Flare? or pseudo

FaithS · 09-06-2010, 12:39 AM

Woke up with a UTI Friday morning. Called my doc's office, and got a Rx for an anti-biotic, after lab confirmed that's what I had. Was worried, because my UTI's have always triggered a flare in the past.

Went for 2 days with no symptoms of a flare. But, was dizzy during Saturday night, which, although it is not always how my flares begin, has always been a symptom of a flare when they occur.

Called the on-call doc at the hospital, because it was a weekend. I told her about my symptoms and my hx, and she prescribed exactly what I requested: twenty 50 mg prednisone pills for 5 days. (I don't do well with IV's, so that's the direction I've gone, instead, for the past few years.)

I remained mildly dizzy during church. 10:00 am - about noon. Sent DH to pharmacy at about 10:45 (the earliest they could get Rx ready) to pick up prednisone. He brought them to church, with a yogurt (good way to counter the bitter prednisone taste) at about 11:15 am, and I took my twenty 50 mg pills in the pew, between being pianist for worship band.

Continued with mild dizziness during church, but have not had any since then. To actually be defined as an MS flare, symptoms need to last a minimum of 24 - 48 hours, right? Mine started sometime during the night, after midnight, so lasted 12 hours or less. (Unless they return during the night tonight.)

I had originally assumed that it could not be a pseudo-flare, mimicking the symptoms of a flare, just caused by the UTI, because I'd already been on anti-biotics for the UTI for two and a half days, and, you'd think it should've already been working. (I remember, when the kids were little, they could usually return to school after 24 hours on anti-biotics -- that's where I came up with my logic.)

So, maybe this was a pseudo-flare, and not a real one?

Can't call my doc on Monday, cuz it's a holiday. And, only talked to an on-call doc today, since it was a weekend. She didn't know anything about me, or my MS or my hx, so I told her what to prescribe, and she did it.

But, I think I'll call on Tuesday. Not sure if I'll call:

* my former neurologist, who is more local (Wichita), and is really great at returning phone calls and is willing to continue to work with me on local issues (usually by phone, and with no charge!),
* or my MS Specialist Kansas City), who I've heard is not so great at calling back.

Might call both, and see what answers I get from two professionals.

~ Faith

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