I'm in Bangkok for a few weeks, so I thought I might try (again) to eliminate this E.Coli infection from my bladder/prostate. I've had this UTI on and off for many years, and learnt to 'live with it'. But I guess it's not a good idea to have a longterm bacterial infection...

My PSA test yesterday returned a value of 13.95 ng/mL, which is 'normal' for me when I have a UTI. When the E.Coli infection is not present, my PSA is typically 7, which is also OK and 'normal' for me because I have 2 calcium stones in my slightly-enlarged prostate. My PSA value hasn't gone higher than 15 in the past 20 years, and a biopsy 3 years ago showed no presence of cancer cells.

My doctors previously did a sensitivity test on my infection, with these results:

Over the years, I have tried Amoxicillin, with no positive results. For the antibiotics in the above list where my infection is susceptible, which is the cheapest drug to try? (because I seem to recall that these drugs were either expensive or required hospital treatment/injection.)

Edited April 30Apr 30 by simon43

8 hours ago, simon43 said:

previously

When? Sensitivity test from a year ago cannot be used now.

You need a new one.

BTW all the drugs with an "S" are expensive AND are given iv in an hospital. This can be done as an outpatient, private hospitals can do that, especially if it's an antibiotic that is given once daily, eg Ertapenem.

16 hours ago, simon43 said:

I'm in Bangkok for a few weeks, so I thought I might try (again) to eliminate this E.Coli infection from my bladder/prostate. I've had this UTI on and off for many years, and learnt to 'live with it'. But I guess it's not a good idea to have a longterm bacterial infection...

My PSA test yesterday returned a value of 13.95 ng/mL, which is 'normal' for me when I have a UTI. When the E.Coli infection is not present, my PSA is typically 7, which is also OK and 'normal' for me because I have 2 calcium stones in my slightly-enlarged prostate. My PSA value hasn't gone higher than 15 in the past 20 years, and a biopsy 3 years ago showed no presence of cancer cells.

My doctors previously did a sensitivity test on my infection, with these results:

Over the years, I have tried Amoxicillin, with no positive results. For the antibiotics in the above list where my infection is susceptible, which is the cheapest drug to try? (because I seem to recall that these drugs were either expensive or required hospital treatment/injection.)

more important: how you got e.coli? Through anatomical transfer/moving them with bum gun from your anus to the urethral opening? Sexual Activity? Urinary Retention? Dehydration? Start from there.

9 hours ago, Hish said:

When? Sensitivity test from a year ago cannot be used now.

You need a new one.

BTW all the drugs with an "S" are expensive AND are given iv in an hospital. This can be done as an outpatient, private hospitals can do that, especially if it's an antibiotic that is given once daily, eg Ertapenem.

As above. Get a new culture and sensitivity done.

Then bite the bullet and pay gor a full course of IV antibiotic. Will be least expendive at a government hodpital. Ask about coming in daily for the infudion rather than admission.

Why not try d-mannose before antibiotics? It only works with e-coli, by preventing them from sticking to UT walls, so they are flushed out.

See here, for example:

Treating Urinary Tract Infections Naturally

https://naturemed.org/treating-urinary-tract-infections-naturally/

(if you are using a VPN, switch it off, or you will not get access)

Just now, ericbj said:

Why not try d-mannose before antibiotics? It only works with e-coli, by preventing them from sticking to UT walls, so they are flushed out.

See here, for example:

Treating Urinary Tract Infections Naturally

https://naturemed.org/treating-urinary-tract-infections-naturally/

(if you are using a VPN, switch it off, or you will not get access)

Further to my recent post, I just noticed this:

"Urinary tract infections (UTIs) are reported in about 10-20% of patients with prostate calculi. The presence of stones can create an environment conducive to bacterial growth, increasing the risk of infection. UTIs can cause symptoms such as painful urination, frequent urination, and fever. In some cases, the infection may spread to the kidneys or bloodstream, leading to more severe complications. Patients with recurrent UTIs should be evaluated for the presence of prostate calculi."

Now I'm surmising, for what it may be worth:

Calcium calculi mean calcium is being deposited in the wrong places, not the right ones such as bones and teeth (believe it or not, people living on typical western diets high in calcium - from dairy - tend to suffer more from osteoporosis, the opposite of what your doctor may tell you). Their problem is likely not too much calcium but too little MAGNESIUM (commonly deficient in modern foods and needed to 'balance' calcium) and/or lack of VITAMIN D (necessary for calcium metabolism, and often lacking in those little exposed to sunlight) Vitamin D deficiency, while a problem for those living in such places as Scandinavia should not be a problem in Thailand. But if supplementing, buy D3 as not everyone can assimilate D2. And preferably get capsules containing also vitamin K2 which helps ensure calcium goes to the bones and not elsewhere.

Dehydration can be a problem in hot climates and for heavy consumers of tea and coffee (and also amongst older people). Good hydration, between meals rather than with them, helps amongst other things to flush out the urinary tract.