Dr. Ron,

BP problems are common with SCI, whether it be attributed to a UTI, bowel
issue, skin sore, and positioning (laying flat or sitting upright) to name
several. When I have a bad UTI, my BP typically plummets. I spent 5 days in
the hospital last month with a bad UTI that went septic and caused septic
shock and dropped my blood pressure dangerously low.

I have been on and off of prophylactic antibiotics for UTI prevention
during the 28 years of my injury. It's always a low dose (half or less the
usual) ranging from as often as daily to as little as twice a week
depending on the urologist (I've had 3 over the years). One thing each
urologist agreed on is if you opt for taking a prophylactic antibiotic, it
should be changed periodically, perhaps every 3, 6, or at least 12 months
to prevent your body from developing resistance to it.

I have periodically used cranberry tablets in various dosages throughout my
years of injury. I frankly have no idea whether they help or not. If they
are affordable for you they cannot hurt.

The absolute best things for UTI prevention are using good sterile/hygiene
practices and a routine schedule of catheter changes and irrigation if
applicable.

I hope this helps…

Steve - C4, 28 years

P.S. I'm not a doctor, but I have stayed at a Holiday Inn (if you remember
the commercials). :-)

On Fri, Mar 25, 2016 at 6:46 PM, Dr.Ron and Sharion Austin <
[email protected]> wrote:

> My wife SCI C5 is back in the hospital with AD very high BP and a UTI.
> Her BP has been as high as 200/100 and as low as 60/30 in the same day.
> Seems like  a UTI is a common thread when things get acute.  Here is the
> question- is BP problems a common symptom with SCI?  Is the UTI a major
> cause of AD?
> Has anyone tried a low dose of antibiotic/daily as a preventive med?  What
> about a concentrated cranberry tablet?
> Thanks for any help
>
>
> --
> Living in God's Grace
> Ron
>

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