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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Urine Infection, With Tissue-like Matter In The Urine

I am 46 yr old male with recurring urine infection. I ve done numerous tests and my doctor mentioned that my blatter is a little bigger then normal. Today I ve gotten those symptoms Back but noticed that some tissue like piece comes out when I urine.
Thu, 10 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 Urine Infection, With Tissue-like Matter In The Urine

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.