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Brand is Vagifem, generics available:
https://www.vagifem.com/
This has worked very well for me. Prior to this I was continuously having UTI'S.
I would try to talk to Mom's urologist to request the antibiotic.
Best wishes
https://pelvicfloorcenter.org/peripheral-nerve-evaluation-pne/#:~:text=What%20is%20Peripheral%20Nerve%20Evaluation,local%20anesthesia%20or%20numbing%20medication.
It sounds quite useful.
Also, AZO makes a great over-the-counter product: Cranberry Powder with a Probiotic + Vitamin C to support urinary health.
https://azoproducts.com/products/azo-cranberry-caplets
Now she wants to try PNE (Peripheral Nerve Evaluation). It involves the insertion of a couple of wires into mom's back to try and stimulate the bladder to empty. My brother and I do not like this idea.
So there are many different variables to consider as to the cause of frequent UTIs. Hygiene, underlying illness including autoimmune disease, bacterial colonization, foreign bodies, (stents, kidney stones), proper treatment without delay & more. Not long ago I came across my maternal grandmother’s death certificate. Listed as a cause of death was UTI with septicemia.
Why he takes the antibiotic at night that is when the urine pools and the bacteria grow. Since he has been on this regiment he hasn't had an UTI at all. My husband had a catheter put in all that did was give him a lot of pain and made it where he had a bad UTI which he was on stronger antibiotics.
I would wait and give the low dose of antibiotics a try take them at night and with a cranberry pill too to see if that works for her.
Prayers
1 - Putting her on a toileting schedule. Every 2-3 hours while awake, she must be placed an the toilet and encouraged "to go."
2 - Thorough cleaning every time she soils herself with urine or stool. Washing must be from front to back using a mild soap and water. Dirty or wet undergarments must be changed promptly. If she can sit on a commode, a bidet attachment can help with clean-ups.
3 - Plenty of non-caffeinated fluids throughout the day. Many seniors are dehydrated and don't have a good thirst drive when they need more fluids. Make sure she drinks about 2 liters of fluids daily. If she has a fluid restriction from her doctor, use that "number" as your guide.
4 - Some folks have success with low dose hormones in the genital area (vagina and meatus areas) to boost tissues in those areas. Some claim that is helps to thwart infections. I'm not convinced, but talk with her doctor about it.
Best of luck to you!
https://www.youtube.com/watch?v=901R1dGMdII
Dehydration is a risk factor for a UTI.
What I do for my mother is make sure that she drinks enough water daily, which isn't a problem for her, because I add a little bit of lemonade flavor. Also, when I make her water bottle, I add Vitamin C, Magnesium Chloride, a pinch of salt and a pinch of sugar.
I also wipe her bottom 100% of the time to make sure that it's wiped from front to back.
She is 96 and has not had a UTI.
Peace.
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.
Good luck.
Your mom needs to have a check with a urologist.
In the meantime, she should try using Greek yogurt with live cultures.
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.
I am now 51 and am antibiotic resistant. Any time I need antibiotics, I have to take a very high dose. And the pill itself is huge, like swallowing a rock. Sometimes they hurt my stomach. I hate it.
Granted, at your mom’s age, getting resistant may not be as much of an issue.