Doctors Lounge - Nephrology Answers
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Forum Name: Miscellaneous Nephrology Topics
|livingsacrifice1974 - Mon Nov 17, 2008 11:13 pm||
34 year old female:
chronic sinus infections(1990),migraines (1990) degenerative disc disease (2000)chronic yeast infections(2002), vulvodynia (2005), confused parasthesia(2007)thoracic and lumbar-sacral radiculopathy (2007),cervical and lumbar-sacral spondylosis(2007), Fibromyalgia (2007), Severe Psoriatic Arthritis (2007)
Humira 40mg twice monthly, Methotrexate .9ml once weekly, prednisone 7.5 mg once daily, flexeril 40mg once nightly, elavil 100mg once daily, lortab 10/500mg 4 times daily, prilosec 20mg once nightly, leveln 28 once nightly, lyrica 225mg twice daily
I had cervical spinal fusion surgery last week, ended up in the hospital for five days due to complications with my throat swelling rendering me unable to swallow anything. I was placed on IV fluids, all medications were administered this way,. I had a catheter only on the day of my surgery and actually do not recall them sterilizing the area before inserting it-which they had trouble doing. Ever since I was released I have had dark brown urine. At first I thought it was because I hadn’t actually been eating or drinking, but it’s been a week now and my urine is still brown no matter how much water I drink. I have been having cold sweats, I wake up every night drenched in sweat, I’m exhausted constantly, don’t have much of an appetitive even though I am on steroids.Today I started having bad pains on my left side in the back. Having multiple chronic pain conditions, I know which pains are for which problems and this is a new, different pain. It is VERY tender to the touch and hurts when I move, walk, twist, etc. Because I have an auto immune disease I am already at risk for organ failure and the medications I am on increase this risk so I am very scared that something is seriously wrong. I am constantly at the doctors for one thing or another and don’t want to go unnecessarily. Is this something that warrants a trip in? What should I do?
|Debbie Miller, RN - Wed Nov 19, 2008 2:07 am||
The first concern is a urinary tract infection. I am confident that sterile technique was used in the placement of the catheter since this is standard procedure but in spite of this, catheters do come with the risk of infection even in ideal circumstances because you are introducing a tube with direct association outside the body into the bladder. Treatment is necessary if you have infection so you should see your doctor.
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