Defecation is something that all living things need. Maintaining metabolism and excreting toxins are all accomplished through defecation. The importance of defecation is self-evident. However, if you do not pay attention to personal hygiene and accidentally get infected by the virus, you will feel an itchy feeling at the urethral opening. This is a manifestation of urethritis. In mild cases, urethritis may cause itching at the urethral opening and pain during defecation. In severe cases, you may urinate blood. You need to pay attention. Here we will introduce what to do if you have an itchy urethral opening. Typical symptoms The main symptoms of urinary tract infection include bladder irritation signs, namely frequent urination, urgency, pain and hematuria, nausea, vomiting, discomfort in the bladder area or perineum, pain in the affected side or both sides, and obvious tenderness or percussion pain at the costovertebral angle on the affected side. Other symptoms Urinary tract infection may also cause urge urinary incontinence; turbid urine, white blood cells in the urine, terminal hematuria is common, and sometimes it is whole-course hematuria, and even blood clots may be seen in the urine. Generally there are no obvious systemic infection symptoms, and the body temperature is normal or there is a low fever. Diagnosis 1. Clinical manifestations: characteristics, duration and associated symptoms of urinary tract infection; 2. Physical examination: including examination of the urinary and external genitalia; physical examination of the abdomen and kidney area. Pelvic and rectal examinations are helpful in identifying other concurrent diseases. 3. Auxiliary examinations: urine routine test, urine smear microscopic examination of bacteria, midstream urine bacterial culture + drug sensitivity, blood bacterial culture + drug sensitivity, renal function test, etc. [Treatment policy] Anti-infection treatment can control symptoms and reduce recurrence. [Drug treatment] Commonly used antibacterial drugs for the treatment of urinary tract infections include sulfonamides (cotrimoxazole, etc.); β-lactams (penicillins), cephalosporins, aminoglycosides [gentamicin, amikacin (amikacin), tobramycin, etc.], and quinolones [norfloxacin (fluphenazine), ofloxacin (ofloxacin), etc.]. The following principles should be followed during treatment. 1. Currently, antibiotic therapy is the preferred treatment method, and sensitive antibiotics are given first according to common pathogens. 2. Perform urine culture before treatment, and then adjust medication in time according to the drug sensitivity results. 3. Whenever possible, choose antibiotics with high concentrations in urine or target organs. 4. The course of treatment should be sufficient. The use of antibiotics should continue until 2 weeks after symptoms disappear and urine culture turns negative. 5. Avoid the abuse of antibiotics, especially avoid the use of nephrotoxic drugs. 6. The inducing factors must be eliminated at the same time. If there is urinary tract malformation or dysfunction, it should be corrected or treated accordingly. 7. Strengthen the body's immune function. 8. The treatment cycle for chronic urinary tract infection is 4 to 8 weeks, the treatment cycle for acute pyelonephritis is 2 to 4 weeks, and the cycle for acute cystitis is 3-day therapy (i.e., antibiotics are taken for three consecutive days). The medication should be taken continuously during the treatment cycle and cannot be interrupted. The medication can only be stopped after the urine analysis test is normal. [Daily Care] 1. Pay attention to drinking plenty of water, strengthen physical exercise, and maintain a happy mood to improve the body's immunity and enhance the ability to resist disease and recover. 2. Urinate immediately after sexual intercourse. 3. After defecation, wipe with clean toilet paper from front to back to avoid contaminating the vaginal opening. [Dietary adjustment] It is advisable to eat more light diuretic foods, such as pears, watermelons, bananas, winter melons, cucumbers, etc. The daily water intake should be greater than 2000ml. |
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