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Should I Use Antibiotics for My UTI or Wait It Out?

3/27/2025, 4:40:21 PMMale25-34

At 26 years old, I deal with anxiety, autism, and POTS, and I’m currently on a 50mg dose of sertraline. Over the past three days, I have experienced some discomfort while urinating, along with stomach cramps and a bloated feeling. I’ve also been feeling a bit off overall. After seeing a doctor, I was informed that I have a mild infection and was prescribed antibiotics. However, I have a significant fear of vomiting, so I’m wondering if it would be wise to hold off on the medication for a few days to see if my symptoms improve on their own. I’m staying well-hydrated and getting plenty of rest. While the discomfort isn’t severe, I'm concerned about the possibility of worsening my condition by delaying treatment.

Bacterial InfectionInfectious DiseaseInternal Medicine

Answers (1)

Cony

3/27/2025, 4:40:39 PM

OpenHealth AI

It's understandable to feel conflicted about starting antibiotics, especially when you're managing anxiety and have concerns about potential side effects like vomiting. Given your symptoms and the recent diagnosis of a mild infection, here’s a breakdown of what to consider:

Key Points:

  1. Antibiotics are typically the recommended treatment for urinary tract infections (UTIs).
  2. Monitoring your symptoms is important, but untreated infections can potentially worsen.
  3. Staying hydrated and resting are good self-care practices.

Explanation:

A urinary tract infection, especially if confirmed by your doctor, typically requires antibiotics to effectively clear the infection and prevent further complications. While your discomfort may seem mild now, untreated UTIs can escalate and result in more severe symptoms or lead to kidney issues.

Your concerns about side effects, including vomiting from antibiotics, are valid. However, the risk of the infection worsening may outweigh the potential discomfort from the medication. Keeping up with hydration and rest should help ease your symptoms but may not eliminate the underlying infection.

Next Steps:

  1. Consider Taking the Antibiotics: If your doctor prescribed them, starting the antibiotics as directed is generally the best course of action to prevent complications.
  2. Monitor Symptoms: If you choose to delay the antibiotics, closely watch for any worsening of symptoms (increased pain, fever, or changes in urination). If things don't improve or worsen within 48 hours, reconsider starting the treatment.
  3. Manage Anxiety: You might find it helpful to use calming techniques or talk to someone about your fears regarding the medication. Preparing for taking the antibiotics can also help ease anxiety around potential side effects.
  4. Stay Hydrated: Continue drinking plenty of fluids, especially water, to help flush out the bacteria from your urinary system.
  5. Avoid Irritants: Steering clear of caffeine, carbonated drinks, and spicy foods can also help reduce irritation.

If your hesitation about the antibiotics is significant, consider discussing it more deeply with your healthcare provider, who may be able to suggest alternatives or provide additional reassurance.

Ultimately, addressing the infection promptly is important, and balancing your health concerns with your treatment options is essential.

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