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KathyKroeger Asked November 2009

What would be the cause of the ongoing urinary tract infection in an elderly female?

EXPERT Carol Bradley Bursack, CDSGF Nov 2009
UTI infections are common in the elderly. It could be that they don't empty their bladders well. The vaginal infections could come from poor wiping practices.

These and the coughing should be looked at by a doctor. Asthma and other lung diseases can cause coughing and can be treated. She may need a chest x-ray.

It sound like it's time for another trip to the doctor.
Take care,
Carol

BarbBrooklyn Aug 2016
My mom's doc ALWAYS put her on diflucan along with the antibiotic.

Also, gynecologist recommended a probiotic call Rephresh ( something abot pH in the vagina).

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Countrymouse Aug 2016
Oh dear.

There was a flurry of medical articles a while back about overdiagnosis of uti's in older people, and ineffectual treatment of same. The concerns are a) not treating patients effectively and b) antibiotic resistance. So there will be a current crop of doctors actively trying to avoid reaching for the px pad at the drop of a hat, which is actually good practice - many many antibiotic prescriptions for uti's prove to be a complete waste of time, money and unpleasant side effects (often leading to reinfection, ironically) for the patient. But that is *no* excuse for failing to investigate, and no excuse for not dealing courteously with your concern for your sister.

Try not to get upset with your sister's doctor. Try not to be upset with him even if he is being rude and apparently idle. He was probably angry in part because he is anxious that he ought to have checked her out three weeks ago and worried he could have got it wrong. Or he might just be annoyed at your persistence, but without having the good sense or patience to explain his thinking to you.

The thing is, if it's a low grade chronic infection it could quite easily grumble on in the background, not doing much - but your problem there is that these are very hard to get rid of completely. The sort of infection the doctor is talking about is much more aggressive and would have snaked up to her kidneys by now, making her yes very ill, perhaps that's what he was getting at. I suspect you're talking at cross purposes, about different types of illness, to some extent.

Countrymouse Aug 2016
No, you didn't, Send - there's a lady whose sister has a ? uti causing confusion, whose doctor was deeply unhelpful about it - five posts back or so.

EarthAngel Sep 2017
Additionally if your loved one thinks they have a sudden cold or flu with abundance of congestion in their throat...
This was a result of blood poisoning and a red line up the leg

EarthAngel Sep 2017
Great educational reading these comments. a very good website as the uti are very serious, personally if you have a too hogh acid diet contributes to many health concerns having alkali type Foods helps to balance, use probiotics, particular green teas for the bladder simple parsley tea, cranberry pills, avoid sugar

Angiekins Nov 2009
My grandmother also had UTI's very frequently. They finally diagonosed her with blood cancer. Apprently UTI's can be a sign of certain types of blood cancer. You might want to ask your doctor if this could be a possibility.

Teejay Apr 2013
My mom has been treated for a UTI for about 3 weeks. Admitted into the hospital last week for two days of IV antibiotics. She still has the UTI. I think this is the 3rd round of different antibiotics. Why would these antibiotics not be working and what can I do? Thanks!

vw9729 Apr 2013
My mother-in-law had constant UTI's for years and years. When I began as her caregiver over 6 years ago, she was on a maintenance antibiotic for it. I took her to several urologists as I was determined to get her off the maintenance antibiotic and find out the root of the problem. After bladder lift surgery, different treatments and methods, it was never discovered. She eventually became incontinent - which would make you think since the urine can't be held in - the infections would go away. But they didn't. I was told by these specialists that this just happens with some people sometimes that they can't figure out what is causing the constant infection and there is nothing further that could be done but keep her on the maintenance antibiotic to keep the infection down and then treat it aggressively when it flares up. They would send her urine out to the lab to see what antibiotics would work on it. She eventually built up a resistance to the antiobiotics and unfortunately none worked anymore. But unfortunately UTI's are common in the elderly. Usually all you can do is treat it when it happens.

anonymous281963 Aug 2016
After a course of antibiotics for any reason, the good bacteria are killed off as Whitney mentioned. This leaves an opportunity for yeast overgrowth. A yeast infection is so common that doctors sometimes prescribe Diflucan to be taken after finishing your antibiotics. If left untreated, the irritation and infection can lead to a repeat urinary tract infection.
Sadhusband, your wife most likely has a yeast infection. The odor may be a bit of a sweet smell, there may be a white or yellow discharge, there may be an appearance similar to cottage cheese appearing just inside the labia/vagina, there may be itching, and a tinge of blood. And, there are behavior changes with a yeast infection. Have her see a doctor before attempting to treat this at home. Over the counter yeast treatments can be used. Ask her pharmacist.
No ideas for you if you cannot talk to her about it. However, a gynecologist often "wants to see their patient" for routine exams, even after a hysterrectomy or becoming elderly.

Was wondering last week why no one ever mentions this secondary yeast infection. Hope my response was not TMI or too clinical.

Offering my disclaimer now, and if I am wrong, my apologies. I defer to the doctors, but if I had answered the phone for the doctor's office, I would have given the patient an appointment right away or the next day.

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