What are the ways to treat recurring UTI?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. After reviewing your complaints and your blood and urine test results (attachments removed to protect the patient's identity), it appears that your kidney functions are normal, and your ultrasound is also normal. However, the urine analysis showed the presence of pus cells, a few red cells, and white blood cells. My question is, do you have symptoms like difficulty in passing urine or pain while passing urine? If not, then did you have a urine culture result before starting your antibiotics treatment? If you had a documented UTI (urinary tract infection) before and received treatment, it is possible that the presence of pus cells and white cells in your urine test might be due to the test being performed soon after the antibiotic treatment. In such cases, the possibilities include incomplete treatment or chronic inflammation of the urinary bladder, as urinary infections are also common in the postmenopausal period. I suggest you follow up with a urine culture test. If it is negative and you have no symptoms, then there may be no need for further treatment. However, if it is negative, but you are still experiencing symptoms like pain while passing urine, we may need to conduct more tests. I hope to follow up with you after we have the urine culture results. As a preventive measure, you need to ensure proper hydration, consider consuming cranberry juice and yogurt, and maintain proper hygiene. I hope this has helped you. Kindly follow up with the requested test results and information.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I have reviewed the test results (attachments removed to protect the patient's identity), your current urine culture is negative, but you still have pus cells and bacteria in your urine, which we call sterile pyuria. This condition can be caused by stones, foreign bodies, radiation, or tuberculosis in the urine. Since you do not have a history of radiotherapy, and your previous ultrasound was normal, I suggest you undergo a urine test for tuberculosis (TB) and a chest x-ray. Additionally, I suggest you undergo a uroflow post-void bladder scan to ensure that you can empty your bladder completely. For now, I suggest you observe your temperature, and there is no need to take antibiotics. If you have a fever above 99 degrees Fahrenheit, then I suggest you get admitted for further evaluation. Otherwise, I suggest you proceed with the urine tuberculosis test and bladder scan. Based on the results of the urine TB test, chest x-ray, and bladder scan, further investigations may be required. If your urine test is negative for TB and the chest x-ray is normal, in addition to the bladder scan, I suggest you undergo a flexible cystoscopy and bladder biopsy. I hope this has helped you. Kindly follow up with the requested tests results.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. The report you provided is a urine analysis (attachment removed to protect the patient's identity) , and I have observed the presence of pus cells and white blood cells. However, if you read further down, the culture results indicate no bacterial growth, signifying that the urine is sterile and negative for bacterial infection. The follow-up plan remains as previously mentioned. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I have reviewed the reports you attached (attachments removed to protect the patient’s identity), the reports indicate no further infection. The presence of two to three pus cells in the urine analysis is considered normal. I suggest you follow the below mentioned instructions:

1. Ensure you maintain hydration by consuming two to three liters of fluids daily.
2. Incorporate cranberry juice into your routine with one glass per day, and consume yogurt as you prefer.
3. When cleaning after urination, remember to wipe from front to back using clean tissue.
4. Urine culture should only be conducted if you experience symptoms again, otherwise, it is not necessary.

I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Yes, I understand that consuming packaged food is not healthy. While it can be challenging to avoid it entirely, I suggest you try drinking boiled ginger water after cooling it down. Ginger is known to have healing properties for the stomach, and I believe it could be a better option than medication. If the problem continues to persist, please let me know, I will prescribe you appropriate medications for your condition. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.