- Integral Medicine | Alexander Smithers M.D., A.P.1014 N. East Ave.
Sarasota, Fl. 34237941-444-6336 - 1014 N. East Ave.
Sarasota, Fl. 34237941-444-6336 - Testimonials
Dear Dr. Smithers,
This letter is to thank you for your caring, skills and services. Having Reflex Sympathetic Dystrophy for over five years was pure misery. I visited over 30 doctors in over a dozen states. I scoured the computer for the best of the best, which included university professors and authors on Prolotherapy and Orthopedics. Four of those even taught Prolotherapy while others focused on Stem Cells. I even received advice on the countries leading scientist on cartilage.... Read more »
Doctor Alex has been treating me for severe gut issues. I was tired of going to doctors that didn’t listen to me and would just prescribe a pill not ever trying to get to the real issues I was having. Dr. Alex has listened and treated me holistically and I am feeling great!! Thank you for everything Dr. Alex.
Hi
I had Prolozone therapy with Dr Alex Smithers. My knees and thumbs were injected due to meniscus issues in my knees and arthritis in my thumbs. Dr Alex was wonderful. He’s very gentle, kind and patient. I’m a very nervous patient and he took his time with me and did his best to make sure I was comfortable. I’m feeling better and continue to expect more and more improvement. I highly recommend Dr Alex and his staff. They... Read more » - Testimonials
Dear Dr. Smithers,
I just wanted to thank you for treating my trigeminal neuralgia pain.
In May of 2012 I hit my head on a concrete ledge resulting in severe head trauma with unusual and very painful symptoms that followed—throbbing, knife stabbing, severe tension in and around my head, constant clicking noise, and my soft palate in continual motion. I was first diagnosed with TMJ for which I was given an appliance to align my jaw. Which did not take away the severe pain... Read more »
I had been suffering from chronic neck and shoulder pain for almost 2 decades. I tried chiropractic and acupuncture, which didn’t do anything for my pain. Using essential oils and CBD would help, but that was a temporary fix. Through an online documentary, I found this clinic in Sarasota. Meeting Dr. Smithers was the best thing that ever happened to me. He’s not just a very competent doctor, he’s also very compassionate and patient. He’s extremely knowledgeable and well read,... Read more »
I couldn’t be happier with the treatment I received from Dr Smithers. I had been having knee pain for several months, making it difficult to walk for an extended period of time. I finally decided to have Dr Smithers look at it, and he decided to do prolotherapy. After a few treatments, the pain was completely gone. I’m thrilled to have found this clinic! And I highly recommend Dr Smithers!
Hi
I had Prolozone therapy with Dr Alex Smithers. My knees and thumbs were injected due to meniscus issues in my knees and arthritis in my thumbs. Dr Alex was wonderful. He’s very gentle, kind and patient. I’m a very nervous patient and he took his time with me and did his best to make sure I was comfortable. I’m feeling better and continue to expect more and more improvement. I highly recommend Dr Alex and his staff. They... Read more »Doctor Alex has been treating me for severe gut issues. I was tired of going to doctors that didn’t listen to me and would just prescribe a pill not ever trying to get to the real issues I was having. Dr. Alex has listened and treated me holistically and I am feeling great!! Thank you for everything Dr. Alex.
I would highly recommend Dr. A. Smithers if you are considering an alternative to orthopedic surgery. My shoulder has been in pain for months and after finding out I have some rotor cuff tears, I decided to pursue Prolotherapy with Dr. A. Smithers. The result so far has been outstanding! The first night after the shots was still painful, but woke up the next morning and pain was almost completely gone. I was equally impressed with his attentiveness to answering... Read more »
What We Treat
Why You Keep Getting UTIs Even After Antibiotics — And What’s Really Going On
It can be incredibly frustrating to experience a urinary tract infection (UTI) that just won’t go away, especially after completing a course of antibiotics. You might wonder, “Why do I keep getting UTIs even after antibiotics?” This is a common concern, and understanding the underlying reasons is key to finding effective solutions. This article delves into the complexities of recurrent UTI after antibiotics, exploring potential chronic UTI causes, the issue of antibiotic-resistant UTI, the role of UTI biofilm, and effective natural UTI treatment options. Understanding why UTIs persist after treatment is crucial.

The Limitations of Antibiotics
While antibiotics are the standard treatment for UTIs, they aren’t always a silver bullet. Several factors can contribute to a UTI’s recurrence even after a full course of medication:
- Incomplete Eradication: Sometimes, the antibiotic may not fully eliminate all the bacteria, especially if the infection is deep-seated or if the bacteria have started developing resistance.
- Antibiotic Resistance: With the overuse and misuse of antibiotics, bacteria are becoming increasingly resistant to common treatments. This means the prescribed antibiotic might no longer be effective against the specific strain causing your UTI.
- Biofilm Formation: Bacteria can form a protective layer called a biofilm on the urinary tract lining. This slimy matrix shields them from the immune system and antibiotics, making them incredibly difficult to eradicate. This is a significant factor in UTI biofilm related infections.
- Underlying Health Conditions: Conditions like diabetes, kidney stones, or structural abnormalities in the urinary tract can make individuals more susceptible to recurrent UTIs.
- Reinfection: Sometimes, it’s not a recurrence of the same infection but a new infection with a different bacterial strain, often due to factors like sexual activity or poor hygiene.
Exploring Chronic UTI Causes
When UTIs become a recurring problem, it’s essential to investigate potential chronic UTI causes. Beyond the factors mentioned above, consider:
- Weakened Immune System: A compromised immune system may struggle to fight off even minor bacterial invasions.
- Hormonal Changes: Particularly in postmenopausal women, decreased estrogen levels can lead to changes in the vaginal flora, increasing UTI risk.
- Inadequate Fluid Intake: Not drinking enough water can prevent the urinary tract from flushing out bacteria effectively.
The Challenge of Antibiotic-Resistant UTI
The rise of antibiotic-resistant UTI strains is a growing global health concern. When standard antibiotics fail, it necessitates exploring alternative and complementary approaches. This is where understanding UTI biofilm becomes critical, as these structures are notoriously difficult for antibiotics to penetrate.
Biofilms protect bacteria from antibiotics.
Natural UTI Treatment Options
For those seeking natural UTI treatment or complementary therapies, several options show promise:
- D-Mannose: This sugar molecule can prevent certain bacteria, like E. coli, from adhering to the urinary tract walls.
- Cranberry Extract: While its effectiveness is debated, some studies suggest cranberry compounds can help prevent bacterial adhesion.
- Probiotics: Restoring a healthy balance of bacteria in the gut and vaginal flora can help prevent UTIs.
- Hydration: Drinking plenty of water is fundamental to flushing out bacteria.
- Ozone Therapy: Emerging research suggests ozone therapy may be effective against certain bacteria and biofilms. For targeted support, consider exploring ozone suppositories, which offer a localized approach to combating persistent infections.
- CYSTICURE: CystiCure delivers our physician-formulated ozonated herbal oil directly to the bladder wall. This targets the root causes of IC and recurrent UTI at the source: biofilm, inflammation, and compromised mucosal lining.
When to Seek Further Medical Advice
If you are experiencing recurrent UTIs, it is crucial to consult with a healthcare professional. They can help identify the specific cause, rule out underlying conditions, and recommend the most appropriate treatment plan. For comprehensive information on urinary health and related conditions, you may find our Interstitial Cystitis (IC) page informative.
Don’t let recurrent UTIs disrupt your life. By understanding the causes and exploring effective treatment options, you can regain control of your urinary health.