Urinary tract infections are the commonest bacterial infection in older people and the risk increases with age. Women suffer more frequently from recurrent UTI than men because of their shorter urethra and proximity of urethral opening to anus. Other predisposing factors in old age include diabetes, urinary tract stones, steroid use, and chronic illness impairing immune system. Blood may come in urine in UTI but other causes needs to be ruled out. Blood in urine may be due to kidney stone, cystitis, and malignancy. Advice 1. Ciprofloxacin 500 mg per oral every 12 hours for 7 days 2. You can change antibiotic after culture and sensitivity report 3. Syrup alkaline citrate 2 teaspoonful three times daily for 1 week 4. Investigations – R/E urine, C/S urine, USG abdomen & pelvis, X – ray KUB 5. Drink plenty of water to flush out bacteria 6. Drink cranberry juice 7. Do not hold your urine. Urinate when you feel 8. Wipe from front to back after bowel movements If recurrence still occurs despite above measures then cefalexin 125 mg daily per oral may be taken for 6 months as prophylactic treatment. Thanks