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Not everyone is the same but it sounds like your mom (and you) could use a trip to A urologist who deals with elderly paitents.
Best of luck to you!
I had frequent bladder infections that often moved to my kidney, and was under threat of daily doses a bit more than a decade ago. It was recommended I try D-Mannose, one capsule daily. I had no faith in this as, as an RN, I don't really believe in supplements and vitamins without a very good reason. I tried it and I haven't had a single UTI in over a decade. Works much like cranberry but not acidic. Keeps bacteria from adhering to the bladder wall. Easy to take and if capsule too large to swallow break open and put in food. Very slight sweet to tasteless. Worth a try. Has worked for others I have recommended it to I would say 80% of the time. I use Source Natural, about 30.00 for 120 capsules on Amazon, but I suspect they are all much the same.
Sugar also feeds yeast, and I don’t have to tell you how that ends up. Yikes!
She resists taking in all this fluid because it makes her go to the bathroom more often. For me, the Vitamin C tablet has worked the best.
1) Watch really carefully to see how she is wiping her bottom after a bowel motion. If she wipes from back to front at any stage, she is transferring the (I think it’s) ecoli from the feces forward to where the bladder empties just by the vagina. She should be reaching behind her, not backwards between her legs. That will cause a fresh UTI. She might have started to do this because it’s actually an easier movement, but it’s a seriously bad move.
2) This could be one where drinking cranberry juice regularly could help. It’s not strong enough to cure anything, but it probably makes the bladder a bit more resistant.
3) Are you sure that her UTIs are being cultured and tested fully? I had one that didn’t clear up in spite of the antibiotic that the doctor prescribed immediately. When the full test came back from the lab, it was a different unusual infection, and cleared up with a different antibiotic.
4) To help her empty her bladder completely, she should sit on the toilet seat with her knees apart, lean forward to compress her stomach, and push.
I hope this helps a little bit. Yours with sympathy to both!
My mom does not remember to wipe, nor does she really know how when you remind her. Have you thought about installing a bidet onto her toilet? You can get one for about $100 and it's a relatively easy installation. I think if you have elderly folks who do not bathe frequently and have accidents in their pants and who don't wipe well or at all, I think flushing the area with water from a bidet might be helpful at keeping their bottoms clean. I don't know how involved you are when she uses the toilet, but you would more than likely need to be involved in the use of the bidet (pushing the button and helping her dry off) unless your mom is really high functioning. Making sure she is changing her underpants daily or several times a day if needed is also a good idea.
This is a hard one because they still want their privacy and you don't want to be insulting, but you also don't want them back in the hospital.