HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Recurring Urinary Tract Infection

I have had an ongoing UTI for months. I have been swelling all over my body but, it moves from place to place. It is now in my neck, arms, breasts and face. I am flushed, my abdomen is swollen and mildly painful. I thought I had a UTI in April 2015, but I went to the doctors too soon and the test result was negative. Then, in June, the swelling began in my arms and neck, moved to my legs and then hips. I gained 7 lbs in one week. I had a routine blood test and everything was negative. No thyroid problems, no high levels in cholesterol, or blood sugar, although they said my red-blood cells were enlarged. Then in Late Oct. I went back to the doctors and they found the UTI. I had bacteria and ecoli growth , as well as blood in my urine. I have been on 4 different types of antibiotics, I am so tired, dizzy and my skin is so dry and now the swelling is back (this time in my underarms and breasts, as well as my face and arms. Is there a specific test I should have done? Is there a chance I have kidney or liver cancer. Why all this swelling and fatigue?
Tue, 22 Mar 2016
Report Abuse
General & Family Physician,  's  Response
Hello dear,
Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment.
Recurrent UTIs include relapses (i.e., symptomatic recurrent UTIs with the same organism following adequate therapy) and UTI caused by a second bacterial isolate)

Causative factor:
E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus
Diabetes mellitus, neurologic conditions, chronic institutional residence,

Treatment are below
1. three day course of trimethoprim/sulfamethoxazole (TMPSMX; Bactrim, Septra) is the current standard therapy,
2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective.

3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases.

4.If oral drug is not possible, take ceftazidime parentrally.
You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs.
Follow up urine culture after 14 days to confirm the eradication of bacteria.

Take plenty of water
Tablet Paracetamol 500 mg thrre times a day if fever is present.
Hope this advice help you..
Thank you.
Get well soon.
I find this answer helpful

1 Doctor agrees with this answer

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Recurring Urinary Tract Infection

Hello dear, Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment. Recurrent UTIs include relapses (i.e., symptomatic recurrent UTIs with the same organism following adequate therapy) and UTI caused by a second bacterial isolate) Causative factor: E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus Diabetes mellitus, neurologic conditions, chronic institutional residence, Treatment are below 1. three day course of trimethoprim/sulfamethoxazole (TMPSMX; Bactrim, Septra) is the current standard therapy, 2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective. 3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases. 4.If oral drug is not possible, take ceftazidime parentrally. You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs. Follow up urine culture after 14 days to confirm the eradication of bacteria. Take plenty of water Tablet Paracetamol 500 mg thrre times a day if fever is present. Hope this advice help you.. Thank you. Get well soon.