Practice tips

• Most symptomatic UTIs are acute cystitis occurring in sexually active women with anatomically normal urinary tracts.

• A clinical diagnosis based on experience, plus positive nitrite dipstick test and the finding of pyuria by office microscopy will generally enable immediate curative treatment.

• A 3-day course of trimethoprim 300 mg daily for 3 days is a suitable first choice for acute uncomplicated cystitis in women.

• Avoid overinvestigation of patients in whom there is a low likelihood of demonstrating structural abnormalities.

• In males the prostate is the most common source of recurrent UTI.

• Urinary tract infection is commonly associated with microscopic haematuria (occasionally macroscopic haematuria).

• Persisting haematuria should be investigated.

• Due to the rising level of E. coli resistance, amoxycillin is no longer recommended unless susceptibility of the organism is proven. 5

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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