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What causes frequent UTI? - Online Doctor Chats

Date : 10-Apr-2014
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User:Frequent "UTI" - but my urine strip test came back clean today (home test), and my bladder gets irritated by stomach aches.
Doctor:hi
User:I just wrote out a bigger paragraph on the one page, not sure if anyone saw it?
User:hi
Doctor:Hello Ms. XXXXXXX
User:hello
Doctor:can you tell me the symptoms you are having right now?
Doctor:and how often do you get these UTIs?
User:I was told I have a recurrent UTI. However, I did a home test today - urine test - and there is no infection to be seen. My symptoms came on from a stomach ache. And the last few times I have had irritation in my bladder is from a stomach ache - which is so strange. So I have urge to urinate and my bladder is mildly irritated, some pressure. But no sign of infection right now. I just got off my antibiotic about 3 or 4 days ago.
User:I was wondering if it is a UTI - or something else
User:Also, my urologist did a ct-scan - I have a 3 mm kidney stone in my right kidney
User:He said that should be causing the issues
Doctor:Yes
User:I did have a little bit trace of blood in my urine from my last test 2 weeks ago
Doctor:I agree with your urologist
Doctor:A kidney stone can cause such symptoms
User:He said a kidney stone in my kidney would not
User:I asked him
User:When I am on the antibiotic, I don't have issues. But I'm afraid to be on an antibiotic so much because I get frequent yeast infections
User:because I get yeast infections from it
User:I wondered if I have interstitial cystisis
User:He said, I don't... but, he never cultured the urine
Doctor:There are possibilities
User:just did a ct-scan
User:What possibilities?
Doctor:but the issue with kidney stones is that, if your CT shows a stone in the kidney
Doctor:the smaller ones can pass down
Doctor:ans cause irritation
User:Yes. This has been going on and off for months.
User:Would it mimic a UTI?
Doctor:Yes
Doctor:it would mimic an UTI
User:But when I'm on the antibiotic it doesn't bother me
User:so what does that mean?
User:It's so confusing. haha
Doctor:other possibility is interstitial cystitis as you said
Doctor:or just an over active bladder
User:But it is so mild. I read horror stories about IC, and I don't feel I have it so bad. And I don't know if antibiotics help people with IC. When I'm on the antibiotic, the symptoms stop.
Doctor:Yes, it is confusing
User:Do you agree I should be on an antibiotic for the long term like he said?
Doctor:That is an option
Doctor:if the problem is a low grade repeated infection
User:I started a home remedy of Cystex Plus, and nano e drops today. So I figured I'd see if I can see if I can clear it up. Yes, it has always been pretty low grade
Doctor:in that case a long term antibiotic will help cure you of it
User:Okay. What do you recommend in time ? I heard that UTI's come back stronger
User:because they become immune to the antibiotic
Doctor:Yes
Doctor:that is one of the biggest problems with antibiotics
Doctor:taking antibiotics makes the bacteria resistant to them
User:So should I try to clear it up on my own? Cranberry juice, Cystex, e drops nano and see what that does?
Doctor:Yes
Doctor:you can try that
Doctor:You can see how it goes
User:have you heard of the e drops nano I speak of?
Doctor:if it gets any worse, you should get a urine culture and sensitivity
User:ok
User:The problem is, I was put on cipro for a week, then macro bid for 15 days, and now he said 1,2 or 3 months of this
Doctor:E-nano drops are a type of home remedy
User:So, I'm afraid that it will just come back after all that
User:yes they are
User:Not sure if you have heard any success with e-nano drops
User:?
Doctor:I don't have any experience with it
User:ok
User:Well I guess that's it then
Doctor:Yes for now
Doctor:Wait and watch
Doctor:continue with your home remedies
User:ok, I figured a good week and see what happens
Doctor:get a urine culture to find out if you really have an uti
Doctor:Yes
Doctor:one week should be adequate enough
User:do you have experience in treating patients with UTI? And if so, what successes did you see in types of treatment?
User:okay
Doctor:Yes, I have experience in treating UTIs
User:and what did you see that worked in recurrent ones?
Doctor:I have worked in Urology for quite some time
User:Oh, good, I didn't know I was speaking with someone in urology.
Doctor:In all cases of UTI, we make the diagnosis based on culture reports
User:Yes, I don't know why my urologist didn't culture it. He had me do a urine test and look under a microscope. I guess would that be culturing it? He did that same day
Doctor:if the culture reports or the urine routine examination reports come back normal we look for other reasons for the symptoms
Doctor:No
Doctor:a culture would take 2 to 5 days
User:okay, I don't think he did culture it. Okay, that's what I thought. And I was pretty unhappy about that.
User:Okay, well thank you. I'm not sure if I have any more questions at this time. I'm kind of lost but I guess it will get figured out
Doctor:You should go for a culture and sensitivity before you start any antibiotics
User:Okay, I will probably switch doctors then
Doctor:Culture and sensitivity will guide us in picking the right medicine
User:okay
Doctor:that makes a lot of difference in how effective the treatment is
User:That's what I thought, but apparently, he didn't want to take that route
User:ok thank you. Have a good day.
Doctor:Then I would say, you are justified in switching doctors
Doctor:You are most welcome
Doctor:I hope this was of hep to you
Doctor:Thank you for consulting me
Doctor:Have a good day ahead
Doctor:bye
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