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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Urinary And Bladder Infection

Hi my name is Jenny, I m an 18 year old female and I m having some urination issues. Nothing I ve found online sounds quite like what I m experiencing, so I figured I d pose the question. The thing is some days it feels like I ve lost the ability to reach certain muscles down there. Like I cannot contract my bladder muscles at will, when I try I get tension in my stomach instead. When this happens it s usually the same for the back, I don t seem to be able to push with my sphincter muscle and instead get tension in either my lower back and/or stomach. This problem does prevent me from being able to have a bowel movement, but it does not usually prevent me from passing urine, it s just hard to do so like I can t feel it, and I m never completely sure if I passed all I can. Sometimes only small amounts come out. I thought maybe it had something to do with the pubococcygeus muscle but obviously I don t know a lot about this so I m not sure. The most perplexing thing to me is that this doesn t always happen, the symptoms I described come sporadically, I may have it one week and not get the symptoms till a month later, or what made me ask this was I had them on Sunday and then again today. When it happens it never seems to last for more then a day before it goes away. I m thinking of making an appointment to see my doctor about this. Also I don t know if it s important to mention I ve had incontinence before that lasted a month, but it was caused by antipsychotic medications. So it makes me more concerned because I ve had bladder problems before. Do you have any idea what this is or might be? It s really strange.
Wed, 25 Apr 2018
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General Surgeon 's  Response
Hello,

Antibiotics usually are the first line of treatment for urinary tract infections. Which drugs are prescribed and for how long depend on your health condition and the type of bacteria found in your urine?

Simple infection
Drugs commonly recommended for simple UTIs include:
- Trimethoprim/sulfamethoxazole (Bactrim, Septra, others)
- Fosfomycin (Monurol)
- Nitrofurantoin (Macrodantin, Macrobid)
- Cephalexin (Keflex)
- Ceftriaxone
- The group of antibiotic medicines known as fluoroquinolones — such as ciprofloxacin (Cipro), levofloxacin (Levaquin) and others — isn't commonly recommended for simple UTIs, as the risks of these medicines generally outweigh the benefits for treating uncomplicated UTIs. In some cases, such as a complicated UTI or kidney infection, your doctor might prescribe a fluoroquinolone medicine if no other treatment options exist.

Often, symptoms clear up within a few days of treatment. But you may need to continue antibiotics for a week or more. Take the entire course of antibiotics as prescribed.

For an uncomplicated UTI that occurs when you're otherwise healthy, your doctor may recommend a shorter course of treatment, such as taking an antibiotic for one to three days. But whether this short course of treatment is enough to treat your infection depends on your particular symptoms and medical history.

Your doctor may also prescribe a pain medication (analgesic) that numbs your bladder and urethra to relieve burning while urinating, but the pain usually is relieved soon after starting an antibiotic.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Abhishek Kumar
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Suggest Treatment For Urinary And Bladder Infection

Hello, Antibiotics usually are the first line of treatment for urinary tract infections. Which drugs are prescribed and for how long depend on your health condition and the type of bacteria found in your urine? Simple infection Drugs commonly recommended for simple UTIs include: - Trimethoprim/sulfamethoxazole (Bactrim, Septra, others) - Fosfomycin (Monurol) - Nitrofurantoin (Macrodantin, Macrobid) - Cephalexin (Keflex) - Ceftriaxone - The group of antibiotic medicines known as fluoroquinolones — such as ciprofloxacin (Cipro), levofloxacin (Levaquin) and others — isn t commonly recommended for simple UTIs, as the risks of these medicines generally outweigh the benefits for treating uncomplicated UTIs. In some cases, such as a complicated UTI or kidney infection, your doctor might prescribe a fluoroquinolone medicine if no other treatment options exist. Often, symptoms clear up within a few days of treatment. But you may need to continue antibiotics for a week or more. Take the entire course of antibiotics as prescribed. For an uncomplicated UTI that occurs when you re otherwise healthy, your doctor may recommend a shorter course of treatment, such as taking an antibiotic for one to three days. But whether this short course of treatment is enough to treat your infection depends on your particular symptoms and medical history. Your doctor may also prescribe a pain medication (analgesic) that numbs your bladder and urethra to relieve burning while urinating, but the pain usually is relieved soon after starting an antibiotic. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Abhishek Kumar