Question: Hi Doctor ,
My mother who is 62 yrs old has been treated for some kind of infectoion of urine and kidney . She is both Diabetic ad Thyroid . She ha already undergone 10 days of intraevenous antibiotic treatement . She has lost lot of weight and very weak . She is showing on improvement in he urine analysis which says "FULL OF PUS CELLS".

Please advise what should be our nex step.

Thanks,
XXXX

Thanks Doctor ,

I would like to add some history of mistiy mother's problem .
She has been a diabetic and thyroid pateint for around 15 yrs now .
She has been taking medicines for the same but frankly not very regular also her diabetes is not very controlled ranges 300+ .

Last one year history:
April 2013 :
She had an accident where she broke 3 of her bones and was given treatment for it . Within a month of accident she travelled and was recovering slowly.

July-August 2013.

She had lot of weight loss ( almost bony ) and was fatigued with loss of appetite.
She was many times unable to get up from bed on her own as she had turned so weak .
During these 3 months we could not had her diabetes checked .

Sept -December 2013 .
Condition continued and her diabetes reported high and was taking medication to control it .Again fatigued and loss of weight was high.

January 2014 .
She was very weak and urinated in her clothes and was unable to get up with high fever . She was hospitalized and was given some intravenous to improve the condition for 3-4 days . Ultrasound was done . and intravenous injections were managed for 7 days once daily .
She got slighlty better and got some strength in some time but still was very weak . She never complained of pain while urination
doctor told in layman that all reports are ok except ultrasound according to which some "renal infection" which is nothing to worry about but should be ok with medication.

March 2014.
As her weight did not improved we moved to another doctor who based on urine reports indciated pus cessl 80-100 and hecne provide 10 days of intravenous injections . After that the pus cell count did not reduce .


April 2014.

We move to another doctor who said it is high diabetes which needs to be controlled to remove the infection problem . He did not provide any intravenous injections but gave medicatiion ( on insulin ). With the latest diabetes reports it is improved diabetes quite a lot but still not fully controlled ~150.

However her urine culture was done 2 days back which shows 80-100 pus cells and improvement in diabeters.
So the doctor is concerned and saying need to talk to gynaecologist and go for ultrasound .

She has somewhat improvement on physical sie but still very weak .

Please advise us .

Thanks doctor.

Will take your options.
But i have few questions for you

1. There has been full courses of intravenous injection more than once. Inspite of it she has no improvement on infection reduction as report has 'full of pus cell'. Is there for some reason ?

2. Although since XXXXXXX 2014 she has gained some energy but she has not grown weight and has lost lot of weigt. (43 kilo for her height of 5'5"). She is very bony and no weight gain and fatigued.

3. Although her diabets is around 150 now do we expect her condition to improve would take months from now ?

4. Finally, why did the physician we visited last asked for gynaecologist ? Her uterus was removed 20 yrs back.


Thanks,
XXXX