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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurrent UTI

a few months ago I stopped taking an ongoing antibiotic for uti s. nearly 2 weeks ago I started having symptoms again, but a urine sample showed negative. since then my urine is cloudy and has an ammonia smell. what other tests can I take for diagnosis
Tue, 25 Oct 2016
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General & Family Physician 's  Response
Women suffer more frequently from recurrent UTI than men because of their shorter urethra and proximity of urethral opening to anus. Other predisposing factors in old age include diabetes, urinary tract stones, steroid use, and chronic illness impairing immune system.
1.     Drink 4 – 5 liters of uncontaminated water to flush out bacteria
2.     Syrup alkaline citrate 2 teaspoonful three times daily for 1 week
3.     Ciprofloxacin 500 mg per oral twice daily for 7 days
4.     Drink fruit juice and cranberry juice
5.     Do not hold your urine. Urinate when you feel
6.     Investigations
a.     routine examination of urine
b.     culture & sensitivity of urine
c.     total & differential count of WBC
d.     ultrasound abdomen and pelvis
If recurrence still occurs despite above measures then ciprofloxacin 125 mg daily per oral may be taken for 6 months as prophylactic treatment.
I hope this information will help you. I will be happy if you ask another question
Thanks
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Suggest Treatment For Recurrent UTI

Women suffer more frequently from recurrent UTI than men because of their shorter urethra and proximity of urethral opening to anus. Other predisposing factors in old age include diabetes, urinary tract stones, steroid use, and chronic illness impairing immune system. 1. Drink 4 – 5 liters of uncontaminated water to flush out bacteria 2. Syrup alkaline citrate 2 teaspoonful three times daily for 1 week 3. Ciprofloxacin 500 mg per oral twice daily for 7 days 4. Drink fruit juice and cranberry juice 5. Do not hold your urine. Urinate when you feel 6. Investigations a. routine examination of urine b. culture & sensitivity of urine c. total & differential count of WBC d. ultrasound abdomen and pelvis If recurrence still occurs despite above measures then ciprofloxacin 125 mg daily per oral may be taken for 6 months as prophylactic treatment. I hope this information will help you. I will be happy if you ask another question Thanks