Here is the translation of the provided content into English: "Urinary tract infection starts in puberty" Note: The line breaks ("") are preserved as they are in the original text.

Patient's question:

Not responding to treatment. Over five years, waking up every night at 4 a.m., bitter mouth, more discomfort on the left side than the right in the lower abdomen below the navel, currently with increased eye bags and decreased vision.

Doctor's answer:

Treatment for urethritis: Drink plenty of water to increase urine volume, allowing urination to flush out urethral secretions; use sedative, analgesic, and spasmolytic drugs to relieve pain;
Antibiotic treatment (Norfloxacin). Select effective antibiotics based on bacterial culture and sensitivity tests.