Conversation: The conversation between human and AI assistant.
[|Human|] hi i am ansa ,unmarried i visit to doctor with lower abdomen pain there was no other specific symptom swab test show pus formation without any germ . with passing of time i progress symptom of less quantity of urine and report show ESR =70 . belly increasing in size I am very worried about this plz guaid me for diagnosing and medicine
[|AI|]  HiT hanks for your queryPlenty of pus cells without any organism in general myogenic culture in urine indicates presence of sterile Syria or tuberculosis. You need to start an antibiotic course preferably ciprofloxacin 500 mg twice daily for 2 weeks, take plenty of water around 4 liter/day with a urinary alkalizer. With these you need to have a USG of pelvic organ done to detect any lower abdominal pathology and should consult a urologist to rule out any pathology in the urinary tract. Cystoscopy should be done in refractory cases. Thank you.