I've got a feeling of "here we go again." So I had my last antibiotic on Tuesday morning. Symptoms and tests were clear. I had my review with Advanced Clinical Practitioner on Wednesday. Again, same. So she said I can't have any standby antibiotics we have to watch and wait. Thursday, clear. Friday, clear. My rational mind said OK, maybe this time I've beaten this thing first time and am not going to go through what I went through in 2019 - a chronically recurring UTI and 10 different antibiotics none of which finish it off until I take matters into my own hands and overdose myself on co amoxiclav.... My anxiety said you watch, your worst fear is it coming back on the weekend. So you have to spend your weekend in doctors or hospitals.
Guess what... I know my own body and today my pee felt different again - bit of burning and stinging. I thought maybe it's my pudendal neuralgia after the exercise the last few days. So I did a urinalysis strip. Faint leukocytes. Did one half an hour later - stronger result and urinary urgency developing. Another half hour and the test is thick with leukocytes as my body is clearly mounting an inflammatory response to an infection that's bouncing back. It stands to reason - they put me on nitrofurnatoin. It's great for simple things like E coli - but I don't have ecoli I have klebsiella - which is known to be resistant to nitrofurnatoin....
What clearly has happened is that high concentrations of an antibiotic altered the behaviour of the microbe enough to make it look like it was eradicated - but it's formed a reservoir or biofilm, hidden away, and as soon as the antibiotic is gone, it's come out of hiding.
So I filled in an online NHS 111 thing, it suggested GP out of hours callback - I got a callback within 10 minutes and no questions asked, they want me to go in for an appointment later today.
So much for relaxing this weekend.