They may benefit from self-treatment upon occurrence of symptoms with medical follow-up only if the initial treatment fails. Complicated
Complicated UTIs are more difficult to treat and usually requires more aggressive evaluation, treatment and follow-up. It may require identifying and addressing the underlying complication. Increasing antibiotic resistance is causing concern about the future of treating those with complicated and recurrent UTI. Pyelonephritis
Pyelonephritis is treated more aggressively than a simple bladder infection using either a longer course of oral antibiotics or intravenous antibiotics. Seven days of the oral fluoroquinolone ciprofloxacin is typically used in areas where the resistance rate is less than 10%. If the local resistance rates are greater than 10%, a dose of intravenous ceftriaxone is often prescribed. Trimethoprim/sulfamethoxazole or amoxicillin/clavulanate orally for 14 days is another reasonable option. In those who exhibit more severe symptoms, admission to a hospital for ongoing antibiotics may be needed. Complications such as ureteral obstruction from a kidney stone may be considered if symptoms do not improve following two or three days of treatment. Prognosis
With treatment, symptoms generally improve within 36 hours. Up to 42% of uncomplicated infections may resolve on their own within a few days or weeks.Some children will develop recurrent urinary tract infection. When urinary tract infection involves the lower urinary tract, it develop cystitis, if urinary tract infection involves the upper tract, pyelonephritis develops. About 10 to 20% of pyelonephritis will go on and develop scarring of the affected kidney.
Fissure of the nipple, colloquially referred to as "joggers nipple", is a condition that is the result of chafing of one or both nipples. This can occur in both men and women during physical exercise such as long-distance running where there is prolonged friction between the nipple and clothing. The issue is also commonly seen in surfers who do not wear rash guards or wetsuits. See also
Cracked nipple
List of cutaneous conditions

References


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