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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For UTI

I had unprotected sex on wednesday we used the pullout method. Friday i woke up with uti symtoms so i went to the doctor and they told me it was in fact a uti. I then took the antibiotics they gave me and it went away for a day but came back worse. They gave me stronger medicine but it only helps a little bit. Do you think i could be pregnant by this?
Thu, 31 Mar 2016
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General & Family Physician 's  Response
Hello dear,
Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment.

Causative factor:
E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus
Diabetes mellitus, neurologic conditions, chronic institutional residence,

Treatment are below
1. three day course of trimethoprim/sulfamethoxazole is the current standard therapy,
2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective.

3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases.

4. If oral drug is not possible, take ceftazidime parentrally.
You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs.
Follow up urine culture after 14 days to confirm the eradication of bacteria.

Take plenty of water.
Tablet Paracetamol 500 mg three times a day if fever is present.
Tablet cetrizzine once daily if itching
take fruit juice of cranberry, orange and papayaa
Maintain hygiene after sex and urination, wipe pelvic area frequently.
Wear loose cotton inner wear
Hope this advice help you.
Thank you.
Get well soon.
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Suggest Treatment For UTI

Hello dear, Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment. Causative factor: E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus Diabetes mellitus, neurologic conditions, chronic institutional residence, Treatment are below 1. three day course of trimethoprim/sulfamethoxazole is the current standard therapy, 2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective. 3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases. 4. If oral drug is not possible, take ceftazidime parentrally. You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs. Follow up urine culture after 14 days to confirm the eradication of bacteria. Take plenty of water. Tablet Paracetamol 500 mg three times a day if fever is present. Tablet cetrizzine once daily if itching take fruit juice of cranberry, orange and papayaa Maintain hygiene after sex and urination, wipe pelvic area frequently. Wear loose cotton inner wear Hope this advice help you. Thank you. Get well soon.