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Bedridden. Urine Moving Towards Urinary Tract. Remedy?

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Posted on Wed, 19 Jun 2013
Question: I am dealing with a friend who is bedridden, on a foli, who keeps getting utis because her poop does not go backwards but forwards towards the urinary tract. Her guardian and I were discussing what to do to keep the poop out of her vagina and urinary tract. We were thinking of rolling up a sanitary napkin and wedging it in place behind the foli. This friend is in a long term care facility where problem solving isn't at a premium. Is there a trick to this which would help us?
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Answered by Dr. Sushil Kumar Sompur (10 hours later)
Hi there ~

After seeing the picture that is attached it seems like your friend is dealing with ipsilateral facial palsy with contralateral body paralysis a classical syndrome of medial medullary infarction or hemorrhage. I hope this is being taken care of accordingly. (Treatments for hemorrhage and infarction are different, and I therefore do not want to comment on this at this point). However the chronic UTIs may be taken care of by having a catheter inserted for the time being till your friend becomes ambulatory. This way any injury in the area will also heal and the possibility of fistula formation (with the potential of even more recurrent UTIs) will also lessen. I also think that your idea may also work but the idea of having a catheter inserted beats it. Being on antibiotics for UTIs prophylactically and keeping the area clean by repeatedly changing the sanitary napkins will also help in this situation.

I hope and wish the best for your situation. Take care and have a lovely day!
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sushil Kumar Sompur

Psychiatrist

Practicing since :2005

Answered : 2217 Questions

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Bedridden. Urine Moving Towards Urinary Tract. Remedy?

Hi there ~

After seeing the picture that is attached it seems like your friend is dealing with ipsilateral facial palsy with contralateral body paralysis a classical syndrome of medial medullary infarction or hemorrhage. I hope this is being taken care of accordingly. (Treatments for hemorrhage and infarction are different, and I therefore do not want to comment on this at this point). However the chronic UTIs may be taken care of by having a catheter inserted for the time being till your friend becomes ambulatory. This way any injury in the area will also heal and the possibility of fistula formation (with the potential of even more recurrent UTIs) will also lessen. I also think that your idea may also work but the idea of having a catheter inserted beats it. Being on antibiotics for UTIs prophylactically and keeping the area clean by repeatedly changing the sanitary napkins will also help in this situation.

I hope and wish the best for your situation. Take care and have a lovely day!