HomeAnswersInternal Medicineurinary tract infectionHow to manage UTI?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Preetha. J

Published At October 20, 2020
Reviewed AtJanuary 18, 2024

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.

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.

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

Dr. Alexander Davis
Dr. Alexander Davis

General Practitioner

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