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Suggest Treatment For Recurring UTI
Question: repeated UTI with burning sensation in penis and urethra, brain stroke patient with hypertension and type 2 diabetes, 73 yrs, light built, mostly bed ridden with lower limb swelling and pedal edema, usg report says medical renal parenchymal disease with distended urinary bladder, creatinine 1.3 with sodium and potassium level within limit. however urinary protein is 1610 in 2.3 ltrs output, no bladder sensation, on oral medication of hypertensive drug and diuretics, for further advice if any ........................
Brief Answer:
Can try cranberry juice and limb elevation.
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. Increased risk of repeated urinary tract infection, present due to bladder stasis.
2. Limb swelling and pedal edema, can be reduced by limb elevation in lying down position, above heart level, with 2-3 pillows below legs. Continuing limb edema can cause ulceration and increased risk of infection.
3. Being bed ridden is not good psychologically, caretaker support and movement will be helpful.
4. Cranberry juice and blue berry juice is known to reduce risk of bladder infection. Take cranberry in particular in limited quantities.
5. Take egg white to improve protein levels and also to build immune system to fight infection.
Continue followup for controlling diabetes and hypertension. Dialysis will be dependent on gomerular filtration rate. Creatinine 1.3 - at present would not be necessary. Creatinine more than 2.0 with gfr <15%, dialysis would be necessary.
Would need nutritional support, family support and involvement in social activities to improve psychologically and physically. Physiotherapy is essential.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM
Can try cranberry juice and limb elevation.
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. Increased risk of repeated urinary tract infection, present due to bladder stasis.
2. Limb swelling and pedal edema, can be reduced by limb elevation in lying down position, above heart level, with 2-3 pillows below legs. Continuing limb edema can cause ulceration and increased risk of infection.
3. Being bed ridden is not good psychologically, caretaker support and movement will be helpful.
4. Cranberry juice and blue berry juice is known to reduce risk of bladder infection. Take cranberry in particular in limited quantities.
5. Take egg white to improve protein levels and also to build immune system to fight infection.
Continue followup for controlling diabetes and hypertension. Dialysis will be dependent on gomerular filtration rate. Creatinine 1.3 - at present would not be necessary. Creatinine more than 2.0 with gfr <15%, dialysis would be necessary.
Would need nutritional support, family support and involvement in social activities to improve psychologically and physically. Physiotherapy is essential.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM
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
Answered by
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