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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For UTI Despite Being On Heavy Medication

Hello doctr m suffering from uti frm 5 months till now .however I have taken medicines from mny doctrs medicines like cipro,oflaxcin,Norfolx and last two weeks ago I gone to a doctr she prescribed me a alkaliser and uripass tablet and cystone and get test done like blood creatinine and urine analysis nothing come to report all negative except sm excess of protein in urine and she ask m continue medicine fr 10 days and 6 days all work fine by her antibiotics gramoneg and all medicines and now on 10 days same prblm rise again frequent urination aftr hour and sansation after urine done and if I drink alot of water now I go after 20 min to urine but no pain in this situation jst sensation in wnat knkw when all this will end m fedup frm longterm antibiotics n all I wnat know excr reason of it
Mon, 14 Mar 2016
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General & Family Physician 's  Response
Hello dear,
Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment.
Recurrent UTIs include relapses (i.e., symptomatic recurrent UTIs with the same organism following adequate therapy) and UTI caused by a second bacterial isolate)

Causative factor:
E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus
Diabetes mellitus, neurologic conditions, chronic institutional residence,

Treatment are below
1. three day course of trimethoprim/sulfamethoxazole (TMPSMX; Bactrim, Septra) is the current standard therapy,
2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective.

3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases.

4.If oral drug is not possible, take ceftazidime parentrally.
You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs.
Follow up urine culture after 14 days to confirm the eradication of bacteria.

Take plenty of water
Tablet Paracetamol 500 mg thrre times a day if fever is present.
Hope this advice help you..
Thank you.
Get well soon.
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Suggest Treatment For UTI Despite Being On Heavy Medication

Hello dear, Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment. Recurrent UTIs include relapses (i.e., symptomatic recurrent UTIs with the same organism following adequate therapy) and UTI caused by a second bacterial isolate) Causative factor: E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus Diabetes mellitus, neurologic conditions, chronic institutional residence, Treatment are below 1. three day course of trimethoprim/sulfamethoxazole (TMPSMX; Bactrim, Septra) is the current standard therapy, 2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective. 3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases. 4.If oral drug is not possible, take ceftazidime parentrally. You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs. Follow up urine culture after 14 days to confirm the eradication of bacteria. Take plenty of water Tablet Paracetamol 500 mg thrre times a day if fever is present. Hope this advice help you.. Thank you. Get well soon.