What If I Have Frequent Recurring Utis
Within a year of havig a UTI infection, roughy one-quarter to one-half of women will have another UTI. For these women antibiotic prophylaxis may be recommended by her health care provider. With a recurrent course of UTIs, a urine culture or imaging tests may be required for further analysis.
For recurrent UTIs, there are several antibiotic options for prevention:
- A shorter course of antibiotics at the first sign of UTI symptoms a prescription may be given to you to keep at home.
- A longer course of low-dose antibiotic therapy.
- Take a single dose of an antibiotic after sexual intercourse.
The choice of antibiotic is based on previous UTIs, effectiveness, and patient-specific factors such as allergies and cost. Antibiotics commonly used for recurrent UTIs can include sulfamethoxazole-trimethoprim, nitrofurantoin, cefaclor, or cephalexin.
In postmenopausal women with vaginal dryness that may be leading to recurrent UTIs, vaginal estrogen may be an effective treatment. Treatment options your doctor might recommend include: Estring, Vagifem , or vaginal estrogen creams .
When Should People Seek Medical Care For A Uti
Any adult or child who develops any of the symptoms of a urinary tract infection needs to be evaluated by a medical professional, preferably within 24 hours. Most medical offices can test urine for infection by using a quick urine “dipstick” test.
- Someone who has symptoms of a lower urinary tract infection should call a health care professional for an appointment, preferably on the same day that symptoms are recognized.
- Someone who has symptoms of an upper urinary tract infection involving the kidneys should call a health care professional immediately. Depending on the situation, he or she will recommend either a visit to the office or a hospital emergency department.
If someone has symptoms of a lower urinary tract infection and any of the following applies, he or she may be at risk for complications of the urinary tract infection.
- Vomiting and inability to keep down clear fluids or medication
- Not better after taking antibiotics for two days
- Having diabetes or another disease that affects the immune system
- Taking medication that suppresses the immune system such as cancer chemotherapy
Infants, children, and elderly people with any of the signs and symptoms of UTI should see their health care professional as soon as possible or go to an emergency department for evaluation.
The usual treatment for both simple and complicated urinary tract infections is antibiotics. The type of antibiotic and duration of treatment depends on the circumstances.
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. It’s important to make sure of this because an incompletely treated UTI can come back or spread.
If a child has severe pain when peeing, the doctor may also prescribe medicine that numbs the lining of the urinary tract.
Give prescribed antibiotics on schedule for as many days as your doctor directs. Keep track of your child’s trips to the bathroom, and ask your child about symptoms like pain or burning during peeing. These symptoms should improve within 2 to 3 days after antibiotics are started.
Encourage your child to drink plenty of fluids, but skip drinks that containe caffeine , such as soda and iced tea.
Most UTIs are cured within a week with treatment.
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Urinary Infections In Children
A urinary infection in a child needs to be investigated as it may indicate a more serious condition.
The most common urinary system condition is urinary reflux. With this condition, the bladder valve isnt working properly and allows urine to flow back to the kidneys, increasing the risk of a kidney infection.
Urinary reflux and the associated infections can scar or permanently damage the kidney, and can also lead to:
- high blood pressure
- toxaemia in pregnancy
- kidney failure.
Urinary reflux tends to run in families, so its important to screen children as early as possible if a close relative is known to have the problem.
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
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How Do Antibiotics Treat A Uti
UTIs can be caused by many different types of germs including bacteria or fungi and in rare cases, even viruses. But bacterial UTIs are the most common.
If you have a bacterial UTI, the only way to treat it is by getting rid of the bacteria thats causing it. Thats where antibiotics come in. They either stop those bacteria from growing or directly kill the bacteria altogether.
Its worth noting that antibiotics only treat UTIs and other infections caused by bacteria. If you have a fungal or viral UTI, antibiotics wont help.
Should I Call My Doctor Or Nurse If I Think I Have A Yeast Infection
Yes. Seeing your doctor or nurse is the only way to know for sure if you have a yeast infection and not a more serious type of infection.
The signs and symptoms of a yeast infection are a lot like symptoms of other more serious infections, such as STIs and bacterial vaginosis . If left untreated, STIs and BV raise your risk of getting other STIs, including HIV, and can lead to problems getting pregnant. BV can also lead to problems during pregnancy, such as premature delivery.
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Common Side Effects With Antibiotic Use
Each antibiotic is responsible for its own unique list of side effects, and the list is usually extensive. Be sure to discuss your individual antibiotic side effects with your healthcare provider. However, there are side effects that are common to most antibiotics, regardless of class or drug:
What Is Causing The Infection
E. coli bacteria cause urinary tract infections 85% of the time, other bacteria make up the remaining 15%. There are several reasons bacteria get into the urinary tract. These include pregnancy, menopause, and sexual intercourse. Urinary catheters invite bacteria into the urethra and pose a high risk of urinary tract infection. Other reasons include bladder stones and urinary tract malformations.
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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?
Diagnosis And Treatment Of Urinary Tract Infections In Children
BRETT WHITE, MD, Oregon Health and Science University, Portland, Oregon
Am Fam Physician. 2011 Feb 15 83:409-415.
Acute urinary tract infections are relatively common in children, with 8 percent of girls and 2 percent of boys having at least one episode by seven years of age. The most common pathogen is Escherichia coli, accounting for approximately 85 percent of urinary tract infections in children. Renal parenchymal defects are present in 3 to 15 percent of children within one to two years of their first diagnosed urinary tract infection. Clinical signs and symptoms of a urinary tract infection depend on the age of the child, but all febrile children two to 24 months of age with no obvious cause of infection should be evaluated for urinary tract infection . Evaluation of older children may depend on the clinical presentation and symptoms that point toward a urinary source . Increased rates of E. coli resistance have made amoxicillin a less acceptable choice for treatment, and studies have found higher cure rates with trimethoprim/sulfamethoxazole. Other treatment options include amoxicillin/clavulanate and cephalosporins. Prophylactic antibiotics do not reduce the risk of subsequent urinary tract infections, even in children with mild to moderate vesicoureteral reflux. Constipation should be avoided to help prevent urinary tract infections. Ultrasonography, cystography, and a renal cortical scan should be considered in children with urinary tract infections.
What Are Potential Side Effects Of Antibiotics For Uti
In addition to the notable side effects weve already covered, there are a few more potential antibiotic side effects youll want to know about.
Most antibiotics can cause some degree of stomach upset like nausea, vomiting, and/or diarrhea. If you have severe diarrhea or diarrhea that lasts for 2 or more days, let your healthcare provider know. Diarrhea is a common side effect while taking antibiotics and just after finishing them. But in some cases, diarrhea from antibiotics can be a sign of a more serious infection caused by Clostridium difficile bacteria.
Some people are also sensitive to antibiotics, which could result in a minor reaction like a rash or a more serious reaction like anaphylaxis. If you notice difficulty breathing or major skin changes after taking an antibiotic, get medical help right away.
Take An Otc Pain Reliever
Over-the-counter pain medications can temporarily relieve pain caused by a UTI. Use caution here, and always speak with a doctor first, as some UTIs can turn into kidney infections. In these cases, patients should avoid taking nonsteroidal anti-inflammatory drugs , which could make the infection worse.
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What Antibiotic Is Used To Treat Uti In Dogs
Often, veterinarians will prescribe an antibiotic to help provide immediate relief to a dog with a UTI. Its common for vets to prescribe broad-spectrum antibiotics, such as amoxicillin, amoxicillin-clavulanic acid, ampicillin, and potentiated sulfonamides. These antibiotics target a wide array of UTI-causing bacteria.
Your vet may decide to do a urine culture to determine the specific type of bacteria thats causing your dogs UTI. This will allow your vet to prescribe the antibiotic that most effectively targets that bacteria.
Does My Dog Have An Inherited Urinary Disease
Some inherited diseases can cause chronic urinary problems in dogs and you can test your dog to see if hes at risk. EasyDNA has an at-home DNA test kit that you can give your dog, mail it in, and get results in just a few weeks. Diseases tested for include:
- Hyperuricosuria: a genetic disorder that involves elevated levels of uric acid in the urine, which can cause the formation of stones in their bladders and sometimes kidneys. This EasyDNA test is available for all dog breeds.
- Cystinuria: another autosomal recessive disorder that causes the kidneys to fail to reabsorb amino acids . This can lead to the formation of cystine crystals and stones in the urinary tract, leading to possible blockage of the urethra. This EasyDNA test is available for Labrador Retrievers and Newfoundlands.
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What Are Causes And Risk Factors For A Urinary Tract Infection
The urine is normally sterile. An infection occurs when bacteria get into the urine and begin to grow. The bacterial infection usually starts at the opening of the urethra where the urine leaves the body and moves upward into the urinary tract.
- The culprit in at least 90% of uncomplicated infections is a type of bacteria called Escherichia coli, better known as E. coli. These bacteria normally live in the bowel and around the anus.
- These bacteria can move from the area around the anus to the opening of the urethra. The two most common causes of this are improper wiping and sexual intercourse.
- Usually, the act of emptying the bladder flushes the bacteria out of the urethra. If there are too many bacteria, urinating may not stop their spread.
- The bacteria can travel up the urethra to the bladder, where they can grow and cause an infection.
- The infection can spread further as the bacteria move up from the bladder via the ureters.
- If they reach the kidney, they can cause a kidney infection , which can become a very serious condition if not treated promptly.
The following people are at increased risk of urinary tract infection:
The following special groups may be at increased risk of urinary tract infection:
Symptoms Of A Uti Vs Yeast Infection
The symptoms of these two conditions provide the first clues to tell them apart. While they may have some symptoms in common, there are others that stand out as unique.
A urinary tract infection is characterized by: pain or burning sensation during urination, feeling the urge to urinate more often but having a hard time emptying your bladder and a bad smell to your urine.
The urge to urinate will never seem to go away with a UTI, but when you sit on the toilet, you may only experience frustrating painful drips of relief. With serious UTIs, you could also experience a low-grade fever and pain in your lower back.
Vaginal yeast infections are primarily characterized by itching, burning and a white clumpy discharge, similar to cottage cheese. Your vulva and vagina may be swollen, red and sore. And if you attempt to have sex, itll likely be painful.
To make it clear, the key differences here are: UTI symptoms are primarily an increasing urge to urinate with no relief, while yeast infections cause an itchiness, burning and clumpy white discharge.
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Can You Treat A Uti Without Antibiotics
Antibiotics are an effective treatment for UTIs. However, the body can often resolve minor, uncomplicated UTIs on its own without the help of antibiotics.
Complicated UTIs will require medical treatment. These UTIs involve one or more of the following factors:
More severe risks of using antibiotics include:
Which Antibiotic Will Work Best
Your doctor will take a urine sample to confirm that you have a UTI. Then the lab will grow the germs in a dish for a couple of days to find out which type of bacteria you have. This is called a culture. Itâll tell your doctor what type of germs caused your infection. Theyâll likely prescribe one of the following antibiotics to treat it before the culture comes back:
Which medication and dose you get depends on whether your infection is complicated or uncomplicated.
âUncomplicatedâ means your urinary tract is normal. âComplicatedâ means you have a disease or problem with your urinary tract. You could have a narrowing of your ureters, which are the tubes that carry urine from your kidneys to your bladder, a narrowing in the urethra which transports urine from the bladder out of the body, or, you might have a blockage like a kidney stone or an enlarged prostate . It’s also possible you have a urinary fistula or a bladder diverticulum.
To treat a complicated infection, your doctor might prescribe a higher dose of antibiotics. If your UTI is severe or the infection is in your kidneys, you might need to be treated in a hospital or doctor’s office with high-dose antibiotics you get through an IV.
Your doctor will also consider these factors when choosing an antibiotic:
- Are you over age 65?
- Are you allergic to any antibiotics?
- Have you had any side effects from antibiotics in the past?
Whats The Difference Between A Urinary Tract Infection And Bladder Infection
A urinary tract infection is a more general type of infection. There are many parts of your urinary tract. A UTI is a term for an infection that takes place throughout the urinary tract. A bladder infection, also called cystitis, is a specific infection. In this infection, bacteria makes its way into the bladder and causes inflammation.
Not all urinary tract infections become bladder infections. Preventing the spread of the infection is one of the most important reasons to treat a UTI quickly when you have symptoms. The infection can spread not only to the bladder, but also into your kidneys, which is a more complicated type of infection than a UTI.
Can Male Dogs Get A Uti
Female dogs are more prone than male dogs to getting UTIs, but male dogs can still get them. Older female dogs, dogs with diabetes, and dogs who have bladder stones are most at risk. But other health problems, such as Cushings disease and chronic kidney disease, can also contribute to increased UTIs.
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