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How can I avoid cystitis. I have doctor's prescription,

Customer Question
How can I avoid...

How can I avoid cystitis .

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

Yes. I have doctor's prescription, Nufloxib, but can't get it at local pharmacy, West Lakes ,Adelaide area.xx

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

He is my Gp and knows my history , have this problem ca every 2 years

Submitted: 10 months ago.Category: Urology
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Answered in 2 hours by:
10/6/2017
Urologist: Dr. Arun Phophalia, Urologist replied 10 months ago
Dr. Arun Phophalia
Category: Urology
Satisfied Customers: 39,108
Experience: MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Urologist: Dr. Arun Phophalia, Urologist replied 10 months ago

Following approach for the chronic / recurrent urinary tract infection may be helpful;

1) An estimation of residual urine. This is done by an ultrasound examination. An ultrasound is done with full bladder. Then you are asked to void and ultrasound is repeated. If there is a residual urine amount more than 50 ml; that is considered as significant amount. An high residual urine in bladder will not let the UTI eradicated. In a high residual urine following investigations would be done;

a) CMG (cystometrography); this tells about the bladder muscle and sphincter functions. A problem in these would not let the bladder empty properly and thus the recurrent UTI.

b) Pelvic floor EMG; tells about the pelvic muscle dysfunctions and help in above.

These will need medications to improve bladder emptying.

2) Medications which alter urinary pH helps in eradicating the recurrent or chronic UTI with the antibiotics.

3) Culture for the mycobacterium; this if grown will need different kind of medication regime specifically for the mycobacterium bacteria which do not respond to the antibiotics.

4) Gynecological examination; to see for the major cystocele (bladder prolapse). This also predisposes for the recurrent UTI.

5) If above do no help the other investigation contemplated are;

a) Cystoscopy; camera exam to look for bladder diverticulum or any other abnormality.

b) MR urography (magnetic resonance urography to look for infective nidus elsewhere in the urinary tract).

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Urologist: Dr. Arun Phophalia, Urologist replied 10 months ago

Was this information helpful to you? I would be glad to answer any further questions.

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