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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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85 Years. Infected Pus Cells 8-10. Using Catheter For Urine Evacuation. History Of Frequent UTI, Treated With Niftran And Magnex. Got Hyponatremia. Treatments?

fEMALE AGE 85. USING CATHADER FOR FULL EVACUATION OF URINE. SUSIPTIBLE TO FREQUENT URINARY INFECTIONS. WAS TREATED WITH MAGNEX 1 G 1BD FOR 5 DAYS ABOUT 4 WEEKS BACK. LATER WAS ON NIFTRAN (ORAL) ONE PER DAY. ON THREE TO 4 OCCASSIONS EARLIER, THE PATIENT GOT INTO HYPONATREMIA .NOW AGAIN INFECTED PUS CELLS 8-10. PLEASE SUGGEST TREATMENT.REGARDS.
Fri, 10 May 2013
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General & Family Physician 's  Response
Hello and welcome to HCM.

Thank you for your query.

First of all, I would advice you to get a urine culture examination done to confirm and report the patients susceptibility or resistance to all antibiotics. This will help in rapid treatment of the current infection.

Now coming to the more important aspect of your query, which is the recurrent infections. Please understand that recurrent urinary tract infections (UTIs) almost always have some underlying cause to it. Thus, we will have to thoroughly investigate the patient to find the cause of these recurrent UTIs. Keeping the patients age and sex in mind, the following could be some of the possibilities we will have to investigate:
-Uterine prolapse
-Pelvic inflammatory diseases
-Sexually transmitted infections
-Short urethra
-Diabetes
-Immunosuppressed state (due to age, medication, chronic kidney conditions, etc.)
-Long-term/continuous urine catheter use
-Urinary stents
-Urolithiasis
-Neurogenic bladder
and many more.

Please consult your doctor and find the cause first. Treating the UTI over and over again is not the solution in such chronic cases. In the meantime, please ensure that the patient is well hydrated at all times.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
I find this answer helpful
General & Family Physician Dr. Veera Raghava Rao Buddha.'s  Response
Hi welcome to Health care magic forum.
Thanks for choosing H.C.M.Forum.
Female 85 years, with urinary tract infection, and treated. using catheter for full evacuation of the urine, she went into hyponatraemia.
She is cathetarized means there must be some swelling in the pelvis, or urethra, which is causing recurant infection.
I advise you to consult a gynic for diagnoss and tret ment , she may need to have M.R.I. culture and sensitivity of urine, besides other routine tests for confirmation.
Wishing her a quick and complete recovery.
Best regards.
I find this answer helpful

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85 Years. Infected Pus Cells 8-10. Using Catheter For Urine Evacuation. History Of Frequent UTI, Treated With Niftran And Magnex. Got Hyponatremia. Treatments?

Hello and welcome to HCM. Thank you for your query. First of all, I would advice you to get a urine culture examination done to confirm and report the patients susceptibility or resistance to all antibiotics. This will help in rapid treatment of the current infection. Now coming to the more important aspect of your query, which is the recurrent infections. Please understand that recurrent urinary tract infections (UTIs) almost always have some underlying cause to it. Thus, we will have to thoroughly investigate the patient to find the cause of these recurrent UTIs. Keeping the patients age and sex in mind, the following could be some of the possibilities we will have to investigate: -Uterine prolapse -Pelvic inflammatory diseases -Sexually transmitted infections -Short urethra -Diabetes -Immunosuppressed state (due to age, medication, chronic kidney conditions, etc.) -Long-term/continuous urine catheter use -Urinary stents -Urolithiasis -Neurogenic bladder and many more. Please consult your doctor and find the cause first. Treating the UTI over and over again is not the solution in such chronic cases. In the meantime, please ensure that the patient is well hydrated at all times. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes.