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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Painful And Frequent Urination And Lower Left Back Pain Need Immediate Medical Attention?

I have had painful and frequent urination for over a month. My family in Mexico sent me ampicillin thinking it was a bladder infection but it hasn t gotten better. I went to the emergency room 2 days ago explained my symptoms. They had me pee in a cup and then told me they would call me with the results. They were checking for gonorrhea. Even though I told them I had not had unprotected sex since December of 2015. Today I woke up to sharp pains on my lower left back and have yet to hear from them regarding the UA. Should I go back to the ER and follow up with them. Or is it better to wait? Or try an urgent care clinic?
Mon, 12 Sep 2016
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General & Family Physician,  's  Response
Your symptoms point towards urinary tract problem. It may be infection or stone I would like to investigate for urinary tract infection as well as kidney stones.
Advice
1.     Cefixime 100 mg per oral every 12 hours for 7 days
2.     Syrup alkaline citrate 2 teaspoonful three times daily for 7 days
3.     Dicyclomine 20 mg every 8 hours per oral for pain until resolution of pain
4.     Ibuprofen 600 mg per oral after meal for 5 days
5.     Drink 3 – 4 liters of uncontaminated water
6.     Investigations – routine examination of urine, culture & sensitivity of urine, total & differential count of WBC, X – ray KUB, USG abdomen
7.     Go to hospital in emergency for further management
Thanks
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Do Painful And Frequent Urination And Lower Left Back Pain Need Immediate Medical Attention?

Your symptoms point towards urinary tract problem. It may be infection or stone I would like to investigate for urinary tract infection as well as kidney stones. Advice 1. Cefixime 100 mg per oral every 12 hours for 7 days 2. Syrup alkaline citrate 2 teaspoonful three times daily for 7 days 3. Dicyclomine 20 mg every 8 hours per oral for pain until resolution of pain 4. Ibuprofen 600 mg per oral after meal for 5 days 5. Drink 3 – 4 liters of uncontaminated water 6. Investigations – routine examination of urine, culture & sensitivity of urine, total & differential count of WBC, X – ray KUB, USG abdomen 7. Go to hospital in emergency for further management Thanks