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Kathleen Janoski's avatar

In the elderly UTIs are often misdiagnosed. I was talking to a woman whose mom was in a nursing home and became confused, disoriented, and combative.

It turned out she had an UTI and was not developing dementia.

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Fred's avatar

UTIs most common cause of change in mental status in the nursing home residents. And instead of checking, they seem to send them all to the ED for an unnecessary mental status work up.

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Kathleen Janoski's avatar

Nothing but death camps.

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RunningLogic's avatar

Yes I’ve heard about that kind of scenario many times as well.

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Kathleen Janoski's avatar

Sad how older people are neglected.

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RunningLogic's avatar

Indeed 😞

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Sally M's avatar

Yes- that happened to my MIL who already was experiencing dementia in early 2000’s. The belated diagnosis of a UTI made her even more confused!

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Fred's avatar

Hypothyroidism is another commonly missed problem. And no, the higher levels of “normal” TSH usually aren’t. Ignored by many a doc.

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Kathleen Janoski's avatar

A UTI should probably be one of the things the medical community should test for first.

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LamedVav disavows all vaxes.'s avatar

Greed and corruption is what the medical community needs to be tested for.

Stay as far from the medical community as you can get if you want to protect your health !

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Kathleen Janoski's avatar

No kidding. Covid proved your statement.

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Nikki (Gayle) Nicholson's avatar

Yeah, that is pretty common with elderly. The label of dementia and old gets attached to them, when it’s probably a UTI. First thing to look for.

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Kathleen Janoski's avatar

Terrible way to treat older folks.

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Robin Greer's avatar

Unfortunately if you visit nursing homes and assisted living facilities, you’ll see most are forgotten. It’s very sad. They are so happy to see a new face when you visit them.

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Robin Greer's avatar

Very common. I always ask if they were tested for UTI. But I my friend in assisted living let me know that the doctor charges $300 per person he talks to on any visit. He will literally spend less than 2 minutes per person and charge that amount. It’s highway robbery and sounds like Medicare fraud. But they know how to game the system

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Kathleen Janoski's avatar

When my mom was in a nursing home, her medications were provided by a company that had an incestuous relationship with this chain of nursing homes.

The meds were crazy expensive...more so than even if you were in the hospital.

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Robin Greer's avatar

She had a UTI herself and it took over a week to get meds

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Kathleen Janoski's avatar

I have a tendency to get UTIs when I travel internationally. Probably dehydrated, jet lagged, etc. After developing one outside of the US, and scrambling to find a doctor, I finally asked my PCP if I could have a "just in case" Rx to carry with me. It would eliminate the need to conquer a language barrier and relief can be started at the first signs of trouble so it doesn't spiral into a kidney infection, and possibly sepsis.

So, this is what I do. If you have had a UTI in the past, you know the symptoms.

Bactrim 2 pills per day for 3 days will knock it out.

Worst case scenario if a doctor is unwilling to oblige. Order the generic form of Bactrim from an online Indian pharmacy like AllDayChemist.

And for those of you who will criticize ordering Rx from an online Indian pharmacy, guess what, my last batch of blood pressure meds sent to me by the VA were manufactured in Bangladesh.

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Robin Greer's avatar

My mom had a standing order for that was well and she always kept some on hand.

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Kathleen Janoski's avatar

People who have recurrent UTIs are fully aware of when they are developing one. I wish more doctors would treat us like competent adults.

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LamedVav disavows all vaxes.'s avatar

Anyone use D-mannose?

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Kathleen Janoski's avatar

I purchased it one time from Amazon but I never used it.

Is it effective?

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