Chlamydial urethritis: symptoms, diagnosis and treatment

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2018-04-01 23:50:16

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Chlamydial urethritis is an inflammation of the urethra caused by the bacteria chlamydia, sexually transmitted. Swelling, inflammation of the urinary channel manifest a variety of symptoms, although often, this pathology occurs without clinical manifestations.

Chlamydial urethritis – a dangerous disease that can affect not only the urinary tract, but also nearby organs, and also affect the eyesight, digestion. Often chlamydia occurs on the background of other pathologies caused by cocci, fungal infections or Trichomonas.

Chlamydial urethritis

Types of chlamydial urethritis

Each type of pathology has its peculiarities and differences from other species. In the acute form the clinic, as with gonococcal infections. And when chronic symptoms were completely missing or changed every time the aggravation. Chlamydial urethritis each person is manifested in different ways, so it is often confused with other diseases.

The Variety of pathology is directly dependent on the extent of damage and the localization of the disease. According to these criteria allocate torpid appearance and total. Sometimes torpid passes in total, and in severe cases men may experience prostatitis.

Causes pathology

The Most common cause of the condition – unprotected intercourse. During the bacteria penetrate from the patient's body in a healthy, and infection may occur equally often as from men and from women. In men, chlamydia delayed the mucous membrane of the penis, begins their active reproduction. Weakened immunity pathogens penetrate the epithelium of the urethra, causing inflammation. During his life the bacteria produce toxins that have a negative impact on the subepithelial structure of the urethra.

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Chlamydial urethritis long time can itself does not show that leads to serious complications.

Pain at end of urination in women

Clinic of chlamydia in men

The Disease urinary tract infections caused by chlamydia, flows as well as other types of urethritis.

The Incubation period of the bacteria is 7-25 days, but may change at major or minor parties, depending on the immunity of the person.

Most Often chlamydia is manifested by pain at end of urination in women and men, and a discharge from the urethra of a different nature. They can be glassy, purulent, bloody. Most of the allocation observed in the morning.

Symptoms in men

Usually urethritis in men at the early stages has no symptoms, and only a few weeks later appear the first symptoms of chlamydial urethritis. The main manifestations include:

  • The emergence of a sense of burning pain in urethra;
  • The head of the penis becomes edematous, erythematous;
  • From the channel is allocated a yellowish slime.

During the illness, the discomfort appears only in the affected area. With the development of pathology of the urine begins to come in small portions, causing soreness. A similar clinical picture develops in gonorrhea: often these illnesses occur simultaneously and with the same symptoms.

Clinic in women

At First, women have no pathological manifestations of the disease. Later there is a feeling of discomfort in the genital area, mucous discharge. With the increase of the clinical picture occurs in women pain in the end of urination. In addition, the clinic of chlamydia is manifested by itching in the urethra, odor, pain, and discomfort during sexual intercourse. With the development of the disease changing nature of the discharge: first, they are transparent, and later may become purulent, bloody.

If time does not begin treatment, pathology quickly rises through the urinary system, reaching the cervix.

When disease first affected the front wall of the urethra, and then the symptoms recede. After some time she again comes to the fore. This speaks of the spread of infection.

Disease of the urinary tract caused by chlamydia

Possible complications

If not timely treatment, the pathology is complicated. It can cause a variety of diseases of genitalia and urogenital system, including hemorrhagic cystitis, epididymitis in women and men – stricture of the urethra, the lesion of the seminal vesicles, the prostate.

If the treatment is done correctly, chlamydia can lead to impotence. In women they cause ectopic pregnancy, cervical erosion. Bacteria can provoke miscarriage.

Diagnostic Methods

Diagnosis of chlamydial urethritis is carried out in several stages. First, the physician collects complaints, anamnesis, performs the primary inspection, during which the climb swabs for tests. Additionally prescribe a blood, urine. After identification of the pathogen are the causes of chlamydial urethritis. This is necessary in order to see who could infect the patient and infect anyone he could. Couples hold joint therapy: both sexual partners should undergo treatment, otherwise the whole treatment will be reduced to nothing after the first sexual intercourse.

If you suspect a chronic form of the disease, doctors prescribe the and.urethrography. Mandatory conduct bacterial analysis of the pathogen, allowing to understand, what antibiotics are best to treat.

To determine the internal condition of the urinary organs appointed by ultrasound.

Treatment Methods

After receiving the data, the diagnosis starts treatment of chlamydial urethritis. Because the disease is caused by bacteria the doctor selects antibacterial agents. It can be such as “Ofloxacin”, “Doxycycline” and other kinds of antibiotics. With special care when getting medicines to pregnant women.

The Treatment is carried out by taking medications orally or method of their introduction into the urethra. In the chronic form, undergoing physiotherapy. At the time of treatment sexual life is completely eliminated.

Causes of chlamydial urethritis

Treatment options

For successful treatment are selected such antichlamydial drugs that are able to penetrate cell structures. It is also worth considering that chlamydia occurs together with other pathologies, so the doctor must find a drug that can affect all kinds of bacteria, i.e., wide spectrum of activity.

For treatment using drugs of the following group:

  1. Tetracycline.
  2. Ftorhinolona.
  3. Aminoglycoside.
  4. Rifampicin.
  5. Macrolide.
  6. Sulfanilamide.

Treatment of chlamydial urethritis

Tetracyclines

In the early stages of pathology excellent results show tetracycline drugs – “Tetracycline" "Doxycycline". They are assigned the course from seven days to two weeks. These drugs may well help you to cope with cervicitis, urethritis, and effective in asymptomatic carriers of chlamydia. However, the drugs in this group are not used.

Macrolides

These substances include such drugs as “Erythromycin”, “Spiramycin”, “Azithromycin" and others.

Once for the treatment of chlamydia used “Erythromycin”, but this antibiotic is outdated, today it was replaced by a new, more effective drugs, among which "Azithromycin".

"Azithromycin": manual

In the instructions for use of capsules "Azithromycin" States that this product has a wide spectrum of action. The drug is active against gram-positive and gram-negative bacteria, some anaerobic pathogens, and also against chlamydia.

The ingestion of an antibiotic completely absorbed from the gastrointestinal tract. When taking dosages of 500 mg, the maximum concentration in blood is reached in three hours. The new tool is well penetrates into all cells, including skin, soft tissue. Moreover, in the tissues means accumulates thirty times more than in blood. Such indicators are connected with the fact that azithromycin is practically not associated with the blood supply.

Azithromycin usage instructions capsules

Indications for use of the drug are infectious-inflammatory disease caused by susceptible to the antibiotic microorganisms.

  • Diseases of ENT-organs;
  • Respiratory system illness, including SARS;
  • Urogenital chlamydia;
  • Diseases of the digestive tract, etc.

In the instructions for use of capsules "Azithromycin" it is said that this remedy is taken one hour before food or two hours after a meal.

If urethritis prescribe a single dose of capsules at the dosage of 1 g. At a moderate renal insufficiency correction dosing is not required. With severe liver damage should exercise caution when prescribing the drug.

Side effects of the drug can manifest a variety of clinical symptoms including: dizziness, nephritis, edema, chest pain, aggression, sleep disorder, gastritis, itching, fatigue, hemolytic anemia, arthralgia, etc. use caution when driving and other means of transport, so the drug affects the ability to drive.

The Tool is available in capsules, Packed in six pieces in a contour cell. One contour cell is Packed in a cardboard carton together with instructions for use. The tool is stored at temperature not above 25 degrees of the reach of children.

Like any antibiotic, "Azithromycin" is sold only by prescription.

Symptoms of chlamydial urethritis

Ftorinol

High effectiveness against chlamydia have medicines ftorhinolonov series. Antibiotics of this group that can be assigned: “Ofloxacin», «Pefloxacin”, “Norfloxacin», «Lomefloxacin” and others. However, laboratory experiments showed that ftorinol inferior to the efficacy of tetracyclines and macrolides.

Currently, for the treatment of bacterial diseases using “Ofloxacin”. It is administered at two hundred milligrams twice a day or four hundred milligrams one time per day. The tool is made within ten days. Resistance of chlamydia to this medication is not seen.

Diagnosis of chlamydial urethritis

The combating chlamydia

To prevent Contracting any diseases, sexually transmitted recommended only protected sexual intercourse and timely trips todoctors. Women and men have at least once a year to visit a urologist and gynecologist prophylactically. During the visit it is possible to identify hidden infection, learn about the diseases occurring without obvious clinical manifestations, including chlamydia and some other diseases.

To treat chlamydia can only be a gynecologist or a urologist.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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