Had a kidney infection. On antibiotics. Has low fever. Lost weight, appetite. Tired. Had met with an accident. Suggestions?
Patient: young lady in her early 30s works for me  she has sean dr for a year can't find whats wrong.  she went to californis  san diago for her honeymoon  came back and had a kidney infection  went on antibiotics got better however has run a low grade fever since now its been a year lots of tests and no answers  she has lost alot of weight, loss of appetite  is very tired but can't sleep, has some good days lately then plunges  cant work a whole day.  she was in a car accident in high school had to cut her out of the car  broken back  they wrapped it and let it heal  so is pain most of time and has been on pain meds since she was 18  now pain patches  no insurance so cant afford back surgery and also scared ro do it anyway  what do you think should be looked into? Doctor: Hi,Thank you for your query.With multiple issues the young lady needs to be investigated thoroughly for:1. Low grade fever.2. Back ache.There must be a nidus of infection which needs to be found and managed accordingly. At times the kidney infection can linger on and cause both the complaints mentioned above. Hence a simple urine routine and culture examination become mandatory to start with.I hope I have answered your query to your satisfaction.Wishing the young lady all the best.Regards,Rajiv K Khandelwalhttp://goo.gl/SuCjl