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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Burning Sensation In Upper Abdomen Inspite Of Having UTI?

My wife, 42, has had a long-standing UTI that we are trying to treat through the doctor's instructions, with a change in diet. She has been placed on antibiotics for it in the past which helps for brief period. He is hesitant to prescribe long-term antibiotics because he says he is afraid of it becoming resistant. He believes the cause is that her pelvic floor dropped after child birth, so the bladder never fully empties. She has been under a tremendous amount of stress the past six months with work, and has also been experiencing heart-burn sensation in her upper abdomen for about the full six months. My question is, since we read that gastric ulcers can be caused by both bacteria as well as long-term use of ibuprofen (she has done that - years of taking ibuprofen), could these pains be related or are we dealing with two separate problems for her, and if so, how much would stress itself contribute to these conditions? Thank you.
Thu, 29 Jun 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history about your 42 year old wife and understood the concerns.
There are multiple problems which may be related.
For instance long term Ibuprofen is sure to cause gastritis and related problems like GERD that is Gastro-esophageal reflux disease. This should be diagnosed by an upper GI Endoscopy and treated with a PPI like Omeprazole, antacid and Domperidone if GERD and esophagitis is present.
Obviously Ibuprofen has to be stopped
Chronic UTI means there is a precipitating cause like you wrote a handing uterus and/or urinary bladder. There can be stones, strictures, sexually transmitted bacteria as you may be harboring or may be diabetes in either of your or both.
This should be fully diagnosed by Urinary culture and sensitivity, Ultrasonography, intravenous pyelography or a CT scan and Cysto-urethroscopy.
Antibiotics are prescribed as per the report and have to use protection during sex and you also have to take a course of the same antibiotic for 5 days.
Stress and anxiety adds to any problems like gastritis and GERD and can enhance the symptoms of many a problems.
Get this too treated with medications if required as this is also long standing for 6 months.
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What Causes Burning Sensation In Upper Abdomen Inspite Of Having UTI?

Hi. Thanks for your query. Noted the history about your 42 year old wife and understood the concerns. There are multiple problems which may be related. For instance long term Ibuprofen is sure to cause gastritis and related problems like GERD that is Gastro-esophageal reflux disease. This should be diagnosed by an upper GI Endoscopy and treated with a PPI like Omeprazole, antacid and Domperidone if GERD and esophagitis is present. Obviously Ibuprofen has to be stopped Chronic UTI means there is a precipitating cause like you wrote a handing uterus and/or urinary bladder. There can be stones, strictures, sexually transmitted bacteria as you may be harboring or may be diabetes in either of your or both. This should be fully diagnosed by Urinary culture and sensitivity, Ultrasonography, intravenous pyelography or a CT scan and Cysto-urethroscopy. Antibiotics are prescribed as per the report and have to use protection during sex and you also have to take a course of the same antibiotic for 5 days. Stress and anxiety adds to any problems like gastritis and GERD and can enhance the symptoms of many a problems. Get this too treated with medications if required as this is also long standing for 6 months.