Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. a very good evening.I am residing in bangalore,and I am writing this for my son.He is 19 years of age and doing his B-Tech  5th semester. Dr., for the past six months he is suffering from urinary infection. And I have consulted him with many urologists, still he didnt get a complete recovery. His ultrasound report,blood sugar, uroflam test everithing is normal. During this period he gets high fever & severe head ache, so bad that he cannot move his head in any direction.Im very worried about his head ache and other symptoms. He has taken many antibiotics .It didnt work it is recurrent now. Now, his Dr. has prescribed an antibiotic called urifast, daily two times for 14 days & then he has to take this tablet for 2 months, once daily and, his Dr. told him to take IVU X-RAY also.Dr is there any problem for taking this antibiotic such a long period.HIS IMMUNITY IS VERY POOR.Any weather change he falls sick.Pls help my son. Dr. his body wt is about 94 kg.
[|AI|]  Hi dear, Thanks for choosing Chat Doctor. I have read your question well and understand your concern and I will do my best to assist you. There are few questions I would like to ask to better understand your case such as has your son lost weight recently? You said his weight was 94KG? Has he lost or gained weight in the last 6 months? Does he have any history of Diabetes, Rheumatoid Arthritis, does he take any medications that reduce his immunity? Now if I answer based on the information you provided. First, one thing you should know is that male Urinary tract infection are mostly difficult trace or manage compared to females, its more likely to see a recurrent female infection than male. I don't know what made your doctor to treat your son with only antibiotic medications, if I was your Doctor I would consider admitting him to hospital so that I can take all necessary tests required, I would also consider treating him by giving him IV solution to help him rely Chat Doctor.  The ICU test the doctor ordered is a good choice to look for any abnormalities in the whole urinary tract including kidneys. Here are few things I would do if you came to my Hospital, you can consider discussing the following with your Doctor.1. Admit to hospital immediately, so that I can give IV fluids and IV antibiotics and run tests such as CBC, Urinalysis, Urine culture, ICU. 2. Since your son had recurrent UTI, I might consider doing some other tests to see if he has other co-morbidities such as diabetes, Tuberculosis etc.3. Some patient that had recurrent UTI might actually have something called Fistulas caused by a disease known as Crohn's disease. Therefore, if ICU shows normal results, I will refer him to Gastroenterology specialist to do Colonoscopy. Specially if your son suffers from diarrhea Crohn's disease is an Inflammatory Bowel disease that causes severe abdominal pain and could lead to forming fistula (holes between intestines and urinary tract) that might cause some bacteria from the Intestines to reach to the urinary tracts thus cause a Urinary tract infection. I hope you can discuss the points i mentioned with your current Doctor, so they can consider it.  Wish you all the best and I hope your son gets better soon.