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Suggest Treatment For Chronic Urinary Tract Infection
Question: I went to doctor for a urinary tract exam with sample of urine - got Sulfamethoxazole and Phenazopyridine to take - took as directed. After a couple of weeks got infection back and again got prescription for same medication. I finish medication as directed again a couple of days ago and again got UTI back.
I've been taking medication for a heart problem for the last year 200 gms- amiodarone HCl 100 mg,losartan potassium and 100 mg metoproll succer and 15 mg xarelto - also (1) a day furosemide 20 mg - could this medication be causing this problem -
I've been taking medication for a heart problem for the last year 200 gms- amiodarone HCl 100 mg,losartan potassium and 100 mg metoproll succer and 15 mg xarelto - also (1) a day furosemide 20 mg - could this medication be causing this problem -
Brief Answer:
You have Chronic UTI secondary to senile urethral stenosis .
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have been getting repeated episodes of UTI since one year and have been taking antibiotics .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Are you diabetic ?
2) Have you done urine culture test?
Repeated episodes of UTI at this age is mostly due to what is called as Senile Urethral Stenosis .
As the age advances in females there is generalized atrophy of Genito-Urinary organs including urethra which results into narrowing of urethral passage (Urethral Stenosis ).This narrowed urethra causes incomplete emptying of bladder during micturition resulting in to significant amount of urine to remain in bladder what is termed as Post Void Residual Urine .This PVR is the source of infection.
Consult your urologist for clinical assessment and get following basic tests done
1) Urine culture
2) Ultrasound Scanning of abdomen and pelvis
3) endoscopic examination of bladder and urtheral calibration .
Urethral calibration (Dilatation ) of urethra should be followed by dilatation of urethra daily at home .
Take appropriate antibiotic as per culture report .
This will help you to empty the bladder completely and prevent from getting repeated episodes of UTI.
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
You have Chronic UTI secondary to senile urethral stenosis .
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have been getting repeated episodes of UTI since one year and have been taking antibiotics .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Are you diabetic ?
2) Have you done urine culture test?
Repeated episodes of UTI at this age is mostly due to what is called as Senile Urethral Stenosis .
As the age advances in females there is generalized atrophy of Genito-Urinary organs including urethra which results into narrowing of urethral passage (Urethral Stenosis ).This narrowed urethra causes incomplete emptying of bladder during micturition resulting in to significant amount of urine to remain in bladder what is termed as Post Void Residual Urine .This PVR is the source of infection.
Consult your urologist for clinical assessment and get following basic tests done
1) Urine culture
2) Ultrasound Scanning of abdomen and pelvis
3) endoscopic examination of bladder and urtheral calibration .
Urethral calibration (Dilatation ) of urethra should be followed by dilatation of urethra daily at home .
Take appropriate antibiotic as per culture report .
This will help you to empty the bladder completely and prevent from getting repeated episodes of UTI.
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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