Suggest Treatment For Diarrhea In An Elderly Person

Brief Answer:
Advises on preventive measures and also routine tests

Detailed Answer:
Hello,
Thank you for asking HealthcareMagic.

I read your question carefully and understand your concern.

Low abdominal pain (bladder pain) in women can be due to a few causes and urinary infection is the most common one. Women might get several infection in a year and this is very uncomfortable. There are a few things to do to prevent urinary infection:

1. when you pass stools you should wipe from front to back and never from back to front- this will prevent bowel bacteria to go to the urethral area and prevent infection.
2. You do not necessarily need to wash after every defecation but if you do than make sure you wash front and then wash back areas.
3. Drinking plenty of water to wash out the urinary system is important
4. Do not keep urine but if you feel you need to go to toilet do it as soon as possible.
5. If you are sexually active, empty your bladder before having intercourse
6. make sure you wear cotton underwear.

Some women still get frequent infections even though they might be following these rules. In this case you will need to have the following steps:

1. Urinalysis to verify the infection and urine culture to identify the bacteria and the antibiotic to be used
2. Repeat urinalysis after treatment to make sure infection is totally cleared
3. Have a gynecological visit and pap smear- these are routinely recommended examinations in females every 3 years till the age of 65.
4. Make sure you have had other regular checks for age and gender like sugar and lipid check. Ruling out diabetes is very important.

On the other hand, the urinary infection is not the only cause of low abdominal pain so this has to be kept in mind and further tests considered if the above measures and tests do not help identify and treat the cause of your symptoms.

I hope I have answered your questions and this is helpful to you but please feel free to write back if anymore clarifications needed.

Kind regards

Antoneta Zotaj, MD

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Brief Answer:
Toilet paper and tap water are not related to it- see futher

Detailed Answer:
Hello again,
It is good you do all the things mentioned above. They protect you a lot.
When you have a loose stool it might be easier the urethra to be contaminated with stool bacteria and cause problems. I do not think is related to tap water or toilet paper. The hands might be spreading the germs if you wash and touch the front area after you have touched the back area.

The risk of diabetes in thin people is less but is still there after 40 years of age and it might predispose for yeast genital infection and get confused with urinary infections. If you had it checked 2 years ago and was normal very likely you do not have diabetes.

Hep C does not cause any urinary symptoms. If you would like to know your status you can have that test done but it is not related to the urinary complaint you experience.

I hope this is helpful to you and answers to your questions but please feel free to ask for any clarifications that might be needed.

Kind regards

Antoneta Zotaj, MD

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Brief Answer:
We can not give prescriptions. Please see your doctor and have urineculture

Detailed Answer:
Hello XXXXXXX
I am glad you seem do be doing better.
This site does not offer the service of online prescriptions.
It is good for you to see your doctor and take the prescription and especially because you have had repeated ones I would recommend you to take antibiotics according to the urineculture and not just blind treatment. Taking antibiotics according to urineculture results increases the chance of healing and decreases the risk of recurrence.
Using antibiotics blindly might increase resistance of bacteria to those antibiotics.

I hope this is helpful but please feel free to write me for any questions or concerns.

Kind Regards

Antoneta Zotaj, MD

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