I am struggling with UTI and have the urge to urinate every four to six minutes. Please help.

Hi,

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ESBL (Extended-spectrum beta-lactamases) E. coli (Escherichia coli) is a bad infection and needs treatment with antibiotics and further investigations to find any possible underlying cause. Causes can be stones or blockage to the urinary system or pyelonephritis (infection of the renal cortex), which happens in diabetes or reduces immunity due to other systemic diseases. Issues with the lower urinary tract lead to incomplete emptying of the bladder and cause infections (secondary to injury to back or surgery previously done to pelvis) ascending from vagina or stool, and bladder fibrosis is challenging to treat. Suppose the above problems do not cause it. In that case, it is an uncomplicated UTI (urinary tract infection) and will be treated by two weeks of oral Ciprofloxacin as your culture is sensitive to that. Investigations required will be KUB ultrasound and post-void bladder scan.

Treatment plan includes, adequate hydration and drink fresh cranberry juice and eat yogurt. Ciprofloxacin 500 mg twice daily for two weeks. Repeat urine analysis and culture after 72 hours of starting the antibiotics. Follow-up with ultrasound and repeat culture result and update if you got DM (Diabetes mellitus) or radiotherapy or even lower urinary tract issues leads to nerve control problems to your bladder.

If you have any more queries, please do not hesitate to ask. Kind regards.