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Suggest Treatment For Recurring UTI
Question: Having recurring UTI's. In the last 1.5 months, there are 4 times, UTI has happened.
Did the USG enlargement of the prostate also found. Please see the attached scan report.
Please see the attached reports and medication taken and now currently taking.
FARONAC 400MG TABLET
LIPRUFLOX 600MG TABLET
Did the USG enlargement of the prostate also found. Please see the attached scan report.
Please see the attached reports and medication taken and now currently taking.
FARONAC 400MG TABLET
LIPRUFLOX 600MG TABLET
Brief Answer:
You have UTI secondary to enlarged Prostate
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have repeated episodes of UTI since last 1.5 months and your USG has revealed grade one enlargement of prostate .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have obstructive voiding symptoms like frequency for urination ,urgency,nocturia,poor stream etc suggestive of enlarged prostate .?
2) Have you done urine culture and taken medications as per culture and sensitivity report?
Considering the size of prostate and insignificant post void residual urine that has been reported in USG you have grade one enlarged prostate with UTI .
I would suggest you to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Serum PSA.
You need to take appropriate antibiotic as per culture report twice daily along with Tomsulosin once daily .
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 UTI secondary to enlarged Prostate
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have repeated episodes of UTI since last 1.5 months and your USG has revealed grade one enlargement of prostate .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have obstructive voiding symptoms like frequency for urination ,urgency,nocturia,poor stream etc suggestive of enlarged prostate .?
2) Have you done urine culture and taken medications as per culture and sensitivity report?
Considering the size of prostate and insignificant post void residual urine that has been reported in USG you have grade one enlarged prostate with UTI .
I would suggest you to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Serum PSA.
You need to take appropriate antibiotic as per culture report twice daily along with Tomsulosin once daily .
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.
Above answer was peer-reviewed by :
Dr. Prasad
1) Do you have obstructive voiding symptoms like frequency for urination ,urgency,nocturia,poor stream etc suggestive of enlarged prostate .?
No
2) Have you done urine culture and taken medications as per culture and sensitivity report?
Yes, sensitivity was not there.
1) Urine routine and culture. Urine routine report has been attached. culture report will come in 3 days.
2) Serum PSA.
Attached the report with the PSA results.
Please suggest, why this recurrence of the UTI happening?
I will check with the Urologist but I need your guidance and help to understand, what is the cause after looking all the reports, I have attached for your review. Thank you for your help and time.
No
2) Have you done urine culture and taken medications as per culture and sensitivity report?
Yes, sensitivity was not there.
1) Urine routine and culture. Urine routine report has been attached. culture report will come in 3 days.
2) Serum PSA.
Attached the report with the PSA results.
Please suggest, why this recurrence of the UTI happening?
I will check with the Urologist but I need your guidance and help to understand, what is the cause after looking all the reports, I have attached for your review. Thank you for your help and time.
Brief Answer:
Serum PSA report is not attached
Detailed Answer:
Hello
Thanks for follow up .
The reason for getting repeated episodes of UTI is due to following few factors --
1) The organisms (Bacteria) causing UTI may not be sensitive to antibiotics which you have been prescribed (a proper broad spectrum sensitivity analysis of the specimen will clarify this further)
2) Enlarge prostate causes incomplete emptying of bladder resulting into post void residual urine which gets infected (residual urine acts as a reservoir of micro-organism) .
3) Infection of prostate itself (Prostatitis) which responds slowly and poorly to the antibiotic .
Do take appropriate antibiotic as per culture and sensitivity report which you will get after 3-4 days .
Thanks and Regards.
Dr.Patil.
Serum PSA report is not attached
Detailed Answer:
Hello
Thanks for follow up .
The reason for getting repeated episodes of UTI is due to following few factors --
1) The organisms (Bacteria) causing UTI may not be sensitive to antibiotics which you have been prescribed (a proper broad spectrum sensitivity analysis of the specimen will clarify this further)
2) Enlarge prostate causes incomplete emptying of bladder resulting into post void residual urine which gets infected (residual urine acts as a reservoir of micro-organism) .
3) Infection of prostate itself (Prostatitis) which responds slowly and poorly to the antibiotic .
Do take appropriate antibiotic as per culture and sensitivity report which you will get after 3-4 days .
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thanks for your feedback, please see my comments below
The organisms (Bacteria) causing UTI may not be sensitive to antibiotics which you have been prescribed (a proper broad spectrum sensitivity analysis of the specimen will clarify this further)
PSA test that I have attached in the report is not what you are looking for where results suggested:
Prostate Specific Antigen:3.39 ng/ml and range is less than 4ng/ml?
2) Enlarge prostate causes incomplete emptying of bladder resulting into post void residual urine which gets infected (residual urine acts as a reservoir of micro-organism) .
Please see the USG where it has mentioned the prevoid and post void results:
Pre void volume: 110 ml
post void volume: 11 ml
3) Infection of prostate itself (Prostatitis) which responds slowly and poorly to the antibiotic .
I have attached the new report which has listed the current medications, I am taking, are these medicines sufficient to take at this point of time and make me out of this worst condition?
Do take appropriate antibiotic as per culture and sensitivity report which you will get after 3-4 days
The organisms (Bacteria) causing UTI may not be sensitive to antibiotics which you have been prescribed (a proper broad spectrum sensitivity analysis of the specimen will clarify this further)
PSA test that I have attached in the report is not what you are looking for where results suggested:
Prostate Specific Antigen:3.39 ng/ml and range is less than 4ng/ml?
2) Enlarge prostate causes incomplete emptying of bladder resulting into post void residual urine which gets infected (residual urine acts as a reservoir of micro-organism) .
Please see the USG where it has mentioned the prevoid and post void results:
Pre void volume: 110 ml
post void volume: 11 ml
3) Infection of prostate itself (Prostatitis) which responds slowly and poorly to the antibiotic .
I have attached the new report which has listed the current medications, I am taking, are these medicines sufficient to take at this point of time and make me out of this worst condition?
Do take appropriate antibiotic as per culture and sensitivity report which you will get after 3-4 days
Brief Answer:
Continue taking medications prescribed by your Dr.
Detailed Answer:
Hello
Thanks for follow up .
Ciprofloxacin is an antibiotic being prescribed by your DR based on urine culture report .Continue taking Ciprofloxacin along with Alfu for two weeks .However Ii would appreciate if you post urine culture report in its proper original format so as to suggest any more antibiotics .
Thanks and Regards.
Dr.Patil.
Continue taking medications prescribed by your Dr.
Detailed Answer:
Hello
Thanks for follow up .
Ciprofloxacin is an antibiotic being prescribed by your DR based on urine culture report .Continue taking Ciprofloxacin along with Alfu for two weeks .However Ii would appreciate if you post urine culture report in its proper original format so as to suggest any more antibiotics .
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Remy Koshy
thanks for your feedback, you mentioned ciprofloxacin but my doctor suggested lipruflox, both are same? Sorry for asking.
I have done my urine routine at this moment and showed him and also attached with this query.
Urine culture report will come after 2 days, i will attach then for your review.
I have done my urine routine at this moment and showed him and also attached with this query.
Urine culture report will come after 2 days, i will attach then for your review.
Brief Answer:
Lupruflox & Ciprofloxacin are of the same (Quinolone) group of antibiotic
Detailed Answer:
Hello
Thanks for follow up .
You can continue taking Lupreflox till you get urine culture report .and switch on to appropriate antibiotic as per culture report .
Thanks and Regards.
Dr Patil.
Lupruflox & Ciprofloxacin are of the same (Quinolone) group of antibiotic
Detailed Answer:
Hello
Thanks for follow up .
You can continue taking Lupreflox till you get urine culture report .and switch on to appropriate antibiotic as per culture report .
Thanks and Regards.
Dr Patil.
Above answer was peer-reviewed by :
Dr. Remy Koshy
thank you sir, i will attach my urine report as soon as i get it.
Brief Answer:
O.K bye
Detailed Answer:
Hello
Thanks for follow up .
Do post your Urine culture report as and when you get it .
I would suggest you further line of treatment .
Thanks and Regards.
Dr.Patil.
O.K bye
Detailed Answer:
Hello
Thanks for follow up .
Do post your Urine culture report as and when you get it .
I would suggest you further line of treatment .
Thanks and Regards.
Dr.Patil.
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. Kampana
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