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I have started getting frequent UTIs in the last couple of years. Please help.

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Patient's Query

Hello doctor,

I am a 52-year-old female and my weight is 128 lbs. I am experiencing UTI for about three days with a burning sensation while urinating, lower back pain on the left side, and frequent urination. I have had them before, so I know the usual symptoms. I often got them as a child, but I have started getting them again in the last couple of years. I just started taking AZO for pain and no other medicines. In the past, I used to take Cipro.
Answered by Dr. Alexander Davis

Education:

MD (USA)

Professional Bio:

Dr. Alexander Davis, MD, is a General Practitioner, Internist, and Family Physician with extensive experience across different countries. He is dedicated to providing patient-centered care and focuses on promoting long-term health and wellness.His areas of expertise include chronic disease management, preventive healthcare, and evidence-based treatment for both acute and long-term medical conditions.

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Hi,

Welcome to icliniq.com.

Thank you for contacting us.

I can understand that you need a right and quick solution to get rid of your UTI (urinary tract infection). You mention that you were given Cipro (Ciprofloxacin) in previous, similar conditions. However, times have changed. Cipro is not a first-line antibiotic anymore due to the side effects and the resistance of several types of bacteria. In most parts of the world, the first-line treatment for cystitis is now Fosfomycin. Therefore I recommend that you contact your family doctor or urologist and discuss with him or her a prescription for the antibiotic mentioned above. If your local doctor does not see any contraindications, Fosfomycin should solve your problem very quickly. In regards to your pain medication, AZO (Phenazopyridine) would not be my first choice. In case you can tolerate it and are not allergic to it, I would stick to good old Ibuprofen, 400 mg every eight hours for a maximum of 10 days, together with an OTC (over-the-counter) stomach protection like Gaviscon (Aluminium Hydroxide and Magnesium Carbonate).

The Probable causes

Bacterial infection.

Investigations to be done

Urine dipstick quick test (family doctor or urologist).

Differential diagnosis

Kidney issue.
Neoplastic process in the bladder (rather unlikely).

Probable diagnosis

Bacterial cystitis.

Treatment plan

- Dipstick urine test (local physician). - Fosfomycin (prescription by local physician). - Ibuprofen (as explained). - Gaviscon or other stomach protection medication.

Preventive measures

Please keep yourself warm.

Regarding follow up

Latest after a course of the recommended antibiotic.
Medically reviewed by Dr. Preetha. J
Published At October 20, 2020
Reviewed At June 20, 2024

Education:

MD (USA)

Professional Bio:

Dr. Alexander Davis, MD, is a General Practitioner, Internist, and Family Physician with extensive experience across different countries. He is dedicated to providing patient-centered care and focuses on promoting long-term health and wellness.His areas of expertise include chronic disease management, preventive healthcare, and evidence-based treatment for both acute and long-term medical conditions.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Preetha J. is a proficient Dental Surgeon with expertise in cosmetic dentistry, restorative procedures, root canal treatments, and oral surgery. She is known for her gentle approach, precision, and commitment to patient comfort. Dr. Preetha combines advanced dental techniques with personalized care to ensure optimal oral health and aesthetic results, helping patients achieve confident, healthy smiles. Currently, she contributes her expertise as a valuable member of the medical reviewer team at iCliniq.com. 

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Alexander Davis
Dr. Alexander Davis

General Practitioner

Consult this doctor

Education:

MD (USA)

Professional Bio:

Dr. Alexander Davis, MD, is a General Practitioner, Internist, and Family Physician with extensive experience across different countries. He is dedicated to providing patient-centered care and focuses on promoting long-term health and wellness.His areas of expertise include chronic disease management, preventive healthcare, and evidence-based treatment for both acute and long-term medical conditions.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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