it by ct scan after every 3 months. But in dec 2014 when medicine supposed to stop completely, again sever back pain started and it was found that there is formation of pus and damage of tissues at d8-d10, l3-l4. During this time of period she suddenly lost her weight by 18 kg (within 15 days), so operated and currated all the pus and infected part from the infected location (second biopsy). That sample we again sent for all the lab tests and it is again negative for mtb. We cultured that sample further and it is fount that this is slow growing ntm (non tuberculin mycobacterium) infection. And rest of all test were normal. As it is very slow growing we cannot found out exact genome of that bacterium. So, at this time infectious disease specialist and spine specialist doctors took decision together and stop akt 4 and started her; 1. Amikacin sulphate 1g: daily im/iv 2. Clarrithromycin: 500mg twice a day 3. Doxycyclin and lactic acid bacillus: twice a day 4. Levofloxacin: 750mg once a day during this treatment only her bsl found high without any diabetic history; so she is also taking, 5. Reclide 80mg twice a day 6. Metformine 500 mg twice a day as amikacin daily 1 gm is very high dose we are monitoring her serum creatinine, lft, esr, crp level on weekly basis; and if serum creatinine level is above standard value doctor advising to stop amikacin for some time and once it comes to normal level again we are starting it. Rests of the medicines are same. Above mentioned medicine has been taken for 4.5 months and again we did contrast mri for analyzing effectiveness of therapy. But in this latest mri report it is found that there is new disease has been developed at d9-d10 vertebral bodies and intervention disc. So, we taken advice from Dr. Rajeev soman, hinduja, mumbai. He has diagnosed it as below; 1. Primary tuberculine infection 2. Secondary nosocomial infection 3. Non-tubeculine mycobacterium and prescribed following medicines for 6 months; 1. Inj. Tigecycline (tiganex) 50 mg, bd - 6 months 2. Tab. Clarrithromycine (synclar) 500 mg, bd - 6 months 3. Tab. Levofloxacine (levoflox) 750 mg, od - 6 months 4. Tab. Linezolid 600 mg, od - 6 months } now all medicines stopped due to severe side effect. Side effect recovery is going on. What should we do?

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MBBS, MS - Orthopaedics

Orthopedist•Delhi
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She is not one of the common cases koch's infection. She is already under care of a competent team. Kindly follow their advice & keep me informed of the progress.
Last Updated: 9 years ago• Featured Tip
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Post Graduate Diploma in Hospital and He...read more

Internal Medicine Specialist•Faridabad
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In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causin...more
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