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Dr. Andrew Rynne

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Discomfort While Urinating. Prescribed Co-amoxiclav. Loose Stools. Necessary To Take 7 Day Course?

Hi i am 33 year old male - i was feeling uneasiness while urinating few days back. Even after urinating, i felt the urge to go more. I was prescribed co-amoxiclav by my GP for 7 days. However, after taking it for 4 days, i am having loose stools and am feeling sick. Is it necessary to take the course for 7 days or 4 days is enough?
Mon, 24 Dec 2012
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General Surgeon 's  Response
Hello!

Thank you for the query.

Usually when antibiotics therapy has been started, it should not be terminated. However in your case this antibiotic has caused side effect. You should consult your doctor again as he may have ordered another antibiotic with less side effects (amoxiciline is not the best one for utis - you may ask your doctor about Ciprofloxacine or Nitrofurantoine). Moreover, you should use some probiotics along with antibiotics so your intestines bacteria wont get eliminated.

Hope this will help.
Regards.
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Internal Medicine Specialist Dr. Aparna Amritsagar's  Response
Hello,
Thanks for writing to us.
Duration of medicines depends on whether your symptoms have gone or they still persist. If you are not having any urinary symptoms than the tablets can be stopped. If you are still having urinary infection than you need to continue with the antibiotics. Kindly consult your treating physician who will assess you clinically & decide whether there is need of antibiotics for you. He can also start some other antibiotic if you are having loose motion due to Co- amoxiclav.
Wish you good health.
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Nephrologist Dr. Aditya Bhabhe's  Response
Hi
Thanks for the query.
Ideally you should do a urine culture prior to starting antibiotics.
Also urine infection is rare in a young male. Thus if you have symptom again you need to see a physician who will do further tests to determine if you have some other medical issues leading to UTI.
Amoxiclav often produces diarrhoea as a side effect
So see your GP who can prescribe a different antibiotic.
Hope this helps.
Good luck.
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Urologist Dr. G.Srinivasan's  Response
Hi
Welcome to HCM
The course is enough.
If you continue to have symptoms, urine can be retested and different antibiotics can be started.
Best regards
DR GS
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Discomfort While Urinating. Prescribed Co-amoxiclav. Loose Stools. Necessary To Take 7 Day Course?

Hello! Thank you for the query. Usually when antibiotics therapy has been started, it should not be terminated. However in your case this antibiotic has caused side effect. You should consult your doctor again as he may have ordered another antibiotic with less side effects (amoxiciline is not the best one for utis - you may ask your doctor about Ciprofloxacine or Nitrofurantoine). Moreover, you should use some probiotics along with antibiotics so your intestines bacteria wont get eliminated. Hope this will help. Regards.