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Recurrent UTI since past 5yrs post covid
I am a 29-year-old woman with recurrent culture-proven UTIs since 2021, initially mostly E. coli ( 6months gap). Post IBS in 2024 proteus and latest Enterobacter cloacae were detected and gaps reduced to 3 months. After antibiotics dosage completion burning urination returned after 2-3days . These episodes were culture negative with epithelial cells >15/hpf. Most recently, culture showed E. coli >100,000 CFU/mL. Tamsulosin 0.4 mg and microlift b6 significantly reduces discomfort . USG, PVR, uroflowmetry, MCU and DMSA are all normal. One urologist suggested UDS, while another felt my dysuria was because of somatization and advised against UDS. Why do I keep getting different bacterial UTIs despite reassuring tests, and why does dysuria increased post ibs? Could altered vaginal flora, urethral sensitisation or another factor explain this? Also is there any possibility to get -ve culture even if any bacteria present are dorment/biofilm? I did take cranberry supplements as well.
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Make sure daily urine output is between 2-3 L . For that you may have to drink 3-4 L or more of water per day .
Also IBS is very subjective from mild to full blown severe inflammatory bowel disease . I need more information
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Dr. Ramkumar Suryavanshi
Urologist
14 yrs exp
Bilaspur
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Dr. Aditya Prasad Padhy
Urologist
13 yrs exp
Bhubaneswar
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Dr. Anantbir Singh Lubana
Urologist
13 yrs exp
Ludhiana
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.