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[Sticky] UTI – urinary tract infection


Michael Gray MD JD
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Yes — telemedicine can commonly and safely treat uncomplicated urinary tract infections (UTIs), especially in adult females, non-pregnant patients with typical symptoms.

✅ What telemedicine can do for UTIs
🩺 Symptom-based evaluation

A clinician will review:

Burning or pain with urination

Urinary urgency and frequency

Suprapubic discomfort

Blood in urine (mild)

Prior UTI history

Pregnancy status

Fever, flank pain, nausea/vomiting (to rule out kidney infection)

Most uncomplicated UTIs are diagnosed based on symptoms alone.

🧪 Testing (when needed)

Telemedicine may:

Treat without testing if symptoms are classic and risk is low

Order a urinalysis and/or urine culture at a lab if:

Symptoms are atypical

Infections are recurrent

Initial treatment fails

Patient is male, pregnant, or higher risk

💊 Treatment

Telemedicine clinicians can prescribe:

Antibiotics (e.g., nitrofurantoin, TMP-SMX, fosfomycin—based on local resistance patterns)

Urinary pain relief (phenazopyridine)

Preventive advice (hydration, voiding habits)

Prescriptions are sent electronically to your pharmacy.

🚨 When in-person care is required

Telemedicine is not appropriate if there is:

Fever >101°F (38.3°C)

Flank or back pain (possible kidney infection)

Nausea/vomiting preventing oral meds

Pregnancy

Male patients with first-time UTIs

Blood clots in urine

Symptoms of sepsis or severe illness

🧠 Why UTIs are ideal for telemedicine

Highly symptom-driven

Clear diagnostic criteria

Standardized treatment protocols

High patient satisfaction

Fast symptom relief

⚠️ Important notes

Recurrent UTIs may need cultures or urology referral

Antibiotic choice may differ by state and local resistance

Follow-up is important if symptoms persist after 48–72 hours

✅ Bottom line

✔ Yes — telemedicine is one of the most common and effective ways to treat uncomplicated UTIs.


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