My daughter recently had pyelonephritis and was treated with Cipro. She still has back pain and one of her urinalysis results show hyaline casts in her urine. We repeated the UA and now the casts appear to be gone now. She is still have pain. What should be our next step?
Firstly u he to continue with antibiotics until you are sure that no infection is there because pyelonephritis frequently needs long course of antibiotics.  Chat Doctor.  Urine culture sensitivity will help to find the best antibiotic. Meanwhile, take analgesics. Pain will subside as the cause will be eliminated.