Dear Dr. Roach •• I have a problem with a chronic urinary tract infection. I am 78 years old and often suffer. I often go to the bathroom 5 or 6 times in the middle of the night and feel pressure on my stomach. My doctor suggested a biopsy and found blood in my urine. It was later tested for cancer. A week later I was told I didn’t have cancer.
My doctor knows that I can’t take antibiotics because they cause side effects. He gave me a monuroll. There were no sequelae, but the pressure still recurred, there was a burning sensation in the urination, and there was a burning sensation in the vagina. How can this discomfort be treated? Do I have to take antibiotics for the rest of my life? — WW
Answer • Your doctor may have done a comprehensive assessment, but you don’t have enough information to say exactly why you continue to have these symptoms. Still, there are some tips I can give.
Recurrent symptoms of a urinary tract infection can result from either a series of new infections or a single infection that reoccurs after being treated only partially. Doctors can solve this by taking several cultures of urine and seeing which bacteria are growing. If it is the same strain each time, it may be a persistent infection. Different organisms show new infections that recur.
If it is a new infection that reoccurs, the bacteria are having an easy time entering the bladder. Some women have this problem with sexual activity, but in 78-year-old women, one of the most common reasons is that low estrogen levels thin the lining of the vagina and vulva. .. This includes the inner layer of the urethra. Urine comes out of the body. If this lining is thin, bacteria can enter the bladder through the urethra. It is usually treated with a vaginal estrogen cream that is very effective.
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