Parkinson s Disease, post lymphatic cancer, spotting. Prescribed trimethriprin. Is it urine infection?
Patient: my mother is 84. She has Parkinson s Disease and is post lymphatic cancer. I have noticed some blood spotting on her sanitary pad - from her vagina. She visited her doctor and has been prescribed trimethriprin - a 3 day course which has now finished - she was having trouble urinating and it was thought she had a urine infection. But the blood spotting has not stopped. I plan to call the doctor again tomorrow morning but what would you advise? SMT Doctor: Hi and welcome to HCM. Well you should first rule out is it blood fom vagina or urethra. iN first case this can be endometrial disorder which isnt uncommon in her age. She should do gyn workup to rule out endometrial atrophy or vaginal wall disorders. Also she should do urine analysis and kidney function tests including ultrasounds to evaluate is there kidney damage. Everything will be more clear after this. Wish you good health.