Brief Answer:
Can be urinary tract infection or benign hyperplasia of prostate.

Detailed Answer:
Hello Dear,
Thanks for choosing HealthcareMagic for your query.
I am a Gastroenterologist and would be addressing your query.

The problem you are having is called urinary tract infection.The tube that transports urine from the bladder to the outside of the body is located close to the anus. Bacteria that were responsible for bowel issues from the large intestine, Most commonly Eschrichia. coli, are in the perfect position to escape the anus and invade the urethra. From there, they can travel up to the bladder, and if the infection isn't treated, continue on to infect the kidneys. Having sex with infected male can introduce bacteria into the urinary tract,too.

Enlargement of the prostate gland, due most commonly to benign prostatic hyperplasia
Leukocyte esterase is a urine test to look for white blood cells in urine.Test called uroflometry and ultrasound should be done to rule out possibility.

Antibiotic therapy with should be started Nitrofurantoin can be taken initially at 50mg doses.
An ultrasound Kidney urinary bladder should be done to rule out possibility of stone.
Repeat urine routine and microscopy again after 3 days.
Hope i answered your query well,Feel free to follow up.

Regards.
Brief Answer:
Follow up.

Detailed Answer:
Hello ,
In case you want OTC medicine take Azo Standard, Pyridium (phenazopyridine) 100mg thrice a day for 5 days if not relieved go for investigatuions.Yes you will get it at pharmacy.
Nitrofurantoin is not OTC.
Don't take hyosyamine its an anticholinergic and reduces motility of bladder and ureter hence cause difficulty in voiding.
Please mention salts in CCP 821.
Regards.

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Brief Answer:
Follow up.

Detailed Answer:
Hello again,
No stop taking amoxiciollin.
Side effect-Diarrhea and it is not very effective in treating urinary problem.

Drug of choice for you would be cefixime but as it needs prescription initially you can go for Pyridium.

Thanks.

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Brief Answer:
Follow up answer.

Detailed Answer:
Hello again,

Increased frequency and urgency are characteristic feature pf urinary tract infection.All the symptoms you are on are characteristic of UTI.
Yes you should drink plenty of liquids around 8-10 glasses per day.
The more you urinate the more you will prevent bacteria from colonizing in your urinary tract.
If possible its always better to go to ER.

However if you don't want then you can follow treatment as-
Tab Cefixime (preferably) 200mg twice daily after consultation with your doctor.
Tab Tylenol twice daily (anti-inflammatory).
Tab Dicyclomine 10 mg twice daily (anti spasmodic).
Drink 8-10 glasses of cleaner water daily.

It will settle down in a day or two

Regards.

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Brief Answer:
Aggressive therapy is required.

Detailed Answer:
Hi again,
In XXXXXXX most of the persons are taking higher antibiotics like cephalosporins on their own.As most likely you got infection from there ,chances can be that bacteria is resistant to older antibiotics like ciprofloxacin.So ask you physician to prescribe you with higher class of drug like Cefixime in high doses 400mg twice daily.

Metronidazole is a antiprotozoal and should be taken 8 hourly.

To provide relief in frequency anti inflammatory analgesic likew (Serratiopeptidase in combination with acelofenac ) should be given twice daily along with Antispasmodic like Flavoxalate 100mg twice daily.

Tell the resident in ER that you had been to a country where even reserved antibiotics are used frequently hence bacteria's are usually resistant to primary antibiotics.

This therapy will provide relief to you in 12-24 hours.

However just taking a weak antibiotic with anti protozoal without any muscle relaxant or anti inflammatory will rake atleast 72 hours to show some relief.
Get a urine culture and sensitivity done to see the sensitivity of bacteria to antibiotics.

Regards.

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