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!

kimbutgar
(25,564 posts)And she doesnt get the UTIs anymore. I also started taking them and havent had any UTIs 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 dont have to!
SheltieLover
(71,739 posts)That can contribute.
CTyankee
(66,583 posts)as well as the ones they order for me.
SheltieLover
(71,739 posts)Speaking from experience, higher sugar seems to contribute to utis.
SleeplessinSoCal
(10,188 posts)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)Dont ask how I developed this tip.
Marie Marie
(10,337 posts)woodsprite
(12,469 posts)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)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)womanofthehills
(10,007 posts)Dmannose 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- Natures Way Marshmallow Root taken 3 or 4 times a day - 960 mg. Somehow it coats the bladder with mucilage - stopping inflammation. Plus its 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 its like I have a new bladder.
cyclonefence
(5,098 posts)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)SheltieLover
(71,739 posts)cyclonefence
(5,098 posts)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)That way I am sipping water all day long and not trying to gulp down a lot at once.
Response to CTyankee (Original post)
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Scrivener7
(56,469 posts)Go away.
womanofthehills
(10,007 posts)Its 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 cant have an organism, you need them. If you can , your hormones are good.
.
CTyankee
(66,583 posts)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)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)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/