Male UTI-possibility of developing Sepsis.
Discussion
Just over 5 weeks ago I started to experience considerable discomfort when urinating. It was a weekend so my GP Practice was closed. I remembered some government advice about consulting a pharmacist if possible before seeking a GP Appointment so first thing on Monday morning I visited my local Pharmacy.
The Pharmacist told me that she could not prescribe antibiotics for a male UTI and advised me to seek an appointment with my GP in due course. She told me that there might be a bit of a wait.
As it turned out this was bad advice.
On returning home I checked with my GP Practice online and found that I would have to wait about 3 weeks for an appointment. There was no way I could wait that long so I called a member of my family who is a Registered Nurse. She told me, in no uncertain terms, that I needed to see a Doctor or Nurse Practitioner that day without fail.
I phoned the Surgery and went through the usual recorded messages which eventually told me that I was number 61 in the queue. Fortunately there was a facility to accept a call back and preserve my place in the queue.
I was called back about 2 hours later and went through a series of questions with a lady who dealt with triage. She stated that I did indeed need to see a medical professional that day and an appointment was made for later that afternoon. A friend collected a sample container for me and dropped it back to the Surgery. My symptoms deteriorated as the day progressed and by the time I got to the Surgery I was in considerable discomfort.
On examination I had a temperature of 102.5, and the sample contained high concentrations of White Blood Cells, and Blood.
I was prescribed a 7 day course of Cefalexin 500mg.
Things improved a bit over the next week but about a day after I finished the Antibiotics my symptoms returned. I phoned the Surgery again and also spoke to my family member. She thought that I had been prescribed the wrong Antibiotic. This turned out to be correct as the next 7 day course was for Nitrofurantoin 100mg.
Four courses later my symptoms finally cleared but I await blood tests and an Ultrasound Scan.
In the first week I lost about 10lbs of weight.
I have posted this in the hope that anyone who reads it and subsequently develops symptoms of a UTI will seek medical advice immediately. I have been told that an untreated infection can develop into sepsis which can prove to be fatal.
The Pharmacist told me that she could not prescribe antibiotics for a male UTI and advised me to seek an appointment with my GP in due course. She told me that there might be a bit of a wait.
As it turned out this was bad advice.
On returning home I checked with my GP Practice online and found that I would have to wait about 3 weeks for an appointment. There was no way I could wait that long so I called a member of my family who is a Registered Nurse. She told me, in no uncertain terms, that I needed to see a Doctor or Nurse Practitioner that day without fail.
I phoned the Surgery and went through the usual recorded messages which eventually told me that I was number 61 in the queue. Fortunately there was a facility to accept a call back and preserve my place in the queue.
I was called back about 2 hours later and went through a series of questions with a lady who dealt with triage. She stated that I did indeed need to see a medical professional that day and an appointment was made for later that afternoon. A friend collected a sample container for me and dropped it back to the Surgery. My symptoms deteriorated as the day progressed and by the time I got to the Surgery I was in considerable discomfort.
On examination I had a temperature of 102.5, and the sample contained high concentrations of White Blood Cells, and Blood.
I was prescribed a 7 day course of Cefalexin 500mg.
Things improved a bit over the next week but about a day after I finished the Antibiotics my symptoms returned. I phoned the Surgery again and also spoke to my family member. She thought that I had been prescribed the wrong Antibiotic. This turned out to be correct as the next 7 day course was for Nitrofurantoin 100mg.
Four courses later my symptoms finally cleared but I await blood tests and an Ultrasound Scan.
In the first week I lost about 10lbs of weight.
I have posted this in the hope that anyone who reads it and subsequently develops symptoms of a UTI will seek medical advice immediately. I have been told that an untreated infection can develop into sepsis which can prove to be fatal.
End of May, I woke up on Saturday morning and went for a pee. I discovered that I either had a new superpower of pissing acid, or a UTI. Went about my day, but was feeling a bit off colour.
About 6pm I visited a walk in centre and saw a doctor. She did a dip test, confirmed that I had a UTI, and gave me a prescription for nitrofurantoin which I picked up immediately.
By about 9pm I was feeling worse. Running a temperature and episodes of violent shivering. Called my other half (a GP) to say I was feeling rough and going to bed. She said “no you’re not, you’re going to A&E immediately. nitrofurantoin won’t do anything if it’s in your kidneys”.
Got to A&E about 10pm. A&E in Blackpool Vic on a Bank Holiday Saturday. They took some blood when I arrived. I spent the night on a plastic chair, feeling like death warmed up. The tea lady gave me a sippy cup because I was having episodes of shaking too much to keep the tea in the cup.
Saw a doctor at around 8am. Said they would make a decision shortly. A while afterwards I was put on a drip, given IV gentamicin and co-amoxiclav, then moved to a ward. Spent three nights in there on IV antibiotics and paracetamol. My CRP level (indicator of inflammation) was 94 on arrival and 200 when I got to the ward, which is where they start worrying about sepsis. I woke up the first couple of nights with the bedsheets soaked in sweat.
On Wednesday they said I hadn’t had an episode of fever for 24 hours and my CRP was down to the 70’s and they could let me go. Diagnosis was pyelonephritis. Sent me home with enough co-amoxiclav to complete 7 days of treatment, which I took.
A couple of days after completing the course and going back down south, the symptoms returned. I had bought some dipsticks and my urine was positive for nitrite and white blood cells. I went to the hospital in Sutton and saw a GP there. He gave me a week of Cefalex, which seemed to do the trick.
Funny thing is that I had a phone call from the first walk in centre on the Wednesday morning while I was still in hospital - “We’ve got your urine culture results back from Saturday and we’re a bit concerned”
Most of us will only be familiar with UTIs because our partners have had them. It’s not a big deal, if it doesn’t go away in a day or two they see their GP. Male UTIs are much rarer - about 1/30 of the frequency - and much more likely to turn nasty. It needs immediate medical attention. The big red flag for my partner that made her send me to A&E was the shaking - “rigors”. She was seriously concerned, the risk of sepsis is significant.
About 6pm I visited a walk in centre and saw a doctor. She did a dip test, confirmed that I had a UTI, and gave me a prescription for nitrofurantoin which I picked up immediately.
By about 9pm I was feeling worse. Running a temperature and episodes of violent shivering. Called my other half (a GP) to say I was feeling rough and going to bed. She said “no you’re not, you’re going to A&E immediately. nitrofurantoin won’t do anything if it’s in your kidneys”.
Got to A&E about 10pm. A&E in Blackpool Vic on a Bank Holiday Saturday. They took some blood when I arrived. I spent the night on a plastic chair, feeling like death warmed up. The tea lady gave me a sippy cup because I was having episodes of shaking too much to keep the tea in the cup.
Saw a doctor at around 8am. Said they would make a decision shortly. A while afterwards I was put on a drip, given IV gentamicin and co-amoxiclav, then moved to a ward. Spent three nights in there on IV antibiotics and paracetamol. My CRP level (indicator of inflammation) was 94 on arrival and 200 when I got to the ward, which is where they start worrying about sepsis. I woke up the first couple of nights with the bedsheets soaked in sweat.
On Wednesday they said I hadn’t had an episode of fever for 24 hours and my CRP was down to the 70’s and they could let me go. Diagnosis was pyelonephritis. Sent me home with enough co-amoxiclav to complete 7 days of treatment, which I took.
A couple of days after completing the course and going back down south, the symptoms returned. I had bought some dipsticks and my urine was positive for nitrite and white blood cells. I went to the hospital in Sutton and saw a GP there. He gave me a week of Cefalex, which seemed to do the trick.
Funny thing is that I had a phone call from the first walk in centre on the Wednesday morning while I was still in hospital - “We’ve got your urine culture results back from Saturday and we’re a bit concerned”
Most of us will only be familiar with UTIs because our partners have had them. It’s not a big deal, if it doesn’t go away in a day or two they see their GP. Male UTIs are much rarer - about 1/30 of the frequency - and much more likely to turn nasty. It needs immediate medical attention. The big red flag for my partner that made her send me to A&E was the shaking - “rigors”. She was seriously concerned, the risk of sepsis is significant.
otolith said:
End of May, I woke up on Saturday morning and went for a pee. I discovered that I either had a new superpower of pissing acid, or a UTI. Went about my day, but was feeling a bit off colour.
About 6pm I visited a walk in centre and saw a doctor. She did a dip test, confirmed that I had a UTI, and gave me a prescription for nitrofurantoin which I picked up immediately.
By about 9pm I was feeling worse. Running a temperature and episodes of violent shivering. Called my other half (a GP) to say I was feeling rough and going to bed. She said no you re not, you re going to A&E immediately. nitrofurantoin won t do anything if it s in your kidneys .
Got to A&E about 10pm. A&E in Blackpool Vic on a Bank Holiday Saturday. They took some blood when I arrived. I spent the night on a plastic chair, feeling like death warmed up. The tea lady gave me a sippy cup because I was having episodes of shaking too much to keep the tea in the cup.
Saw a doctor at around 8am. Said they would make a decision shortly. A while afterwards I was put on a drip, given IV gentamicin and co-amoxiclav, then moved to a ward. Spent three nights in there on IV antibiotics and paracetamol. My CRP level (indicator of inflammation) was 94 on arrival and 200 when I got to the ward, which is where they start worrying about sepsis. I woke up the first couple of nights with the bedsheets soaked in sweat.
On Wednesday they said I hadn t had an episode of fever for 24 hours and my CRP was down to the 70 s and they could let me go. Diagnosis was pyelonephritis. Sent me home with enough co-amoxiclav to complete 7 days of treatment, which I took.
A couple of days after completing the course and going back down south, the symptoms returned. I had bought some dipsticks and my urine was positive for nitrite and white blood cells. I went to the hospital in Sutton and saw a GP there. He gave me a week of Cefalex, which seemed to do the trick.
Funny thing is that I had a phone call from the first walk in centre on the Wednesday morning while I was still in hospital - We ve got your urine culture results back from Saturday and we re a bit concerned
Most of us will only be familiar with UTIs because our partners have had them. It s not a big deal, if it doesn t go away in a day or two they see their GP. Male UTIs are much rarer - about 1/30 of the frequency - and much more likely to turn nasty. It needs immediate medical attention. The big red flag for my partner that made her send me to A&E was the shaking - rigors . She was seriously concerned, the risk of sepsis is significant.
Similar experience a year agoAbout 6pm I visited a walk in centre and saw a doctor. She did a dip test, confirmed that I had a UTI, and gave me a prescription for nitrofurantoin which I picked up immediately.
By about 9pm I was feeling worse. Running a temperature and episodes of violent shivering. Called my other half (a GP) to say I was feeling rough and going to bed. She said no you re not, you re going to A&E immediately. nitrofurantoin won t do anything if it s in your kidneys .
Got to A&E about 10pm. A&E in Blackpool Vic on a Bank Holiday Saturday. They took some blood when I arrived. I spent the night on a plastic chair, feeling like death warmed up. The tea lady gave me a sippy cup because I was having episodes of shaking too much to keep the tea in the cup.
Saw a doctor at around 8am. Said they would make a decision shortly. A while afterwards I was put on a drip, given IV gentamicin and co-amoxiclav, then moved to a ward. Spent three nights in there on IV antibiotics and paracetamol. My CRP level (indicator of inflammation) was 94 on arrival and 200 when I got to the ward, which is where they start worrying about sepsis. I woke up the first couple of nights with the bedsheets soaked in sweat.
On Wednesday they said I hadn t had an episode of fever for 24 hours and my CRP was down to the 70 s and they could let me go. Diagnosis was pyelonephritis. Sent me home with enough co-amoxiclav to complete 7 days of treatment, which I took.
A couple of days after completing the course and going back down south, the symptoms returned. I had bought some dipsticks and my urine was positive for nitrite and white blood cells. I went to the hospital in Sutton and saw a GP there. He gave me a week of Cefalex, which seemed to do the trick.
Funny thing is that I had a phone call from the first walk in centre on the Wednesday morning while I was still in hospital - We ve got your urine culture results back from Saturday and we re a bit concerned
Most of us will only be familiar with UTIs because our partners have had them. It s not a big deal, if it doesn t go away in a day or two they see their GP. Male UTIs are much rarer - about 1/30 of the frequency - and much more likely to turn nasty. It needs immediate medical attention. The big red flag for my partner that made her send me to A&E was the shaking - rigors . She was seriously concerned, the risk of sepsis is significant.
In 24 hours I went from a little bit of urgency with vague burning to peeing pink coloured Hoegaarden, temperature of 39C and rigors. I went to A&E with overight bag expecting admission and IV antibiotics. Saw a nurse and given oral trimethoprim which is all they had. At 58 this was the first time I'd taken antibiotics. Symptoms resolved in half an hour. I'd probably had a transient bacteraemia rather than full blow sepsis. Had a couple fo recurrences and referral to urology. Have been symptom free 6 months since a course of ciprofloxacin.
Any infection can develop into sepsis. In the old and the young, the risks are increased.
Many mild UTIs will pass naturally (in females) with plenty of fluid but if you've also got a fever, you're going to need abx and have to also suspect pyelo. For us guys, we need to also consider prostatitis as a differential.
Many mild UTIs will pass naturally (in females) with plenty of fluid but if you've also got a fever, you're going to need abx and have to also suspect pyelo. For us guys, we need to also consider prostatitis as a differential.
jmn said:
On examination I had a temperature of 102.5, and the sample contained high concentrations of White Blood Cells, and Blood.
I was prescribed a 7 day course of Cefalexin 500mg.
Things improved a bit over the next week but about a day after I finished the Antibiotics my symptoms returned. I phoned the Surgery again and also spoke to my family member. She thought that I had been prescribed the wrong Antibiotic. This turned out to be correct as the next 7 day course was for Nitrofurantoin 100mg.
Cefalexin is given for ?pyelo whereas nitro is for uncomplicated lower UTIs. Whilst it may not have worked for you, they clearly took you seriously and were treating for the worst. I was prescribed a 7 day course of Cefalexin 500mg.
Things improved a bit over the next week but about a day after I finished the Antibiotics my symptoms returned. I phoned the Surgery again and also spoke to my family member. She thought that I had been prescribed the wrong Antibiotic. This turned out to be correct as the next 7 day course was for Nitrofurantoin 100mg.
jmn said:
Just over 5 weeks ago I started to experience considerable discomfort when urinating. It was a weekend so my GP Practice was closed. I remembered some government advice about consulting a pharmacist if possible before seeking a GP Appointment so first thing on Monday morning I visited my local Pharmacy.
The Pharmacist told me that she could not prescribe antibiotics for a male UTI and advised me to seek an appointment with my GP in due course. She told me that there might be a bit of a wait.
As it turned out this was bad advice.
How is that "bad advice" ? It's standard practice to refer any male UTI to a GP. Hardly the pharmacist's fault if there's a wait. The Pharmacist told me that she could not prescribe antibiotics for a male UTI and advised me to seek an appointment with my GP in due course. She told me that there might be a bit of a wait.
As it turned out this was bad advice.
jmn said:
Just over 5 weeks ago I started to experience considerable discomfort when urinating. It was a weekend so my GP Practice was closed. I remembered some government advice about consulting a pharmacist if possible before seeking a GP Appointment so first thing on Monday morning I visited my local Pharmacy.
The Pharmacist told me that she could not prescribe antibiotics for a male UTI and advised me to seek an appointment with my GP in due course. She told me that there might be a bit of a wait.
As it turned out this was bad advice.
On returning home I checked with my GP Practice online and found that I would have to wait about 3 weeks for an appointment. There was no way I could wait that long so I called a member of my family who is a Registered Nurse. She told me, in no uncertain terms, that I needed to see a Doctor or Nurse Practitioner that day without fail.
I phoned the Surgery and went through the usual recorded messages which eventually told me that I was number 61 in the queue. Fortunately there was a facility to accept a call back and preserve my place in the queue.
I was called back about 2 hours later and went through a series of questions with a lady who dealt with triage. She stated that I did indeed need to see a medical professional that day and an appointment was made for later that afternoon. A friend collected a sample container for me and dropped it back to the Surgery. My symptoms deteriorated as the day progressed and by the time I got to the Surgery I was in considerable discomfort.
On examination I had a temperature of 102.5, and the sample contained high concentrations of White Blood Cells, and Blood.
I was prescribed a 7 day course of Cefalexin 500mg.
Things improved a bit over the next week but about a day after I finished the Antibiotics my symptoms returned. I phoned the Surgery again and also spoke to my family member. She thought that I had been prescribed the wrong Antibiotic. This turned out to be correct as the next 7 day course was for Nitrofurantoin 100mg.
Four courses later my symptoms finally cleared but I await blood tests and an Ultrasound Scan.
In the first week I lost about 10lbs of weight.
I have posted this in the hope that anyone who reads it and subsequently develops symptoms of a UTI will seek medical advice immediately. I have been told that an untreated infection can develop into sepsis which can prove to be fatal.
As above Pharmacy First for UTI's is only applicable for women aged 16-64, so the advice given was correct, albeit not something that was helpful for youThe Pharmacist told me that she could not prescribe antibiotics for a male UTI and advised me to seek an appointment with my GP in due course. She told me that there might be a bit of a wait.
As it turned out this was bad advice.
On returning home I checked with my GP Practice online and found that I would have to wait about 3 weeks for an appointment. There was no way I could wait that long so I called a member of my family who is a Registered Nurse. She told me, in no uncertain terms, that I needed to see a Doctor or Nurse Practitioner that day without fail.
I phoned the Surgery and went through the usual recorded messages which eventually told me that I was number 61 in the queue. Fortunately there was a facility to accept a call back and preserve my place in the queue.
I was called back about 2 hours later and went through a series of questions with a lady who dealt with triage. She stated that I did indeed need to see a medical professional that day and an appointment was made for later that afternoon. A friend collected a sample container for me and dropped it back to the Surgery. My symptoms deteriorated as the day progressed and by the time I got to the Surgery I was in considerable discomfort.
On examination I had a temperature of 102.5, and the sample contained high concentrations of White Blood Cells, and Blood.
I was prescribed a 7 day course of Cefalexin 500mg.
Things improved a bit over the next week but about a day after I finished the Antibiotics my symptoms returned. I phoned the Surgery again and also spoke to my family member. She thought that I had been prescribed the wrong Antibiotic. This turned out to be correct as the next 7 day course was for Nitrofurantoin 100mg.
Four courses later my symptoms finally cleared but I await blood tests and an Ultrasound Scan.
In the first week I lost about 10lbs of weight.
I have posted this in the hope that anyone who reads it and subsequently develops symptoms of a UTI will seek medical advice immediately. I have been told that an untreated infection can develop into sepsis which can prove to be fatal.
https://www.england.nhs.uk/wp-content/uploads/2023...
pavarotti1980 said:
jmn said:
Just over 5 weeks ago I started to experience considerable discomfort when urinating. It was a weekend so my GP Practice was closed. I remembered some government advice about consulting a pharmacist if possible before seeking a GP Appointment so first thing on Monday morning I visited my local Pharmacy.
The Pharmacist told me that she could not prescribe antibiotics for a male UTI and advised me to seek an appointment with my GP in due course. She told me that there might be a bit of a wait.
As it turned out this was bad advice.
On returning home I checked with my GP Practice online and found that I would have to wait about 3 weeks for an appointment. There was no way I could wait that long so I called a member of my family who is a Registered Nurse. She told me, in no uncertain terms, that I needed to see a Doctor or Nurse Practitioner that day without fail.
I phoned the Surgery and went through the usual recorded messages which eventually told me that I was number 61 in the queue. Fortunately there was a facility to accept a call back and preserve my place in the queue.
I was called back about 2 hours later and went through a series of questions with a lady who dealt with triage. She stated that I did indeed need to see a medical professional that day and an appointment was made for later that afternoon. A friend collected a sample container for me and dropped it back to the Surgery. My symptoms deteriorated as the day progressed and by the time I got to the Surgery I was in considerable discomfort.
On examination I had a temperature of 102.5, and the sample contained high concentrations of White Blood Cells, and Blood.
I was prescribed a 7 day course of Cefalexin 500mg.
Things improved a bit over the next week but about a day after I finished the Antibiotics my symptoms returned. I phoned the Surgery again and also spoke to my family member. She thought that I had been prescribed the wrong Antibiotic. This turned out to be correct as the next 7 day course was for Nitrofurantoin 100mg.
Four courses later my symptoms finally cleared but I await blood tests and an Ultrasound Scan.
In the first week I lost about 10lbs of weight.
I have posted this in the hope that anyone who reads it and subsequently develops symptoms of a UTI will seek medical advice immediately. I have been told that an untreated infection can develop into sepsis which can prove to be fatal.
As above Pharmacy First for UTI's is only applicable for women aged 16-64, so the advice given was correct, albeit not something that was helpful for youThe Pharmacist told me that she could not prescribe antibiotics for a male UTI and advised me to seek an appointment with my GP in due course. She told me that there might be a bit of a wait.
As it turned out this was bad advice.
On returning home I checked with my GP Practice online and found that I would have to wait about 3 weeks for an appointment. There was no way I could wait that long so I called a member of my family who is a Registered Nurse. She told me, in no uncertain terms, that I needed to see a Doctor or Nurse Practitioner that day without fail.
I phoned the Surgery and went through the usual recorded messages which eventually told me that I was number 61 in the queue. Fortunately there was a facility to accept a call back and preserve my place in the queue.
I was called back about 2 hours later and went through a series of questions with a lady who dealt with triage. She stated that I did indeed need to see a medical professional that day and an appointment was made for later that afternoon. A friend collected a sample container for me and dropped it back to the Surgery. My symptoms deteriorated as the day progressed and by the time I got to the Surgery I was in considerable discomfort.
On examination I had a temperature of 102.5, and the sample contained high concentrations of White Blood Cells, and Blood.
I was prescribed a 7 day course of Cefalexin 500mg.
Things improved a bit over the next week but about a day after I finished the Antibiotics my symptoms returned. I phoned the Surgery again and also spoke to my family member. She thought that I had been prescribed the wrong Antibiotic. This turned out to be correct as the next 7 day course was for Nitrofurantoin 100mg.
Four courses later my symptoms finally cleared but I await blood tests and an Ultrasound Scan.
In the first week I lost about 10lbs of weight.
I have posted this in the hope that anyone who reads it and subsequently develops symptoms of a UTI will seek medical advice immediately. I have been told that an untreated infection can develop into sepsis which can prove to be fatal.
https://www.england.nhs.uk/wp-content/uploads/2023...
Happily the OP had a same day appt with his own GP and was started on appropriate treatment rapidly, despite the negative undertones.
Yup; not UTI for me (although suspected); turned out to be quite a bad case of Epididymitis and ended up having an epididymectomy a year later due to x6 courses of antibiotics not clearing it
I was in huge amounts of pain (scans, bloods, tests etc) and they were clueless until I'd had a number of ultrasounds and then MRI's etc
Any pain in that area, no matter how minor or 'I'll put up with it' don't! Don't ignore it; get it seen to ASAP
I was in huge amounts of pain (scans, bloods, tests etc) and they were clueless until I'd had a number of ultrasounds and then MRI's etc
Any pain in that area, no matter how minor or 'I'll put up with it' don't! Don't ignore it; get it seen to ASAP
Parents live in Spain for 20+ years, 2 years ago they decided as all the locals/ex pats drink the local mountain font water they would too.... I mean saves £3 a week right?
1 days later the old man 82 has his afternoon nap and wont wake up, sluring unable to walk, my mum(84) and neighbour get him down a set of stairs into car and she takes him to A+E 10 miles away. Hes admitted to intensive care put on v strong AB and its a waiting game. She calls me 8am next morning not knowing if hes made it. Wife + i book flights as hes alive but still touch and go. Anyway he made it, was still delirious when i saw him telling me the police came in with rain macs while im there in shorts and sunnies! Spent 9 nights in hospital, couldnt walk for toffee for 2 days. Dr said 30%+ die, higher at his age. Miraculously no long term effects and back playing golf a month later. Turns out both of them had UTI the day before so they went back to bottled water.
And as a side note, friends brother 50 died of sepsis - hospital investigation concluded it was contracted via perio gum diesease.
1 days later the old man 82 has his afternoon nap and wont wake up, sluring unable to walk, my mum(84) and neighbour get him down a set of stairs into car and she takes him to A+E 10 miles away. Hes admitted to intensive care put on v strong AB and its a waiting game. She calls me 8am next morning not knowing if hes made it. Wife + i book flights as hes alive but still touch and go. Anyway he made it, was still delirious when i saw him telling me the police came in with rain macs while im there in shorts and sunnies! Spent 9 nights in hospital, couldnt walk for toffee for 2 days. Dr said 30%+ die, higher at his age. Miraculously no long term effects and back playing golf a month later. Turns out both of them had UTI the day before so they went back to bottled water.
And as a side note, friends brother 50 died of sepsis - hospital investigation concluded it was contracted via perio gum diesease.
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