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Doctor insights on: Recurrent Uti In Elderly Women

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Dr. Katharine Cox
6 Doctors shared insights

Urinary Tract Infection (Definition)

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


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In elderly with diabetic UTI is often why?

In elderly with diabetic UTI is often why?

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).

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Do uti's that come back every couple of months in elderly need chronic suppression?

Do uti's that come back every couple of months in elderly need chronic suppression?

Sometimes: Sometimes we may have treat with long term antibiotics to suppress recurrent infections.

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I was just disagnosed with a uti. Is urinary leakage a symptom in elderly?

I was just disagnosed with a uti. Is urinary leakage a symptom in elderly?

It can be: Sometimes urinary incontinence is a symptom in the elderly; especially if incontinence was not an issue prior to the infection. Infection may irritate the lining of the bladder causing spasm and the subsequent leakage.

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What causes urinary tract infections in the elderly?

What causes urinary tract infections in the elderly?

It depends: In elderly men enlarged prostate, neurogenic bladder, urinary retention, indwelling foley catheters, diabetes. In elderly women neurogenic bladder, vaginitis, diabetes.

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Are urinary tract infections dangerous for the elderly?

Are urinary tract infections dangerous for the elderly?

Sometimes: There is a potential for a urinary tract infection to lead to sepsis (blood infection), which is much more difficult to control. Therefore, treating a urinary tract infection early and appropriately when symptoms start is much more advantageous.

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What could be the causes of urinary tract infections in elderly men?

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.

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What happens if an elderly person has hallucinations because of a uti, does it mean they have dementia/alzheimer's?

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.

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If bacteria become resistant to cephalosporins, what can be used to treat UTI in elderly person or one with renal damage?

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.

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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?

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?

Possibly: Sometimes the elderly can exhibit symptoms of dementia when they have a UTI and when it clears they may not completely recover for some time. She needs to be watched closely till she recovers

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Can you tell me if an elderly person has hallucinations because of a uti, does it mean they have dementia/alzheimer's?

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.

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Can you give an elderly patient with a UTI and is having altered mind states in and out klonopin (clonazepam) to calm them down?

Can you give an elderly patient with a UTI and is having altered mind states in and out klonopin (clonazepam) to calm them down?

NO!: 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.

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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?

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.

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How long does it take UTI symptoms of dementia like state in elderly to go away she is on ic cephalexin since Saturday?

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

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Elderly mother survived pneumonia, "c diff", 2 consecutive uti's, and fecal impaction, resulting delirium. Can she come back to herself?

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.

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Female, feel like I have a swollen urethra, feels swollen inside and hurts. Recurrent uti's. What should I do?

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.

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43- yr old female. Recurrent uti's. Usually after marital sex (despite voiding and cleaning afterward). Is cystoscope really necessary? Options?

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.

Dr. James Lin
1,958 Doctors shared insights

Urinary Tract Infections (Definition)

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