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CTyankee

(66,583 posts)
Fri Jun 27, 2025, 03:30 PM Jun 27

Chronic UTIs in elderly women

I keep getting UTIs and I don't know why. I am 85 years old and in excellent health but these infections are driving me crazy. This last bout was treated with Nitrofurantoin Machrochrista. My primary care doc has been handling them but I may get turned over to a Urologist for further treatment.

Is there a sub-category of Urology that handles this problem specifically? Or does it have to be a GYN, which I haven't had since I was much younger? I can't be the only elderly woman who has this problem!

22 replies = new reply since forum marked as read
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Chronic UTIs in elderly women (Original Post) CTyankee Jun 27 OP
An elderly lady I worked with had chronic UTI's and she started takes cranberry tablets everyday kimbutgar Jun 27 #1
Is your glucose high? SheltieLover Jun 27 #2
I don't know. I will call my primary care docs office. They keep all my test records when I go to specialists for care CTyankee Jun 28 #11
I'll try to find article for you SheltieLover Jun 28 #12
found a useful video on UTIs in the elderly. SleeplessinSoCal Jun 27 #3
My tip: If you have a bm, don't flush until after you stand up. marybourg Jun 27 #4
And then put the lid to the toilet down before flushing. That microscopic spray of bacteria goes everywhere. Marie Marie Jun 27 #5
I have them frequently. Dr. said I'm a "trifecta" patient since I woodsprite Jun 27 #6
D-Mannose is helpful flamingdem Jun 27 #7
Thank you! I'll put it on my list of remedies to order. I'm going all out to get this gone! CTyankee Jun 27 #8
I 've had IC and have tried everything womanofthehills Jul 3 #17
It turned out I was not fully emptying my bladder cyclonefence Jun 27 #9
I had a middle school friend who got those same instructions because she was wetting the bed Iris Jun 27 #10
Link to article on Type 2 diabetes & UTIs SheltieLover Jun 28 #13
I forgot to say cyclonefence Jun 28 #14
I carry a large bottle of water around with me, even when I go room to room in my house and when I go out shopping. CTyankee Jul 4 #22
Post removed Post removed Jun 29 #15
Wow. A drug dealer right here on DU. Scrivener7 Jun 29 #16
Another help is natural bi identical hormone cream womanofthehills Jul 3 #18
Thanks. Maybe I can obtain the hormone cream if it doesn't require a prescription. CTyankee Jul 3 #19
You don't need a prescription womanofthehills Jul 3 #20
Marshmallow Root womanofthehills Jul 3 #21

kimbutgar

(25,564 posts)
1. An elderly lady I worked with had chronic UTI's and she started takes cranberry tablets everyday
Fri Jun 27, 2025, 03:35 PM
Jun 27

And she doesn’t get the UTI’s anymore. I also started taking them and haven’t had any UTI’s anymore except for when I am teaching and have to hold it for awhile until lunch or recess. Now, I force myself to go when I don’t have to!

CTyankee

(66,583 posts)
11. I don't know. I will call my primary care docs office. They keep all my test records when I go to specialists for care
Sat Jun 28, 2025, 08:39 AM
Jun 28

as well as the ones they order for me.

SheltieLover

(71,739 posts)
12. I'll try to find article for you
Sat Jun 28, 2025, 10:40 AM
Jun 28

Speaking from experience, higher sugar seems to contribute to utis.

SleeplessinSoCal

(10,188 posts)
3. found a useful video on UTIs in the elderly.
Fri Jun 27, 2025, 03:45 PM
Jun 27


Source of UTI is bacteria in the bladder. Prevention by staying hydrated, keeping bladder healthy by flushing it out. He also mentions cranberry juice and tablets.

marybourg

(13,505 posts)
4. My tip: If you have a bm, don't flush until after you stand up.
Fri Jun 27, 2025, 03:48 PM
Jun 27

Don’t ask how I developed this tip.

Marie Marie

(10,337 posts)
5. And then put the lid to the toilet down before flushing. That microscopic spray of bacteria goes everywhere.
Fri Jun 27, 2025, 03:51 PM
Jun 27

woodsprite

(12,469 posts)
6. I have them frequently. Dr. said I'm a "trifecta" patient since I
Fri Jun 27, 2025, 04:16 PM
Jun 27

have kidney stones, a permanent ureteral stent due to radiation treatment for endo cancer (constricts the ureter), and I'm diabetic. I've had 9 infections in the last 10 months, mainly Pseudomonas Aeruginosa and Aerococcus Urinae. Both are considered rather rare and are frequently transmitted through hospital procedures (stent replacement probably for me). They treat the AU with Macrobid (Nitrofurantoin) and the PA with Ciprofloxacin.

I cannot seem to shake them! I was good for 3 months this last stent exchange, and boom, last week I came down with PA again. I was up to go to the bathroom every 2 hours last night. I have a urologist, a primary care doc, an GYN/Onco, and as of last month, a UroGynocologist who recommended I see a Infectious Disease dr. My primary care doc said that UroGynocologists know female plumbing better than regular uros. When I did see the Infect. Disease Doc a few weeks ago, she suggested that I have an ultrasound to see if I still have a lingering kidney stone. Kidney stones can harbor bacteria that can colonize, which means building a bacterial film around or on something like a kidney stone or a stent. She said the other options to try would be changing my stent more frequently (every 3-5mo instead of every 5-8 months). I could also go on a med called "Methenamine" which is a drug that acidifies your urine and acts as a urinary tract antiseptic and antibacterial. It also aids in keeping kidney stones at bay. Considering my recurrent cancer, I'm not sure I want to try it unless it's a last resort option. It's a very small dose, but it converts to formaldehyde in your urine. I have to ask more questions and do more research on the history of it's use. Unfortunately, I didn't have neuropathy in my hands/feet until I went through chemo, and now every single course of Cipro seems to make it just a bit worse, so I may end up taking the Methenamine if it will get me away from the Cipro.

In looking up how to spell Methenamine, I found out that it can also be administered as a renal irrigation solution. If I don't end up having a kidney stone, I may ask my uro if he would think it helpful to flush my bladder/kidneys with a dose of that med the next time I have a stent exchange (July 24). He already does IV antibiotics (Cipro) during the procedure and sends me home on 7 days Nitrofurantoin post procedure. On the other hand, it's an older drug so there may be some reason he hasn't recommended it to me.

That's probably WAY too much info for you and sorry to write a novel. Just sharing what I've found out through experience, various doctors, and research. I find knowing more information helps to formulate questions when I have my appointments.

I wish you the best in figuring this out.

flamingdem

(40,558 posts)
7. D-Mannose is helpful
Fri Jun 27, 2025, 04:51 PM
Jun 27

Sold online and at Whole Foods and other stores.

D-mannose is a simple sugar, naturally found in various fruits and also produced in the body in small amounts
. It has gained attention for its potential role in treating and preventing urinary tract infections (UTIs), particularly those caused by E. coli.

CTyankee

(66,583 posts)
8. Thank you! I'll put it on my list of remedies to order. I'm going all out to get this gone!
Fri Jun 27, 2025, 08:07 PM
Jun 27

womanofthehills

(10,007 posts)
17. I 've had IC and have tried everything
Thu Jul 3, 2025, 12:05 PM
Jul 3

D’mannose helps if you get the powdered on Amazon and take a spoonful 4 times a day. Drinking tons of water helps and Advil definitely helps pain and definitely cuts inflammation.

My lifesaver- Nature’s Way Marshmallow Root taken 3 or 4 times a day - 960 mg. Somehow it coats the bladder with mucilage - stopping inflammation. Plus it’s anti microbial.

Marshmallow root is the best of everything I have ever tried. I now do it everyday religiously. The mucilage coats other parts of your body esp bowels which also is a good benefit. . Cranberry is too acidic and irritating to my bladder.

Been doing marshmallow root for 4 months now and it’s like I have a new bladder.

cyclonefence

(5,098 posts)
9. It turned out I was not fully emptying my bladder
Fri Jun 27, 2025, 11:09 PM
Jun 27

I saw a urologist when I was in the hospital for something else, and they noticed I wasn't peeing much, so they did a bladder ultrasound, which showed a good bit of urine left when I thought I was done. I'm trying to block out the memory of the catheterization.

Out of the hospital, the urologist told me that a lot of old ladies retain urine, and it can lead to infection. He showed me how to, when I'm done peeing, lean forward on the toilet until my chest is on my thighs, and give a little push, as if I'm trying to move my bowels. I was surprised that I still had that much urine in me. So that's something you might try--the price is right, and it's not going to hurt you if it doesn't work (unless you fall off the toilet onto your head. Which I've done. Don't recommend it).

He also told me to take a cranberry supplement pill. And to wash my dildo after every use (snort. That's not true. I just made it up because I'm a little high on my medical marijuana).

Iris

(16,507 posts)
10. I had a middle school friend who got those same instructions because she was wetting the bed
Fri Jun 27, 2025, 11:14 PM
Jun 27

cyclonefence

(5,098 posts)
14. I forgot to say
Sat Jun 28, 2025, 01:11 PM
Jun 28

drink lots of water. We old people tend to get dehydrated, and that can mean trouble for bladder *and* bowel. I think the fact that we don't sweat so much keeps us from feeling thirsty.

CTyankee

(66,583 posts)
22. I carry a large bottle of water around with me, even when I go room to room in my house and when I go out shopping.
Fri Jul 4, 2025, 03:09 AM
Jul 4

That way I am sipping water all day long and not trying to gulp down a lot at once.

Response to CTyankee (Original post)

womanofthehills

(10,007 posts)
18. Another help is natural bi identical hormone cream
Thu Jul 3, 2025, 12:28 PM
Jul 3

It’s often made from yams. I was originally prescribed some from a Dr but now Amazon also carries it. Bio Identical Bi- Estrogen and Bio Identical Progesterone. You need both for balance. I have been taking them for over 30 yrs. I only use the cream every other day instead of every day as recommended as our bodies detox slower as we age so stuff stays in our bodies longer. The bio identicals also help with getting up to pee in the night. I just slept for 10 hrs last night without having to get up in the night. I personally like the Bio labs pro but read all the Amazon reviews and see how many people say bio identicals helped.

Someone above was talking about sex toys - my dr told me instead of a blood test on hormone levels - if you can’t have an organism, you need them. If you can , your hormones are good.
.

CTyankee

(66,583 posts)
19. Thanks. Maybe I can obtain the hormone cream if it doesn't require a prescription.
Thu Jul 3, 2025, 12:44 PM
Jul 3

I haven't had the need of a GYN in a long, long time and it makes me tired just thinking about it.

womanofthehills

(10,007 posts)
20. You don't need a prescription
Thu Jul 3, 2025, 08:52 PM
Jul 3

Amazon has it with no prescription needed. Many brands but this one works for me. It has the same ratio of estrogens as my prescription did. I rub it on the insides of my thighs every other day. You need to order a progesterone cream too for balance. I get mine from same company but friends use other companies and are happy.

https://a.co/d/61gTizm

womanofthehills

(10,007 posts)
21. Marshmallow Root
Thu Jul 3, 2025, 08:58 PM
Jul 3

UTIs.14 Marshmallow root (Althaea Officinalis) inhibits bacterial growth in the urinary tract and cleans the bladder; it also soothes the urinary system and helps to treat kidney, bladder inflammations, and effectively stops bleeding in the urine.15

https://pmc.ncbi.nlm.nih.gov/articles/PMC10008376/

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