Maintain Good Urinary And Bowel Habits
To avoid a UTI, its important to take steps to prevent bacteria from entering the urinary tract. Your doctor may advise you to urinate whenever you feel the urge. Holding urine in can trap bacteria in the bladder.
Chronic diarrhea can be associated with recurrent urinary tract infections. Your doctor determines any treatments for this condition.
Key Points About Urinary Tract Infections
- Urinary tract infections are a common health problem that affects millions of people each year. These infections can affect any part of the urinary tract.
- Most UTIs are caused by E. coli bacteria, which normally live in the colon.
- The most common symptoms of UTIs include changes in urination such as frequency, pain, or burning urine looks dark, cloudy, or red and smells bad back or side pain nausea/vomiting and fever.
- Antibiotics are used to treat UTIs. Other treatments may include pain relievers, and drinking plenty of water to help wash bacteria out of the urinary tract.
- Other things that can be done may help reduce the likelihood of developing UTIs.
How Are Urinary Tract Infections Treated
Your health care provider will figure out the best treatment based on:
- How old you are
Treatment for UTIs may include:
You may also need to make lifestyle changes such as:
- Drinking plenty of water to help wash bacteria out of the urinary tract
- Avoiding coffee, alcohol, and spicy foods
- Quitting smoking
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What If The Infection Does Not Clear Up With Treatment
Most infections clear up with treatment. However, if an infection does not clear up, or if you have repeated infections, you may be given some special tests such as:
a type of x-ray called an intravenous pyleogram , which involves injecting a dye into a vein and taking pictures of your kidney and bladder
an ultrasound exam, which gives a picture of your kidneys and bladder using sound waves
a cytoscopic exam, which uses a hollow tube with special lenses to look inside the bladder.
When Urinary Tract Infections Keep Coming Back
If you are prone to recurrent UTIs, you can head them off before they take hold.
Unless you’re in the fortunate minority of women who have never had a urinary tract infection , you know the symptoms well. You might feel a frequent urgency to urinate yet pass little urine when you go. Your urine might be cloudy, blood-tinged, and strong-smelling. For 25% to 30% of women who’ve had a urinary tract infection, the infection returns within six months.
If you have repeated UTIs, you’ve experienced the toll they take on your life. However, you may take some comfort in knowing that they aren’t likely to be the result of anything you’ve done. “Recurrent UTIs aren’t due to poor hygiene or something else that women have brought on themselves. Some women are just prone to UTIs,” says infectious diseases specialist Dr. Kalpana Gupta, a lecturer in medicine at Harvard Medical School.
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Overactive Bladder In Children: Causes Diagnosis And Treatment
Overactive bladder , a specific type of urinary incontinence, is a common childhood condition defined by a sudden and uncontrollable urge to urinate. It can lead to accidents during the day. A parent may also ask a child if they need to go to the bathroom. Even though the child says no, theyll have an urgent need to go minutes later. OAB is not the same as bed-wetting, or nocturnal enuresis. Bed-wetting is more common, particularly in young children.
Symptoms of OAB can interfere with a childs day-to-day routines. Its important to react to daytime accidents with patience and understanding. These incidences can often impact a childs social and emotional development. Other physical complications of an OAB in children are:
- difficulty emptying the bladder completely
- an increased risk for kidney damage
- an increased risk for urinary tract infections
Talk to your doctor if you suspect your child has an OAB. In most cases, an OAB goes away with time. If not, there are treatments and at-home measures available to help your child overcome or manage this condition.
When You Need Themand When You Dont
Antibiotics are medicines that can kill bacteria. Doctors often use antibiotics to treat urinary tract infections . The main symptoms of UTIs are:
- A burning feeling when you urinate.
- A strong urge to urinate often.
However, many older people get UTI treatment even though they do not have these symptoms. This can do more harm than good. Heres why:
Antibiotics usually dont help when there are no UTI symptoms.
Older people often have some bacteria in their urine. This does not mean they have a UTI. But doctors may find the bacteria in a routine test and give antibiotics anyway.
The antibiotic does not help these patients.
- It does not prevent UTIs.
- It does not help bladder control.
- It does not help memory problems or balance.
Most older people should not be tested or treated for a UTI unless they have UTI symptoms. And if you do have a UTI and get treated, you usually dont need another test to find out if you are cured. You should only get tested or treated if UTI symptoms come back.
Antibiotics have side effects.
Antibiotics can have side effects, such as fever, rash, diarrhea, nausea, vomiting, headache, tendon ruptures, and nerve damage.
Antibiotics can cause future problems.
Antibiotics can kill friendly germs in the body. This can lead to vaginal yeast infections. It can also lead to other infections, and severe diarrhea, hospitalization, and even death.
Antibiotics can be a waste of money.
When should older people take antibiotics for a UTI?
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How Are Utis Treated
UTIs are treated with antibiotics. After several days of antibiotics, your doctor may repeat the urine tests to be sure that the infection is gone. Its important to make sure of this because an incompletely treated UTI can come back or spread.
If someone has a lot of pain from a UTI, the doctor may recommend a medicine to help relieve the spasm and pain in the bladder. This will turn pee a bright orange color, but its harmless and will usually make a person much more comfortable within hours. In the case of a kidney infection, a doctor may prescribe pain medicine.
If youve finished all the medicine or if your symptoms arent much better after 2 to 3 days of treatment, contact your doctor.
Drink lots of water during and after treatment because each time you pee, the bladder cleanses itself a little bit more. Cranberry juice may also be helpful. Skip drinks that containe caffeine , such as soda and iced tea.
People who get a doctors help for a UTI right away should be clear of symptoms within a week. Someone with a more severe infection may need treatment in a hospital so they can get antibiotics by injection or IV .
A doctor may tell people with UTIs to avoid sex for a week or so, which lets the inflammation clear up completely.
Check If Its A Urinary Tract Infection
Symptoms of a UTI may include:
- pain or a burning sensation when peeing
- needing to pee more often than usual during the night
- pee that looks cloudy
- needing to pee suddenly or more urgently than usual
- needing to pee more often than usual
- lower tummy pain or pain in your back, just under the ribs
- a high temperature, or feeling hot and shivery
- a very low temperature below 36C
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Cystitis In Men And Older People
Men tend to get cystitis later in life. Where trouble with urine flow is a symptom, this may indicate that the underlying cause is a problem with their prostate gland.
Cystitis is common in older people, particularly if they are unwell. Bladder catheters and some urinary-tract operations may also increase the risk of cystitis.
Urinary Tract Infections In Men
Men can get UTIs, particularly if they have trouble with urine flow. Older men who experience prostatitis are at a higher risk. If the bladder is not emptying properly, the build up ofurine makes it more difficult to cure the infection.
A small number of young men may get a UTI. In males, this is usually the result of a sexually transmitted disease.
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When Do You Need Antibiotics
In its SIGN 88 guidelines for UK healthcare, the Scottish Intercollegiate Guidelines Network recommends antibiotic treatment for otherwise healthy women, under 65, who have three or more symptoms of UTI.
Potential symptoms of UTI are listed as follows: pain passing urine , frequency of urination, bladder pain, urgency, passing lots of urine , and passing blood in the urine .
The guidelines recommend using dipstick tests to guide treatment decisions in otherwise healthy women under 65 years of age presenting with mild or more than two symptoms of UTI, comments Ali. Put simply, if symptoms are severe, urine testing is not required before initiating treatment.
Do You Need To See A Doctor To Get Antibiotics For A Uti
You need to speak with your doctor or a licensed medical professional to be prescribed antibiotics for a UTI. This can usually be done in person, at the doctor, or over the phone.
If this is your first UTI or your symptoms are severe, it may be helpful to get treated in person. You may also want to consider an in-person visit with your healthcare professional to rule out sexually transmitted infections if you are sexually active or have multiple sexual partners.
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Does Cranberry Juice Prevent A Urinary Tract Infection
Many people say that cranberry juice can help treat, or even prevent, a UTI. Researchers are currently looking into the topic, but havent found a definitive answer yet. Healthcare providers recommend drinking lots of fluids if you have, or have a history of getting, a UTI. Adding a glass of unsweetened cranberry juice to your diet isnt a proven way to prevent a UTI, but it typically wont hurt you either.
Can Menopause Cause Frequent Urination Without Infection
During menopause, many people find that they need to urinate more often. Up to 77% of people wake up one or more times a night to urinate during menopause, according to an article in The Journal of the North American Menopause Society.
The article also suggests that lower estrogen levels may inhibit antidiuretic hormone, which helps regulate the amount of water in the body.
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Coffee May Raise Risk Of Lower Urinary Tract Symptoms
Drinking caffeinated beverages may contribute to the development of lower urinary tract symptoms in both men and women, according to a new report. LUTS may be less likely to develop in men who drink citrus juice.
Nancy N. Maserejian, ScD, of New England Research Institutes in Watertown, Mass., and colleagues analyzed data from 4,145 individuals who are part of the Boston Area Community Health cohort. Men who reported drinking more than two cups of coffee per day at baseline had a significant twofold increased likelihood of LUTS onset compared with those who reported drinking no coffee, Dr. Maserejians group reported online ahead of print in the American Journal of Epidemiology.
Men who increased their coffee intake during follow-up by two or more 8-ounce cups per day from baseline had a significant 61% increased odds of LUTS progression. In men, consumption of orange or grapefruit juice was associated with a significant 50% decreased risk of LUTS development.
Women who increased coffee intake by at least two 8-ounce servings per day during follow-up had a significant 64% increased odds of progression of storage symptoms compared with women who had no change from baseline. Baseline coffee consumption was not associated with LUTS among women. Women who increased their soda intake by two or more 8-ounce servings per day had a significant 59%, 58%, and 40% increased likelihood of overall LUTS, voiding symptoms, and storage symptoms, respectively.
Urgent Advice: Ask For An Urgent Gp Appointment Or Get Help From Nhs 111 If:
You think you, your child or someone you care for may have a urinary tract infection and:
- a very high temperature, or feeling hot and shivery
- a very low temperature below 36C
- are confused, drowsy or have difficulty speaking
- have not been for a pee all day
- have pain in the lower tummy or in the back, just under the ribs
- can see blood in their pee
These symptoms could mean you have a kidney infection, which can be serious if it’s not treated as it could cause .
You can call 111 or get help from 111 online.
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The Uti Test Was Never Meant To Be Used For Everyday Utis
In the 1950s a scientist named Kass conducted two small studies on two groups of females with acute kidney infections. One group of participants were pregnant females, the other non-pregnant females.
Kass discovered that a certain concentration of bacteria in a cultured urine sample was enough to indicate a kidney infection with 80% accuracy.
Kass suggested that a kidney infection was present when a certain amount of bacteria was found in the urine. This is called the Kass threshold, and you may have seen reference to it on your UTI test results.
|The Kass threshold means a concentration of 100,000 colony forming units of bacteria per milliliter of cultured urine must be present to indicate an infection. It is a very specific threshold without much room for interpretation.|
The key point here is that the Kass test was already only 80% accurate for acute kidney infections. It was never validated for use in lower urinary tract infections, like bladder or urethral infections.
Yet, this test was embraced by the medical community and has been the global standard UTI test for more than 60 years.
The Kass threshold has since been found to be far too high to detect many lower urinary tract infections. That is, much lower counts of bacteria in the urine can indicate a UTI.
Because modern urine culture tests are based on the Kass test, any bacteria count that is below the Kass threshold will not be considered an infection, and antibiotic susceptibility testing will not be done.
How Do I Know If The Treatment Isnt Working
If the treatment isnt working, your symptoms will stay the same, get worse, or you will develop new symptoms. Call your doctor if you have a fever , chills, lower stomach pain, nausea, and vomiting. You should also call your doctor if, after taking medicine for 3 days, you still have a burning feeling when you urinate. If you are pregnant, you should also call your doctor if you have any contractions.
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Fighting Infections With Antibiotics
For a lower UTI, a 3-7-day course of antibiotics helps treat the bacteria. Serious upper infections need hospitalization for IV antibiotics. This helps with the back pain, fever, and vomiting that happens. Once doctors get the fever under control, treatment will then move to oral antibiotics. The doctor will give a longer course of antibiotics for a secondary UTI. There are cases where antibiotics do not work or the UTI returns multiple times in a year. In these cases, consult a urologist to advise on next steps.
What To Expect At Home
UTIs can lead to infection. Most often the infection occurs in the bladder itself. At times, the infection can spread to the kidneys.
Common symptoms include:
- Pain or burning when you urinate
- Needing to urinate more often
- Hard to empty your bladder all the way
- Strong need to empty your bladder
These symptoms should improve soon after you begin taking antibiotics.
If you are feeling ill, have a low-grade fever, or some pain in your lower back, these symptoms will take 1 to 2 days to improve, and up to 1 week to go away completely.
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What Causes A Urinary Tract Infection
Urinary tract infections are caused by microorganisms usually bacteria that enter the urethra and bladder, causing inflammation and infection. Though a UTI most commonly happens in the urethra and bladder, bacteria can also travel up the ureters and infect your kidneys.
More than 90% of bladder infection cases are caused by E. coli, a bacterium normally found in the intestines.
So Should You Stop Drinking Coffee For Urinary Health
In most cases, you should not have to give up your beloved morning beverage for the sake of your urinary tract. If you are dealing with chronic UTIs, however, it may be something you have to do for a time. Talk to your doctor about whats best for your situation.
And when you are in the midst of an infection, lay off the cup of Joe until you are feeling better. Then do proactive things like taking D-mannose and hibiscus. Always drink plenty of water.
And try to find the real culprit behind your UTI , so you dont have to have one again. Are you using spermicide-coated condoms? Is something blocking your urine from fully leaving the body? Do you need to start using the bathroom more consistently after sex?
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How Long Do Utis Last
With antibiotic treatment, symptoms of a UTI typically improve within 2 to 4 days.
But this can vary depending on many factors, including how quickly you receive treatment, the severity of your infection, and whether or not any complications arise.
Keep in mind that the course of antibiotics should be completed for UTI symptoms to completely resolve and prevent recurrent infections.