Hello dear,
Understand your concern.
I think you have recurrent UTI.
Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment.
Yes
chronic prostatitis or Pro static hyperplasia can aggravate the UTI.
Causative factor:
E. coli,
Staphylococcus saprophyticus (10 to 15 percent).
Enterococcus, Klebsiella, Enterobacter, and Proteus
Diabetes melitus, neurological conditions, chronic institutional residence
Better to consult the urologist
And do necessary investigations like
Urine routine, microscopic and culture
Blood sugar, urea, creatinine, PSA
Pro static profile
Lower abdominal USG
Meanwhile take following advice:
1. three day course of
trimethoprim/sulfamethoxazole is the current standard therapy,
2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or
ciprofloxacin [Cipro]) being equally effective.
3.
Fluoroquinolones and
nitrofurantoin become better options in your case for TMP-SMX resistance increases.
4. If oral drug is not possible, take ceftazidime parentrally.
You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs.
Follow up urine culture after 14 days to confirm the eradication of bacteria.
Take plenty of water.
Tablet Paracetamol 500 mg three times a day if fever is present.
Tablet cetrizine once daily if itching
take fruit juice of cranberry, orange and papaya
Maintain hygiene after urination, wipe pelvic area frequently.
Wear loose cotton inner wear
Hope this advice help you.
Thank you.
Get well soon.
Best regards
Dr. Sagar