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. 1. Syrup alkaline citrate 2 teaspoonful three times daily for 1 week 2. Tablet Ciprofloxacin 500 mg per oral twice daily for 7 days 3. Go to hospital and consult urologist 4. Dicyclomine 20 mg every 8 hours per oral for pain for 3 days 5. Paracetamol 500 mg per oral if fever occurs 6. Drink 4 – 5 liters of uncontaminated water to flush out bacteria 7. Investigations – routine examination of urine, culture & sensitivity of urine, total & differential count of WBC, ultrasound abdomen 8. Do not hold your urine. Urinate when you feel If recurrence still occurs despite above measures then ciprofloxcin 125 mg daily per oral may be taken for 6 months as prophylactic treatment. Thanks