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Could Bacterial Load Be Enough To Have Lingering UTI Symptoms Or Should I Be Taking The Macrobid?

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Posted on Wed, 22 May 2024
Question: Hello, I have been struggling with what I thought was a UTI for three months. I had a UA done with a low bacterial load and was treated with Macrobid. Two after this later my symptoms returned even worse than before, but multiple UAs showed no infection present. My doctor prescribed two weeks of doxycycline where symptoms got better, but have not gone away. I did the MicrogenDx urological test towards the end of my doxycycline treatment. My test came back with e coli infection but with a low bacterial load which is similar to three months ago. My provider is treating me again with Macrobid. Could this bacterial load be enough to have lingering UTI symptoms? Should I be taking the Macrobid?
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Answered by Dr. Olgeta Xhufka (5 hours later)
Brief Answer:
Can be interstitial cystitis

Detailed Answer:
Hello,
I read your query and here is my advice.
I think you may need to do an uroculture in order to check if there is a bacteria causing it and the right antibiotics that can be used on it.
Also you may need to do an ultrasound to check bladder and urinary track.
If symptoms persis and urine analysis and uroculture are clean it can be interstitial cystitis.
Avoid coffee, chocolate, tomatoes,sauces, citrus which you think can worsen the symptoms.
Also taking painkillers will reduce inflammation and the frequent urination sensation.
Let me know if I can assist you further.
Thanks.
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Above answer was peer-reviewed by : Dr. LAKSHMI
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Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10113 Questions

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Could Bacterial Load Be Enough To Have Lingering UTI Symptoms Or Should I Be Taking The Macrobid?

Brief Answer: Can be interstitial cystitis Detailed Answer: Hello, I read your query and here is my advice. I think you may need to do an uroculture in order to check if there is a bacteria causing it and the right antibiotics that can be used on it. Also you may need to do an ultrasound to check bladder and urinary track. If symptoms persis and urine analysis and uroculture are clean it can be interstitial cystitis. Avoid coffee, chocolate, tomatoes,sauces, citrus which you think can worsen the symptoms. Also taking painkillers will reduce inflammation and the frequent urination sensation. Let me know if I can assist you further. Thanks.