UTI infection after a month again - Advanced Prostate...

Advanced Prostate Cancer

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UTI infection after a month again

Kshiprakapoor profile image
12 Replies

Hi All,

My father's face leg swelling is okay now from medicine and high BP is controlled via medicine too. Doctors will check next week if there is need for angiography or not. But again after a month seems UTI infection is back. What can be the cause?

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Kshiprakapoor profile image
Kshiprakapoor
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12 Replies
Tall_Allen profile image
Tall_Allen

High BP? Is he taking enough prednisone?

Kshiprakapoor profile image
Kshiprakapoor in reply toTall_Allen

BP is okay now but UTI has come back in a month

LearnAll profile image
LearnAll in reply toKshiprakapoor

In those with PCA ,the tendency to have recurrent UTI is common. Most UTIs are caused by Gram Negative bacilli bacteria such as E Coli, Klebsiella or Proteus.

Antibiotics which kill these types of bacteria are Ciproflox, levoflox, Bactrim etc.

Get the UTI treated by the doctor ASAP. Then, try to prevent further UTIs by natural, cold pressed, sugar free Crane berry juice .

Kshiprakapoor profile image
Kshiprakapoor in reply toLearnAll

Thank you, yes cranberry seems good idea

j-o-h-n profile image
j-o-h-n in reply toKshiprakapoor

Tell him to drink plenty of PANI... and stay away from hot spicy Indian dishes.... I meant food, not women....

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 11/26/2019 6:02 PM EST

Kshiprakapoor profile image
Kshiprakapoor in reply toj-o-h-n

Haa John very humorous

Kshiprakapoor profile image
Kshiprakapoor in reply toLearnAll

His lower back and side pain is still there any reason why this pain is still there even though uti antibiotics treatment has started

patandemma profile image
patandemma

Are you certain it’s not chronic bacterial prostatitis ? Symptoms can be identical to a “UTI” and prone to recur promptly if inadequate length of treatment

A usual 7-10 day course of antibiotics is inadequate for prostatitis.

Hard to diagnose,even harder to get a positice urine culture. May be worthwhile to treat empirically for 28 days

Kshiprakapoor profile image
Kshiprakapoor in reply topatandemma

Which test to be done to find bacterial prostatitis?

patandemma profile image
patandemma in reply toKshiprakapoor

classical tests are culture of semen or post-prostatic massage urine culture--very specific but not very sensitive (i.e ,more false negative results)

The lack of sensitivity can be due to the presence of "fastidious" bacteria. They are called fastidious because they will not grown in routine culture media but require very special media. This is a problem being recognised more than in the past. Below are some references from the literature:

Gram-Positive Uropathogens, Polymicrobial Urinary Tract Infection, and the Emerging Microbiota of the Urinary Tract.

ncbi.nlm.nih.gov/pubmed/272...

Common errors in diagnosis and management of urinary tract infection. II: Clinical management

academic.oup.com/ndt/articl...

Fastidious organisms and recurrent urinary tract infections: A clinical, bacterial and ultrastructural study of 110 women

researchgate.net/publicatio...

Detection of bladder bacteriuria in patients with acute urinary symptoms.

ncbi.nlm.nih.gov/pubmed/291...

seansand profile image
seansand

A natural product D- Mannose stop my uti’s without antibiotics.

Kshiprakapoor profile image
Kshiprakapoor

Okay

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