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About Charles Cusumano, PA-C, DFAAPA
Expertise
I`m a Physician Assistant in medical practice since 1975. I`m a nationally certified Physician Assistant and am a nationally credentialed Family Medicine Practitioner. I was also honored as a Distinguished Fellow in the AAPA.

Experience
Radiologic Technologist 1963-1973; Training in Hand and Upper Extremity Microvascular Surgery at the Mayo Clinic; and injury of the hand and upper extremity. I have taught pediatric ambulatory trauma. I'm ACLS certified. I serve as Honorary Chairman from Kentucky to the Republican National Congressional Committee Physician Advisory Board.

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AAPA, KAPA

Awards and Honors
Distinguished Fellow American Academy of Physician Assistants

 
   

You are here:  Experts > Health/Fitness > Women's Health > Family, Internal Medicine, General Medical Questions > uti since May, breastfeeding

Family, Internal Medicine, General Medical Questions - uti since May, breastfeeding


Expert: Charles Cusumano, PA-C, DFAAPA - 7/23/2007

Question
It's July now and I've had a uti that won't go away since May.  I take the antibiotics for the entire duration and got recultured at end of three different abx regimens (macrobid 7 days...keflex 7 days...macrobid 10 days) positive for e coli.  My obgyn wants me to take macrobid post intercourse on a regular basis, but to do that preventive regimen, shouldn't we first clear up the original infection?  Are there any stronger abx I could take while breastfeeding?  During the abx course, my symptoms go away & urine is very clear, but 2 days later the problem returns.

Answer
Hi Avery,
There may be another cause for the protracted UTI. Are you currently having intercourse? This can cause continued infection. There are only so many types of antibiotics that can be taken while breast feeding, so a stronger one may not be the best thing. You may need a urologic evaluation to determine the cause for this UTI that won't go away.

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