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I’m A 60 Year Old Female Who Has Type 2

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Posted on Wed, 29 May 2019
Question: I’m a 60 year old female who has type 2 diabetes for over 5 years I’ve had frequency and urgency in passing urine there’s no smell or it does not sting when passing urine after gp visit was told did have urine infection after he performed dipstick test was given a prescription for a 3 day course of antibiotics but I still have the symptoms should I revisit doctor this is the first time I’ve had urine infection
doctor
Answered by Dr. Michelle Gibson James (39 minutes later)
Brief Answer:
should be reassessed

Detailed Answer:
HI, thanks for using healthcare magic

Yes, it would be best to be seen.It is likely that the urine tested in the office showed leucocytes (white blood cells) and nitrites- both of these are indicators of infection

High blood sugar can also cause frequency and urgency to urinate but would not cause any change in the urine tested (except to show sugar/glucose in the urine and possibly ketones).

If the urine showed obvious signs of infection then this would have required a dose of antibiotics
Not all antibiotics work for everyone so it is possible that the antibiotic that you were given was not effective for you and you may need an alternative course.

The urine would need to be rechecked as well, he or she may consider sending a sample to the lab to identify the exact bacteria causing the problem , the lab would also state which antibiotics would work best and which ones would be ineffective

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (13 hours later)
Have again visited my GP this morning another urine sample was sent off and another 3 day course of trimethoprim given my question was do you not think GP should have given a longer course of treatment
doctor
Answered by Dr. Michelle Gibson James (4 hours later)
Brief Answer:
3 days used for initial presentation

Detailed Answer:
HI

Three day courses are normally recommended in the guidelines but would be more common when the person first presents not with recurrent or persistent symptoms.
A 3 day course of trimethoprim/sulfamethoxazole is one of antibiotics that is recommended as first line (trimethoprim would be used alone if you are allergic to sulphur).

When he receives the info from the lab, this may affect further treatment, may be waiting on this result. The lab would check for bacteria and resistance and sensitivity (which antibiotics would work and which would not).
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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I’m A 60 Year Old Female Who Has Type 2

Brief Answer: should be reassessed Detailed Answer: HI, thanks for using healthcare magic Yes, it would be best to be seen.It is likely that the urine tested in the office showed leucocytes (white blood cells) and nitrites- both of these are indicators of infection High blood sugar can also cause frequency and urgency to urinate but would not cause any change in the urine tested (except to show sugar/glucose in the urine and possibly ketones). If the urine showed obvious signs of infection then this would have required a dose of antibiotics Not all antibiotics work for everyone so it is possible that the antibiotic that you were given was not effective for you and you may need an alternative course. The urine would need to be rechecked as well, he or she may consider sending a sample to the lab to identify the exact bacteria causing the problem , the lab would also state which antibiotics would work best and which ones would be ineffective I hope this helps, feel free to ask any other questions