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Suggest Remedies For Recurrent UTI

Posted on Wed, 22 Jun 2016

Question: My wife just started taking amitriptyline hydrochloride for depression since 5 days and has now developed uti she earlier also had this problem of re occurent uti.is this now because of the medicine she started?
What should be the treatment now for uti.

Answered by Dr. Matthew J. Mangat (1 hour later)

Brief Answer:
recurrent UTI needs investigation. No relation with amitripytiline.

Detailed Answer:
Hello XXXX and welcome to HCM.
As an Urologist,i can fully understand your concern.

There's no relation between depression and UTI.
Amitriptyline isn't known to cause UTI.

If she's having recurrent UTI's, she should undergo certain tests,to find cause for it after a proper examination, by an Urologist..
1. urine routine and culture.
2. blood routine,creatinine, RBS,LFT,and platelets.
3. ultrasound scan -KUB with residual urine.

According to these reports,proper treatment can be advised.
Till the reports come,she should take an antibiotic,like quinolone twice daily.
Drink about 10 glasses fluids daily.

You may send the reports here,for an expert opinion.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Matthew J. Mangat (45 hours later)

Doctor yesterday the pain got ok.but today she is again having pain and burning passing urine.she has no fever?what could be the possible cause.

Answered by Dr. Matthew J. Mangat (1 hour later)

Brief Answer:
specific treatment can be advised after seeing reports.

Detailed Answer:
Hi XXXX.,

You may get back with the reports.
Treatment will be advised, depending on reports.

Wish you well.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Matthew J. Mangat (23 hours later)

We are getting urine culture done,do we need to do more tests!She got her blood tests done about 8 days back and were absolutely normal.

Answered by Dr. Matthew J. Mangat (48 minutes later)

Brief Answer:
scan must be done.

Detailed Answer:
Hi XXXX,

You can send the reports of the blood tests,along with urine culture.
The scan is a must.

Wish you well.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Matthew J. Mangat (2 hours later)

This is the urine routine report

Answered by Dr. Matthew J. Mangat (19 minutes later)

Brief Answer:
urine routine is normal.

Detailed Answer:
Hi XXXX,

The urine routine report pf XXXXXXX is normal.
Now the other reports are awaited.

Wish you well.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Matthew J. Mangat (8 minutes later)

Protien is fine?

Answered by Dr. Matthew J. Mangat (35 minutes later)

Brief Answer:
urine routine shows normal protein level.

Detailed Answer:
Hi XXXX,

The level seen in urine routine test, is normal.
If you want an accurate test for urine protein, get urine-ACR done.

Wishing her well.

Dr.Matthew J. Mangat.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar