
Suggest Medication For Persistent UTI

Urinary tract infection
Detailed Answer:
Hello
Thanks for the query
Recurrent urinary tract infection calls for the following tests
1. Ultra sound of the abdomen and pelvis to rule out anatomic abnormalities or renal stones
2. Testing for diabetes
3. History of personal hygiene and preferences
Urethral and vaginal irriatation is more common in post menopausal women due to change in the ph of the vagina and loss of secretion. It might not always mean urinary tract infection, please continue to apply estriol cream.
Here is how you should go about it
1. Send for a urine routine and culture again. Make sure the sample you give is after cleaning the eternal urethral meatus
2. Drink plenty of water, about 2-3 litres per day to prevent UTI
3. After passing stools, always make sure you clean the anus away from the vagina and not towards it
I hope I was of help, if you have any further queries please get back to me
Regards


Cannot be an abscess
Detailed Answer:
Hello
Thanks for getting back, here are my thoughts in regards to the issues you have raised
1. Bladder abscess would have been picked up through the ultra sound and besides an abscess usually presents with severe fever with chills and rigor. Abscess according to me is ruled out. Besides bladder abscesses are extremely rare
2. I don't think it's necessary to avoid penicillin group of drugs just because your sibling is allergic. You could opt for a test dose of a penicillin injection just to see if you are allergic nonetheless
3. like I have explained post menopausal women are more prone for Uti due to the change in the ph, recurrent uti calls for a prophylactic antibiotic like nitrofurantoin 100 mg in the evening. I strongly recommend that you are on prophylaxis
Please get back to me if you have any further doubts. I will be happy to clarify them
Regards

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