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Suggest Treatment For Frequent Urinary Tract Infections While Having Urethral Syndrome

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Posted on Fri, 22 Jan 2016
Question: I have had urinary tract infections for 25 years and am constantly on antibiotics, now my urologist tells me it is urethral syndrome(after a systoscopy and urinalysis) and has prescribed a type of nerve tablet. I don't want to take these as the list of side affects lists suicide and other forms of depression . I am not depressed nor a particularly nervous person so why have I been prescribed this form of treatment? I feel as though I am being told its all in my head which it definitely isn't. The urine samples don't always show positive but many do and the symptoms escalate with each day that I have to wait for results. I get up at least 3 times at night and often every 1 / 2 hours when the UTI Is
present. Many of the antibiotics are resistant to the particular bug, often E. coli. ( I am very careful with personal hygiene) What is your opinion please. ?
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Answered by Dr. Michelle Gibson James (40 minutes later)
Brief Answer:
used to treat abnormal functions of nerves in body, not only mood disorder

Detailed Answer:
HI, thanks for using healthcare magic

It is understandable to be concerned but these medications are often prescribed for conditions not related to mood at all.

In fact, many antidepressants and anti seizure medications are commonly used to treat conditions that may be related to abnormal nerve function (neuropathy).
Nerves in the body are responsible for sensations and also affect movement and function of organs

Medications such as amitriptyline, nortriptyline, gabapentin, tegretol, lyrica, cymbalta are used in persons who DO NOT have depression, anxiety or seizures but do have other conditions that may be occurring because the nerves in the body are not working as they should.

This abnormal function causes change in sensation or function of certain parts of the body.
So the meds are not given because your doctor thinks you are depressed or believes the symptoms are in your head, but because he or she believes the med can help reduce any abnormal nerve function.

Urethral syndrome is characterized by increased urinary frequency, discomfort on urination and abdominal pain with minimal/no examination findings and normal urine results.

It is likely that some of the times when the symptoms occur an infection is present, when the urinalysis show bacteria is present. That would require antibiotics.

Some of the instances however may be due to urethral syndrome.

It is up to you whether you take the medication. Remember all possible side effects must be listed but if you take another look at the insert, it may say what percent of persons have these effects

With most medications, the effects occur in the minority not majority of patients.

There is the option of trying the medication to see if it works for you and if it is tolerable.
If not, can be discontinued.

I hope this helps, feel free to ask any other questions
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Frequent Urinary Tract Infections While Having Urethral Syndrome

Brief Answer: used to treat abnormal functions of nerves in body, not only mood disorder Detailed Answer: HI, thanks for using healthcare magic It is understandable to be concerned but these medications are often prescribed for conditions not related to mood at all. In fact, many antidepressants and anti seizure medications are commonly used to treat conditions that may be related to abnormal nerve function (neuropathy). Nerves in the body are responsible for sensations and also affect movement and function of organs Medications such as amitriptyline, nortriptyline, gabapentin, tegretol, lyrica, cymbalta are used in persons who DO NOT have depression, anxiety or seizures but do have other conditions that may be occurring because the nerves in the body are not working as they should. This abnormal function causes change in sensation or function of certain parts of the body. So the meds are not given because your doctor thinks you are depressed or believes the symptoms are in your head, but because he or she believes the med can help reduce any abnormal nerve function. Urethral syndrome is characterized by increased urinary frequency, discomfort on urination and abdominal pain with minimal/no examination findings and normal urine results. It is likely that some of the times when the symptoms occur an infection is present, when the urinalysis show bacteria is present. That would require antibiotics. Some of the instances however may be due to urethral syndrome. It is up to you whether you take the medication. Remember all possible side effects must be listed but if you take another look at the insert, it may say what percent of persons have these effects With most medications, the effects occur in the minority not majority of patients. There is the option of trying the medication to see if it works for you and if it is tolerable. If not, can be discontinued. I hope this helps, feel free to ask any other questions