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What Is The Cause And Treatment For UTI?

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Posted on Tue, 8 Jul 2014
Question: Hello, I have a urinary tract infection My urine culture came back positive forOrganism     Citrobacter freundii          
10,000-100,000 CFU/ml
My Urine test results
Blood, POC     Negative     Negative     
Urobilinogen, POC     Normal (0.0-0.2 mg/dL)     Normal (0.0-0.2 mg/dL)     
Bilirubin, POC     Negative     Negative     
Protein, POC     30 mg/dL (1+)     Negative     
Nitrite, POC     Negative     Negative     
Ketones, POC     Negative     Negative     
Glucose, POC     Negative     Negative     
pH, POC     6.0     4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5     
Specific Gravity, POC     1.020     1.005, 1.010, 1.015, 1.020, 1.025, 1.030     
Leukocytes, POC     Moderate (2+ or 500/uL)     Negative     
Color, POC     Yellow     Yellow, XXXXXXX
Clarity, POC     Slightly Cloudy     Clear     
Urine Type, POC     Random
I would like to know if this could all possibly be caused by the infection. I am scheduled for my second urethral dilation this year. Thank you in Advan
doctor
Answered by Dr. Manuel C See IV (28 hours later)
Brief Answer:
Yes definitely caused by infection.

Detailed Answer:
Dear XXXX

Good Day and thank you for being with Healthcare Magic!

Let me start of with your Urinalysis. Your urine contains plenty of pus cells (leucocytes) which is indicative of active urinary tract infection. This is confirmed by your urine culture result which showed growth of Citrobacter bacteria. This bacteria is a culprit in UTIs and largely considered a uropathogen ( bacteria that may cause UTIs). Your infection should be treated with antibiotics and the choice of antibiotic would largely depend on the sensitivity pattern that is also in your culture result.

I believe you should be treated first before undergoing a urethral dilation to prevent spread of infection to other body system. You may be suffering from atrophic urethritis which is fairly common among menopausal women. This is also makes you more prone to develop UTIs due to urinary stagnation inside the urinary bladder and loss of the natural barrier in the urethra that prevents bacterial migration.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes.

Regards,

Manuel C. See IV, M.D. DPBU FPUA
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. Manuel C See IV

Urologist

Practicing since :2005

Answered : 909 Questions

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What Is The Cause And Treatment For UTI?

Brief Answer: Yes definitely caused by infection. Detailed Answer: Dear XXXX Good Day and thank you for being with Healthcare Magic! Let me start of with your Urinalysis. Your urine contains plenty of pus cells (leucocytes) which is indicative of active urinary tract infection. This is confirmed by your urine culture result which showed growth of Citrobacter bacteria. This bacteria is a culprit in UTIs and largely considered a uropathogen ( bacteria that may cause UTIs). Your infection should be treated with antibiotics and the choice of antibiotic would largely depend on the sensitivity pattern that is also in your culture result. I believe you should be treated first before undergoing a urethral dilation to prevent spread of infection to other body system. You may be suffering from atrophic urethritis which is fairly common among menopausal women. This is also makes you more prone to develop UTIs due to urinary stagnation inside the urinary bladder and loss of the natural barrier in the urethra that prevents bacterial migration. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes. Regards, Manuel C. See IV, M.D. DPBU FPUA