Repeated UTI - Online Doctor Chats
User : Hi, I've had nearly back to back uti's since treated for chlamydia in sept
User : I just went to the gyno and waiting on results and i have an appt with a urologist in 2 weeks, but i feel another one coming on and i've done everything!
Doctor : Hi
Let me read it
User : i cut out alcohol, spicy foods, abstained from sexual activity, vitamins and herbs such as vitamin c, cranberry extracts, acidophilus, garlic tablets
Repeated the UTI is something to be evaluated thoroughly
Good that you are on top of all the measures to cut the next infection
What is your age?
User : 27
How many episodes yet?
User : i've NEVER had any issues until chlamydia, i've had 5
When did you start the above measures?
User : a few weeks ago
User : 2 weeks
Doctor : Was all the episodes confirmed to be UTI by Urine test by doctor
User : a few yes, but some i went to a clinic and they just do the dips
Doctor : You have to be on prolonged course of antibiotic with low dose too.
Are you taking enough water?
User : i have read that, so should i bring this up with the urologist?
which is very important
User : yes! i drink water all day, it's all i drink anymore bc i'm too scared to drink anything else
You can start on other alternative measures like Cranberry juice
User : i take the extracts
Doctor : Yes you have to bring the prophylactic dose of antibiotic with the Urologist
and you should also need a review of the genital tract
User : i've had an ultrasound
Some UT abnormalities should be checked
User : they detected a cyst on my ovary and when i went to the gyno he did a pap smear and also prescribed me azithromycin? and cipro just one dose of each on seperate days
Doctor : Ok
User : he prescribed the azithro bc he said that typically they treat gonnorhea along with chlamydia and i was only treated with the doxycycline for 14 days
User : but this was wed and i felt better for a few days and now the dull ache in my ut is back
Do you have back pain also?
User : i just feel like i've taken every precaution to no avail, and i still have another 2 weeks until i see the uro
User : some yes, i also workout, but it just feels sore sometimes but it's not an aching pain
The low dose antibiotic course I was mentioning can be given by any Doctor for that matter even a Family practitioner if you get an appnt with him / her soon. You may ask about it
When you see the Urologist he may ask for CT Scan / IVP first
Then if needed Cystoscopy
User : for how long? i've read it can be taken for up to 6 months
I cannot say exact duration, it depends on individual to individual
User : what are the typical antibiotics
Make sure those antibiotics you were taking are not nullified ( no effect) because of other medicines that you might be taking.
User : well i've taken cipro and bactrim and have went back for another urinalysis on both after treatment and i was negative, but it comes back
Doctor : Yes
I understood that point
About one out of every five women who get a UTI will get another one. Some women get three or more UTIs a year.
Doctor : High Blood sugar levels are to be tested.
User : i just don't understand why, i never had any issues like this until after i had chlamydia
Urinary tract problems are to be tested with IVP or CT Scan
User : okay
Doctor : Let me help you in other important things
User : is this common after an std like chlamydia? i have been on some health forums and i do see others with the same issue
User : okay
Urinate frequently and go when you first feel the urge. Bacteria can grow when urine stays in the bladder too long.
Doctor : Urinate shortly after sex. This can flush away bacteria that might have entered your urethra during sex. Drinking a glass of water will also help.
Doctor : After using the toilet, always wipe from front to back, especially after a bowel movement.
Doctor : Wear cotton underwear and loose-fitting clothes so that air can keep the area dry.
Doctor : Avoid tight fitting jeans and nylon underwear, which trap moisture and can help bacteria grow.
Doctor : Do you use Birth control methods?
User : condoms, but i haven't had sex in a few weeks
Take Vitamin C supplements
User : i do, i have for a few weeks
User : what do you know about d-mannose? that has popped up as an alternative treatments and in the forums it seems to work for some people
Did you understand the intructions I gave you?
User : yes i did, i follow all those
Doctor : Ok
Doctor : Since you have used Cipro and Bactrim which are common drugs for UTI
you may now need a Urine culture to determine the most sensitive antibiotic
urine is cultured for 3 days, and the bugs are identified, and the drug sensitivities are listed so your doctor can treat you aith an appropriate antibiotic.
Doctor : The low dose antibiotic is put for long term
User : so would i be treated with the strong dose of antibiotic first and then the low dose?
Doctor : For the current episode the strong dose ( after culture ) and low dose to prevent the future episodes.
Some doctors give patients who get frequent UTIs a supply of antibiotics to be taken at the first sign of infection.
User : okay, and is it a good idea to try and gather all my medical records of treatment to the urologist?
Doctor : Make sure you understand and follow the instructions your doctor gives you.
Doctor : That is brilliant idea too
In fact one should so that he does not put the same treatment
Doctor : *do that
User : okay, i have been pretty good about keeping track of everything but i want to make sure that he listens to me and doesn't try to rattle off some treatment
Doctor : The best way is to note down all the points in a paper and all the questions too and ask him / her all about
This is helpful as you do not miss any of them
and same time you can note the answers against
User : i have kept note of my symtoms, and i also have a book that has a list of questions and symptoms to fill out
Doctor : Wonderful
Do you have frequency and urgency
User : i am prepared but the issue is getting through all these uti's until then,
User : yes
of the urine?
Do you have frequency and urgency of the urine?
User : yes i do
Doctor : Did you have a pregnancy ever?
User : no
I was wondering if you have pelvic floor muscle weakness too that is causing the repeat infection
It is also possible that you are having UTI symptoms related to musculoskeletal issues
User : what would that be?
Urgency and frequency point towards that but there is no risk factor pointing towards pelvic floor muscle weakness as you never had a pregnancy and vaginal deliver
User : okay
moreover it needs physical examination of the area to say if you really have a weak pelvic floor
User : i had only had one uti which was 3 or 4 years ago, this all started when i was infected with chlamydia
Doctor : Chlamydia is not a serious bacteria to cause major problems it can be easily treated
Doctor : I was thinking in other perspective why is there repeated infection
User : okay, my family doctor suspected maybe my immune system had been weakened by the infection and antibiotics
Doctor : Then did he not give you a long course of antibiotic to help you in overcoming the current problem
Please give me a minute
User : okay
Doctor : I suggest you to get an evaluation by Urologist, if he feels tests to determine some Urinary tract abnormality
User : okay
Till then you have to take symptomatic treatment and the measures that I hve told you
User : so i should go ahead and see a doctor before then
As far as your FP opinion is concerned, we cannot rule that out but still the treatment remains the same
User : okay
Is there anything else I can help you with?
User : no, you seemed to answer most of my questions
If some left you can get back to me
Please fill the feedback form say done when done.
Doctor : Thanks for consulting me. Hope you get well soon.
User : thank you
User : done
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