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Antibiotics yes or no? Diagnosis dangerous? Nitrite high positive

For 8 days urinary tract infection (female, 50 years old). Urinary tract infection several times a year without apparent cause. Urine test strip this morning showed Nitrite +++, Leukocytes 0 (with slightly cloudy urine), Erythrocytes 0, Glucose 0, Protein 0. Urine checked 2 times as I found the result strange. So far tried Canephron, Aqualibra, various bladder teas, naturopath (homeopathy + acupuncture 2 times). Morning urine until the day before yesterday without Nitrite, since yesterday morning always Nitrite positive. Started Cystinol Acute yesterday, as naturopath not available. Due to the Nitrite, I am very worried. Should I go back to taking antibiotics instead?

Dr. David Meyer

Dear inquirer,

Nitrite in the urine indicates a bacterial bladder infection. These often heal on their own in women with plenty of fluids and physical rest, but if symptoms persist for over 5 days, it is advisable to seek medical attention. Homeopathy and acupuncture are not effective in treating this condition. Untreated cystitis can lead to a kidney infection.

If you do not have a fever, you can wait until May 2nd (as long as symptoms do not worsen), but you should then visit your general practitioner and ask for a prescription for "Monuril" according to guidelines. This is a well-tolerated antibiotic that only works in the urine. If this does not help, medications such as Ciprofloxacin or Cefuroxime can be considered.

Take care and get well soon.

D. Meyer
Urology

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Dr. David Meyer

Dr. David Meyer

Berlin

Berufserfahrung in der Urologie und Inneren Medizin (isb. Kardiologie und Nephrologie) an akademischen Lehrkrankenhäusern

Erfahrung in epidemiologischen Fragestellungen. Zur Zeit tätig in der klinischen Forschung.

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