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Fever + chills + back pain + UTI symptoms = pyelonephritis (kidney infection). This needs urgent care, not oral antibiotics from a pharmacy.
If you have these symptoms, contact us immediately or visit the ER.
📞 Call Emergency LineWhat is
a UTI?
A urinary tract infection (UTI) occurs when bacteria enter the urinary tract and multiply, causing inflammation and symptoms. The infection can affect the bladder (cystitis), urethra (urethritis), or kidneys (pyelonephritis). Women are far more susceptible due to shorter urethral length, but men can also get UTIs — especially as they age and develop prostate problems.
The most common organism is E. coli (from the gut), but Klebsiella, Proteus, Enterococcus, and Staphylococcus saprophyticus also cause UTIs. Hospital-acquired or post-catheter UTIs may involve more resistant organisms.
How a UTI
typically presents.
Bladder infection (cystitis):
- Burning or pain during urination (dysuria)
- Frequent urination, small amounts each time
- Strong, persistent urge to urinate
- Cloudy, dark, or strong-smelling urine
- Lower abdominal discomfort or pressure
- Blood in urine (visible or microscopic)
Kidney infection (pyelonephritis) — more serious:
- All of the above, plus:
- Fever and chills
- One-sided back/side pain (loin pain)
- Nausea and vomiting
- Confusion (in elderly patients)
In men, additional red flags:
- Difficulty emptying — may indicate prostate involvement
- Recurrent UTI in a man is unusual and always warrants a urological evaluation
Three categories
of recurrent UTI.
Relapse
The first antibiotic course didn't fully clear the infection. The organism returns within 2 weeks. Suggests inadequate treatment duration or wrong antibiotic choice.
Reinfection
A different bacterium causes a new infection, usually from the gut flora. The most common pattern in women — needs prevention strategies, not just repeat antibiotics.
Anatomical issue
Stones, bladder outlet obstruction (BPH), incomplete bladder emptying, vesico-ureteric reflux, or fistula. Treating the antibiotic course alone won't stop recurrence — the structural problem must be fixed.
How we treat UTIs.
Diagnosis first.
Step 1 — Urine analysis on the spot. A dipstick and microscopy at the clinic shows white blood cells, red blood cells, nitrites, and bacteria within minutes.
Step 2 — Urine culture and sensitivity. Sent to lab. Results in 48–72 hours. This identifies the exact organism and which antibiotics will kill it.
Step 3 — Targeted treatment. If symptoms are mild, we may wait for culture results before starting antibiotics — or start empirical treatment and switch if culture shows different sensitivity. For severe infections, treatment starts immediately based on best-guess and is adjusted on culture.
Step 4 — Find the cause (for recurrent UTI). Three or more UTIs in a year triggers a workup: ultrasound, post-void residual measurement, in some cases cystoscopy or CT urogram. We look for stones, BPH, anatomical abnormalities, diabetes control, bladder dysfunction.
Step 5 — Prevention plan. Depending on findings: lifestyle measures, prophylactic antibiotics, vaginal estrogen (post-menopausal women), D-mannose, treatment of underlying conditions. Yearly follow-up.
UTI evaluation & treatment.
| Procedure | Starting from |
|---|---|
| Consultation | ₹ [____] |
| Urine analysis (on-site) | ₹ [____] |
| Urine culture & sensitivity | ₹ [____] |
| Ultrasound KUB | ₹ [____] |
| Recurrent UTI workup (full) | from ₹ [____] |
| Cystoscopy (if needed) | from ₹ [____] |
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Most CGHS / ECHS / PSU panels supported. We handle pre-authorisation. Call +91 9509370455.
UTI —
your questions.
A urine sample is tested for white cells, bacteria, nitrites, and red cells (dipstick + microscopy). The same sample is sent for culture to identify the exact bacterium and which antibiotics will kill it.
A first, mild bladder infection in an otherwise healthy young woman can sometimes be treated empirically. Anything more — fever, back pain, recurrent infections, infection in a man, in pregnancy, in diabetics — needs evaluation and culture.
Three possible reasons: incomplete treatment (relapse), repeat exposure to gut bacteria (reinfection), or an underlying structural cause like a stone, BPH, or incomplete bladder emptying. The workup identifies which.
No. UTI in men is unusual and almost always means there is an underlying cause — most commonly prostate enlargement, stones, or anatomical issues. A man with UTI needs urological evaluation.
Pyelonephritis is a kidney infection — when the UTI ascends from the bladder up to the kidney. Symptoms include fever, chills, back pain, and nausea. It is more serious than a simple bladder infection and may need IV antibiotics.
Drink more water, urinate after sex, wipe front to back, avoid douching, treat constipation, control diabetes if applicable. For recurrent UTIs, prophylactic measures (low-dose nightly antibiotic for 6 months, post-coital antibiotic, vaginal estrogen, D-mannose) may be advised.
Simple bladder infections: 3–5 days of antibiotics. Complicated UTIs (men, diabetics, kidney involvement, resistant organisms): 7–14 days. Pyelonephritis: 10–14 days, sometimes longer.
