Monday, September 26, 2022

Constipation And Urinary Tract Infection

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What Are The Symptoms Of Urinary Retention

Can Constipation Cause A Urinary Tract Infection?
  • Difficulty starting a urine stream
  • Weak flow of urine
  • Feel the need to urinate after voiding
  • Small amount of leakage

For acute bladder retention, initial treatment will involve catheterization, a small tube inserted into the bladder through the urethra to drain the urine and relieve immediate pain and distention. Long-term treatment will depend on the cause.

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Constipation Urinary Tract Infections

While many issues can play a role in care home residents developing constipation, poor hydration is the most common cause. If not properly treated, constipation can lead to fecal impaction, malnutrition and even death. Nursing homes have standing orders for treating most residents with constipation before it gets worse. Failure to hydrate residents or administer these orders is unacceptable.

Poor hydration, along with poor hygiene, can also lead to urinary tract infections . If not properly addressed, such preventable infections can cause kidney damage, sepsis and death. Patients left lying in their own urine and feces are most in danger of these infections, but even patients with urinary catheters can be at risk if their tubing is soiled or staff fail to keep them hydrated or change collection bags.

Injury Types

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Managing Bladder And Bowel Incontinence

Some common treatments are:

  • Changes in food or drink. Increasing your fiber intake can help manage diarrhea and constipation. Drinking plenty of fluids can also ease constipation. Not drinking fluids at certain times can help manage overactive bladder and urinary incontinence.

  • Exercises. Kegel exercises can strengthen the sphincter muscles and pelvic floor. This can help you have better control.

  • Medicines. Some medicines can help control bowel incontinence. Antidiarrheal medicines can help manage diarrhea. And medicine can help bladder muscles relax to give you better control.

  • Keeping a bathroom schedule. Setting a regular schedule for using the toilet can give you better control. This includes attempting to urinate or move your bowels at the same time each day.

  • Electrical stimulation. This therapy can stimulate damaged nerves. This may give you better muscle control in your bladder or bowel.

  • Surgery. In rare cases, you may need surgery to repair damage to muscles or nerves.

Your healthcare provider will work with you to create a treatment plan.

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Check If It’s 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

Holding In Your Urine

Cat Urinary Tract Infection Constipation

If you have to go, go! Holding our urine for 6 hours or more may make UTIs more common, as bacteria that does get into the bladder has lots of time to overgrow between voids, Dr. Hawes says. While traveling, for example, it may seem like a good idea to hold tight and keep driving until the next rest area, but do yourself a favor and stopthe extra miles arent worth the risk of a UTI.

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Main Reasons Why Constipation Causes Uti

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There is a known correlation between UTIs and constipation. Why does constipation cause UTIs? In this post, I explain the mechanics of the process and will list some easy peasy preventive measures.

Lets be clear on the definition. According to WebMD here are the symptoms of constipation:

  • Straining during a bowel movement more than 25% of the time
  • Hard stools more than 25% of the time
  • Incomplete evacuation more than 25% of the time
  • Two or fewer bowel movements in a week.

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Ageing Getting older can affect function and ability, so bladder and bowel routines and management can also change. Dealing with incontinence Always seek advice or help from your GP or spinal centre Incomplete emptying Patients who tap and express occasionally have incomplete emptying and complain of sweating and having UTIs. They require a follow up to check that the bladder is functioning and fully emptying . Sometimes GPs diagnose this as a prostate problem in men, when it is actually a neurogenic bladder problem. Long term medication Certain long term medication, such as Analgesia, can affect bladder and bowel function Bowel cancer screenings These may be more difficult for spinal cord injured people, as the laxative administered as preparation for the colonoscopy may play havoc on your bowel routine. Be sure to talk to your GP before the procedure.

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Study Design And Procedure

Primary objective of this study is to evaluate whether Overactive Bladder Symptoms Score of female patients with latent FC is higher than that of patients without latent FC at the urological department of the general hospital or not. For the secondary objectives are to investigate the associated factors for latent FC and mild to moderate OAB, wet OAB, and dry OAB. Sample size was determined by the free software of Vanderbilt University.

Urinary symptoms were evaluated by OABSS and constipation was evaluated by the Rome III criteria. The OABSS was developed to assess the presence and severity of OAB symptoms as a self-administered four-item questionnaire . OAB was defined as OABSS 3 and Q3 2 and it was classified into wet OAB, which was OAB with urinary incontinence, and dry OAB, which was OAB without urinary incontinence. OAB was also classified into three severity categories as follows: mild OAB , moderate OAB , and severe OAB . The Rome III criteria include six items related to defecation: straining, lumpy hard stools, sensation of incomplete evacuation, use of digital maneuvers, sensation of anorectal obstruction or blockage with 25 percent of bowel movements, and decrease in stool frequency . Latent FC was defined by positivity for two or more of the Rome III criteria . The clinical background was also investigated, including the medical history and drug therapy .

Preventative Measure For Utis In Kids

Urinary Tract Infection Causes

If constipation is a contributing factor with your childs UTIs, its important to take measures to prevent and avoid constipation, such as adequate hydration , proper nutrition, adequate daily fiber intake, daily exercise, and a regular bowel routine.

Its important to be informed about at-home remedies you can use to prevent and address your childs constipation, and to seek advice from a pediatrician if you suspect your kid is constipated.

If your child is prone to UTIs there are some preventative measures you can take to maintain a healthy bladder.

Infants and Toddlers: Be sure your child gets frequent diaper and/or pull-up changes to avoid a buildup of bacteria that can cause a UTI. When young children are potty training, include proper bathroom hygiene as part of the process. Instruct girls to wipe from front to back to keep bacteria in the rectum from spreading to the urethra.

School-aged Children: When children start preschool or school they can develop bathroom anxiety and may be reluctant to use a bathroom that is unfamiliar to them. This may cause them to withhold urine and can lead to a UTI. Work with caregivers at daycare or school to ensure there are adequate bathroom breaks and work with them to help reduce your kids anxiety.

Adequate Hydration: Drinking adequate amounts of non-diuretic fluids is essential in the prevention of UTIs . Make sure your child drinks frequently throughout the day to encourage frequent urination.

Disclaimer:

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Ibs With Diarrhea And Ibs With Constipation Symptoms

Although some people may alternate between having constipation and diarrhea, most people with IBS tend to have either symptoms of chronic diarrhea or chronic constipation and are diagnosed accordingly with either IBS with diarrhea or IBS with constipation 2.

Abdominal pain is the characteristic symptom associated with IBS-D. Those suffering from IBS-D may also experience gas, sudden urges to have a bowel movement and loose stools. Some people with IBS-D have feelings of nausea, frequent urges to have a bowel movement or bothersome feelings that they are unable to completely empty their bowels. Some people may lose control of their bowels and soil themselves when the urge comes on very strongly and suddenly.

Like those with IBS-D, the key symptom among those with IBS-C is abdominal pain and discomfort.

  • Although some people may alternate between having constipation and diarrhea, most people with IBS tend to have either symptoms of chronic diarrhea or chronic constipation and are diagnosed accordingly with either IBS with diarrhea or IBS with constipation 2.
  • Some people with IBS-D have feelings of nausea, frequent urges to have a bowel movement or bothersome feelings that they are unable to completely empty their bowels.

Tips For Increasing Fiber

How do you know if you are getting enough fiber? The Academy of Nutrition and Dietetics recommends 25 to 38 grams of fiber daily. Check out the list of IC-friendly sources of fiber.

If youre not getting enough fiber, use the list to choose foods to add to increase your fiber intake. Check out the serving size for each of these items. You may find it helpful to measure quantities to get a sense of how many servings you typically eat. Two items that some people may find helpful for irregularity are a small glass of prune juice daily and 1-2 tablespoon flax each day.

When you are increasing fiber, you must make sure you drink enough fluids. Increasing fiber without getting enough liquids can make constipation worse. A rule of thumb: the more fiber you consumer, the more water you need.

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Talking With Your Child

  • Avoid blame, criticism or punishment for bowel accidents.
  • Always reward your child for following the recommendations
  • Do not allow siblings or classmates to tease the child.
  • Encourage the childs teacher to participant in this process, allowing the child to have ready access to bathroom at school. We can write a note for you if needed for the school.

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Is your child urgently running to the bathroom and having urinary accidents? Is your child experiencing urinary tract infections or pain with urination? Urinary problems and UTIs occur in many children and can affect family, social and school life. In many cases, your childs pediatrician can perform a simple urine test to see whether simple treatments, like antibiotics, can resolve the problem. If treatment doesnt resolve the issue, though, your childs urinary problem may be caused by something most parents wouldnt suspect: trouble with number two.

Constipation or incomplete bowel emptying is a very common contributor to urinary problems. The bladder and bowel are controlled by the same nerves and are next to each other in the body.

How to Know if Constipation is Causing Your Childs Urinary Troubles

Parents are not always aware of childrens bowel habits after they become toilet-trained. First, try asking your child whether they have any of the following symptoms of constipation:

  • Infrequent stools
  • Hard stools
  • Painful stools or straining
  • Large bowel movements

Constipation is often treated with laxatives and stool softeners, though results can sometimes be maintained on a high fiber diet. There are some things you can safely try at home, after consulting your childs doctor, to address constipation as a possible cause of urinary issues. A large number of patients will experience urinary symptom relief after starting a bowel regimen.

Tips for preventing constipation:

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Symptoms Of A Urinary Tract Infection

Symptoms of a lower UTI include

  • Pain or discomfort when urinating
  • The feeling of being unable to empty your bladder fully
  • Cloudy and/or foul-smelling urine that may contain blood
  • Pain in your lower abdomen and pelvis
  • Feeling achy, tired and generally under-the-weather

Symptoms of an upper UTI include

  • A high temperature of 38°C
  • Pain in your sides or back
  • Shivering or chills
  • Agitation or restlessness

Recognizing A Chronic Problem

So, how can you recognize chronic constipation and put an end to it before it causes your child even more discomfort? Know the symptoms.

The most common symptoms of chronic constipation include:

  • Changes in appetite, including your child suddenly becoming full very easily
  • Constant or frequent abdominal pain and cramps
  • Irritability
  • Nausea and vomiting
  • Urinary problems as a result of an enlarged rectum leaving less room for the bladder to expand this means your child will need to urinate more frequently and they may get urinary tract infections or bladder infections

If you notice these changes in your childs bathroom habits and overall attitude and behavior, it is time to call the pediatrician. Your doctor will be able to set you and your child on the right path and will come up with a treatment plan based on your kids symptoms.

Constipation, even if it is chronic, is usually easily resolvable, and your doctor may prescribe certain laxatives or stool softeners to make your childs return to normal a little bit easier. Your doctor will likely also advise you to keep your child on a high fiber diet for a period of time since fiber helps keep things moving along through the digestive system. In fact, insufficient fiber may have been what caused the problem in the first place.

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What Causes Bladder Or Bowel Incontinence

Many conditions may affect the nerves and muscles that control the bladder and bowel.

Bladder incontinence can be caused by things such as:

  • Damage to nerves in sphincter muscles

  • Holding urine in too long , which can damage the bladder

  • Having to urinate many times during day and night, often urgently

  • Diarrhea

Bowel incontinence can be caused by things such as:

  • Diarrhea

  • Damage to the nervous system from disease or injury

  • Vaginal childbirth

Best Practice For Catheter Use

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For indwelling catheters , regular catheter changes are required. Indwelling long term catheters are licensed for three months, however, in some spinal units we recommend they are changed every four to six weeks to prevent blockages.

Anchorage of catheters is recommended with securement devices like StatLock or Clinifix. There are also silicone options for people with sensitive skin like the Shop Optimum Multi Fix Gentle. These prevent the catheter kinking, being pulled during transfers, or being trapped in the groin.

Catheter valves come in different forms, so its good to research what kind will suit you best Especially for patients with limited hand dexterity, as cable ties can be added to aid opening and closure.

Guidelines and research advise that you change your leg bag every five to seven days, and attach a two litre night bag when you go to bed. This reduces infection risk.

Always keep hydrated. Normally two to three litres of fluid daily will keep urine clear.

Always practice good general hygiene around a catheter site.

Its essential to maintain a healthy diet

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Diagnosis Of Uti And Constipation

Since UTI can prove to be hazardous for your kidneys, it is important to undergo treatment at the earliest. The renal ultrasound evaluation or scan can determine the blockages. And also track whether the kidneys are in their original shape and size after getting affected by the UTI. The severe case of constipation can be seen as a very big factor influencing the UTI development. Constipation and UTI are related to each other, and hence it is essential to undergo treatment of the conditions and clear your bowels.

Treatment From A Gp For Utis That Keep Coming Back

If your UTI comes back after treatment, you may have a urine test and be prescribed different antibiotics.

Your doctor or nurse will also offer advice on how to prevent UTIs.

If you keep getting UTIs and regularly need treatment, a GP may give you a repeat prescription for antibiotics.

If you have been through the menopause, you may be offered a vaginal cream containing oestrogen.

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Is Constipation Causing My Childs Uti

If your child is exhibiting any of the above-listed symptoms and is also experiencing trouble going poop, constipation may be causing or exacerbating the problem. Children with chronic or frequent constipation are more prone to UTIs, so its important to keep an eye out for symptoms of both.

The symptoms of constipation in children include:

  • Irregular or infrequent bowel movements
  • Hard, abnormally large, or pellet-shaped stools
  • Straining when going poop
  • Reluctance to have bowel movements
  • Incomplete evacuation of the bowel

When too much stool is in the rectum and colon due to constipation, pressure is placed on the bladder, making it difficult for the bladder to completely empty. Urine that stays in the bladder too long promotes bacterial growth that can lead to a UTI.

Disrupted Flora & Uti

(PDF) The Relationship between Chronic Constipation and ...

Most importantly, constipation can lead to high levels of the Escherichia coli bacteria in the rectum, increasing the risk that they could spread to the urinary tract. If you think about the reasons for constipation, they often include poor diet and an inactive lifestyle. Both factors also contribute to and are connected with the diversity of your gut microbiome. It is still unclear if a change in microbiome is a cause or a consequence of constipation but

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