Conversation: The conversation between human and AI assistant.
[|Human|] Hi Sir / Madam,My Dad (Mr. Maruti M.Shirodkar) is suffering from Parkinson since last 10 years, however along with PD he is going through a rough patch of having E-coli bacteria in urine at regular interval. We had operated him for prostrate twice, however have noticed that he is not able to pass his urine completely and because of this bacteria (E-coli) is found in his urine. Intake of antibiotics help to reduce the count of bacteria, however after a interval this antibiotics become resistance to it. Please suggest in this scenario which doctor I need to consult a urologist or a nephrologist, also is there a permanent solutions for the same. A urologist also said that his urinary bag in body may have got weak because of which he is not able to vacate urine completely Regards,Ameet Shirodkar
[|AI|]  Hello there, I am Chat Doctor. I feel that better you consult a urologist. You can consult nephrologist also no problem in that also. Now e.cold is most common infecting organism in urinary tract. Problem is right that bladder is weakened and prostate is operated so normal urinating mechanism is compromised now, so it is the reason why recurrent infection is happening. Every time you go for culture & sensitivity test, and we need to follow sensitivity pattern. Long term uses of one antibiotic can cause resistance, so we need to change antibiotic according to report. But you need to be vigilant when there is infection showing by increase in frequency, burning, pain, fever or any other symptoms. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating according to your satisfactory level. Thanking you.