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From 68 year old healthy woman: Just "got" a bladder

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From 68 year old...

From 68 year old healthy woman: Just "got" a bladder infection suddenly out of the blue. Have not had one in almost 20 years. This one came on very strong with blood increasing a lot a few hours later. The blood was more than just a pink color in the urine. The toilet bowl was very red and I saw some coagulated blood. Experiencing lots of pain and very frequent urination. ~ every 10 min. Finally able to take an antibiotic at 3 pm. It is NITROFURANTON -MONO- MCR 100 MG. 5 day course. 2x a day. Given to me by a nurse-practioner/obgyn office. My internist prescribed AZITHROMYCIN 250 mg 1x a day for 5 days. 2 questions: Which antibiotic is best and should I have myself checked by a specialist ~ WHO~ and which antibiotic should I take? I would be feeling more Ok if I had not seen so much "red" in the toilet. Thanks for your input. most sincerely, Lalla

Doctor's Assistant: What medications do you take daily? Are you allergic to any medications?

I take a lot of supplements like a multi , Omega 3. Bio-identical hormones. Not allergic, but it is a big deal fro me to take antibiotics, as it really messes up my gut and then often I get sick later. So, I would only consider antibiotics when in dire need. This seems to be that kind of situation.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have had for maybe 10 years a very low white blood cell count . now 2.5

Submitted: 8 months ago.Category: Medical
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Answered in 2 minutes by:
11/17/2017
Doctor: Dr. J, Board Certified MD replied 8 months ago
Dr. J
Dr. J, Board Certified MD
Category: Medical
Satisfied Customers: 742
Experience: Gynecologist
Verified

Hi there. Board-certified obgyn here. Nitrofurantoin is a firstline treatment for UTIs. The azithromycin may pack more of a punch than what you need and can be rougher on the stomach, so I'd stick with the nitrofurantoin.

If your symptoms continue, you may need a different antibiotic, but for now finish out this course.

I would also recommend that if you keep bleeding, let your obgyn take a look at you. First and foremost we need to verify that the bleeding was coming from the bladder for sure (and not say the rectum or the vagina).

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Customer reply replied 8 months ago
Thanks. Will keep going and hope to notice less blood tomorrow. Is it within the "normal" range of things to have this much blood with a bladder infection?
Doctor: Dr. J, Board Certified MD replied 8 months ago

Your amount of bleeding sounds heavier than what I'd expect with just a UTI. Give it a day or two and if you're still bleeding, please make an appointment with your obgyn so they can check you out.

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Customer reply replied 8 months ago
OK
Doctor: Dr. J, Board Certified MD replied 8 months ago

Just checking in on you to see how you're doing today now that you've gotten some antibiotic. How's the bleeding?

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