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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering Recurring UTI Since Childbirth, Urine Culture Shows Presence Of E-coli. Suggestions ?

I have been suffering recurring uti since the birth of my daughter, now almost 2 years ago. I have seen a urologist who performed scope of the bladder and found no abnormalities. I was placed on prophylactic nalidixic acid which I have been taking religiously. 2 days ago I got a really bad infection again despite taking the prophylactic drugs. It was the worst I ve ever had. I literally was passing blood and it felt like I was going to passnmy internal organs. Absolute agony! A culture was sent away and the preliminary results showed puss cells in the region of 5700 and red blood cells in the region of 2700. It also showed the presence of E-coli. I am so desperate for help. Would you suggest I see a second urologist for another opinion, or even my gynaecologist? I am 34 years old, and have two children (aged 5 and 22 months). I delivered both babies vaginally. AAAAA
Fri, 22 Mar 2013
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General & Family Physician,  's  Response
Hello and welcome to HCM.

Thank you for your query.

This indeed appears to be a severe infection. In my opinion, first of all, the urine culture that has been conducted will provide us with information on the most suitable antibiotic that can be used to treat your infection. It is best to initiate this at the earliest as yours is a case of recurrent UTIs.

In most cases with recurrent UTIs, there is almost always some underlying cause. As you have been visiting a urologist, who should have by now diagnosed and investigated any urology-related causes for the recurrent UTIs, I would advise you to now also visit a gynecologist. Do keep your urologist in the loop as well. As recurrent UTI's could have a urological, gynecological or nephrological (kidney and the system) related cause.

Thus, please find the cause (if any), to find complete relief from the infection, not just now, but even for the future. This is a simple problem, which once diagnosed should be easily treatable, and completely relieved.

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.
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Suffering Recurring UTI Since Childbirth, Urine Culture Shows Presence Of E-coli. Suggestions ?

Hello and welcome to HCM. Thank you for your query. This indeed appears to be a severe infection. In my opinion, first of all, the urine culture that has been conducted will provide us with information on the most suitable antibiotic that can be used to treat your infection. It is best to initiate this at the earliest as yours is a case of recurrent UTIs. In most cases with recurrent UTIs, there is almost always some underlying cause. As you have been visiting a urologist, who should have by now diagnosed and investigated any urology-related causes for the recurrent UTIs, I would advise you to now also visit a gynecologist. Do keep your urologist in the loop as well. As recurrent UTI s could have a urological, gynecological or nephrological (kidney and the system) related cause. Thus, please find the cause (if any), to find complete relief from the infection, not just now, but even for the future. This is a simple problem, which once diagnosed should be easily treatable, and completely relieved. 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.