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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest  Treatment For Pain And Burning Sensation While Urinating

I am 3 weeks post natal. I had preeclampsia and high levels of protein in my urine. I was induced at 38 weeks. Last Friday I went to my gp as I had pain passing urine. I was not able to see a dr but the nurse checked my urine which had protein and blood in so prescribed 7 days of antibiotics. In the last 2 days my symptoms have worsened. I had intense pain in my lower right back, a slight fever of 37.7, headaches and feeling very nauseous. I tried to make an appointment to see a dr but could only see the nurse again. She said my last urine specimen had not shown any infection when sent away - only pus and blood. She believed this was only cross contamination. She said the pain in my back was likely my pelvic bones settling back into place and that the pain passing urine was probably irritation from the catheter used when in labour. I was told to use ibuprofen for the pain - not issued any further medication. A urine test only showed low protein. However the pain in my back is borderline excruciating, it makes me feel very sick and painkillers do not numb it. Is it possible to be an infection even though both tests are negative?
Wed, 25 Apr 2018
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General Surgeon,  's  Response
Treatment
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 pain usually is relieved soon after starting an antibiotic.
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Suggest  Treatment For Pain And Burning Sensation While Urinating

Treatment 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 pain usually is relieved soon after starting an antibiotic.