Do you have a burning sensation at the urethral opening when you urinate? This is mostly caused by female urethral diseases, such as cystitis, nephritis, etc. In order to alleviate the burning sensation at the urethral opening, you must first find the cause and treat the urethral opening disease in time to completely eliminate the burning sensation at the urethral opening. So, what is the reason why women have hot urine? 1. Subacute simple cystitis The recommended treatment is a three-day therapy, which consists of taking sphenanthera sulfamethoxazole or levofloxacin or levofloxacin. Because the efficacy of single-dose treatment is not as good as the three-day treatment, it is not recommended at this stage. In areas where the resistance rate of pathogens to sulfamethoxazole reaches 10% to 20%, furantoin can be used for treatment. 2. Subacute simple pyelonephritis Treatment recommendation: 14 days of antibiotic treatment. For patients with mild subacute pyelonephritis, the treatment course can be shortened to 7 days using high-efficiency antibiotics. For mild cases, oral quinolone treatment can be used. If the pathogen is sensitive to sulfaquinoxaline, this drug can also be used for oral treatment. If the pathogen is Gram-positive bacteria, it can be treated with amoxicillin capsules alone or amoxicillin capsules/cefaclor. For critically ill cases or those who cannot take oral medications, they should be hospitalized and treated with intravenous quinolones or broad-spectrum cephalosporin antibiotics. For those who are resistant to β-lactam anti-inflammatory drugs and quinolones, aztreonam can be used for treatment. If the pathogen is a Gram-positive and Gram-negative bacillus, ampicillin/sulbactam sodium can be used, and combined drug treatment can be used if necessary. If the condition improves, more sensitive antibiotics can be used for oral treatment based on the urine culture results. It is very important to adjust the plan and follow up during the medication period. Urine culture should be performed every 1 to 2 weeks to observe whether the urine bacteria turn negative. Urine bacteria quantitative analysis should be performed at the end of the treatment and 2 and 6 weeks after medication discontinuation, and it is best to have a follow-up visit once a month thereafter. 3. Multiple urinary tract infections Treatment for multiple urinary tract infections depends on the severity of the symptoms. In addition to antibiotic treatment, it is also necessary to address anatomical abnormalities of the urogenital system and treat other irreversible symptoms of the disease, and nutritional support therapy is required if necessary. If the condition worsens, hospitalization is generally required. First of all, the underlying diseases such as diabetes and urethral obstruction should be promptly and reasonably controlled. If necessary, consultation with relevant specialists such as endocrinologists should be carried out. Otherwise, the disease will be difficult to cure with the simple use of antibiotics. Secondly, based on experience, intravenous antifungal treatment is used. During the medication period, the treatment plan should be adjusted in time according to changes in the condition and/or the results of bacterial drug sensitivity tests. Some patients may need to take medication alternately, and the treatment course is at least 10 to 14 days. |
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