When Should I See My Doctor
If you have any symptoms associated with a UTI or a pre-existing health condition, dont delay visiting your doctor for treatment.
UTIs can be more dangerous if youre pregnant, due to an increased risk of kidney involvement. See your doctor if you are pregnant and you think you have a UTI, even if your symptoms are mild.
Children with UTI symptoms should see a doctor, to check for a more serious underlying condition.
Bladder infections may spread to your kidneys . This is a serious infection and needs immediate treatment with antibiotics. Signs and symptoms of kidney infection include fever, back pain, diarrhoea and vomiting. If you have these symptoms, it is important to see your doctor.
How Does It Occur
Normally the urinary tract does not have any bacteria or other organisms in it. Bacteria that cause UTI often spread from the rectum to the urethra and then to the bladder or kidneys. Sometimes bacteria spread from another part of the body through the bloodstream to the urinary tract. Urinary tract infection is less common in men than in women because the male urethra is long, making it difficult for bacteria to spread to the bladder.
Urinary tract infection may be caused by a sexually transmitted disease. Sometimes a stone in the urinary tract blocks the flow of urine and causes an infection. In older men, an enlarged prostate can cause a urinary tract infection by keeping urine from draining out of the bladder completely. Infection might also be caused by the use of a catheter used to drain the bladder or by urethral stricture, which is a narrowing of the urethra by scar tissue from previous infections or surgical procedures.
You may be more likely to have a UTI if you have diabetes or another medical problem that affects the immune system.
How Is It Diagnosed
Your healthcare provider will ask about your symptoms and medical history. You may have lab tests of your urine and discharge from the urethra and prostate gland.
For serious or repeated infections, you may need:
- An intravenous pyelogram . An IVP is a special type of X-ray of the kidneys, ureters, and bladder.
- An ultrasound scan to look at the urinary tract.
- A cystoscopy. This is an exam of the inside of the urethra and bladder with a small lighted instrument. It is usually done by a specialist called a urologist.
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Prostatitis Epididymitis Urethritis And Orchitis
In contrast to UTI, prostatitis affects men of all ages and, from 1990-1994, accounted for almost 2 million office visits per year in the United States. Prostatitis syndromes account for 25% of male office visits for genitourinary complaints, 8% of visits to urologists, and 1% of visits to primary care physicians. Of these men, 5% have bacterial prostatitis, 64% have nonbacterial prostatitis, and 31% have prostatodynia. Digital examination of the prostate in the setting of probable or possible UTI should be avoided to prevent the risk of inciting bacteremia.
Epididymitis has a bimodal distribution, corresponding to different age groups and pathogens. Most cases in men younger than 35 years are due to sexually transmitted pathogens. Older patients are more likely to have obstructive prostatism or a history of instrumentation or catheterization.
Gonococcal urethritis is more common in ethnic minorities, lower socioeconomic groups, and persons living in urban centers. The risk to a male having intercourse with an infected female is 17%. Some of these associations may be limited by confounding. The peak age for urethritis is 20-24 years.
Mumps orchitis occurs in 18% of postpubertal boys infected with the mumps virus.
John L Brusch, MD, FACP Corresponding Faculty Member, Harvard Medical SchoolJohn L Brusch, MD, FACP is a member of the following medical societies: American College of Physicians, Infectious Diseases Society of AmericaDisclosure: Nothing to disclose.
What Makes A Uti Worse An Ultimate Uti Faq
Many of us have experienced it: a burning sensation while peeing along with pelvic pain. You may have a urinary tract infection, commonly referred to as a UTI. A Brief Intro to UTIs A UTI is an infection in the Read More
Many of us have experienced it: a burning sensation while peeing along with pelvic pain. You may have a urinary tract infection, commonly referred to as a UTI.
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Can Men Get Utis From Women
Men can get UTIs from women during sex, by getting the bacteria from a woman with the infection. However, this is unlikely.
Typically, the infection arises from bacteria that are already present in the mans body.
A doctor can diagnose a UTI by carrying out a physical examination, taking a medical history, and through laboratory tests.
The doctor may perform a physical examination that includes:
- checking the vital signs
- checking the abdomen, bladder area, sides, and back for pain or swelling
- examining the genitals
The doctor may ask if the person has had other UTIs in the past, or a family history of UTIs.
They may also question the person about their symptoms.
Laboratory tests are required to diagnose the infection as the symptoms of a UTI can be common to other diseases.
A urine sample is usually needed to look for the presence of pus and the bacteria causing the infection.
Men may be asked to give a urine sample. A man will need to start the urine stream to clean the urethra, and then collect a midstream sample in a cup. As bacteria multiply quickly at room temperature, this urine sample is either sent to the laboratory immediately or kept refrigerated until later.
The doctor may also ask for a urine test strip, also known as a urine dipstick test. This is a quick test in which a plastic or paper ribbon is dipped into the urine sample and then removed. If the person has a UTI, the ribbon will turn a particular color.
Home Remedies For Uti
A quick internet search yields plenty of articles swearing that certain home remedies like cranberry juice cure a UTI. Most of these treatments are safe to try in moderation, but they shouldnt take the place of seeking a trained professionals advice.
For example, some scientific evidence suggests that an active ingredient in cranberries called proanthocyanidins may stop bacteria like E. coli from adhering to the urinary tract, making it less likely that the bacteria will stick around and cause an infection. Certain probiotics and vitamin C supplements may also help prevent UTIs, and probiotics have the added benefit of reducing diarrhea caused by being on antibiotics. However, more research is necessary to prove these alternative treatments are effective.
If you choose to try any home remedy, remember that untreated UTIs can worsen over time and turn into kidney infection, which can lead to emergency hospitalization in serious cases. A UTI isnt something you want to put off or avoid talking to your doctor about. Call them at the first sign of symptoms.
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What Is The Most Common Cause Of Bladder Infection
According to the National Institute of Diabetes and Digestive and Kidney Diseases , most bladder infections are caused by Escherichia coli . This type of bacteria is naturally present in the large intestines. An infection can occur when bacteria from the stool get onto the skin and enter the urethra.
How Does A Male Get A Uti Causes Of Utis In Men
While UTIs are rare in younger men, the risk tends to increase with age. Other factors that increase the risk of UTIs in males include:
- Prostate problems, such as:
How Are Utis In Men Different From Those In Women
Way more women than men are diagnosed with UTIs. Anatomically, we feel this happens because women have a shorter urethra the tube that connects the bladder to the outside world. The shorter length makes it easier for bacteria to travel to the urinary system. Men have longer urethras and therefore can be protected against urinary infections.
Seeing A Doctor For Dysuria
After a history and physical exam, your doctor may request lab tests to help diagnose the cause of your dysuria symptoms. Then you can begin targeted treatment.
To help determine the cause, the doctor may ask whether your painful urination:
- Started suddenly or gradually
- Occurred once or many times
- Is felt at the onset of urination
The doctor may also ask if your painful urination is accompanied by symptoms such as:
- Abnormal discharge
The doctor may also want to know if the painful urination is accompanied by changes in urine flow, such as:
- Difficulty initiating flow
- Increased frequency or need to urinate
And you may also be asked by your doctor if there are changes in urine character along with painful urination. These include changes in urine such as:
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Are Any Tests Needed
A urine test can confirm the diagnosis and identify the germ causing the infection. Further tests are not usually necessary if you are otherwise well and have a one-off infection. However, your doctor may advise tests of your kidney, prostate gland, or bladder if an underlying problem is suspected.
An underlying problem is more likely if the infection does not clear with an antibiotic medicine, or if you have:
- Symptoms that suggest a kidney is infected .
- Recurring urine infections. For example, two or more in a three-month period.
- Had problems with your kidney in the past, such as kidney stones or a damaged kidney.
- Symptoms that suggest an obstruction to the flow of urine.
- Blood-stained urine which persists after treatment with antibiotics.
Tests may include:
- An examination of your prostate gland by examination of your back passage .
- Tests to see how well your bladder is working, called urodynamic tests.
What Can I Do To Prevent A Uti
- Empty your bladder often. Urinate and empty your bladder as soon as you feel the need. Do not hold your urine for long periods of time.
- Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you. You may need to drink more liquids than usual to help flush out the bacteria. Do not drink alcohol, caffeine, or citrus juices. These can irritate your bladder and increase your symptoms. Your healthcare provider may recommend cranberry juice to help prevent a UTI.
- Urinate after you have sex. This can help flush out bacteria passed during sex.
- Do pelvic muscle exercises often. Pelvic muscle exercises may help you start and stop urinating. Strong pelvic muscles may help you empty your bladder easier. Squeeze these muscles tightly for 5 seconds like you are trying to hold back urine. Then relax for 5 seconds. Gradually work up to squeezing for 10 seconds. Do 3 sets of 15 repetitions a day, or as directed.
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Apple Cider Vinegar For Utis
Apple cider vinegar is widely known and used for its amazing health benefits, and its a natural remedy for UTIs, too. Its acidifying nature is great at clearing UTIs, and it helps prevent bacteria from spreading, stopping the infection before it reaches the kidneys. Try Braggs organic raw apple cider vinegar. Its gluten-free and contains Mother of Vinegar, a healthy bacteria that occurs naturally as strand-like enzymes of connected protein molecules. Its also loaded with vitamins and prebiotics, which relieve and prevent UTIs.
A version of this article first appeared in our print magazine.
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How To Get Rid Of A Uti Fast
You may have heard of at-home remedies for treating UTIs such as drinking lots of water or cranberry juice. However, the best and fastest way to get rid of a UTI is to see your doctor. Most UTIs need antibiotics to clear the infection. If left untreated, a UTI can travel to your kidneys and cause a kidney infection or even a life-threatening condition called sepsis.
If you are experiencing painful urination, fever, a frequent urge to urinate, or blood in the urine, it is important to see a doctor who can diagnose a urinary tract infection. In men, treatment for urinary tract infection will start with a course of antibiotics to kill the infection. Your doctor may collect a urine sample and have it tested in a laboratory to see what kind of bacteria is causing your infection. Knowing the type of bacteria that is causing your UTI can help your doctor know the best antibiotic to prescribe to treat it. If you have recurrent UTIs , there may be an underlying health condition, like diabetes or a structural abnormality like an enlarged prostate, causing the infections.
Your doctor can perform a thorough exam to determine if there is an underlying cause of your recurrent UTIs, as well as recommend a treatment plan.
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Treatment From A Gp For Utis That Keep Coming Back
If your UTI comes back after treatment, or you have 2 UTIs in 6 months, a GP may:
- prescribe a different antibiotic or prescribe a low-dose antibiotic to take for up to 6 months
- prescribe a vaginal cream containing oestrogen, if you have gone through the menopause
- refer you to a specialist for further tests and treatments
In some people, antibiotics do not work or urine tests do not pick up an infection, even though you have UTI symptoms.
This may mean you have a long-term UTI that is not picked up by current urine tests. Ask the GP for a referral to a specialist for further tests and treatments.
Long-term UTIs are linked to an increased risk of bladder cancer in people aged 60 and over.
What Is A Urinary Tract Infection
UTIs are common infections that happen when bacteria, often from the skin or rectum, enter the urethra, and infect the urinary tract. The infections can affect several parts of the urinary tract, but the most common type is a bladder infection .
Kidney infection is another type of UTI. Theyre less common, but more serious than bladder infections.
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Myth: Utis Are Nothing To Worry About
Fact: Though painful and uncomfortable, you may think of UTIs as a minor, temporary condition. UTIs can go away on their own or be treated with a course of antibiotics, and though you should never ignore them, most are not cause for alarm. However, UTIs can cause serious complications, including for men.
Men are likelier than women to get UTIs from bacteria that is already present in their body, which poses a risk of the infection spreading. Some complicated UTIs can even cause kidney damage. If you have chronic UTIs, men risk the narrowing of their urethra which can create problems with urinating, in turn increasing your risk of further UTIs.
If you have symptoms of a UTI, including painful urination and cloudy urine, it is important to get checked as soon as possible. So make an appointment with Drs. Herman, Kester, and the Urology Center of Florida today for treatment and relief.
My Infection Is Gone Are There Any Long
Recurrent, untreated infections could cause strictures, or tight scars, in your urethra that would slow your stream and make it difficult to empty your bladder. Infections could also cause the bladder to lose its ability to fill and empty properly. In the long run, if you are getting constantly treated with antibiotics, we may run out of antibiotics to give you due to resistance.
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What Is The Treatment For A Urine Infection In Men
- A short course of antibiotics will usually clear the infection quickly. This is usually for seven days. You should see a doctor if your symptoms are not gone, or nearly gone, after a few days.
- Paracetamol or ibuprofen will usually ease any pain, discomfort, or high temperature .
- Have plenty to drink to help prevent a lack of fluid in the body if you have a fever and feel unwell.
How To Prevent Uti Re
Following some tips can help you avoid getting another UTI:
- Empty your bladder often as soon as you feel the need to pee dont rush, and be sure youve emptied your bladder completely.
- Wipe from front to back after you use the toilet.
- Drink lots of water.
- Choose showers over baths.
- Stay away from feminine hygiene sprays, scented douches, and scented bath products theyll only increase irritation.
- Cleanse your genital area before sex.
- Pee after sex to flush out any bacteria that may have entered your urethra.
- If you use a diaphragm, unlubricated condoms, or spermicidal jelly for birth control, you may want to switch to another method. Diaphragms can increase bacteria growth, while unlubricated condoms and spermicides can irritate your urinary tract. All can make UTI symptoms more likely.
- Keep your genital area dry by wearing cotton underwear and loose-fitting clothes. DonÃ¢â¬â¢t wear tight jeans and nylon underwear they can trap moisture, creating the perfect environment for bacteria growth.
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