I’m new to being a paraplegic and self cath. I get one uti after another...it is a continual battle. Generic Cipro is what my gp gives me. It seems to clear things up and then bam back to square one in a few days after finishing antibiotic.
What in the world can I do to prevent this merry go round?
Hi 2510. Welcome. For UTI, I make an herb tea from Marshmallow Root, Hydrangea Root, and Gravel Root. Then I put a little Black Cherry Juice. I drink only about a quarter cup and refridgerate the rest. After an hour, I drink another half cup. Drinking too much too fast could put undue pressure on your bladder. These herbs get rid of debris in the urinary tract. The Black Cherry Juice also helps get rid of bacteria. I used this remedy even before I had SCI. If that seems like too much work, you could also just buy Marshmallow Root already in capsules and take it that way.
Urine infections are the bane of our lives. None of us are free of this horrible affliction. You could try taking 1500 milligrams of vitamin C to keep the bladder acidic, which helps combat bacteria, and drink cranberry juice. Cranberry juice is supposed to help urinary tract infections by preventing the bugs from clinging to the bladder wall. Has your GP sent a sample of your urine to a laboratory for analysis? You may be taking the wrong antibiotic. If it keeps re-occurring a few days after finishing with ciprofloxacin, that may well be the case. I suspect your urine infection is sensitive to a number of antibiotics, at least three others, unless you have some kind of superbug (don't want to worry you but it's possible and that's why your urine should be tested). Culturing urine for bacteria is standard laboratory practice and your GP should always send a sample off before indiscriminately prescribing antibiotics. When your doctor gets the results, you should ask him for a print out of the laboratory report. You will see the name of the bug responsible for the infection a list of antibiotics that the bug is sensitive to. Switch these antibiotics around from time to time, so that the bug has difficulty becoming immune to any particular one. This may already have happened with Cipro, since you're always taking it and it no longer works (remember it might be the wrong antibiotic for your infection). You should point this out to your doctor as well. It comes to something when patients have to tell their doctors how to behave but I'm afraid that's how it is with spinal injury. If your GP refuses to give you a print out, then ask him what bug you have and what antibiotics it is sensitive to. You may not always get the same bug. It is most likely to be e-coli but there are two or three common bladder bugs. Hopefully you will have one of them and not something cultured in a hospital environment, which will be harder to treat and may need intravenous antibiotics to kill off completely.
I’ve been in your shoes before. When I was inpatient in rehab it was one after another. After leaving rehab my urologist recommended a cranberry pill called ellura, it’s the only one that is fda aproved if I’m not mistaken. Got my first uti a few days ago after 8 months. Doctor said it was barley considered a uti and only found out because i got a few issues there checking on. Also i drink a lot of water so that I’m flushing everything out
Post by catheterboy on Apr 14, 2018 23:32:45 GMT -8
You have to drink drink drink. I have a suprapubic indwelling connected to a leg bag via a flip flow valve. I drink 12 to 14 drinks per day that's almost a drink for every hour I am awake. I must say that will not be easy for someone who self caths because you will need to be going to the toilet more often. That said try and increase your fluid intake as much as you can handle without constant toilet visits. It is a balancing act which I hope you can find. Hope things improve soon.
Doctor has me on Macrobid after culture was tested at the hospital. Initially gp had me on Cipro but after 3 days of culture test they switched me to the macrobid. I use the self contained catheters with the gloves and iodine swabs. I was not using iodine swabs because I was told that when I got home in my own environment anti bacterial wipes would be good enough. Maybe that is my problem so I have started using wipes and iodine swabs in combination. I’m learning since I’m a rookie at this. Heck I’m trying to figure out how all you guys cath in your chairs. I go to the bed and lay down in my hospital bed to do it. It seems much easier to me. As I’ve said, I’m just a rookie. 😔
Macrobid is the tradename for nitrofurantoin. Cipro will kill the bugs that nitrofurantoin does, and more. Nitrofurantoin or Macrobid as you call it, is used to treat Proteus and E. coli infections. These bugs are also sensitive to Augmentin and pivmecillinam (unless you've built up a resistance due to overuse). If it's E. coli it may be sensitive to trimethoprim as well. Check with your doctor and switch these antibiotics around. I'm sure you are introducing infection. If it carries on you should ask your urologist for a cystoscopy to look inside your bladder. Incidentally, how much urine do you have in your bladder when you drain it?
Sadly, UTI's are part of it. Been self cathing 3 times a day for 27 years. About 6-7 years ago, my urologist found stones in my Urethra (I think that is where they were) which he said would be an invasive procedure and didn't recommend doing it. I have since been on a low dose of Cephalexin once a day for 3-4 years now and very rarely have a UTI. Not a fan of being on an Antibiotic but for now, it is working for me. Coincidentally, I am seeing a Urologist for the first time in quite a while this coming week to see if stones have possibly moved to a place where they can be "zapped" or maybe by chance they are gone altogether.
2510, hang in there. Hopefully you can find a solution to your recurring UTI's!!!