HomeAnswersInternal MedicineutiI suffer from recurrent urinary tract infections for a year. Why?

I have been getting recurrent UTI. Please help.

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Published At December 29, 2016
Reviewed AtAugust 11, 2023

Patient's Query

Hi doctor,

I am a female of 23 years old. I have been getting recurrent UTIs for the past two years. My urine culture at first showed bacteria, but now they are not showing that I have an infection. I also used to be pain-free for one to two days after starting antibiotics. But, during the last three episodes, it has taken around 8 to 10 days to be out of pain. The most recent one did not show as UTI, but I was treated with Bactrim anyway. I got better after seven days, but then got yeast infection two days later and I was treated with Fluconazole. Once the yeast infection was gone, I started getting pain in my bladder, similar to UTI and it felt better when I empty my bladder, but not pain free. It is really bad first thing in the morning. I have an ache all day and it hurts more when I bend over. I have not had sex since the first UTI. Uristat, Tylenol and Ibuprofen did not help with the pain. I have also started to get a burning sensation when I urinate. Myself and my partner has been tested for Chlamydia and Gonorrhea within the last two weeks. It has been four weeks of dealing with this and I am getting worried that it is something other than a UTI because it came back without even having sex.

Hi,

Welcome to icliniq.com. You are a known case of recurrent urinary tract infection. Both partners should undergo treatment. My advice includes staying hydrated with plenty of fluids and consuming citrus fruits like lemon, orange, musambi, kiwi, and gooseberry. Avoid spicy, fried, and junk food; opt for a light blended diet and maintain regular eating habits. Wash the external genitalia with lukewarm water and Betadine solution for 3 to 5 days. It's essential to get an ultrasound of the whole abdomen with a full bladder and after emptying the bladder to assess residual urine, along with a complete urine examination, microscopy every 10 days, and a culture and sensitivity test after a month. I recommend the following medicines: Tablet Ofloxacin 400 after lunch and dinner for 10 days, Tablet Meftal plus (Mefenamic acid and Drotaverine) after lunch and dinner for 5 to 7 days, and a liquid alkalizer like Citralka or Alkin (Disodium hydrogen citrate) - two teaspoonfuls with half a glass of water after breakfast, lunch, and dinner for 15 days, reducing to two times for the next 15 days, and then only after dinner for a month. Also, continue Nitrofurantoin as advised by your doctor, but please consult your specialist, discuss these options, and take the medicine with consent.

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

Dr. Shah Sushma Kant
Dr. Shah Sushma Kant

HIV/AIDS specialist

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