Recently Answered Questions
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Query: Hello doctor, Last week fully, I experienced needing to urinate all the time. I did not feel like my bladder was empty. I started getting lower stomach pain near my pelvis. I assumed this was a UTI as I usually have recurring ones but had not in a long time. I ordered some antibiotics through a doct... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Yes, actually, antibiotics can cause stomach disturbance, and due to that, abdomen pain and sometimes diarrhea can be seen. I would suggest you take tablet Pantoprazole 40 mg once a day before breakfast in the morning, along with antibiotics fo... Read Full »
Can I take Sildoo 8 for UTI and urine retention?
Query: Hello doctor, I am 36 years old suffering from UTI and urine retention. I am a father of two, height is six feet and weighing 87 kg. I was suffering from mild constipation (first poop is easy but clearing remaining used to take some time from past few months. I used to spend at least 15-20 minutes... Read Full »
Answer: Hi, Welcome to icliniq.com. With your elaborate history what I could make out is that you had a severe episode of acute prostatitis which was undertreated and now it is chronic prostatitis syndrome. Also, you have severe constipation. Sildoo is silodosin which is a highly potent alpha-blocker. I wou... Read Full »
Will intake of Cotrimoxazole cause renal failure in aged people?
Query: Hi doctor, I am a 60-year-old male. I took Sulfamethoxazole-Trimethoprim 400/80 mg three times a day for three consecutive days. I got a serum creatinine level of 2.25 mg/dL, EGFR of 29 ml/minute, and albumin to creatinine ratio of 430 mcg/L in my renal function tests. My urine sample is yellow wit... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your problem. There are many cases in the literature showing that acute kidney injury occurs with the initiation of Cotrimoxazole therapy. This relation occurs more commonly in elders and so increased creatinine occurs due to acute kidney injury caus... Read Full »
What causes frequent urges to urinate?
Query: Hi doctor, I am a 36 year old, active male. My height is 6 feet and weight is 175 lbs. Previously, I had Zoloft for anxiety. Now, I am just doing exercise, eating healthy food and vitamins. I have been diagnosed with prostatitis a few times in the past few months. I was also diagnosed with this roug... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your history and treatment details. You definitely had on and off history of prostatitis in the past and now you are taking Bactrim (combination of Sulfamethoxazole and Trimethoprim) since 3 to 4 weeks. I have some questions for you. How is you... Read Full »
Is anejaculation a side effect of Silodal?
Query: Hello doctor, I have enlarged prostate and some lesion on the prostate. The report has been attached. For the past four years, I have been suffering from urinary tract infections and kidney stones and my life is very much disturbed. I am attaching the files of my reports and the medicines which I a... Read Full »
Answer: Hi, Welcome to icliniq.com. You need to be examined clinically with per rectal examination. If clinical findings suggest a chronic prostatitis you need a prolonged treatment for it. Did you undergo uroflow test as suggested? It shows whether your urine flow is obstructed or not. Your PSA... Read Full »
How to prevent side effects of Sulfamethoxazole-Trimethoprim?
Query: Hi doctor, I am a 51-year-old male of height 5'9" and weight 210 lbs. My GP prescribed Sulfamethoxazole-TMP DS for prostatitis. I have very bad side effects from it. What, besides drinking a ton of water, can be done to get it out of my system? Kindly guide me. Read Full »
Answer: Hi, Welcome to icliniq.com. The Sulfamethoxazole component of the drug is a sulfa drug and prone to cause significant side effects or even severe allergic reactions. The half-life of the drug under reference is 12 hours. Hence, with plenty of water, the drug will be fully excreted out of your syst... Read Full »
What is the treatment for epididymo-orchitis?
Query: Hello doctor, I have an epididymo-orchitis infection. I went to the urologist, and he gave me antibiotics, taking it for two months, but the problem still is not going away. What to do in this situation? I am currently on Ciprofloxacin 500 mg, Fosfomycine 3000 mg, and Azithromycin 500 mg. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Epididymoorchitis is diagnosed mainly on ultrasound. It is a painful condition of the scrotum. It is mainly due to infections in the urinary tray secondary to STD (sexually transmitted disease) or obstruction to the lower urinary system like in the urethra or prostate... Read Full »
Is my acne prescription correct?
Query: Hi doctor, For the last four months, I started getting acne in the form of pustules, papules and small nodules. My dermatologist prescribed Isotretinoin 20 mg on alternate days, but rather than improvement my acne is getting worse. She also prescribed antibiotic Sepmax-DS (800 mg) that is a combina... Read Full »
Answer: Hi, Welcome to icliniq.com. You should continue with Isotretinoin. Isotretinoin is a wonderful drug, but it takes around 40 days to show its effect. With Isotretinoin, you may even feel flare up of your acne, which is normal and it should be continued. I cannot comment upon the usefulness of Septra... Read Full »
Can fractional laser remove acne scars?
Query: Hi doctor, I have mild to moderate acne. My dermatologist prescribed Isotretinoin 20 mg on alternate days, but I am experiencing hair fall. Also, he prescribed an antibiotic Septra. I took the tablets for only two days. I am reluctant to take these drugs due to its side effect. Please suggest an alt... Read Full »
Answer: Hi, Welcome to icliniq.com. Do not take Septra for acne (combination of Sulfamethoxazole and Trimethoprim). Isotretinoin is not safe if you are planning a pregnancy. Otherwise, there is no risk. There are alternatives available like Minocycline and Doxycycline. I suggest a capsule Doxy 100 mg twice... Read Full »
Can Septrin forte be taken for prostate infection?
Query: Hi doctor, I have Morganella morganii infection in the prostate. For the past 15 years, I have been getting blood in semen. I had a short course of antibiotics in the past and I also had a semen microbiological test. Please recommend some antibiotics. Read Full »
Answer: Hi, Welcome to icliniq.com. For the infection in the prostate a four to six weeks course of treatment is highly recommended. I suggest Cephalosporins and Aminoglycosides are the best for initial therapy, but ideally it should be guided by culture sensitivity reports. Consult your specialist doctor,... Read Full »