My 89-yr-old mother was diagnosed with a UTI yesterday by her PCP's PA. They only did a dipstick test and I'm not sure how accurate that test is. This was his first time ever seeing Mom so I'm not sure how much he knew about her cognitive impairment.
Mom never complained of any pain like you thought a person with a UTI would have. She was really lethargic and sleeping a lot. She has lost over 20 lbs in the last 6 months going from 138 to 117 and still losing. She has no appetite and eats very little.
I detected a strong odor from her urine last month and contacted her doctor's office and was told to "make an appointment". It was the holidays so, consequently, no appointment was made.
My question is: Do you think it is possible that she really does not have an infection and that the "stuff" they saw in the specimen yesterday could have been there due to poor hygiene (wiping back to front, for example). Mom had showered the night before the appointment, but she does wear pull-up undergarments 24/7 and the night version is usually soaked and heavy the next morning. Plus, her bloodwork came back with a white count in normal range.....high end of normal but still "normal". Can you have an infection without having an elevated white count?
The PA prescribed 250mg of Cipro twice a day. That drug really worries me for a woman Mom's age and with her cognitive impairment. It has so many bad side effects for the elderly (and younger people, too!) I emailed my concerns to the PA and, to placate me, he called in Macrobid for her instead. If it turns out she really does not have a UTI, she does not need to be taking antibiotics. They will do another more detailed urine analysis on Tuesday when she sees her regular PCP. I am not sure whether to stick with the original Rx (Cipro) or go pick up the Macrobid. You would think the PA would have taken everything into consideration before prescribing the Cipro. Once again, I butt in and am not even sure I know what I'm talking about and he changes the Rx.
Has anyone had any experience with an elderly loved one taking either of these medications or being diagnosed with a UTI when they really did not have one?