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Oct 05, 2012

Recurrent Urostomy Urine Infections and Resistance to Antibiotics

This topic is about dealing with recurrent urinary infections after urostomy surgery and concerns about antibiotic resistance. The person sharing their experience had very few infections for years but has faced about a dozen in the last two years. They are exploring non-antibiotic ways to prevent these infections, as they suspect that repeated antibiotic use might have led to bacterial resistance. Here are some insights and advice shared by others:

1. It's not uncommon for infections to persist even after multiple courses of antibiotics, and these medications can sometimes cause unpleasant side effects.

2. A home remedy that some people find helpful is dissolving ½ teaspoon of baking soda in an 8-ounce glass of water at the first sign of infection. This can help raise the urine's pH level.

3. For a more thorough diagnosis, consider asking your doctor for imaging tests, such as a nuclear scan with contrast through the stoma. This can help detect any hidden pockets where urine might be collecting, which could be causing repeated infections. If such a pocket is found, surgical options might include adjusting the stoma or, if necessary, a more extensive reconstruction.
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