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Why do I get recurrent urinary tract infections?

Q: I am a 30 years old married male who had body pain, fever and burning sensation while passing urine two weeks ago. The doctor gave me medicines for 3 days. After that my body pain and fever were controlled but burning while passing urine was not controlled. The doctor had suggested Novaclox, URISpas and Cital syrup and it was cured. After a week it started again so I consulted the doctor again. My problem still persists and now I am feeling burning while passing stool too. There is no pain in stomach or backside of the body. The urine test showed it to be acidic in nature. What should I do now? Please advise.

A:Fever and burning with urination could be a sign of a urinary tract infection. It sounds like you were treated for a short course but have a recurrence. You will need a work up of a recurrent infection. Some of the common causes of recurrent UTI in males could be kidney stones or prostatitis. You need an exam of the prostate to confirm this diagnosis and if that’s the case you need treatment with antibiotics and NSAID's such as Ibuprofen for at least eight weeks. You will need either a CT scan or renal ultrasound to look for kidney stones. If your urine is acidic (pH < 6.5) you could form uric acid stones. Drink plenty of water or fluids (>2L / day) to prevent stones. I do not know why you have burning with stools. You can consult with an urologist for work up of recurrent urinary tract infection and make sure you are treated with the correct antibiotic depending on the urine culture results.

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