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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Mild Sore Throat And Painful Urination

I woke up this morning with a very mild sore throat. Also with painful urination, particularly at the beginning. Urine doesn t look different, normal stream (maybe spraying out a little). As the day has gone on, the sore throat has come and gone and stayed mild. Urination pain may be a little worse. My legs, calves, feet and back (mostly lower having been aching, getting worse as the day has gone on. 1st concern was an STD, but flu symptoms seem like a big coincidence to have at the same time. (No dripping fluid or itching, just mild burn)
Mon, 3 Oct 2016
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General & Family Physician,  's  Response
This is mostly due to urinary tract infection. You have not written your age and gender.
Advice
1.     Ciprofloxacin 500 mg per oral every 12 hours for 7 days
2.     You can change antibiotic after culture and sensitivity report of urine
3.     Syrup alkaline citrate 2 teaspoonful three times daily for 1 week
4.     Drink plenty of water to flush out bacteria
5.     Drink cranberry and other fruits juice
6.     Do not hold your urine. Urinate when you feel
7.     Wipe from front to back after bowel movements
8.     Urinate after having sex to flush bacteria
9.     Use condom during sex to prevent STD
10.     Investigations:
a.     R/E of urine
b.     C/S of urine
c.     Total & differential count of WBC
For sore throat
1.     Gargle with chlorhexidine mouth wash every 6 hours
If you have any history of recent unprotected sexual intercourse with escort then I suggest you to get tested for common sexually transmitted infections:
1.     Investigations
a.     VDRL
b.     HIV SCREENING
c.     HCV DNA screening
d.     HBsAg
I hope this information will help you. I will be happy if you ask another question
Thanks
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Suggest Treatment For Mild Sore Throat And Painful Urination

This is mostly due to urinary tract infection. You have not written your age and gender. Advice 1. Ciprofloxacin 500 mg per oral every 12 hours for 7 days 2. You can change antibiotic after culture and sensitivity report of urine 3. Syrup alkaline citrate 2 teaspoonful three times daily for 1 week 4. Drink plenty of water to flush out bacteria 5. Drink cranberry and other fruits juice 6. Do not hold your urine. Urinate when you feel 7. Wipe from front to back after bowel movements 8. Urinate after having sex to flush bacteria 9. Use condom during sex to prevent STD 10. Investigations: a. R/E of urine b. C/S of urine c. Total & differential count of WBC For sore throat 1. Gargle with chlorhexidine mouth wash every 6 hours If you have any history of recent unprotected sexual intercourse with escort then I suggest you to get tested for common sexually transmitted infections: 1. Investigations a. VDRL b. HIV SCREENING c. HCV DNA screening d. HBsAg I hope this information will help you. I will be happy if you ask another question Thanks