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What Causes Recurrent Urinary Tract Infection?

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Posted on Thu, 4 May 2017
Question: Ref: HCM261772
I recommend going in to either your doctor (if you can get in soon) or an urgent care clinic (today). You may have a urinary tract infection or prostatitis/prostate infection.

When you go in, they should get a urine specimen and then do an exam. The urine can be checked while you are there with a quick "dip stick urine" test which gives an idea of whether there is an infection.

The urine should be sent for a full urinalysis (urine study which can show signs of blood, sugar, infection, stones, kidney disorders). If it shows the possibility of infection, a culture and sensitivity test should be done. The culture shows what is causing the infection if present, the sensitivity shows what antibiotic would work best (with minimal bacterial resistance).

Other possibilities are, that the urethra is inflamed (various reasons - infection, irritation from passing stone or gravel, physical trauma), but this would not likely cause the strong odor.

I hope this information helps.
Please let me know if I can provide further information.

Kind regards



Replied by Dr. XXXXXXX XXXX , Sat, 11 Mar 2017
doctor
Answered by Dr. Shafi Ullah Khan (2 hours later)
Brief Answer:
Needs work up and management

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Recurrent urinary tract infections in a month priorly treated should be evaluated first for the cause . You need urine cultures and sensitivity tests to find out whats causing this to recur. Also anatomical causes like enlarged prostate or other genitourinary causes like stones, masses, any obstruction, urine stasis, deranged urodynamics , etc all need to be ruled out as infections in males and that too recurrent is always associated with a secondary cause.

As far as cranberry juices are concerned, they have some benefits yet to be proven. Some doctors favour its use. Main aim is to stay hydrated adequately, drink plenty of fluids so that bacterial load is flushed out. But it is never enough alone and antibiotics and complete work up to find out the organism and cause is mandatory. So go back to your doctor , let them assess and proceed accordingly.

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Recurrent Urinary Tract Infection?

Brief Answer: Needs work up and management Detailed Answer: Thank you for asking I read your question and i understand your concern. Recurrent urinary tract infections in a month priorly treated should be evaluated first for the cause . You need urine cultures and sensitivity tests to find out whats causing this to recur. Also anatomical causes like enlarged prostate or other genitourinary causes like stones, masses, any obstruction, urine stasis, deranged urodynamics , etc all need to be ruled out as infections in males and that too recurrent is always associated with a secondary cause. As far as cranberry juices are concerned, they have some benefits yet to be proven. Some doctors favour its use. Main aim is to stay hydrated adequately, drink plenty of fluids so that bacterial load is flushed out. But it is never enough alone and antibiotics and complete work up to find out the organism and cause is mandatory. So go back to your doctor , let them assess and proceed accordingly. I hope it helps. Take good care of yourself and dont forget to close the discussion please. Regards Khan