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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood In Urine, Taken Cipro And Amoxicillin, Urgency To Urinated. Am I Symptomatic Due To Severity Of Infection?

I m a 46 yr old Mom,post menopausal 4 yrs. now. 5 weeks ago today suddenly stated urinating with urgency a lot. Felt flush never a fever. 3 hours of 5-10 mins intervals of rushing to the bathroomn then stated to pee blood. We were in the DR so I went to a local clinic and had high WBC with visible blood. They said I had bacteria in my urine - but I gave them a sample not clean. They diagnosed cystitis . Though I have a few days in a row I feel better and was only up 2-3 time a night but able to sleep. Then back to square one minus the blood. During this time I had a urine culture which was neg (here in the US). On Cipro for 10 days now on low dose amoxicillan with pymedrium and a anti bladder spasm med. I had a cystoscopy which showed inflimation and a couple of broken blood vessels 2 weeks after it all began. I haven t sleep due to urgency. Never had burning but presure. I amvery concerned and do not want to be diagnosed with IC ( my urologist has not mention this but my Family doctor has.). Is it possible I am symptomatic due to the severity of the infection and not IC? I have never had a UTI and other wise heathy 2 past surguries ( apendics ruptured / Adhesion surgury 15 yr after the first. Could it take this long for my bladder to recover? Thank you
Fri, 31 Aug 2012
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Urologist,  's  Response
hi frankie, urine infections are common in females at your age. usually most resolve with a 3-5 day course of antibiotics, yours is taking a bit longer. So reasons for this have to be found out. One common reason is inadequate or improper antibiotics (since you are being treated by a urologist, I am sure this is not the case). Another is bladder outflow obstruction. This can be ruled out by sonography (high post-void residual urine) and uroflow. A rare cause can be non-bacterial infection ( for eg tuberculosis). IC is very unlikely to start at this age. Continue follow-up regularly with your urologist. Keep fluids limited to 1.5-2.0 liters/day, decrease tea/coffee/fuzzy drinks. You may also feel better with some anticholinergics if not already taking. (I am not sure what sort of anti-spasm medicine u have been given). Take care.
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Blood In Urine, Taken Cipro And Amoxicillin, Urgency To Urinated. Am I Symptomatic Due To Severity Of Infection?

hi frankie, urine infections are common in females at your age. usually most resolve with a 3-5 day course of antibiotics, yours is taking a bit longer. So reasons for this have to be found out. One common reason is inadequate or improper antibiotics (since you are being treated by a urologist, I am sure this is not the case). Another is bladder outflow obstruction. This can be ruled out by sonography (high post-void residual urine) and uroflow. A rare cause can be non-bacterial infection ( for eg tuberculosis). IC is very unlikely to start at this age. Continue follow-up regularly with your urologist. Keep fluids limited to 1.5-2.0 liters/day, decrease tea/coffee/fuzzy drinks. You may also feel better with some anticholinergics if not already taking. (I am not sure what sort of anti-spasm medicine u have been given). Take care.