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Urinary Disorders

Urinary Tract Infections in Elderly

03/23/2011

Question:

My mother is 81 years old. She has COPD Heart disease Colon ca(had surgery). She continually has recurrent UTI`s.She uses a walker,to go from the bedroom to the living room. She currently taking PT on physicians orders. She was taken to the ER a week ago. The results of urine showed UTI. PHysician gave rx for Macrobid. She became very confused and agitated,restless. She was taken off the Macrobid, but still has severe back pain. Please help. I am at my wits end. What should I do?

Thank you

Answer:

Urinary tract infection in elderly is usually due to inability to empty her bladder and as the result, they will have excess residual urine and hence, no therapy will cure the infection unless the bladder is empty. To find out about this you need to see a urologist and insist in having bladder scan to measure post void residual urine. Other reasons include kidney infection and infected urinary stones. These can be found easily by a CT scan.

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Response by:

Ahmad  Hamidinia, MD Ahmad Hamidinia, MD
Formerly, Professor of Clinical Surgery
College of Medicine
University of Cincinnati