How to treat UTIs in multiple sclerosis?

Question

Hello doctor,

I am a 35-year-old male with multiple sclerosis and frequent urinary tract infections despite precautions. The burning sensation is unbearable and affects my daily life. I also have bladder control issues and do not know if they stem from MS or the infections. I feel increasingly fatigued, weak, irritable, and have trouble concentrating. Could my medications be contributing, or is it an interaction between MS and the infections? How can I prevent recurring UTIs? Should we explore other treatments? I am worried about the long-term impact on my health and quality of life.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Multiple sclerosis affects the brain and nerves controlling the bladder, likely causing recurrent urinary tract infections (UTIs). It is not due to your medication. While UTIs may recur, treatment can help manage symptoms.

Treatment Plan:

Continue your current medication and neurologist visits.
Get a urinalysis, urine culture, and abdominopelvic scan.
Medications like Oxybutynin can help with bladder control.
Amantadine may help with fatigue, but your neurologist must prescribe it.
Treat the current UTI based on test results.
Consider counseling for better coping and overall well-being.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.