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How can urine infection be treated?

Q: I am a 63 years old woman having urine infection for the last 3 years. I have been taking the treatment for the same since then but of no use. I always have the feeling of wanting to urinate and uneasiness in my lower abdomen. Please advise.

A:You are 63 years of age and apparently suffering from repeated infections for last three years. Are these infections symptomatic (symptomatic UTI) or detected on routine urine tests in absence of any symptoms (asymptomatic bacteriuria)? Have you undergone any gynaecological examinations lately? Have you undergone any surgery for uterus or ovary removal in past? Do you have any associated medical condition like diabetes? Diabetics and postmenopausal females have higher risk of urine infection. Risk gets further multiplied in cases with surgical removal of ovaries in past. While symptomatic episodes have to be treated, asymptomatic bacteriuria is treated only in specific situations.

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