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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe UTI

I have had anal itching and a white discharge from my rectum for a couple of months. Now I have a bad UTI could this have something to do with the itching? I told gastro 2 months ago he really didn t pay any mind to it but now it s worse with a little pain and now this E. coli UTI. Should I be worried?
Mon, 2 May 2016
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General & Family Physician 's  Response
Hello dear,
Understand your concern

Causative factor for UTI are
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 (ofloxacin, norfloxacin or ciprofloxacin 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
Potasium citrate
take fruit juice of cranberry, orange, pine apple and papaya
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.
Best regards
Dr. Sagar
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Suggest Treatment For Severe UTI

Hello dear, Understand your concern Causative factor for UTI are 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 (ofloxacin, norfloxacin or ciprofloxacin 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 Potasium citrate take fruit juice of cranberry, orange, pine apple and papaya 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. Best regards Dr. Sagar