Ep 77 – Recurrent urinary tract infection

FromGPnotebook Podcast

Start listening View podcast show

Ep 77 – Recurrent urinary tract infection

FromGPnotebook Podcast

ratings:

Length:

20 minutes

Released:

Aug 16, 2023

Format:

Podcast episode

Description

In this podcast, Dr Kate Chesterman discusses recurrent urinary tract infection (UTI). She covers the pathophysiology, some risk factors for UTI recurrence and treatment options including lifestyle changes and the use of antimicrobials. She also focuses on non-antimicrobial management, including the current advice regarding the use of probiotics, cranberry products, D-mannose and methenamine hippurate.

Released:

Aug 16, 2023

Format:

Podcast episode

Titles in the series (100)

The GPnotebook Podcast is a bite-sized, regular chat for all healthcare professionals working in primary care. Episodes cover clinical tips and hot topics.

Skip carousel

Ep 8 – Tips and hacks on the diagnosing & management of gout in primary care: Dr Kevin Fernando explains why the thinking around gout needs to change, along with common questions in relation to its management in primary care. What lifestyle advice should be given? When should urate-lowering therapy be offered, by GPnotebook Podcast
15 min listen
Ep 16 – Diabetes and COVID-19 related mortality in England: an interview with Partha Kar: Kevin discusses the findings of NHS research on COVID-19 in people with diabetes with study author Professor Partha Kar, National Specialty Advisor – Diabetes with NHS England. by GPnotebook Podcast
15 min listen
Ep 9 – Tips and hacks on diagnosing and managing osteoporosis in primary care: Kevin considers the challenges related to managing osteoporosis in the context of conflicting clinical guidelines, including who to assess for fracture risk, who to treat (and with what agent) and how long to treat individuals for. by GPnotebook Podcast
23 min listen
$Ep 9 – Tips and hacks on diagnosing and managing osteoporosis in primary care: Kevin considers the challenges related to managing osteoporosis in the context of conflicting clinical guidelines, including who to assess for fracture risk, who to treat (and with what agent) and how long to treat individuals for.$
Ep 2 – Diagnostic dilemmas and classification conundrums in diabetes: Dr Kevin Fernando takes us through brief case scenarios to illustrate diagnostic tips and pitfalls in primary care. by GPnotebook Podcast
17 min listen
Ep 1 – Abnormal liver blood test: Kevin discusses interpretation and management of mildly abnormal liver blood tests in primary care. What are the possible causes? And what should the next step be? by GPnotebook Podcast
15 min listen
Ep 12 – Vitamin B12 supplementation during the COVID-19 pandemic: Kevin covers recently updated guidance from the British Society for Haematology on managing vitamin B12 supplementation in primary care within the context of the pandemic. by GPnotebook Podcast
4 min listen
Ep 10 – COVID-19: could nasal irrigation reduce transmission, and is there a role for anosmia in screening?: Kevin discusses evidence-based practical advice to potentially reduce transmission of coronavirus, in the form of nasal irrigation and gargling with saline solution. by GPnotebook Podcast
7 min listen
Ep 39 – Early detection of cancer in primary care: what role for the Galleri test?: In this episode, Dr Kevin Fernando and Dr Jim McMorran discuss the ongoing NHS-Galleri trial. The study, which is being conducted among 140,000 asymptomatic patients in England, will assess whether th by GPnotebook Podcast
18 min listen
Ep 3 – Obstructive sleep apnoea in children: Dr Kevin Fernando discusses detection and management of the condition in primary care, including how presentation in children differs from that in adults. by GPnotebook Podcast
8 min listen
Ep 4 – Tips and hacks on managing hypertension in primary care including NICE NG136 key messages: Dr Kevin Fernando summarises the key points for primary care from the NICE guideline update. by GPnotebook Podcast
18 min listen
Ep 5 – Tips and hacks on the use of ESR & CRP in primary care: Dr Kevin Fernando considers the optimal use of these tests: can we reduce unecessary testing, unecessary referrals and primary care workload? by GPnotebook Podcast
13 min listen
Ep 11 – British Society for Rheumatology guidance, DMARDs, steroid therapy and COVID-19: Kevin covers helpful BSR guidance including a risk stratification and scoring grid for those with rheumatological conditions who are receiving immunosuppressive therapies, and considers which patients should be advised to practice shielding. by GPnotebook Podcast
7 min listen
Ep 7 – Appropriate use and safety profile of SGLT2 inhibitors: Dr Kevin Fernando provides a practical overview of the utility of sodium–glucose cotransporter 2 inhibitors, focusing on dosing, cardiovascular and renal safety and the management of adverse events, including dehydration and genital infections. by GPnotebook Podcast
20 min listen
Ep 15 – Sick day guidance for diabetes drugs and the management of hypoglycaemia: Kevin discusses what to do with each of the commonly used classes of diabetes drugs during intercurrent illness – a topic of particular relevance during the COVID-19 pandemic. Are these medications safe to continue? If so, is dose titration required? by GPnotebook Podcast
15 min listen
Ep 6 – Top 10 tips and hacks from GPnotebook Clinics 2019: Have your notebooks at the ready as Dr Kevin Fernando rounds off 2019 with tips on topical oestrogen, mirtazapine prescribing, symptoms associated with withdrawal of varenicline, valvular atrial fibrillation and gout, among others. by GPnotebook Podcast
15 min listen
Ep 19 – Investigating vitamin B12 deficiency and pernicious anaemia in primary care: In this episode, Kevin examines some common questions regarding vitamin B12 deficiency. In whom should we suspect it? What investigations should be carried out in primary care? How is it associated with folate deficiency? by GPnotebook Podcast
18 min listen
Ep 14 – Primary adrenal insufficiency, long-term steroid use and COVID-19 infection: Kevin discusses some helpful and important clinical guidance on the prevention of adrenal crisis during the pandemic. Notably, this includes not only those patients with primary adrenal insufficiency but also all of those patients on long-term steroid ... by GPnotebook Podcast
9 min listen
Ep 21 – Managing unexplained high platelet counts in primary care: In this episode, Kevin discusses thrombocytosis in the context of suspected cancer. How should an unexplained high platelet count be interpreted and managed in primary care? Which cancers are most commonly associated with thrombocytosis? by GPnotebook Podcast
17 min listen
Ep 31 – Diagnosing and managing Addison’s disease in primary care: In this episode, Kevin discusses the case of Louise, a 19-year-old who has been living with type 1 diabetes for the last 12 years and hypothyroidism for the last 8 years. She presents to us in primary care with a history of recurring unexplained hypogl... by GPnotebook Podcast
22 min listen
Ep 17 – Diabetes special: round-up from the ADA 2020 virtual congress: Kevin is joined by Drs Patrick Holmes, Amrit Lamba and Amar Puttanna to discuss the key take-home points from last week’s American Diabetes Association Virtual Scientific Sessions congress. by GPnotebook Podcast
55 min listen
Ep 40 – Identifying and supporting people with binge-eating disorder: In this episode, Dr Kate Chesterman discusses binge-eating disorder. She explores the defining characteristics of the condition and highlights the importance of referring to eating disorder services f by GPnotebook Podcast
8 min listen
Ep 54 – Ten practical tips for sustainability in primary care: Back in 2009, the conclusion of the first Lancet Climate Change Commission was that Climate change is the biggest global health threat of the 21st Century. In response to this, in October 2020, the by GPnotebook Podcast
18 min listen
Ep 29 – Investigations for chronic kidney disease in primary care: In this episode, which has been recorded for Chronic Conditions Month 2021, Dr Yassir Javaid (Cardiovascular and Diabetes Clinical Lead, Nene CCG) and Dr Kevin Fernando (GP Partner at North Berwick Health Centre and Education Director for GPnotebook Ed... by GPnotebook Podcast
29 min listen
Ep 13 – Effective contraception provision during the COVID-19 pandemic: Kevin summarises recommendations from the Faculty of Sexual and Reproductive Healthcare to help support women with contraceptive requirements as primary care cuts back on non-essential face-to-face contact to reduce viral transmission. by GPnotebook Podcast
8 min listen
Ep 22 – Diagnosis and management of vertigo in primary care: In this episode, Kevin discusses the case of Lyndsey: a 44-year-old lady who presents to us in primary care with recurrent dizzy episodes over the last month. Lyndsey feels like her head is spinning. She feels nauseated with these episodes, by GPnotebook Podcast
26 min listen
Ep 38 – Undescended testes in infants: In this episode, Dr Kate Chesterman discusses the finding of an undescended testicle at the 6-week baby check. She considers the possible diagnoses and associated risks. Kate also takes us through the by GPnotebook Podcast
11 min listen
Ep 37 – Identifying and managing familial hypercholesterolaemia: In this episode, Dr Kevin Fernando considers the case of Juliana, a 43-year-old journalist who requests a cholesterol check because her father experienced a heart attack in his early 50s. She has no p by GPnotebook Podcast
14 min listen
Ep 44 – Latest thinking and evidence on chronic kidney disease: In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Yassir Javaid (Cardiovascular and Diabetes Lead, Northamptonshire CCG) and Dr Patrick Holmes (GP, Darlington) examine the by GPnotebook Podcast
22 min listen
Ep 33 – Superficial venous thrombosis in primary care: In this episode, Kevin considers the diagnosis and management of superficial venous thrombosis. Lesley is a 64-year-old woman who presents to us with a sore, itchy right leg and no past medical history of note. On examination, she has a tender, hard, by GPnotebook Podcast
9 min listen
Ep 35 – Subclinical hyperthyroidism in primary care: In this episode, Dr Kevin Fernando discusses diagnostic and management tips – as well as pitfalls to avoid – related to subclinical hyperthyroidism. Fatima is a 71-year-old woman who presents in primary care with non-specific malaise and a past medical... by GPnotebook Podcast
12 min listen

More Episodes from GPnotebook Podcast

Skip carousel

Ep 104 – Rheumatoid arthritis by GPnotebook Podcast
17 min listen
Ep 103 – Primary prevention of cardiovascular disease: what has changed in QRISK3 and why? by GPnotebook Podcast
13 min listen
Ep 102 – Diverticular disease by GPnotebook Podcast
18 min listen
Ep 101 – Coeliac disease by GPnotebook Podcast
16 min listen
Ep 100 – Alcohol and health: a review of the latest research by GPnotebook Podcast
11 min listen
Ep 99 – Assessment and management of obesity by GPnotebook Podcast
23 min listen
Ep 98 – Recurrent vulvovaginal candidiasis by GPnotebook Podcast
16 min listen
Ep 97 – Peptic ulcer disease by GPnotebook Podcast
17 min listen
Ep 96 – Dysphagia by GPnotebook Podcast
13 min listen
Ep 95 – Trigeminal neuralgia by GPnotebook Podcast
13 min listen
Ep 94 – Anal fissures by GPnotebook Podcast
13 min listen
Ep 93 – Haemorrhoids by GPnotebook Podcast
13 min listen
Ep 92 – Digital wellbeing for patients by GPnotebook Podcast
35 min listen
Ep 91 – Lateral hip pain by GPnotebook Podcast
16 min listen
Ep 90 – Digital wellbeing for clinicians by GPnotebook Podcast
34 min listen
Ep 89 – Bowen’s disease by GPnotebook Podcast
14 min listen
Ep 88 – Obsessive–compulsive disorder by GPnotebook Podcast
13 min listen
Ep 87 – Depression in adults by GPnotebook Podcast
15 min listen
Ep 86 – Inflammatory marker testing by GPnotebook Podcast
18 min listen
Ep 85 – Hyperhidrosis by GPnotebook Podcast
14 min listen
Ep 84 – Testosterone deficiency by GPnotebook Podcast
11 min listen
Ep 83 – Management of dry skin conditions in skin of colour by GPnotebook Podcast
15 min listen
Ep 82 - Pityriasis capitis (dandruff) by GPnotebook Podcast
13 min listen
Ep 80 – Altitude medicine: heightening understanding of “travel consultations” by GPnotebook Podcast
30 min listen
Ep 79 – Child mental health by GPnotebook Podcast
32 min listen
Ep 78 – The 6-week baby check by GPnotebook Podcast
25 min listen
Ep 76 – Passing the test of testosterone replacement: menopause and hormone replacement therapy (part 2): In this follow-up to episode 52, Dr James Waldron and Mr Sam Dobson (Consultant Gynaecologist, Sub-specialist in Reproductive Medicine and BMS-accredited Menopause Specialist) consider the impact of menopause on libido. by GPnotebook Podcast
20 min listen
Ep 75 – Expedition medicine (part 2): The call to adventure is felt by many and general practice is a career that can take you there! As GPs grow their portfolios, they look for interesting and unusual ways to forge their own paths. This can take them all round the world (and back again). by GPnotebook Podcast
22 min listen
Ep 74 – Paediatric dietary allergy: In this episode, Dr Kate Chesterman is joined by Dr Alex Brightwell (Consultant Paediatrician with a specialism in allergy) and Liz Ingham (Lead Paediatric Allergy Dietician), both of whom work at the Norfolk and Norwich University Hospital. Together, by GPnotebook Podcast
24 min listen

Related podcast episodes

Skip carousel

Ep. 42 Recurrent UTIs: Controlling Those Nasty Little Bladder Infections with Dr. Anne Cameron: In this crossover episode of BackTable OBGYN with Urology, Dr. Suzette Sutherland, Director of Female Urology at the University of Washington, and Dr. Anne Cameron, Professor of Urology at the University of Michigan, share their insights on the prevention and management of urinary tract infections (UTIs). by BackTable OBGYN
69 min listen
Ep. 144 Recurrent UTIs: Controlling Those Nasty Little Bladder Infections with Dr. Anne Cameron: In this crossover episode of BackTable OBGYN with Urology, Dr. Suzette Sutherland, Director of Female Urology at the University of Washington, and Dr. Anne Cameron, Professor of Urology at the University of Michigan, share their insights on the prevention and management of urinary tract infections (UTIs). by BackTable Urology
69 min listen
183 - Urinary tract infections in women with Professor Chris Harding: Professor Chris Harding is a Consultant Urologist working at the Freeman Hospital in Newcastle upon Tyne and at Newcastle University. He has a particular interest in bladder dysfunction, continence and urinary tract infections (UTIs). In recent years... by The Dr Louise Newson Podcast
33 min listen
#9: C diff, and fecal transplants: Doctors Matthew Watto, Stuart Brigham, and Tony Sidari: Internal Medicine Podcast for Primary Care, Family Medicine by The Curbsiders Internal Medicine Podcast
52 min listen
Episode #84: Life After Mold with Dr. Lauren Tessier, ND: Why You Should Listen: In this episode, you will learn about mold illness, Chronic Inflammatory Response Syndrome (CIRS), and "Life After Mold". About My Guest: My guest for this episode is Dr. Lauren Tessier. Lauren Tessier, ND is a Naturopathic... by BetterHealthGuy Blogcasts
76 min listen
Ep. 305 Dispelling Myths About Breast Cancer with Dr. Jenn Simmons by Everyday Wellness
60 min listen
Episode #96: Cancer with James Templeton by BetterHealthGuy Blogcasts
86 min listen
Ep. 169 Why Should You Care About Your Metabolic Health? Empowering a Deep Understanding of Our Bodies with Dr. Casey Means by Everyday Wellness
63 min listen
What happens if we don't treat uncomplicated UTIs with antibiotics? by BJGP Interviews
11 min listen
Dr. Jen Gunter: The Science, Medicine and Mythology of Menstruation: Dr. Jen Gunter, called "the world's most famous and outspoken gynecologist” by The Guardian, returns to The Commonwealth Club in San Francisco to apply her myth-busting, no-nonsense approach to discussing menstruation. by Commonwealth Club of California Podcast
63 min listen
Endocrine Toxicities: Management of irAEs Guideline (Part 6): An interview with Dr. Jennifer Mammen from Johns Hopkins University, author on “Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: ASCO Guideline Update.” She discusses the identification,... by ASCO Guidelines
14 min listen
Episode 006 - Dr Gianluca Ianiro – the concept of the microbiome clinician, intestinal microbiota transfer, the future of microbial therapeutics: Learn more about the podcast - https://insidematters.health/ We talk with Dr Gianluca Ianiro about the concept of the microbiome clinician, intestinal microbiota transfer, and the future of microbial therapeutics Dr Gianluca Ianiro, is a gastroentero... by Inside Matters
75 min listen
E377 Why Does My Period Hurt So Much? How To Stop Period Pain & Treat Endometriosis Holistically by Super Woman Wellness by Dr. Taz
15 min listen
Episode #197: Toxoplasmosis with Dr. Eboni Cornish, MD: Why You Should Listen: In this episode, you will learn the role of Toxoplasmosis in chronic illness and approaches for addressing it. About My Guest: My guest for this episode is Dr. Eboni Cornish. Eboni Cornish, MD, a highly regarded... by BetterHealthGuy Blogcasts
106 min listen
#328 Updates in Hospital Medicine, Primary Care, Breast Health, Sexual Health, Addiction Medicine, Meded and more! Highlights from #SGIM22 by The Curbsiders Internal Medicine Podcast
80 min listen
Immunotherapy Side Effects: Jennifer Litton, MD, explains how immunotherapy medicines work, side effects that are unique to immunotherapies, and how to talk to your doctor about these side effects. by Breastcancer.org Podcast
21 min listen
Finding Things Out: The story of how science has been trying to get better at finding things out. by Analysis
28 min listen
Episode 300: Dr. Andrew Mente: Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Andrew Mente received his doctoral degree in Epidemiology from the University of Toronto. He completed post-doctoral training in cardiovascular epidemiology at McMaster... by Low Carb MD Podcast
62 min listen
Why the Gut Microbiome Matters: Understanding How andldquo;Inner Workingsandrdquo; Affect Canine and Feline Health with Dr. Jenessa A. Winston | VETgirl Veterinary Continuing Education Podcasts by VETgirl Veterinary Continuing Education Podcasts
32 min listen
Is Metformin a Miracle Drug? w/Nelson Vergel: Metformin is one of the oldest and most studied drugs on earth, but a lot of people in the medical community are still hesitant to prescribe it. What are the benefits of this drug for people with different health problems and needs? What does it do... by The Jay Campbell Podcast
82 min listen
Episode #158: Chronic UTIs and Interstitial Cystitis with Ruth Kriz, MSN, APRN: Why You Should Listen: In this episode, you will learn about chronic UTIs and Interstitial Cystitis. About My Guest: My guest for this episode is Ruth Kriz. Utilizing her functional medicine background as well as experience in microbiology and... by BetterHealthGuy Blogcasts
115 min listen
How to Break Out of the Sick Care Model w/Dr. Merrill Matschke: The sick care system has failed society, making us more sick and less fertile. What is the solution to this crisis? How can we make the future better for the population? What is causing the chronic testosterone imbalance plaguing so many men? On this... by The Jay Campbell Podcast
88 min listen
553: Metabolic Therapies: How to Prevent & Treat Cancer (Starve It!) | Dr. Dominic D’Agostino: Watch the full video interview on YouTube here: Dr. Dominic D’Agostino (IG: is a tenured Associate Professor at the University of South Florida (USF) Morsani College of Medicine in the Department of Molecular Pharmacology and Physiology. He... by The Ultimate Health Podcast
124 min listen
Empowering Patients to “Age Healthy” With HIV: At a certain point, we must ask our patients with HIV, “How do you want to age?” The best thing we can do is make sure they know we truly care for them and, of more importance, to make sure our patients learn how to love themselves. by CCO Infectious Disease Podcast
9 min listen
44: Making Your Microbiome a Lush Diverse Rainforest with Dr. Tracey Beaulne: Today, Joy welcomes Dr. Tracey Beaulne ND, R. AC, to the podcast for a very important discussion about gut health and the microbiome. Tracey has almost two decades of experience in integrative healthcare, and is a leader in separating the truth in... by The Joyous Health Podcast
63 min listen
Cancer Topics - ASCO Guidelines: Antimicrobial Prophylaxis for Adult Patients with Cancer-Related Immunosuppression Guideline: ASCO Guidelines: Antimicrobial Prophylaxis for Adult Patients with Cancer-Related Immunosuppression Guideline by ASCO Education
11 min listen
TMHS 180: The Microbiome Solution - With Dr. Robynne Chutkan: Hippocrates said that, “All disease begins in the gut.” Sure there are some other potential factors for the onset of illness, but for the man considered to be the father of modern medicine to say this, it’s definitely something that we need to... by The Model Health Show
67 min listen
1056. Fungal Woes – Part 1: The CDC in the United States is reporting that deadly fungal infections are growing at an alarming rate. The cause is iatrogenic, meaning it’s caused by medicine, and in this case they’re referring to the overuse of antibiotics. Dr. Martin isn’t... by The Doctor Is In Podcast
30 min listen
A Functional Medicine Approach To Curing Crohn’s And Colitis with Dr. George Papanicolaou by The Doctor's Farmacy with Mark Hyman, M.D.
42 min listen
Longevity, Epigenetics, Microbiome Health & The Difference Between Eating for Long-Term Wellness Versus Performance: “We’re actually on the verge of serious antibiotic resistance cropping up, and that is scary. It’s absolutely terrifying.” Rhonda Patrick... by The Rich Roll Podcast
140 min listen

Discover this podcast and so much more

Ep 77 – Recurrent urinary tract infection

Ep 77 – Recurrent urinary tract infection

Description

Titles in the series (100)

More Episodes from GPnotebook Podcast

Related podcast episodes