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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prone To UTI. Nauseated, Irritated Urethra, Lower Back Pain, Anxiety. On Ciprofloxacin. Suggest?

Hello. I am a 22 year old married woman. I have been prone to UTI s since I was a child. I ve had three in the past four months. I have one right now that is unlike any I ve had before. My lower back aches, a constant feeling of an urgency to urinate with no relief, nausea , I will get hot/ cold , no burning when I urinate but my urethra constantly feels irritated. I went to the E.R. on 03/17 which showed bacteria in my urine and they gave me cephalexin . I was taking the cephalexin until yesterday, when at my follow up dr appointment I was switched to ciprofloxacin . The dr I seen yesterday submitted my urine for a culture test and is referring me to a urologist , but she told me to expect at least a two week wait before I can see the urologist. My symptoms seem to be MUCH worse at night and an hour or so after I wake up they subside but never got away. Please help! I don t know what s wrong with me, antibiotics aren t helping. I ve been drinking tons of water, avoiding caffeine, no sexual activity, drinking sugar-free cranberry juice. I am starting to get anxiety over this because I never feel relief. I just want to know what is wrong and how I can fix it. Thanks in advance!
Mon, 8 Apr 2013
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Urologist 's  Response
Hello
Thanks for your query.Based on the facts that you have posted it appears that you have urgency of urination with tendency to have UTI very frequently.

You have been taking antibiotics since a long time but gas with very poor and unsatisfactory results
.
Considering the chronic nature of your problem and poor results with antibiotics I personally think that you have Over Active Bladder Syndrome.
You can have atrial of drugs antimuscarinics like (Solifenacin or Darifenacin) after consulting your family physician.He will help you to guide about dosage and timing of the drug to be taken.
Dr.Patil
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Prone To UTI. Nauseated, Irritated Urethra, Lower Back Pain, Anxiety. On Ciprofloxacin. Suggest?

Hello Thanks for your query.Based on the facts that you have posted it appears that you have urgency of urination with tendency to have UTI very frequently. You have been taking antibiotics since a long time but gas with very poor and unsatisfactory results . Considering the chronic nature of your problem and poor results with antibiotics I personally think that you have Over Active Bladder Syndrome. You can have atrial of drugs antimuscarinics like (Solifenacin or Darifenacin) after consulting your family physician.He will help you to guide about dosage and timing of the drug to be taken. Dr.Patil