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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Recurrent UTI Be Treated?

I have had 4 confirmed UTI since February 2017, I am currently having these same symptoms again with the addition of no warning that I need to urinate until it is too late. This is the second time I have had this added symptom, after getting a repeat negative on a urine test I was sent for a blood test that confirmed a UTI. After a negative urine test, I asked for a blood test again, they decided to run a culture thinking it might be interstitial Cystitis, this also came back negative, but a week later I am still having symptoms. Help!
posted on Fri, 22 Sep 2017
Twitter Mon, 20 Nov 2017 Answered on
Twitter Wed, 22 Nov 2017 Last reviewed on
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Ayurveda Specialist,  's  Response
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Thanks for contacting with your health concern

1. With recurrent UTI, one has to exclude the following causes:

i. As the symptoms are recurrent so one has to exclude risk factors for complicated urinary tract infections. [as might be the case for you], which may impede urine flow like congenital urinary tract abnormalities, enlarged prostate, and inflammation.

ii. according to the Journal of American Family Physician: Patients at risk of complicated urinary tract infections are best managed with
-broad-spectrum antibiotics initially,
- urine culture to guide subsequent therapy, and
- renal imaging studies if structural abnormalities are suspected.

. Other predisposing factors which can be considered are any immunosuppression, diabetes, chronic kidney disease [CKD].

PS. Patients with recurrent UTIs should be counseled about risk factors such as spermicide use, frequent sexual intercourse, and new sex partners.
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How Can Recurrent UTI Be Treated?

** Thanks for contacting with your health concern 1. With recurrent UTI, one has to exclude the following causes: i. As the symptoms are recurrent so one has to exclude risk factors for complicated urinary tract infections. [as might be the case for you], which may impede urine flow like congenital urinary tract abnormalities, enlarged prostate, and inflammation. ii. according to the Journal of American Family Physician: Patients at risk of complicated urinary tract infections are best managed with -broad-spectrum antibiotics initially, - urine culture to guide subsequent therapy, and - renal imaging studies if structural abnormalities are suspected. . Other predisposing factors which can be considered are any immunosuppression, diabetes, chronic kidney disease [CKD]. PS. Patients with recurrent UTIs should be counseled about risk factors such as spermicide use, frequent sexual intercourse, and new sex partners.