Hello Doctor,
I keep getting urinary tract infections (UTIs) repeatedly, even after completing a full 5-day course of antibiotics. It happens every 3 to 4 months, and it's becoming really frustrating. What can I do to prevent this from happening again and find a permanent solution?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
Confirm Diagnosis: Urine cultures to ensure correct antibiotics; check for underlying issues (e.g., kidney stones, diabetes).
Optimize Treatment: Complete antibiotics as prescribed; ensure correct choice based on culture results.
Preventive Measures:
1. Increase fluid intake.
2. Urinate before/after intercourse.
3. Wipe front to back, avoid irritants.
Non-Antibiotic Options:
1. D-Mannose, Methenamine Hippurate, Cranberry Extracts, Probiotics.
2. Antibiotic Prophylaxis (If Needed):
3. Post-coital, continuous low-dose, or standby antibiotics.
4. Partner Evaluation: Check for bacterial colonization if UTIs are sex-related.
5. Antibiotic Stewardship: Use antibiotics only when necessary to prevent resistance.
6. Specialist Referral: See a urologist if infections persist despite treatment.
Thanks
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