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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant UTI, Have MS. How Can It Be Prevented?

my son who is 43 keeps getting UTI s. He s had MS for 15 years. His last episode showed E coli . What can we do to prevent this. He went on a course of 7 days antibiotics . He has been taking low dose antibitotics for severeal years. Does he still need to keep taking them. We ve been told that he has in the past been resistant to some antibiotics. Thanks.
Mon, 21 Jan 2013
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General Surgeon 's  Response
Hi.
In Multiple sclerosis,apart from muscle symptoms,there will be bowel and bladder disturbances.
You didn't mention the reason for taking low dose antibiotics for several years.
If he develops UTI,he can take a course of Anitbiotics and stop once the symptoms are relieved.
Routinely,Urine will be sent for Culture and Sensitivity.E.Coli is one of the commonest organism isolated in UTI.There may be few drugs which will work on the particular organism isolated and will termed as Sensitive.Some drugs will be have no action on the organism and will be termed resistant.It is common.
Please consult your Physician/Urologist and take drugs as per their advice.
All the best
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Neurologist Dr. Sudhir Kumar's  Response
Hi,

Thank you for posting your query.

Antibiotic prophylaxis is one of the methods for preventing recurrent UTIs. However, choosing an antibiotic to which the bacteria are sensitive is important.

Also it is important to evaluate the underlying reasons for recurrent UTIs. An ultrasound examination can show if there is significant urine left after voiding. An evaluation by a Urologist would be helpful.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
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Constant UTI, Have MS. How Can It Be Prevented?

Hi. In Multiple sclerosis,apart from muscle symptoms,there will be bowel and bladder disturbances. You didn t mention the reason for taking low dose antibiotics for several years. If he develops UTI,he can take a course of Anitbiotics and stop once the symptoms are relieved. Routinely,Urine will be sent for Culture and Sensitivity.E.Coli is one of the commonest organism isolated in UTI.There may be few drugs which will work on the particular organism isolated and will termed as Sensitive.Some drugs will be have no action on the organism and will be termed resistant.It is common. Please consult your Physician/Urologist and take drugs as per their advice. All the best