Elderly man (84 yrs.) showing symptoms of severe kidney infection: Lethargic, very frequent trips to restroom w/only a small amount of very dark urine w/a strong odor, little to no appetite, intermittent confusion, wants to sleep all the time whereas before this past week he s active, independent, and has a healthy appetite. What would be the strongest antibiotics to target this for his age? I am his primary caregiver 24/7 and am concerned. He is healthy and active @ this age only going for 6 month check-ups w/no chronic illnesses.
HelloThanks for query. Your patient has UTI secondary to bladder outlet obstruction due to Enlarged Prostate. He needs to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Serum PSA. In he meanwhile starts him Please take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and Tamsulosin once daily . Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. 