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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Urinary Tract Infection In An Elderly Person

I m concerned about my mother s health. She is 95 years old, and frail. She has heart diseases, which are well controlled,and her vital sighs are normal. She has had a history of urinary tract infections, but I don t think she has one now, because her urine doesn t smell, and it s almost clear. She was a little constipated, but she had a bowel movement this morning. In the past, once in a while she would feel too weak to get out of bed in the morning. That weakness usually passes. Three days ago, she was too weak to get up, and she has been mostly sleeping since then, although, with lots of help, she can get up. Her overall weakness is demonstrated by the fact that she can hardly stand, even with her walker. Her balance is gone, and helen r muscles shake when she tries to stand on her own. She still has an appetite, though diminished. She is alert, and, although she has dementia, she is not delirious. (In the past, during urinary tract infections, she was delirious.) I called her doctor, and he prescribed clinamyacin (spelling?) to treat a possible urinary tract infection. Could she be dehydrated? Is she getting ready to die? She was at her doctor s last week, and everything was fine. I don t know whether to take her to the doctor s again or to the hospital. I m afraid she may be going downhill fast!
Mon, 1 Aug 2016
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Emergency Medicine Specialist 's  Response
If you continue to be concerned about your mother's health deterioration over the past week or so, despite her doctor telling you that everything is fine, then I would suggest taking her to her local Emergency Department. Some patients, in particular elderly or those with additional medical problems like your mother, will need more in depth tests than your family doctor will have access to. At the hospital, she may undergo various blood and urine tests, along with an ECG tracing of her heart and other relevant tests that the doctors may see fit to perform. They may pick something up that her family doctor has been unable to, or they may be able to reassure you that she has no acute medical problem that needs treating, in which case other causes for her decline would need to be considered, such as her dementia and home environment. There are many reasons for patients such as your mother to become acutely unwell. Some signs are very subtle and I would suggest a trip to her nearest hospital to be on the safe side.
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Suggest Treatment For Urinary Tract Infection In An Elderly Person

If you continue to be concerned about your mother s health deterioration over the past week or so, despite her doctor telling you that everything is fine, then I would suggest taking her to her local Emergency Department. Some patients, in particular elderly or those with additional medical problems like your mother, will need more in depth tests than your family doctor will have access to. At the hospital, she may undergo various blood and urine tests, along with an ECG tracing of her heart and other relevant tests that the doctors may see fit to perform. They may pick something up that her family doctor has been unable to, or they may be able to reassure you that she has no acute medical problem that needs treating, in which case other causes for her decline would need to be considered, such as her dementia and home environment. There are many reasons for patients such as your mother to become acutely unwell. Some signs are very subtle and I would suggest a trip to her nearest hospital to be on the safe side.