What are the reasons for pain during urination with purulent fluid discharge?

Patient's question:

Starting from the evening of February 8th
Tongue head pain
Purulent liquid discharge
Many white spots on the tongue head
Redness around the tongue head
How is this condition, how to treat this disease? Can medicine treat it?

Doctor's answer:

Urinary tract infection is highly possible. It is recommended to check a urinalysis as soon as possible for a clear diagnosis. Oral azithromycin or intravenous ceftriaxone can be tried for treatment. When experiencing urinary frequency, urgency, and dysuria, you can take Jiejing 654-2 tablets as a spasmolytic. It is essential to drink plenty of water to increase urine output, which helps flush the urethra. Avoid excessive and rough sexual activity, and it is best to use condoms to prevent mutual infection. Reduce the intake of spicy foods and alcohol.
If it is ineffective, a bacterial culture is recommended. Drug sensitivity tests should target the selection of 2-3 medications based on the type of pathogen and its sensitivity to drugs, which tends to yield better results. After symptoms completely disappear, urinalysis returns normal, and bacterial culture is negative, medication should be continued for 7-10 days before stopping.