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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Frequent Bouts Of Urine Infection. Frequent Urination. Took Antibiotics. Have Implanon. Advice?

Hi there, for around 2 years now I have had frequent bouts of "urine infection" except that the tests by the doctors dont show the typical urine infection, and show white blood cells and protein in the urine instead. However, each time I was given anti-biotics and sent on my way. About 4 weeks ago, the symptoms came back (frequent uriantion, pain when passing urine, nothing much coming out, feeling like I cannot hold it in, the sense of urgency). However, this time they were worse and the sensations were waking me up running to the bathroom each night, at one point I almost wet the bed. So I went back to the doctors again and was given yet another course of antibiotics. Well for around 14 days or so now its been really bad, i am urinating around twice per hour, but with very little coming out & it stinging so much when it comes out that it makes my eyes water. I constantly feel like I need to pee. And around 10 mins ago when I urinated there was a black discharge on the tissue. I am 27, had a miscarriage in June last year and have been on the Implanon ever since. I still get frequent but random periods and I finished my last one 9 days ago. Intercourse is out of the question as the pain is constant just now, but worse at the point of urination.
Mon, 27 May 2013
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General & Family Physician 's  Response
Hello dear,

The reason for persistence of UTI after treatment & repeated recurrence can be due to:
1. Inadequate duration of treatment
2. Inappropriate dosage of the medications
3. Inappropriate selection of antibiotics against the causative organism.
4. Improper treatment of underlying cause of the UTI.

Under such circumstances, the following corrective measures should be taken:
1. Discuss regarding the adequate duration of treatment with your treating physician.
2. Discuss regarding the proper dosage of medications depending your age and body weight.
3. Culture & sensitivity of the urine to be done for selection of appropriate antibiotic.
4. Additional investigations like X ray KUB (Kidney Ureter & Bladder) and Ultrasound scan of abdomen & pelvis will be helpful in detecting any hidden focus of infection in the Genito urinary tract.

Also consult with the Doctor under whose advise you stated the Implanon and discuss regarding the irregularity in periods.

Wishing you a good health.
Thanks & take care.
You can ask me a direct query on this website using the below link: http://www.healthcaremagic.com/doctors/dr-polash-sannigrahi/64925
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Frequent Bouts Of Urine Infection. Frequent Urination. Took Antibiotics. Have Implanon. Advice?

Hello dear, The reason for persistence of UTI after treatment & repeated recurrence can be due to: 1. Inadequate duration of treatment 2. Inappropriate dosage of the medications 3. Inappropriate selection of antibiotics against the causative organism. 4. Improper treatment of underlying cause of the UTI. Under such circumstances, the following corrective measures should be taken: 1. Discuss regarding the adequate duration of treatment with your treating physician. 2. Discuss regarding the proper dosage of medications depending your age and body weight. 3. Culture & sensitivity of the urine to be done for selection of appropriate antibiotic. 4. Additional investigations like X ray KUB (Kidney Ureter & Bladder) and Ultrasound scan of abdomen & pelvis will be helpful in detecting any hidden focus of infection in the Genito urinary tract. Also consult with the Doctor under whose advise you stated the Implanon and discuss regarding the irregularity in periods. Wishing you a good health. Thanks & take care. You can ask me a direct query on this website using the below link: http://www.healthcaremagic.com/doctors/dr-polash-sannigrahi/64925