What medicine should men take for urinary tract infection

Male urinary tract infections are generally divided into several types, including urinary system infections and prostate infections. Urinary system infections are generally treated with antibiotics and other drugs, while prostatitis is treated with tetracycline and penicillin. Men should choose appropriate drugs according to the type of inflammation to avoid the side effects of the drugs. For specific drug selection, patients can consult their doctors for advice.

What medicine should men take for urethritis

(I) Tetracyclines

(1) Tetracycline: 500 mg each time, 4 times a day, for a total of 14 days, orally. Tetracycline has shown satisfactory effects on Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma hominis. If Chlamydia trachomatis or Mycoplasma is still isolated after 14 days of medication, a second course of treatment can be given. Tetracycline is best taken on an empty stomach to ensure good absorption. Do not drink milk or dairy products at the same time, and do not take it at the same time as antacids and drugs containing polyvalent metals such as iron, magnesium, calcium, and aluminum. Side effects include gastrointestinal reactions such as nausea and vomiting, and a few can cause enteritis. At the same time, all tetracycline drugs can cause photosensitivity dermatitis. Pregnant and lactating women are prohibited from using it.

(2) Doxycycline: 200 mg twice a day for 14 days, taken orally. This drug is less affected by food and metal ions, and has milder gastrointestinal reactions. It is contraindicated for use in pregnant and lactating women.

(3) Minocycline: 100 mg each time, twice a day, for 14 days, double the first dose. Side effects include dizziness, blurred vision, movement disorders, reversible vestibular reactions, and gastrointestinal reactions such as nausea, vomiting, and decreased appetite, which are more common in the first few days of medication. Contraindications are the same as tetracycline.

(ii) Macrolides

(1) Erythromycin: 500 mg each time, 4 times a day, for 14 days, orally. It is effective against Chlamydia trachomatis and Ureaplasma urealyticum, but ineffective against Mycoplasma hominis. Taking the medicine on an empty stomach and drinking plenty of water will help absorption, but it has significant gastrointestinal side effects. Clinically, erythromycin is the first-line drug for the treatment of non-gonococcal urethritis, especially as the first choice for pregnant and lactating women. It is more effective than tetracycline for ureaplasma urethritis.

(2) Josamycin: 400 mg each time, 4 times a day, for 14 days, orally. Its antibacterial spectrum and antibacterial activity are similar to those of erythromycin, but its gastrointestinal side effects are milder than those of erythromycin. It is contraindicated in the first 3 months of pregnancy.

(3) Lijunsha: 500 mg each time, 4 times a day, for 14 days, orally. Use with caution in pregnant and lactating women.

(4) Roxithromycin: 150 mg twice a day for 14 days, orally. The clinical efficacy is yet to be evaluated. Pregnant and lactating women should use it with caution.

(III) Quinolone acids such as ofloxacin and sildenafil. Patients with chronic prostatitis can combine prostate massage with systemic treatment. Once a week, 1 to 2 minutes each time, for 4 to 8 weeks. The massage should be gentle and urinate immediately after the massage. Prostate physiotherapy can also help the recovery of inflammation.

Urinary system diseases Issues that need attention in male urethritis

Urethritis refers to inflammation of the urethral mucosa. Clinically, it can be divided into acute and chronic types. It is mostly caused by pathogens invading the urethra retrogradely. It causes frequent urination, burning pain during urination, and hematuria. In the acute stage, men may have urethral secretions, which are mucous at first and then purulent. In acute attacks, there is dull pain in the suprapubic area and perineum, and the urethral opening may be red and have secretions. Generally, you should pay attention to:

1. Drink more water. Drink 2 to 2.5 liters of water every day, which will lead to more urination. High-concentration urine will stimulate the prostate. Long-term adverse stimulation is harmful to the prostate. Drinking more water can not only dilute the blood, but also effectively dilute the concentration of urine.

2. Do not hold urine. Once your bladder is full and you feel the urge to urinate, you should urinate. Holding urine is bad for your bladder and prostate. Before taking a long-distance bus, you should empty your bladder before riding. If you feel the urge to urinate during the journey, you should tell the driver and get off the bus to urinate. Never hold urine.

3. Moderate sex life. To prevent prostate hypertrophy, you need to pay attention to it from youth. The key is to have a moderate sex life, neither indulge in sex nor abstain from sex. Frequent sex will cause the prostate to be in a state of congestion for a long time, which will cause prostate enlargement. Therefore, it is especially important to pay attention to moderate sex life in young people with strong sexual desire, avoid repeated congestion of the prostate, and give the prostate sufficient time to recover and repair. Of course, excessive abstinence will cause bloating and discomfort, which is also bad for the prostate.