Antibiotic suggestion please

[problemfarang]

this question is for my friend. Before some of you starts let me say im happily 9 year married. So its not me. And also its not the point me or not. Thanks, here is the situation:

 

had sex with a lady (not a hooker) then after a week he noticed that he has a pain and some burning feeling when peeing. Then few days he told me he literally cuming blood. No white color sperm but only blood when he cums. made a quick web search and it turned out that it can be sometimes. and should be ok in 2-3 week time. Called the lady and nicely asked if theres any problem with her.. she told him that she had a bacterial infection few weeks ago but should be ok now. Well obviously he got it. after 2 weeks blood is gone. no more blood. But when he cums there is still paint inside the penis where sperm coming. i dont know the medical name of that part. So at this point he has no blood no liquid coming out from the penis BUT has a pain when cuming and also pain when he touches close t the head of the penis. it hurts where the sperm comes out. that vein part (dont know the medical name) Also the pain and the burning feeling almost gone too. He said he pees more then usual. Like 4-5 times a day now which was 2-3 times a day. i dont think its prostate because he got this after the sex. and it seems its getting better but real slowly.

 

well obviously he has this bacterial infection. I dont think he can use Zithromax because he hasnt got any yellowish liquid coming out. But i know its one of the best antibiotic for penis.

 

Can anyone suggest an antibiotic name for him please? 

 

thanks

 

 

[scubascuba3]

Pharmacies will recommend 2g Azithromycin, boxes of 1.5g are 160 baht from Fascino. You should also get a Ceftriaxone injection, 250mg should be enough but now 500gm is recommended. 500 baht for 250mg

[Crossy]

A problem like that with my old fellah would have me down the "special clinic" molto rapido embarrassing or not!

 

It's not like treatment is expensive here.

[problemfarang]

14 minutes ago, scubascuba3 said:

Pharmacies will recommend 2g Azithromycin, boxes of 1.5g are 160 baht from Fascino. You should also get a Ceftriaxone injection, 250mg should be enough but now 500gm is recommended. 500 baht for 250mg

 

thanks i will tell him.  Zithromax is the other name of Azithromycin if im not mistaken. 

Edited April 21, 2021 by problemfarang

[problemfarang]

11 minutes ago, Crossy said:

A problem like that with my old fellah would have me down the "special clinic" molto rapido embarrassing or not!

 

It's not like treatment is expensive here.

 

I suggested him to go to a proper doctor. But he is someone really believes in naturel ways of treatment. Actually hes is really healthy guy. He doesnt know i posted this. just trying to help, thats all

Edited April 21, 2021 by problemfarang

[BritManToo]

23 minutes ago, problemfarang said:

Can anyone suggest an antibiotic name for him please? 

I take Amoxicillin 500 at the first signs of any bacterial infection 40bht (not if you're allergic to penicillin).

If 5 days of that doesn't work, I take Cipro 500 for 5 days 100bht (no exercise as it can cause Achilles tendon tears).

 

So far that's always worked.

PS. you should never 'wait and see' as your friend has done, as it gives the bacteria time to work it's way deeper into your body.

Edited April 21, 2021 by BritManToo

[problemfarang]

Just now, BritManToo said:

I take Amoxicillin 500 at the first signs of any bacterial infection 40bht (not if you're allergic to penicillin).

If 5 days of that doesn't work, I take Cipro 500 for 5 days 100bht (no exercise as it can cause Achilles tendon tears).

 

So far that's always worked.

PS. you should never 'wait and see' as your friend has done, as it gives the bacteria time to work it's way deeper into your body.

 

thanks for the suggestions,

yes i agree, health is important. Im still trying to convince him to go to a doctor and get a full check up

[scoutman360]

I strongly recommend your friend get tested by a doctor or clinic. There are many clinics now that do full STD checkups that are not very expensive. Self-treating is not something one should attempt because one can become asymptomatic and still carry the bacteria and give it to others. Get tested.

[scubascuba3]

34 minutes ago, problemfarang said:

 

thanks i will tell him.  Zithromax is the other name of Azithromycin if im not mistaken. 

Zithromax is an expensive brand name around 600 baht for 1g, or go to Fascino, it's about 150 baht for 1.5g, same

[problemfarang]

13 minutes ago, scoutman360 said:

I strongly recommend your friend get tested by a doctor or clinic. There are many clinics now that do full STD checkups that are not very expensive. Self-treating is not something one should attempt because one can become asymptomatic and still carry the bacteria and give it to others. Get tested.

thanks. i already told him. he is very sure its bacterial infection and also all symptoms shows that way too he says.. 

Edited April 21, 2021 by problemfarang

[problemfarang]

1 minute ago, scubascuba3 said:

Zithromax is an expensive brand name around 600 baht for 1g, or go to Fascino, it's about 150 baht for 1.5g, same

yes zithromax is pfizer and its 650 baht at boots. you mean 150 baht at fascino (zithromax) ???

[faraday]

If he is bleeding, he absolutely must go to see a Dr.

 

 

[ukrules]

1 hour ago, BritManToo said:

I take Amoxicillin 500 at the first signs of any bacterial infection 40bht (not if you're allergic to penicillin).

 

For something that's not upper respiratory / ENT I would use Dicloxacillin or Augmentin which is Amoxicillin mixed with something known as 'clavulanic acid' (makes it a lot more effective, think of the clavulanate as a catalyst) for things like skin infection, UTI, etc.

 

Just a suggestion.

[scubascuba3]

46 minutes ago, problemfarang said:

yes zithromax is pfizer and its 650 baht at boots. you mean 150 baht at fascino (zithromax) ???

Azithromycin 

[ThailandRyan]

Doctor and lab test needed, and way TMI on his bodily fluid conditions, made me spit out my coffee as I started to laugh at him having Paint in his Pen.  I wont ask how close you and he are, but for him to tell you what you posted h must be your twin.....

 

Z-Pack is needed

 

Could this be a new Covid Variant

Edited April 21, 2021 by ThailandRyan

[scubascuba3]

1 hour ago, scoutman360 said:

I strongly recommend your friend get tested by a doctor or clinic. There are many clinics now that do full STD checkups that are not very expensive. Self-treating is not something one should attempt because one can become asymptomatic and still carry the bacteria and give it to others. Get tested.

Even the doctors here often don't bother recommending getting tested. They tend to treat first by trial and error

[Why Me]

29 minutes ago, scubascuba3 said:

Even the doctors here often don't bother recommending getting tested. They tend to treat first by trial and error

Shouldn't the doctor decide? I just went through this thread and a bunch of recos for drugs but no one has a name for what it is.

 

The poor chap has a bunch of symptoms. He should see a doc and get diagnosed to begin with to my mind. His penis is not something for a man to play around with. Well, you get what I mean.

[xylophone]

2 hours ago, scubascuba3 said:

Even the doctors here often don't bother recommending getting tested. They tend to treat first by trial and error

You're quite right and I find that bloody ridiculous.

 

I had some sort of UTI and went to the specialist at the big hospital here and he started me on Amoxicillin, which didn't do the trick and two weeks later I was back to see him, so he gave me Augmentin, which also didn't do the trick, so he then put me on ciprofloxacin, and by the end of the second week not only was I feeling very sick, I had tendon problems, so I went back to see him and as I had done many times in the past, demanded he take a sample and culture it.

 

Because I questioned his "expertise" he ordered me out of his office saying that he could do nothing for me, and this when I was quite sick and feeling not well at all.

 

So I saw the second urologist at the same hospital and begged him to do a culture, which he did anyway, and it turned out to be a bacteria which needed to be treated with an expensive antibiotic, delivered intravenously every day for two weeks, which did the trick.

 

If I ever get in the same situation again I will DEMAND that a culture be done on the sample.
 

[scubascuba3]

1 hour ago, Why Me said:

Shouldn't the doctor decide? I just went through this thread and a bunch of recos for drugs but no one has a name for what it is.

 

The poor chap has a bunch of symptoms. He should see a doc and get diagnosed to begin with to my mind. His penis is not something for a man to play around with. Well, you get what I mean.

Doctors usually issue antibiotics before results are in, they take an educated guess, they won't know what it is for sure

[Why Me]

14 minutes ago, xylophone said:

If I ever get in the same situation again I will DEMAND that a culture be done on the sample.

Totally makes sense. And only a doctor can order a culture. And then it's what a 24hr. turnaround to start the correct treatment. So the OP or his friend or whoever should head off to a urologist instead of experimenting on his cock.

[xylophone]

35 minutes ago, Why Me said:

Totally makes sense. And only a doctor can order a culture. And then it's what a 24hr. turnaround to start the correct treatment. So the OP or his friend or whoever should head off to a urologist instead of experimenting on his cock.

Actually more like a 3 day minimum to get the culture results, so no time to waste.......and agree with your sentiments entirely.

[bkk6060]

See a doctor.

 

From the 2015 Sexually Transmitted Disease (STD) guidelines, the CDC recommends treatment for a gonorrhea-chlamydia coinfection with azithromycin (Zithromax) 1 gram given orally in a single dose, plus ceftriaxone (Rocephin) 250 mg given intramuscularly as first-line therapy.Mar 31, 2564 BE

 

A clinic or hospital and give the injection.  Pop the Zithro and get the shot usually all gone in a few days.

Doxycycline also can work well on a 10 day treatment.

[problemfarang]

3 hours ago, scubascuba3 said:

Azithromycin 

 

thanks

[problemfarang]

1 hour ago, xylophone said:

You're quite right and I find that bloody ridiculous.

 

I had some sort of UTI and went to the specialist at the big hospital here and he started me on Amoxicillin, which didn't do the trick and two weeks later I was back to see him, so he gave me Augmentin, which also didn't do the trick, so he then put me on ciprofloxacin, and by the end of the second week not only was I feeling very sick, I had tendon problems, so I went back to see him and as I had done many times in the past, demanded he take a sample and culture it.

 

Because I questioned his "expertise" he ordered me out of his office saying that he could do nothing for me, and this when I was quite sick and feeling not well at all.

 

So I saw the second urologist at the same hospital and begged him to do a culture, which he did anyway, and it turned out to be a bacteria which needed to be treated with an expensive antibiotic, delivered intravenously every day for two weeks, which did the trick.

 

If I ever get in the same situation again I will DEMAND that a culture be done on the sample.
 

 

remember the name of the antibiotic? 

[problemfarang]

2 minutes ago, bkk6060 said:

See a doctor.

 

From the 2015 Sexually Transmitted Disease (STD) guidelines, the CDC recommends treatment for a gonorrhea-chlamydia coinfection with azithromycin (Zithromax) 1 gram given orally in a single dose, plus ceftriaxone (Rocephin) 250 mg given intramuscularly as first-line therapy.Mar 31, 2564 BE

 

A clinic or hospital and give the injection.  Pop the Zithro and get the shot usually all gone in a few days.

Doxycycline also can work well on a 10 day treatment.

 

he hasnt got anything like gonorrhea-chlamydia.. 

[problemfarang]

thanks for all suggestions and comments.

 

i told him to go to a doctor again... also gave the names of the antibiotics you suggested. 

 

he said he will try this Amoxicillin 500gm and zithromax

 

well at least i tried up to him. i also agreed this is no joke and not a test subject thing. up to him

 

thnx again guys

 

 

[scubascuba3]

7 minutes ago, problemfarang said:

thanks for all suggestions and comments.

 

i told him to go to a doctor again... also gave the names of the antibiotics you suggested. 

 

he said he will try this Amoxicillin 500gm and zithromax

 

well at least i tried up to him. i also agreed this is no joke and not a test subject thing. up to him

 

thnx again guys

 

 

Save this thread and come back and tell us what the conclusion was

[xylophone]

11 minutes ago, problemfarang said:

 

remember the name of the antibiotic? 

Yes it was a Carbepenem which can only be given intravenously.

 

And for the record this has happened to me twice – – and the second time was when I was administered all sorts of antibiotics for a problem with my prostate, so a cystoscopy was carried out and I believe I got an infection from that, because when the culture was finally identified, it was E. coli ESBL (extended spectrum beta-lactamase) which is either hospital acquired, or as a result of too many of the wrong antibiotics.

 

Yes I have become a bit of an expert on this, and I think the situation here as regards urologists is absolute cr@p.

[2009]

6 hours ago, BritManToo said:

I take Amoxicillin 500 at the first signs of any bacterial infection 40bht (not if you're allergic to penicillin).

If 5 days of that doesn't work, I take Cipro 500 for 5 days 100bht (no exercise as it can cause Achilles tendon tears).

 

So far that's always worked.

PS. you should never 'wait and see' as your friend has done, as it gives the bacteria time to work it's way deeper into your body.

 

Amoxicillin is a very poor choice against STDs. The only thing it is really effective against is Syphilis and that is an incredibility rare disease (even then Doxycycline should be used in cases where Penicillin injections can't)

 

Doxycycline or Zithromaz would be more effective against the common STDs.

 

Anyway, self diagnosis/treatment is dumb.

Edited April 21, 2021 by 2009

[lopburi3]

6 hours ago, BritManToo said:

I take Cipro 500 for 5 days 100bht (no exercise as it can cause Achilles tendon tears).

It can do a lot more than that - it is the one drug I know I have severe reactions and would never recommend use when not under medical supervision and full warnings of side effects.  It is cheap so often just given without second thoughts but it is not designed to be the primary treatment for most things and I do not believe it should be used unless required as the side effects can be severe and seem to be more likely than most other approved drugs.