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Michael Salama
Michael Salama,
Category: Urology
Satisfied Customers: 715
Experience:  Medical director at San Miguel Medical Clinic
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I have been experiencing recurring UTIs for about a year. I

Customer Question

Hello. I have been experiencing recurring UTIs for about a year. I just finished a round of one antibiotic -- it didn't work, I am trying bacterim now. I've taken two pills -- but I sense it is not going to work. I am very very stressed out, at work, crying, cannot see a urologist...
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Yes --I've seen several doctors -- gotten cultures before -- right now, I'm waiting on a culture to come back from two different doctors. I also take vesicle for overactive bladder -- it doesn't help -- I'm taking AZO just to get thru the day but it doesn't help wither
JA: Is the condition chronic, or acute?
Customer: I believe now that it is chronic
JA: Anything else in your medical history you think the doctor should know?
Customer: Extreme anxiety. This needs to be taken very seriously because the symptoms of the UTI are making me ... approach a nervous breakdown -- in all seriousness
Submitted: 9 months ago.
Category: Urology
Customer: replied 9 months ago.
Hello. I just put down the five dollar deposit. Can I expect to hear from a doctor soon? I am on my lunch break and hoping very much to address this.
Expert:  Michael Salama replied 9 months ago.

Hello this is Dr. Salama MD,

It sounds like you need to be seen by a urologist who can perform a bladder cystoscopy and renal ultrasound to look for potential causes of your recurrent UTIs.

Let me know if you have any other questions.

If not, please don't forget to leave a positive rating (bonus appreciated) as that's the only way I get credit for answering your question.

Thank you!

Customer: replied 9 months ago.
Is there anything you can do to help me until I can see a urologist? Please. I understand that's what I need to do. I have a rigorous job and may not be able to see someone for weeks. Please help.
Expert:  Michael Salama replied 9 months ago.

For now, I would take the bactrim twice a day until the culture results come back (should not be more than 2 days).

Drink plenty of water and avoid soda, juice and alcohol intake.

Customer: replied 9 months ago.
Thank you. One final question. I started the ba trim
Yesterday at around 6:30 pm. In your experience, would my symptoms have abated by now if the Bactria were working or might it take more time for me to feel the benefit of the antibiotics?
Expert:  Michael Salama replied 9 months ago.

Typically, antibiotics require 48 hours before they start taking effect so I would expect you to feel a bit better by tomorrow evening at the earliest.

Customer: replied 9 months ago.
In other words, should teonpills essentially make you feel "cured" or dies it sometimes take longer?
Expert:  Michael Salama replied 9 months ago.

Yes, 10 pills are enough.

Customer: replied 9 months ago.
I meant to type two pills, not ten in my last question--my question was really more about: if the first two pills don't work, is it very likely this antibiotic will not work at all? Or can I still have hope that this antibiotic will work?
Expert:  Michael Salama replied 9 months ago.

You will need to take at least 4 pills to know that answer since you are taking 2 pills each day and we need 2 days to see if the antibiotic would work.

Expert:  Michael Salama replied 9 months ago.

Is there anything else I can help you with today?

If not, please don't forget to leave a rating, thanks!