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:
- 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.
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?
Will I Need An Intravenous Antibiotic For A Uti
If you are pregnant, have a high fever, or cannot keep food and fluids down, your doctor may admit you to the hospital so you can have treatment with intravenous antibiotics for a complicated UTI. You may return home and continue with oral antibiotics when your infection starts to improve.
In areas with fluoroquinolone resistance exceeding 10%, in patients with more severe pyelonephritis, those with a complicated UTI who have allergies to fluoroquinolones, or are unable to tolerate the drug class, intravenous therapy with an agent such as ceftriaxone, or an aminoglycoside, such as gentamicin or tobramycin, may be appropriate. Your ongoing treatment should be based on susceptibility data received from the laboratory.
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What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture .
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
How Do I Recognize Symptoms Of Male Uti
Men with urinary tract infection do not usually see visible indications, but when they do, some of these symptoms can occur:
- Painful urination
- Abdominal pain
- Burning sensation when urinating
Severe cases of urinary tract infection can also happen. If you experience fever, nausea, chills, vomiting, or back pain that accompanies the above symptoms, it could indicate a kidney infection. Immediate attention and prompt treatment should be necessary.
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What Causes A Urinary Tract Infection
The most common causes of UTI infections are E. colibacterial strains that usually inhabit the colon. However, many other bacteria can occasionally cause an infection. In addition, yeasts and some parasites may cause UTIs. In the U.S., most infections are due to Gram-negative bacteria with E. coli causing the majority of infections.
Basic Considerations When Buying Medicine For Uti
With so many different types of UTI medicine, it can be easy to make the wrong purchase. To save yourself from a bad buy and a potentially harmful product, make sure you consider these factors to help you land the best over the counter UTI medicine.
- Effects. It pays to keep in mind that a urinary tract infection is a bacteria-caused infection, and that means the best medicine for UTI should be an antibiotic however, because antibiotics for UTI cant be purchased over the counter, its the second best choice to buy a product that promotes urinary tract health to fight off the infection.
Most of the products you will find are much less geared towards healing the infection itself, and are formulated to provide health effects that improve the wellness of the overall system. In doing this, these medicines are able to encourage the body to fight off the infection, thus causing the infection to weaken over time.
- Homeopathic. Because over the counter UTI remedies are more focused on improving health than fighting off the infection directly, many of them come as homeopathic remedies. These options are made from all natural ingredients, and do not cause any toxicity associated with long term use.
For some, however, these products may not provide results at all. This always depends on how the body reacts to the formulation. Because homeopathic remedies do not contain any synthetic, clinically designed ingredients, they may or may not work on some people.
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Can I Become Immune To The Antibiotics Used To Treat A Uti
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.
Is It Safe To Treat Utis Without Antibiotics
Antibiotics are effective treatments for UTIs. Sometimes, the body can resolve minor, uncomplicated UTIs on its own, without antibiotics.
Complicated UTIs require medical treatment. These are some factors that can make the infection complicated:
- changes in the urinary tract or organs, such as a swollen prostate or reduced flow of urine
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Best Remedies For Bladder Infections
About bladder infections
Bladder infections are the most common type of urinary tract infection . They can develop when bacteria enter the urethra and travel into the bladder.
The urethra is the tube that takes urine out of the body. Once bacteria go into the urethra, they can attach to the walls of the bladder and multiply quickly.
The resulting infection can cause uncomfortable symptoms, such as the sudden urge to urinate. It may also cause pain while urinating and abdominal cramping.
A combination of medical and home treatments may ease these symptoms. If left untreated, bladder infections can become life-threatening. This is because the infection can spread to the kidneys or blood.
Here are seven effective bladder infection remedies.
The Status Of Phenazopyridine
In 1983, the FDA published a Drug Efficacy StudyImplementation notice with conditions for approval and marketingof all phenazopyridine products.7 These includedsulfameth-oxazole/phenazopyridine combinations ,similar combination products, and single-entity phenazopyridineproducts. The FDA presented newlyrequired statements for all phenazopyridine products intended to relievesymptoms associated with a UTI. One of the statements was critical indetermining the length of dosing: Treatment of a urinary tractinfection with phenazopyridine HCl or a combination drug productcontaining phenazopyridine HCl should not exceed 2 days because there isa lack of evidence that the combined administration of phenazopyridineHCl and an antibacterial provides greater benefit than administration ofthe anti-bacterial alone after 2 days.7
The FDA also required the following carcinogenicitystatement on all phenazopyridine labels: Long-term administration ofphenazopyridine hydrochloride has induced neoplasia in rats and mice . Although no association betweenphenazopyridine hydrochloride and human neoplasia has been reported,adequate epidemiological studies along these lines have not beenconducted.7
The best known phenazopyridine nonprescription product is Azo Standard.9Azo Standard contains 95 mg of phenazopyridine per tablet and AzoStandard Maximum Strength contains 97.5 mg of phenazopyridine.10 The dosage of both is 2 tablets 3 times daily with or after meals as needed.
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Treatment Of Recurrent Utis
Some people develop recurring urinary tract infections and may require further testing to determine the cause. Treatment may include longer doses of antibiotics or more potent doses of antibiotics delivered intravenously. Recurrent UTIs may be a symptom of a more chronic problem and require further examination by a trained urologist.
Couling, R. . Managing lower UTI in adults in the community. Nurse Prescribing. 6, 485-489.
Huang, C.-H. et al. . Cranberry-Containing Products for Prevention of Urinary Tract Infections in Susceptible PopulationsA Systematic Review and Meta-analysis of Randomized Controlled Trials. Archives of Internal Medicine. 172:988-996.
OShea, L. . Diagnosing urinary tract infections. Practice Nurse. 40, 20-25.
Riley, J. . Urinary tract infection. Conditions and Procedures in Brief, 1-3.
Stapleton, A.E. et al. . Recurrent Urinary Tract Infection and Urinary Escherichia coli in Women Ingesting Cranberry Juice Daily: A Randomized Controlled Trial. Mayo Clinic Proceedings. 87:143-150.
Urinary tract infection. . Mayo Clinic. Retrieved from .
Urinary tract infectionCauses. . University of Maryland Medical Center.
Urinary tract infections in adults. . National Kidney and Urologic Diseases Information. Publication No. 122097.
Urinary Tract Infections And The Role Of Nonprescription Products
W. Steven Pray, PhD, DPhBernhardt Professor, Nonprescription Products and DevicesCollege of Pharmacy
Gabriel E. Pray, PharmD CandidateCollege of PharmacyWeatherford, Oklahoma
For years, patients with urinary tract infections have asked pharmacists what they can take without seeing a physician.Several products promise relief of UTI symptoms and/or claim to have anantibacterial effect that inhibits progression of the infection, butthey are not proven safe and effective for any nonprescription use atpresent.
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How Do You Get A Uti
A UTI is caused by bacteria that can enter the genital area and travelto the urinary tract through the urethra and into the bladder. UTIs are morecommon in women. There are several causes for UTI, including if you have kidneystones or obstructions in the urinary tract. UTIs do not spread from one personto another, but sexual activity may lead to or worsen a UTI. One cause of UTIincludes exposure to bacteria from your partner during sexual activity. It canalso be caused by gonorrhea or chlamydia, which are sexually transmitteddiseases. You do not have to be sexually active to develop UTI. People who usecatheters or certain types of birth control like diaphragms may also spreadbacteria into the urinary tract, putting them at higher risk. Look forsupplements that contain cranberry extract to help prevent a UTI or tryover-the-counter treatments that contain methenamine, an anti-bacterialingredient used to provide UTI relief.
Can I Develop Resistance To The Antibiotics Used To Treat Uti
Yes, the body can develop resistance to the antibiotics used to treat UTI. It occurs in people who have frequent infections. With each recurring infection, the bacteria become resistant and become harder to fight. Due to this, the physician may suggest alternative treatment in cases of frequent UTIs, which include
- Waiting: Sometimes, the physician may suggest watching the symptoms rather than treating them with medicines. The physician may encourage patients to drink plenty of fluids to flush out the infection from the system.
- Intravenous treatment: In severe cases, the bacteria are resistant to most antibiotics or the infection affects the kidneys and the patient needs to get admitted. Intravenous antibiotics treatment is done in these cases. After returning home, the patients will be prescribed oral antibiotics till the infection completely goes away.
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Can An Online Doctor Treat A Uti
Yes, an online doctor can diagnose and treat a UTI. Often, the UTI diagnosis can be done without taking urine samples, but if needed, one of our physicians at PlushCare can order the necessary tests at a lab. One of our board-certified PlushCare doctors can prescribe UTI treatment if you qualify, including antibiotics. Book an appointment today from your phone or computer and find relief from your symptoms.
Avoid Food And Beverages That May Irritate The Bladder
The most common bladder irritants are alcohol, caffeinated drinks, carbonated beverages, and spicy dishes.
Both caffeine and alcohol have been found to increase bladder spasming, which can make UTI pain worse. And when men and women increased their intake of coffee or soda, they had higher chances of getting UTI symptoms.
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Uti Treatment To Avoid
There are plenty of additional home remedies mentioned by blogs, but none that we would recommend.
- Cranberry juice. Drinking cranberry juice is a common piece of advice associated with UTIs, though the effect of cranberry juice on treating or preventing urinary tract infections is very small.
- Baking soda. The theory behind this was to change the acidity in the urinary tract and discourage bacteria from spreading but there is no evidence to suggest that this actually works in practice.
- Apple cider vinegar. Recommended as a home remedy for the exact same reason baking soda often is, however using apple cider vinegar can actually make a UTI worse. Avoid at all costs.
Whats The Best Way To Treat Urinary Tract Infections In Pups
When it comes to treating this condition, a UTI treatment over the counter is always a great option.
First things first, if you suspect that your pup has a urinary tract infection UTI, you should visit the vet immediately. As a friendly note, waiting too long to bring your pup to the vet can significantly exacerbate the symptoms.
The good news is that a vet will be able to diagnose your dog with a UTI and recommend several effective over-the-counter treatments right away.
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Azo Urinary Pain Relief Maximum Strength Tablets
Phenazopyridine hydrochloride is the active ingredient of this OTC medication for urinary pain, a chemical which, when excreted into the urine, has a local analgesic effect.
AZO Urinary Pain Relief® Maximum Strength Tablets, unfortunately, does nothing to fight the infection, but only masks the symptoms. Do not take it for longer than three days and dont take it if you have liver problems. If you cover up your symptoms, you might not notice that your UTI is getting worse.
Phenazopyridine is also responsible for the bright orange color of your urine, that indicates the medicine has reached your bladder.
Make sure to not wear white underwear or contact lenses , since this active ingredient can permanently discolor them.
Keep in mind that some animal studies demonstrate a possible link between phenazopyridine and cancer in female rats. Phenazopyridine hydrochloride is reasonably anticipated to be a human carcinogen based on sufficient evidence of carcinogenicity from studies in experimental animals according to National Toxicologyprogram report.
AZO Urinary Pain Relief® Maximum Strength Tablets contains 97.5 mg of Phenazopyridine per dose.
Is It Possible To Prevent Urinary Tract Infections With Diet And Supplements
It is possible to reduce the chance that a UTI will develop with dietary methods and some supplements but prevention of all UTIs is unlikely with these methods. Supplements such as eating cranberries, taking vitamin C tablets, and eating yogurt and other substances also may reduce the chance that a UTI will develop . However, as stated in the prevention section, changes in a person’s lifestyle may reduce the chance getting a UTI as good as, if not better than, any diet or supplement.
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Frequent Urination In Women
UTIs are more common in people with a vagina than people with a penis. People with a vagina are at a greater risk because the female urethra is shorter. Bacteria have less distance to travel before they can infect the urinary tract and cause symptoms.
UTI risk factors for people with a vagina include:
- vaginal irritation and inflammation
- improper wiping after using the restroom, which will expose the urethra to E. coli
- sexual intercourse, which can introduce bacteria into the urinary tract
Other conditions that can lead to frequent urination include:
Whats considered a normal urinary frequency can vary by person. Some people naturally need to go more or less often than others. That said, experts typically consider urinating at least 8 times a day to be frequent urination.
Any other symptoms you have will depend on the cause of your frequent urination.