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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bladder Infection

I am a female, aged 70 years. on Jul. 27, 2016 i finished my prescription for 500 mg. Ciprofloxacin twice a day for 7 days. This was prescribed for mild bladder infection. Last night, I had to get up from bed to urinate 9 times. I ve been on oxybutinin tabs, 5 mg. twice daily for 7 years. They don t help my bladder spasms, and frequency. What should I do?
Tue, 6 Sep 2016
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General & Family Physician,  's  Response
Urinary tract infections are the commonest bacterial infection in older people and the risk increases with age. Women suffer more frequently from recurrent UTI than men because of their shorter urethra and proximity of urethral opening to anus. Other predisposing factors in old age include diabetes, urinary tract stones, steroid use, and chronic illness impairing immune system.
1.     Cefixime 100 mg every 12 hours per oral daily for 7 days
2.     Syrup alkaline citrate 2 teaspoonful three times daily for 2 weeks
3.     Flavoxate 200 mg every 8 hours per oral for 10 days
4.     Drink 4 – 5 liters of uncontaminated water to flush out bacteria
5.     Drink fruit juice and cranberry juice
6.     Do not hold your urine. Urinate when you feel
7.     Wipe from front to back after bowel movements
8.     Urinate after having sex to flush bacteria
9.     Investigations
a.     R/E of urine
b.     C/S of urine
c.     Total & differential count of WBC
d.     Ultrasound abdomen & pelvis
e.     Serum creatinine
If recurrence still occurs despite above measures then ciprofloxcin 125 mg daily per oral may be taken for 6 months as prophylactic treatment.
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Suggest Treatment For Bladder Infection

Urinary tract infections are the commonest bacterial infection in older people and the risk increases with age. Women suffer more frequently from recurrent UTI than men because of their shorter urethra and proximity of urethral opening to anus. Other predisposing factors in old age include diabetes, urinary tract stones, steroid use, and chronic illness impairing immune system. 1. Cefixime 100 mg every 12 hours per oral daily for 7 days 2. Syrup alkaline citrate 2 teaspoonful three times daily for 2 weeks 3. Flavoxate 200 mg every 8 hours per oral for 10 days 4. Drink 4 – 5 liters of uncontaminated water to flush out bacteria 5. Drink fruit juice and cranberry juice 6. Do not hold your urine. Urinate when you feel 7. Wipe from front to back after bowel movements 8. Urinate after having sex to flush bacteria 9. Investigations a. R/E of urine b. C/S of urine c. Total & differential count of WBC d. Ultrasound abdomen & pelvis e. Serum creatinine If recurrence still occurs despite above measures then ciprofloxcin 125 mg daily per oral may be taken for 6 months as prophylactic treatment. Thanks