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Suggest treatment for UTI, painful urination and blood in urine

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Posted on Wed, 1 Jul 2015
Question: I was given today a prescription of 500 mg cipro 2xday for an attack of UTI infection determined by a urine test. I was interested to know how a man gets that infection. In my case there was pain during urination at the end, and blood in the urine (no back or stomach pain, only in the urethra during urination. Then it seemed to improve with I took Tylenol. Since it takes a couple of days to incubate and I got it on Saturday, I must have gotten it on Wednesday or Thursday. I was home most of the time during those days, so how do you think I could have acquired the infection? Thank you.
doctor
Answered by Dr. Panagiotis Zografakis (40 minutes later)
Brief Answer:
obstruction, diabetes, etc

Detailed Answer:
Hello,

there are some risk factors for urinary tract infections that apply to men. Obstruction is very important. It can be related to stones, enlarged prostate, blood clots, tumors etc. The doctor will always ask for radiological investigation when a man presents with symptoms of urinary tract infection.
Diabetes may increase the risk for urinary tract infections.
Insertive unprotected anal contact is another risk factor.
Indwelling catheters cause bacteriuria, which may evolve into infection.

I hope you find my answer helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (53 minutes later)
I understand, thank you. Does that mean that you would still recommend that I do a sonogram of the prostate? I don't think I have any problems in this area. And then if the other risk factors don't apply, what other cause might there be?
doctor
Answered by Dr. Panagiotis Zografakis (10 minutes later)
Brief Answer:
little can be added to the list

Detailed Answer:
Perhaps you can contract a cystitis by having sex with an infected woman (the risk is higher than normal). Less commonly the pathogen may spread hematogenously, but this would result in a much more grave situation. There not many other situations that predispose the male patient to a urinary tract infection. Sometimes no risk factor can be identified.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (4 minutes later)
Thank you. Interestingly, when I took Tylenol before starting the Cipro, it seemed to help a lot. Much less pain and no visible blood, and less urgent sensation to urinate...
doctor
Answered by Dr. Panagiotis Zografakis (4 minutes later)
Brief Answer:
strange as you said, because usually it doesn't help a lot!

Detailed Answer:
You're welcome. Tylenol is a mild painkiller, so there had to be some benefit but usually it doesn't help that much. It has no effect on bleeding though, so this is just a coincidence. Ciprofloxacin is a very good choice for the treatment of community acquired urinary tract infections.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3691 Questions

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Suggest treatment for UTI, painful urination and blood in urine

Brief Answer: obstruction, diabetes, etc Detailed Answer: Hello, there are some risk factors for urinary tract infections that apply to men. Obstruction is very important. It can be related to stones, enlarged prostate, blood clots, tumors etc. The doctor will always ask for radiological investigation when a man presents with symptoms of urinary tract infection. Diabetes may increase the risk for urinary tract infections. Insertive unprotected anal contact is another risk factor. Indwelling catheters cause bacteriuria, which may evolve into infection. I hope you find my answer helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!