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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bladder Infection

Hello, less than two months ago I was admitted to the hospital for severe abdominal pain, lower back pain, diarrhea, nausea and vomiting. Thought it was IBS flaring up or worse, cancer. Then to my surprise, every test came back normal except a pelvic MRI. I had been diagnosed in the ER a week before with a bladder infection and treated with antibiotics. I did not have a bladder infection. I know what they feel like and that was not a bladder infection. My symptoms were not even female related. Fast forward to biopsy for adenomyosis. Soooooo painful, yet came back normal . At the time I had severe lower back pain and pelvic pain and bloating. I am waiting to get in to see another OB/GYN as the one I currently have suggested Mirena. Not going to happen. Now I once again have severe back pain, pelvice pain and am bleeding heavily and have blood clots. Do I need a hysterectomy??? I am 50 years old and have still been getting my period. Please help. Thank you. Tanya
Wed, 25 Apr 2018
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General Surgeon 's  Response
Hello,

Antibiotics usually are the first line 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 Bladder Infection

Hello, Antibiotics usually are the first line 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