Doctor insights on:
Diverticulitis Treatment Without Antibiotics
Use antibiotics: I am sure that every UTI throughout history was not treated with antibiotics and somehow we survive. The risk of not treating is substantial as kidneys can be damaged permanently or infection can spread to the blood making us critically ill. Cranberry juice and increased fluids may help but get on antibiotics when you really need them, like with a uti. ...Read more
Sepsis: Sepsis is when bacteria spreads from a point of initial infection to the bloodstream. As a result, blood pressure decreases, heart rate rises, and breathing becomes labored. Sepsis typically recquires IV antibiotics in an icu. If missed or undertreated, a patient could die. ...Read moreSee 2 more doctor answers
Surgery 101: Ideally all abscesses should be drained, and many will fail antibiotic treatment, because antibiotics can't circulate well inside the abscess. Superficial abscess will often come to head and drain on their own, but surgery speeds healing. Deeper abscess, inside the chest or abdomen, may be drained percutaneously with the help of a radiologist. Surgery verses waiting must be individually evaluated. ...Read moreSee 3 more doctor answers
Which course of Cipro (ciprofloxacin) or any quinolone prescription would really help treat infection/ orchitis painful since 1 year, after now3months unresponsive doxycycline?
Levifloxacin: Levofloxacin 500mg po daily. However if urine culture negative and duration >1 year, one needs to ensure there is not a more concerning process. Has a scrotal ultrasound been performed? Have hernias been ruled out? What other things have been tried than antibiotics...Motrin, ice, scrotal support? ...Read more
Surgery withheld pending resolved UTI ecoli chronic prostatitis refractory to past 8wks of antibiotics. What is the most aggressive drug of choice?
Depends on the bug. : The antibiotic of choice is dictated by the susceptibility of the particular bacteria in the urine. Not all e. Coli are the same with respect to their response to the same antibiotics. If your UTI hasn't responded to 8 weeks treatment, it could be that the e. Coli is resistant to the antibiotics tried or that a prostate abscess is present. A urologist could help you. ...Read more
You probably cannot: Cystitis is usually treated with antibiotics for a short period. Would not trust otc products or "natural" remedies. ...Read more
Yes but risky: Say you were on a deserted island and developed a throat infection in time you body would hopefully be able to overwhelm the bacteria and you would clear the infection. Using saline mouth rinses could help but antibiotic reduce the number of bacteria so you immune system gets the upper hand. If you don't take antibiotic you risk the infection getting worse or spreading. ...Read more
If antibiotic resistance develops in treatment for Chronic Bacterial Prostatitis, what are remaining treatment options?
Different antibiotic: The mainstay in the treatment of chronic bacterial prostatitis (CBP) is the use of oral antimicrobial agents. The most effective medications are fluoroquinolones and trimethoprim-sulfamethoxazole (TMP-SMZ). In cases where antibiotics do not clear up the infection or there is recurrence, surgery may remove a nidus (nest) of infection. ...Read more
Root canal infection, may need antibio, but recent history of c diff. Is taking flagyl, alone, enough to cure tooth infect? Is it safest idea?
Wrong question: MRSA is a type of bacteria. There are many types of MRSA. Was it acquired in the hospital or in the community? Did it occur while taking an antibiotic? Is it boils or cellulitis or pneumonia or infected wound, etc. The best approach depends on the diagnosis. If it is an abscess, drainage, not antibiotic, is the correct approach. ...Read moreSee 1 more doctor answer
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