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Suggest Treatment For UTI And Inner Thigh Rashes

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Posted on Thu, 17 Aug 2017
Question: my wife has had 2 courses of bactrim back to back for a uti and has not improved. she is 73y/o and is in good health otherwise. gets chills but no fever. bp has increased with systolic 180, normal systolic around 110. developing small rash to inner thighs. feels miserable. what drug should be tried next in your opinion?
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Answered by Dr. Dr. P. T. Patil (12 minutes later)
Brief Answer:
Needs to investigate and take appropriate antibiotic as per urine culture

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted your wife seems to have UTI which has not responded to Bactrim .

The UTI that she has is mostly secondary to what is called as Senile Bladder Neck Stenosis which is very common in elderly females .

Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Endoscopic Examination of bladder (Cystoscopy) and Urethral Calibration .

In the mean while start taking Cefixime and Nitrofurantoin twice daily along with Urine alkalizer thrice daily and switch on to appropriate antibiotic as per culture report.

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Suggest Treatment For UTI And Inner Thigh Rashes

Brief Answer: Needs to investigate and take appropriate antibiotic as per urine culture Detailed Answer: Hello Thanks for query . Based on the facts that you have posted your wife seems to have UTI which has not responded to Bactrim . The UTI that she has is mostly secondary to what is called as Senile Bladder Neck Stenosis which is very common in elderly females . Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Endoscopic Examination of bladder (Cystoscopy) and Urethral Calibration . In the mean while start taking Cefixime and Nitrofurantoin twice daily along with Urine alkalizer thrice daily and switch on to appropriate antibiotic as per culture report. Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you Thanks and Regards. Dr.Patil.