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What Causes Recurrent Urinary Tract Infection?
Question: Hello I have been fightng a urinary tract infection for months they can't seem to find the right medicine to completely get rid of it. I still have a little burning sensation when I urinate and sometimes the pain runs up to my kidney but within a day or two that goes away. I also pricked myself with a rusty pin and after threee weeks am having muscle spasms in my back and espohgas. My question is do you think the spasm is maybe tetnus or a sympton of the urinary tract infection. Am I septic possible. I am female and 61 years old.
Brief Answer:
Repeated episodes of UTI are due to Senile Urethral Stenosi
Detailed Answer:
Hello
Thanks for query .
The repeated episodes of UTI that you are getting is mostly due what is termed as Senile Urethral Stenosis .
In females as the age advances there is generalized atrophy of Genito Urinary organs which also involves urethra leading to narrowing of urethral passage (Urethral Stenosis),This stenosed urethra causes incomplete emptying of bladder while passing urine leading to adequate quantity of urine to remain in bladder what is called as Post Void Residual Urine (PVR) this residual urine is the source of getting repeated episodes of Urine ,
You need to consult qualified Urologist and get following basic tests done to establish diagnosis .
1) Urine routine and urine culture
2) Ultrasound Scanning of abdomen with specific evaluation of Post Residual Urine volume .
3) Endoscopic examination of bladder
He may do urethral calibration(Urethral Dilatation ) at the same sitting .
This will help to widen the urethral passage and thereby effective complete emptying of bladder
.However you will need to learn to do Clean self Intermittent Catheterization (CSIC) every day at home to empty bladder for 3-4 months This will keep the urethra wide dilated and solve the issue of incomplete emptying of bladder . .
I routinely follow this regime in my elderly female patients who come to me in my practice for last 45 years and getting encouraging results .
You can discuss this regime with your Urologist . I am sure you will be benefited with this treatments .
As regards your doubt about having Tetanus the spasms (Rigors) that you are getting are part of the symptoms of UTI
Hope I have answered your query .Please do write any more help I shall be happy to help you .
Thanks and Regards.
Dr.Patil.
Repeated episodes of UTI are due to Senile Urethral Stenosi
Detailed Answer:
Hello
Thanks for query .
The repeated episodes of UTI that you are getting is mostly due what is termed as Senile Urethral Stenosis .
In females as the age advances there is generalized atrophy of Genito Urinary organs which also involves urethra leading to narrowing of urethral passage (Urethral Stenosis),This stenosed urethra causes incomplete emptying of bladder while passing urine leading to adequate quantity of urine to remain in bladder what is called as Post Void Residual Urine (PVR) this residual urine is the source of getting repeated episodes of Urine ,
You need to consult qualified Urologist and get following basic tests done to establish diagnosis .
1) Urine routine and urine culture
2) Ultrasound Scanning of abdomen with specific evaluation of Post Residual Urine volume .
3) Endoscopic examination of bladder
He may do urethral calibration(Urethral Dilatation ) at the same sitting .
This will help to widen the urethral passage and thereby effective complete emptying of bladder
.However you will need to learn to do Clean self Intermittent Catheterization (CSIC) every day at home to empty bladder for 3-4 months This will keep the urethra wide dilated and solve the issue of incomplete emptying of bladder . .
I routinely follow this regime in my elderly female patients who come to me in my practice for last 45 years and getting encouraging results .
You can discuss this regime with your Urologist . I am sure you will be benefited with this treatments .
As regards your doubt about having Tetanus the spasms (Rigors) that you are getting are part of the symptoms of UTI
Hope I have answered your query .Please do write any more help I shall be happy to help you .
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. Chakravarthy Mazumdar
Answered by
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