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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For UTI Other Than Antibiotics

My PA is asking me to take Macrobid (antibiotic) for a UTI. I have needed several doses of antibiotics this past year, preceding extractions of teeth, just one at a time, and the final session of taking anything Keflex, I refused ever to take that again, and wanted something else. I d been in a lot of pain from these extractions from Apri9l 2013 onwards, and eventually needed a biopsy on my jaw as I developed an infection in the bone of my jaw, but after a a dose of amoxicillin, my problem was taken care of, and I d found that although I am elderly (73) i d had injections of pencillin as a child for middle ear infections, and presumed these would not work all these years later, so called them allergy causing. This proved false, and I got better very fast. This present time, I needed an extraction after developing an infection in another tooth, and after being treated with a large dose of amoxicillin, I then got rid of the infection, but a few days later, when having the tooth out, had to take four pills of amoxicillin, to stem any problematical bleeding (I have deteriorating kidneys after taking twenty five years of non steroidal anti inflammatory meds. which were denied me after I d had surgery to clear up my arthritis, very well done, I might say, so my only course of getting around pain now is acetaminophen and that very rarely. Glucosamine is my joint savior. I( have an appt. wity my PA tomorrow to beg her not to prescribe me Macrobid. Do you have any other solutions of how to rid myself of this and previous UTIs without always having to take antibiotics. I am not sexually active.
Wed, 5 Oct 2016
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General & Family Physician 's  Response
Hello dear,
Thank you for writing to HCM.

I have carefully read your situation.

The first step is to evaluate is the severity of the UTI. The easiest way to do that is to take into consideration the number of leukocytes (pus cells) in the urine, which can be assessed by a simple urine test.

If your doctor judges that the leukocyte count in the urine is relatively low, he/she may suggest alternative remedies for the UTI. These include:
-drinking plenty of water
-cranberry tea or cranberry extract capsules

Otherwise if leukocyte count is high, which is indicative of a more serious infection, prescribing antibiotics is mandatory. Your doctor may need to adjust the dosage according to your renal impairment, or choose antibiotics affect as minimally as possible your kidney.

Please take in consideration that your kidney may be already damaged by prolonged usage of NSAIDs (non steroidal anti-inflammatory drugs). Therefore you need to address the infection as soon as possible.

If you have any further questions, do not hesitate to ask.
I hope this helped.
Kind regards,
Dr. Alma
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Suggest Medication For UTI Other Than Antibiotics

Hello dear, Thank you for writing to HCM. I have carefully read your situation. The first step is to evaluate is the severity of the UTI. The easiest way to do that is to take into consideration the number of leukocytes (pus cells) in the urine, which can be assessed by a simple urine test. If your doctor judges that the leukocyte count in the urine is relatively low, he/she may suggest alternative remedies for the UTI. These include: -drinking plenty of water -cranberry tea or cranberry extract capsules Otherwise if leukocyte count is high, which is indicative of a more serious infection, prescribing antibiotics is mandatory. Your doctor may need to adjust the dosage according to your renal impairment, or choose antibiotics affect as minimally as possible your kidney. Please take in consideration that your kidney may be already damaged by prolonged usage of NSAIDs (non steroidal anti-inflammatory drugs). Therefore you need to address the infection as soon as possible. If you have any further questions, do not hesitate to ask. I hope this helped. Kind regards, Dr. Alma