<s>[INST] Goodmorning from Rotterdam. Holland. My name is Leny Geurts and since 6 weeks I have this blatterinfection with the enterococcus aerogenus.We already tried several antibiotics like Furadantine and Pripam. But I have this terrible pain in my blatter that won"t leave. I have a supra pubic catheter, and a duodenum stoma, due to autonom disfunction of my nerve system. Since jan 2008, I learned that I have ALS(Lou Gehrings disease) and HSP6 so I am not able to walk and do not have much control over my spastical body. I am 53 years of age. Do You have any suggestion what to do?Since this morning I had no fever but the pain is thereble.Greetings Leny Geurts [/INST] Thanks for posting your query to Chat Doctor. As I understand you are suffering form some kind of genitourinary system disease. Catheterization is a predisposing factor for development of infection. Antibiotic treatment only is not effective for relief .you need to change the Cathay as and when required after examination by your surgeon. But if you are not getting relief you can try medically Fosfomycin for treating enterococcus after consulting to your surgeon. For pain and discomfort Fanatic acid with dicyclomine can be taken. For rest of the problem your neurosurgeon will guide you .take care. </s>