Tuesday, October 4, 2022

Medicine For Male Urinary Tract Infection

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Can Men Get Utis From Women

Urinary Tract Infections (UTIs) – Symptoms & Treatment – Dr. Robert Matthews

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.

Physical examination

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

Medical history

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

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.

How Are Urinary Tract Infections Treated

You will need to treat a urinary tract infection. Antibiotics are medicines that kill bacteria and fight an infection. Antibiotics are typically used to treat urinary tract infections. Your healthcare provider will pick a drug that best treats the particular bacteria thats causing your infection. Some commonly used antibiotics can include:

  • Nitrofurantoin.
  • Doxycycline.
  • Quinolones .

Its very important that you follow your healthcare providers directions for taking the medicine. Dont stop taking the antibiotic because your symptoms go away and you start feeling better. If the infection is not treated completely with the full course of antibiotics, it can return.

If you have a history of frequent urinary tract infections, you may be given a prescription for antibiotics that you would take at the first onset of symptoms. Other patients may be given antibiotics to take every day, every other day, or after sexual intercourse to prevent the infection. Talk to your healthcare provider about the best treatment option for you if you have a history of frequent UTIs.

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Predictors Of Antibiotic Choice

Age, CCI, and department were statistically significant predictors of antibiotic choice. Men 55 years and older were prescribed fluoroquinolones less frequently than younger men , but they were more likely to have been treated with nitrofurantoin . Patients with higher CCI were more likely to have been treated with a beta-lactam, irrespective of age . Patients seen in the urology department were also more likely to be treated with a beta-lactam and were less likely to be treated with TMP-SMX . Complicating factors, race, diabetes, BPH, and fever were not associated with antibiotic choice.

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Creating Stronger Strains Of Bacteria

Over time, some species of bacteria have become resistant to traditional antibiotics. According to some research , several species of E. coli, the primary cause of UTIs, are showing increasing drug resistance.

The more a person uses an antibiotic, the greater the risk of the bacteria developing resistance. This is even more likely when people do not follow a doctors instructions to complete the full prescribed course of treatment.

It is essential to continue a course of antibiotics until the end date that the doctor provides. People should also never share antibiotics with others.

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Antibiotic Warnings And Treatment Concerns

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The most commonly prescribed antibiotics for uncomplicated UTIs are similar in efficacy. But its important to note that ampicillin, amoxicillin, and sulfonamides are no longer the drugs of choice for combatting UTIs because of the emergence of antibiotic resistance. In addition, amoxicillin and clavulanate has been shown in previous research to be significantly less effective than others when it comes to treating urinary tract infections.

Also, as noted above, the FDA advises against using fluoroquinolones for uncomplicated UTIs. These medicines should only be considered if no other treatment options are available. In some cases, such as a complicated UTI or kidney infection, a healthcare provider may decide that a fluoroquinolone medicine is the best option, notes the American Academy of Family Physicians.

For pregnant women, some common antibiotics, such as fluoroquinolones and tetracyclines, should not be prescribed because of possible toxic effects on the fetus. But oral nitrofurantoin and cephalexin are considered good antibiotic choices for pregnant women with asymptomatic bacteriuria and acute cystitis, according to past research.

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Uti Causes And Risk Factors

The most common cause of a UTI in the urethra is a sexually transmitted disease. Chlamydia and gonorrhea are two STDs that can cause a UTI. STDs are also the most common cause of UTIs in younger men.

Prostate problems can also cause UTIs. An enlarged prostate is common in older men and can block the flow of urine. This can increase the odds that bacteria will build up and cause a UTI.

Prostatitis, which is an infection of the prostate, shares many of the same symptoms as UTIs.

Diabetes and other medical issues that affect your immune system can also make you more likely to get a UTI.

Are There Natural At

Yes. While taking antibiotics is still considered the gold standard of UTI treatments, there are some things you can do at home that help relieve symptoms, as well. These include:

  • Drink plenty of water. Consuming at least six to eight 8-ounce glasses of water daily can help flush away UTI-causing bacteria, setting you up for a quicker recovery. Plus, the more you drink, the more youll have to urinate.
  • Urinate often. Each time you empty your bladder, youre helping to flush bacteria out of your system.
  • Try heat. Applying a heating pad to your pubic area for 15 minutes at a time can help soothe the pressure and pain caused by UTI-related inflammation and irritation.
  • Tweak your wardrobe. Wearing loose cotton clothing and underwear can help you recover from a UTI.
  • Go fragrance-free. Make sure your personal hygiene products are fragrance-free to sidestep further irritation, notes the National Institute of Diabetes and Digestive and Kidney Diseases.
  • Cut out certain irritants. Caffeine, alcohol, spicy food, raw onions, citrus fruits, carbonated drinks, artificial sweeteners, and nicotine can further irritate your bladder, making it more difficult for your body to heal, per the Cleveland Clinic.

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What Are Possible Complications Of A Urinary Tract Infection

Most UTIs cause no complications if they spontaneously resolve quickly or if treated early in the infection with appropriate medications. However, there are a number of complications that can occur if the UTI becomes chronic or rapidly advances.

  • Chronic infections may result in urinary strictures, abscesses, fistulas, kidney stones, and, rarely, kidney damage or bladder cancer.
  • The rapid advancement of UTIs can lead to dehydration, kidney failure, sepsis, and death.
  • Pregnant females with untreated UTIs may develop premature delivery and low birth weight for the infant and run the risk of rapid advancement of the infection.

What Is The Urinary Tract

Treating Urinary Tract Infections Naturally – Dr. Mark Ellerkmann – Mercy

The urinary tract makes and stores urine, one of the body’s liquid waste products. The urinary tract includes the following parts:

  • Kidneys: These small organs are located on back of your body, just above the hips. They are the filters of your body removing waste and water from your blood. This waste becomes urine.
  • Ureters: The ureters are thin tubes that carry urine from the kidneys to your bladder.
  • Bladder: A sac-like container, the bladder stores your urine before it leaves the body.
  • Urethra: This tube carries the urine from your bladder to the outside of the body.

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Combine Your Herbal Remedies

Though antibiotics might be effective for clearing acute urinary tract infections. For the reasons I explained earlier, these infections often recur. Over the longer term, low dose antibiotic use encourages antibiotic resistance. It also destroys the gut microflora.

On the other hand, herbal remedies offer a valuable alternative. This is supported by a long tradition of use and now by a small number of clinical trials. Herbs can help, not only by killing bacteria but also by helping the body to remove the bacteria. Herbal remedies also reduce inflammation and soothe and heal the urinary tract so that a recurrence of the infection is less likely.

Combining two or more remedies helps because the infection is dealt with in several ways, rather than just one. You donât need to mix the remedies together, If you take two or more remedies on the same day then you will get the benefit of both. For example, you could have cranberry juice at breakfast and drink up to three cups of couch grass tea throughout the day. Followed by a few drops of juniper tincture in water at bedtime.

Painful urination should begin to resolve within a few hours with herbal remedies. Of course, if symptoms fail to improve, or become worse, you should see your primary care provider for advice.

Risk Factors For Recurrent Utis Include:

  • Frequent sexual intercourse, which increases the likelihood of bacteria entering the urethra and bladder.
  • Using spermicide with or without a diaphragm, as this can harm protective bacteria in the urinary tract that defend against infection.
  • Urinary retention or incomplete bladder emptying caused by medications narrowing of the urethra prolapse of the bladder, uterus or vagina neurological conditions or sometimes unknown reasons.
  • Vaginal atrophy, which is a postmenopausal condition caused by decreased estrogen levels.
  • Genetics, especially the inherited genes that regulate the body’s immune response to infections.

It’s common for some people to have bacteria in their urine but not experience any symptoms. In these cases, no treatment is necessary.

Talk with your health care team if you think you have a UTI. You may need an appointment to discuss your symptoms and collect a urine sample.

You should seek medical attention if you develop a fever, chills, disorientation, or back or side pain. These could be signs of a kidney infection, which requires treatment, or a systemic infection of the bloodstream that requires hospitalization.

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Can Uti Symptoms Linger After I Take Antibiotics

Since UTI symptoms usually improve just a few days after starting antibiotics, youll want to talk to your healthcare provider if you notice that UTI symptoms are still hanging around after finishing your antibiotics.

Theres no need to panic, but you and your healthcare provider will want to make sure the antibiotics actually worked against your UTI. To do this, they may take another sample of your urine to see if the bacteria are still there or not. If the infection is cured, youll want to be sure there isnt a different issue thats causing similar symptoms.

Can I Become Immune To The Antibiotics Used To Treat A Uti

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Your body can actually get used to the antibiotics typically used to treat a urinary tract infection . This happens in people who have very frequent infections. With each UTI and use of antibiotics to treat it, the infection adapts and becomes harder to fight. This is called an antibiotic-resistant infection. Because of this, your healthcare provider may suggest alternative treatments if you have frequent UTIs. These could include:

  • Waiting: Your provider may suggest that you watch your symptoms and wait. During this time, you may be encouraged to drink plenty of fluids in an effort to flush out your system.
  • Intravenous treatment: In some very complicated cases, where the UTI is resistant to antibiotics or the infection has moved to your kidneys, you may need to be treated in the hospital. The medicine will be given to you directly in your vein . Once youre home, you will be prescribed antibiotics for a period of time to fully get rid of the infection.

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Treating A Yeast Infection

Yeast infections are treated using antifungal medications. These are available in many forms, such as clotrimazole and miconazole, which are available over the counter. There is also an oral medication, fluconazole , available as a prescription if you prefer a pill to a vaginal cream or suppository.

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.

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Who Is Most At Risk Of Developing A Urinary Tract Infection

Women of all ages are most at risk of UTIs because the female urethra is much shorter than the male urethra, which allows bacteria near the vagina to enter the bladder more easily. Older males are also at a higher risk. Other factors that increase the risk of a UTI include:

  • Wiping from back to front after a bowel movement
  • Being postmenopausal
  • Structural defects of the urinary tract
  • The presence of kidney or bladder stones
  • Urinating without fully emptying the bladder.

UTIs in children are reasonably common, affecting up to 8% of girls and 2% of boys. Young children also have a higher risk of kidney damage from UTIs than adults. Some children are born with vesicoureteral reflux, where urine reenters the bladder from one or both ureters, which also increases the likelihood of UTIs.

Uti Treatment For Men

Urinary Tract Infection, Causes, Signs and Symptoms, Diagnosis and Treatment.

Treatment of UTI is a little simpler thing as the infection is bacterial. If the urine sample is tested, the type of bacteria will be known and appropriate antibiotics will be prescribed by the gynecologist. The prescription given by the doctor should be taken till the completion of course in order to avoid making the bacteria antibiotic resistant or from recurrence of infection.

The person will be advised to drink good amount of water and other fluids such as juices so that the bacteria can be flushed out during urination. As a natural remedy for UTI, drinking lemon juice, orange juice, and cranberry juice might be advised. The vitamin C present in these juices can help fight infection in the body or in the urinary tract.

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What About Cranberry Juice For Uti

Its a long-held belief that consuming cranberry juice may help prevent and treat urinary tract infections. While its true that cranberries contain an active ingredient that can prevent adherence of bacteria to the urinary tract, there is still no evidence that cranberry products can treat a UTI.

One of the reasons: Products like cranberry juice or cranberry capsules are not explicitly formulated with the same amount of PACs that have shown potential in lab studies. Moreover, a 2019 report in the Journal of Urology noted that the availability of such products to the public is a severe limitation to the use of cranberries for UTI prophylaxis outside the research setting.

In all, theres actually very little high-quality research on the topic of prevention. For instance, a 2016 study in The Journal of the American Medical Association, found that among female nursing home residents, daily consumption of cranberry capsules resulted in no significant prevention of UTIs.

While consuming cranberry juice or supplements is not considered a first-line treatment of urinary tract infections, in most cases, it cant hurt. After all, drinking plenty of liquids does dilute your urine and help spur more frequent urination, which flushes bacteria from the urinary tract. The exception: Those who are taking blood-thinning medication, such as warfarin, should not consume cranberry juice. And those with diabetes should be mindful of the high-sugar content of fruit juices.

Treatment Strategies For Recurrent Utis

Recurrent urinary tract infections, defined as three or more UTIs within 12 months, or two or more occurrences within six months, is very common among women these but arent treated exactly the same as standalone UTIs. One of the reasons: Continued intermittent courses of antibiotics are associated with allergic reactions, organ toxicities, future infection with resistant organisms, and more.

Because of this, its strongly recommended that you receive both a urinalysis and urine culture from your healthcare provider prior to initiating treatment. Once the results are in, the American Urological Association suggests that healthcare professionals do the following:

  • Use first-line treatments. Nitrofurantoin, TMP-SMX, and fosfomycin are the initial go-tos. However, specific drug recommendations should be dependent on the local antibiogram. An antibiogram is a periodic summary of antimicrobial susceptibilities that helps track drug resistance trends.
  • Repeat testing. If UTI symptoms persist after antimicrobial therapy, clinicians should repeat the urinalysis, urine culture, and antibiotic susceptibility testing to help guide further management.
  • Try vaginal estrogen. For peri- and post-menopausal women with recurrent UTIs, vaginal estrogen therapy is recommended to reduce risk of future UTIs.

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