Doctor insights on:
Recurrent Uti In Elderly Women
Low dose: Once daily at a dose of 125mg/day should be safe. ...Read more
A urinary tract infection, also known as an UTI, may involve the kidney, ureter, bladder, or urethra. A common cause is an intestinal bacteria, E. coli. Common symptoms include a frequent urge to urinate, and pain or burning when urinating. Antibiotics are typically ...Read more
Lots: Lots of good safe choices...Sulfa drugs, quinolones etc. See your doctor. ...Read more
Low immunity: Both the elderly and people with diabetes often have a decreased ability to fight off infection. In addition, diabetics may be more susceptible to urinary infections because the high levels of sugar in the urine can breed bacteria, and they can have urinary stasis (where urine sits in the bladder for prolonged periods). ...Read more
Sometimes: Sometimes we may have treat with long term antibiotics to suppress recurrent infections. ...Read more
Enlarged prostate: Prostatic enlargement can lead to progressive urethral + bladder neck obstruction leading to impaired bladder drainage + various degrees of urinary retention. Also can develop bladder diverticula (outpouchings) from increased voiding pressures in bladder, which do not empty with urination. Retained urine "stagnates" and is fertile ground for utis. ...Read more
What happens if an elderly person has hallucinations because of a uti, does it mean they have dementia/alzheimer's?
Likely at risk: Whether due to the toxic effects of an infection or reaction to medication, the presence of hallucinations is indicative of less compensatory ability and suggests underlying risk for further cognitive issues. Good to evaluate further as underlying low level dementia might be present and could benefit from therapy. ...Read more
If bacteria become resistant to cephalosporins, what can be used to treat UTI in elderly person or one with renal damage?
Other options.: Use of an antibiotic to which the bacteria are resistant will result in treatment failure. This is why it is so important to get a urine culture & perform sensitivity testing to determine which antibiotic will work. In an elderly patient with renal failure, the dose may need adjustment depending on the medication. Many options do exist, so consult with your physicians. ...Read more
My grandmother is talking like a child and but knows everything that is going on she but doesn't no she is talking weird she also is very fidgety she has a UTI could that cause the symptoms and elderly and if so what should we do?
Can you tell me if an elderly person has hallucinations because of a uti, does it mean they have dementia/alzheimer's?
No: When elderly people have hallucinations or other psychiatric symptoms due to an infections (such as a uti) it is actually a delirium. Delirium is a medical illness and is very serious and the underlying condition (in this case, uti) must be treated. This is a completely different illness then dementia. ...Read more
Can you give an elderly patient with a UTI and is having altered mind states in and out klonopin (clonazepam) to calm them down?
From your question I can only make one recommendation: make sure that this elderly person is being treated not only for his or her UTI but also that cognitive changes be addressed. Do not give Klonopin (clonazepam) or any other medication without instructions from this person's health care provider.
While you wait for the help make sure this person is safe. ...Read more
Can you tell me what you suggest if an elderly person has hallucinations because of a uti, does it mean they have dementia/alzheimer's?
Possibly: We do know that the elderly have more cognitive issues when infected or if they experience anti-cholinergic medication reactions. Often, the first sign of future dementia is such an event, but not always. Worthwhile getting a cognitive assessment just to clarify future risk issues. ...Read more
How long does it take UTI symptoms of dementia like state in elderly to go away she is on ic cephalexin since Saturday?
Here are some. ..: The relevance of the contents in this Q is unclear, but my sifting through it suggests concerning her mental alteration possibly related with symptomatic UTI. If so, the duration of optimal recovery may widely vary in part because many elderlies are taking tranquilizers / antidepresents. Besides they have multiple concomitant medical issues. So, it's hard to blame UTI as sole cause of such change ...Read more
My elderly mother regularly gets UTIs. She is OFTEN asympotmatic i.e. no increased urge to void, no painful sensation when voiding (she takes 1000mg of paracetamol 3 daily) and NO ODOUR THAT I CAN NOTICE. Is it true her urine must have a strong odour?
No: Some people have no Symptoms when they ave urinary issues. She should however get checked for you do not want to leave her untreated if there is an issue ...Read more
Can a severe UTI ever cause a stroke in the elderly? My mother has a Foley catheter and has been having many seizures. History of strokes. Face droop.
No: The issues would be unrelated to the uti. ...Read more
Elderly mother survived pneumonia, "c diff", 2 consecutive uti's, and fecal impaction, resulting delirium. Can she come back to herself?
Came back to life: You don't say how old your mother is, or how many other medical problems she may have. With mother's day looming please enjoy her present "back to this life" status. ...Read more
Female, feel like I have a swollen urethra, feels swollen inside and hurts. Recurrent uti's. What should I do?
See your doctor: This complaint should be evaluated through examination and testing for infection. See your provider. ...Read more
43- yr old female. Recurrent uti's. Usually after marital sex (despite voiding and cleaning afterward). Is cystoscope really necessary? Options?
Cystoscopy: Can be helpful in understanding recurring vs incompletely treated cystitis. Largely depends on how far apart your infections were and how well documented they were with cultures. Also, not everything that causes red or white blood cells in the urine is infectious. I would encourage you to have the cysto, especially if its a flex cysto in the office with local anesthetic. It's brief and simple. ...Read more
90 year old woman has another UTI with e coli (4th since hospitalization 7 mo ago). Resistant or recurrent? Need treatment every time if no symptoms?
Uti sepsis: Treatment is essential to decrease overwhelming sepsis that could increase morbidity and mortality. ...Read more
Is it possible for a female to get an STD in her urinary tract only (negative vaginal STD test) and appear to be a recurrent uti?
Recurrent UTI not respond to various antibiotics, u/a shows 4-10RBC 20-40WBC trace bacteria, 45y/o female. Bladder cancer risk? No history of gross hematur
Uti: urine culture results would be important to know. Multiple antibiotics maybe useless if bacteria shows resistance. Blood in urine maybe a problem, but not indicative of cancer, further work-up required to exclude bladder polyps or diverticula, kidney cysts, stones, etc. Consider visit to urologist or urogynecologist. ...Read more
Follow up question: female, 16, pulsating abdominal pain, recurrent, not uti; blood clots in urine, increased pain with urination that does not reliev
Yes: This warrants further exploration by your physician or an urologist. ...Read more
The standard answers: Utis are very common in women because our urethras are so short. This makes it easy for bacteria to travel up into the bladder and create an infection. Drink a lot of water, get up and urinate after you have sex, wipe from front to back, and don't wait til symptoms get awful before going in for treatment. Btw, any sexual contact - not just intercourse - increases UTI risk. Good luck. ...Read more
A urinary tract infection (often called UTI) is most commonly caused by bacteria and usually refers to an infection in the bladder. Not all bacteria that grows from the urine represents an infection, so the need for antibiotics is determined by your ...Read more