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What Do Steroids Have To Do With Urinary Tract Infections

UTI l Urinary Tract Infection & Pyelonephritis Treatment for NCLEX RN & LPN

One major side effect of taking anabolic steroids can be increased frequency and urgency to urinate.

This can lead to a UTI as bacteria can easily travel from your rectum, through the urethra, and into your bladder or kidneys where it can cause an infection.

It is important that if you notice these symptoms after taking a steroid product, then seek medical attention immediately so that your condition can be treated and managed properly.

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 Are The Side Effects Of Steroid Medications

Steroid medications can have serious long-term side effects, and the risk of these side effects increases with higher doses and longer term therapy. For this reason, steroid medications are usually prescribed only after other less potent drugs have proven insufficient in controlling your lupus. Your doctor will work with you to determine the lowest dose of steroids necessary to control your lupus symptoms and will prescribe steroids for the shortest possible amount of time. Steroids are sometimes combined with other drugs to help reduce some of these side effects.

Possible side effects of taking these steroid medications are:

  • Changes in appearance
  • Development of round/moon-shaped face
  • Weight gain due to increased appetite
  • Redistribution of fat, leading to swollen face and abdomen, but thin arms and legs
  • Increased skin fragility, leading to easy bruising
  • Hair growth on the face
  • Psychological problems
  • May suppress growth in children
  • Long term side effects:
  • Avascular necrosis of bone :
  • Usually associated with high doses of prednisone taken over long periods of time.
  • Produces pain, including night pain. Pain relief usually requires either a core bone biopsy or total surgical joint replacement.
  • Occurs most often in hip, but can also affect shoulders, knees, and other joints.
  • Can lead to bone fractures, especially compression fractures of vertebrae with severe back pain.
  • Muscle weakness
  • Premature atherosclerosis narrowing of the blood vessels by cholesterol deposits.
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    What Are Urinary Tract Infections

    Urinary Tract Infections are infections in the urinary tract. The urinary tract can be defined as a system of organs that is responsible for filtering out waste products from our blood and converting it to urine.

    UTI can occur anywhere along this path- starting at the kidneys, ureters, bladder, or even extending down into your urethra .

    Feces Is Full Of Bacteria Which Can Cause A Uti

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    First, fecal contamination is one of the major culprits behind UTIs in dogs. Heres why: A dogs feces is full of bacteria. For example, E. coli is one of the more common bacteria that veterinarians see causing UTIs. And, you guessed it, E. coli is found in poop.

    PRO TIP: If your dog has any sort of issue urinating or defecating in a tidy manner, Im an advocate for using unscented, sensitive skin baby wipes to help keep your dog wiped clean.

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    What Is A Urinalysis And What Does It Look At

    A urinalysis is an important screening tool that examines chemical properties of the urine sample. It also allows for a visual inspection of the urine to look for things like crystals, cells, or bacteria. This test may be performed in-house by your veterinarian or by an outside laboratory either way, results are typically available within 24 hours or less.

    How Do Corticosteroids Work To Reduce Inflammation In The Body

    Inflammation is the bodys natural response to events such as injury, infection, and the presence of foreign substancesthings your body doesnt recognize as a part of itself. Sometimes, however, as with lupus, your bodys immune system does not function properly, and the inflammatory response works to damage your own tissues, causing stiffness, swelling, warmth, pain, and tenderness in different parts of the body. Corticosteroids help to slow and stop the processes in your body that make the molecules involved in your inflammatory response. These steroids also reduce the activity of your immune system by affecting the function of cells in your blood called white blood cells. In reducing inflammation and immune response, corticosteroids help to prevent damage to the tissues in your body.

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    What Are The Implications

    There is need to reduce antibiotic use to tackle growing antibiotic resistance. But this study doesn’t indicate that prescribing anti-inflammatories for urinary tract infection is the answer.

    Women who have several symptoms are almost certain to have a bacterial infection. Giving anti-inflammatories may reduce antibiotic use, but symptom resolution is less likely, and there is a higher risk that infection will ascend to the kidneys.

    As the authors note, they chose an antibiotic with known effectiveness in their region. In countries and settings with higher levels of antibiotic resistance, the difference between antibiotics and NSAIDs may be less marked.

    Can Male Dogs Get A Uti

    How to CURE urinary tract infection? (UTI) – Doctor explains

    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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    What Can I Do To Stay Healthy While Taking Prednisone

    Your healthcare provider will weigh the possible benefits and side effects when giving this and other medications. Many people have benefitted from prednisone without serious side effects. Talking to your healthcare provider, using your medication as instructed, and taking the necessary precautions, can help you benefit from prednisone while managing side effects. Here are some things you can do to keep yourself healthy:

    • Take your medication as prescribed.
    • Avoid double dosing. Find out from your healthcare provider what to do if you miss a dose.
    • Do not stop taking the medication without your healthcare providers consent. Usually your dose of prednisone is tapered , to help avoid the effects of withdrawal. A sudden stoppage of using prednisone can lead to withdrawal symptoms including:

    Are Some Dogs Predisposed To Utis

    Older female dogs, and dogs with diabetes mellitus , more commonly develop UTIs than the general population. Dogs who have bladder stones are also more prone to recurrent UTIs. This highlights the importance of getting a complete diagnosis whenever there is evidence of disease in the urinary tract. Bladder stones must be removed or dissolved in order to restore bladder health.

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    When To See A Vet

    At the first signs of a UTI in your dog, we suggest that you have your dogs urine tested at your vets.

    They can confirm the diagnosis and you can then take action knowing what you are dealing with.

    Indeed, these symptoms may indicate a bacterial urinary tract infection, but they may also suggest an onset of kidney disease/infection or the presence of crystals or stones in the bladder.

    Often, we notice the first signs of an infection only when it is well-established, since our dogs are good at hiding things! If your dog has a more advanced bacterial infection, it may need antibiotic treatment prescribed by a vet.

    Read further to learn about the natural solutions to this uncomfortable condition.

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    Do Not Abruptly Stop Taking Steroids

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    You should not stop taking steroids abruptly if you have been taking them for more than 4 weeks. Once your body has adjusted to taking steroids, your adrenal glands may shrink and produce less natural cortisone. Therefore, it is important to slowly reduce the dosage of steroids to allow the adrenal glands to gradually regain their ability to produce cortisone on their own.

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    Are There Steroids Without Side Effects

    Oh yes, not just steroids without side effects but legal ones that wont get you in trouble with the law.

    These legal steroids are super-useful for fitness people bodybuilders, and athletes.

    Here are some of them:

    These legal steroid supplements can help you increase muscle mass, reduce body fat, and enhance your performance. You can scroll above to click on the bulking and cutting cycle banner.

    Why Are Corticosteroids Prescribed

    Because of their anti-inflammatory properties, corticosteroids are a valuable class of medications. They are commonly used to treat mild inflammatory conditions and/or to suppress the inflammation associated with an allergic response. When administered in high doses, they act as immunosuppressant drugs meaning they suppress or prevent an immune response.

    “Because of their anti-inflammatory properties, corticosteroids are a valuable class of medications.”

    Most forms of corticosteroids that are prescribed are synthetic, and include prednisone, prednisolone, dexamethasone, triamcinolone, and methylprednisolone. These synthetic forms of corticosteroids are many times more potent than the naturally occurring forms found in the body and typically last much longer. Because of their increased potency and duration of activity, if synthetic corticosteroids are used, the patient must be carefully monitored to minimize the risks of serious side effects.

    For decades, this class of drugs has benefited humans and animals. They are a vital part of the treatment protocol for many life-threatening diseases. Their benefits far outweigh any risks in the majority of cases. When used properly, very few side effects occur.

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    Baileys Story: Predisposing Factors Play A Role In Utis In Dogs

    Bailey, a massive black Newfy, was scheduled with me for acupuncture. She had recently become acutely paralyzed, most likely due to a fibrocartilaginous embolism . I will never forget meeting her because Baileys owner pushed her into the office on a luggage cart like they have in the Marriott lobby. Unusual but brilliant.Fortunately, with time and treatment, Bailey regained mobility. But her problems were not limited to her limbs.

    She also had bladder involvement. The nerves that innervate the hind legs come from the same general area in the spine as the nerves that run to the colon and the bladder. This is why its not uncommon to see bladder involvement with hind limb nerve damage.

    Acute And Chronic Prostatitis

    Urinary Tract Infection – Overview (signs and symptoms, pathophysiology, causes and treatment)

    In the 1800s, prostatitis was thought to be secondary to excessive alcohol consumption or physical or sexual activity. It was often associated with gonorrhea and could be fatal or lead to abscess formation. By the 1920s, most cases were attributed to microorganisms, and antibiotics combined with prostate massage were standard therapy after World War II. Although the role of bacteria was questioned in the 1950s, it was reemphasized in 1968 when Meares and Stamey described their “4-glass test.”

    Acute prostatitis is caused by an acute infection of the entire prostate gland, resulting in fever and localized pain. Microscopically, neutrophilic infiltrates, diffuse edema, and microabscesses may be seen, which may coalesce into larger collections.

    Chronic prostatitis may be caused by inflammatory or noninflammatory diseases. This condition may arise via dysfunctional voiding, intraprostatic reflux, chronic exposure to microorganisms, autoimmune mechanisms, irritative urinary metabolites, and as a variant of neuropathic pain. Chronic bacterial prostatitis often produces few or no symptoms related to the prostate, but it is probably the most common cause of relapsing UTI in men.

    Chronic prostatitis has been subdivided by the National Institutes of Health into the following categories:

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    How To Treat My Dogs Urinary Tract Infection

    What can you give a dog for urinary tract infection?

    Here a some natural treatments and home remedies over the counter that can greatly help your dog fight a bacterial UTI or blood in dog urine.

    In early cases of the disease, these remedies may be particularly effective. For more advanced cases, they are an important asset in completing a vet treatment.

    Its important to act early, noting that a bladder infection can gradually evolve into a kidney infection.

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    Complicated Utis And Antimicrobial Resistance

    Treatment of cUTIs has become increasingly complex due to the rising prevalence of multidrug-resistant gram-negative bacteria. The CDC has identified specificserious public health threats including extended spectrum beta-lactamases and the organism Pseudomonas aeruginosa, and has labeled carbapenemase-resistant Enterobacteriaceae an urgent threat.9

    Clinicians are advised to consider local resistance patterns during selection of antimicrobial therapy , particularly for E coli since this microbe is responsible for 75% to 95% of uncomplicated cystitis and pyelonephritis. However, treatment of uncomplicated UTIs based upon data from hospital antibiograms remains an imperfect science. For example, these data may be skewed due to inclusion of samples from inpatient populations or patients with complicated infections. In addition, local in vitro resistance rates may change over time or be unknown. Thus, additional options for optimal care include identification of predictors of resistance unique to an individual patient, such as use of trimethoprim-sulfamethoxazole in the preceding 3 to 6 months or travel outside the U.S.10

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    Caution Flag #: Bailey Was Not Emptying Her Bladder Normally

    In Baileys case, she had an issue urinating normally. When her bladder was full, her owner had to express it. He did this by putting some pressure on the bladder to initiate the flow of urine. Bailey definitely wasnt emptying fully nor emptying normally. Since as we established earlier, urinating helps flush the system, Bailey had an automatic caution flag for developing a UTI.

    What Can I Do To Prevent A Uti From Occurring In The Future

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    Your veterinarian will let you know if there is anything that can be done to prevent your dogs UTI from recurring. Often, a diet change may be recommended. They may also recommend some medications or supplements that can help to change the pH of the urine, making it harder for an infection to take hold. It is best to discuss UTI prevention with your veterinarian in order to put into place strategies that have been shown to be effective.

    Contributors: Malcolm Weir, DVM, MSc, MPH Robin Downing, DVM, DAAPM, DACVSMR, CVPP, CRPP

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    Chances Uti Story: The Vigilant Owner = The Happy Ending

    While boarding at a dog kennel, Chance got very sick near the end of his stay. His mom rushed home to pick him up, and poor Chance had a fever of 104 degrees.

    His mom rushed him to the emergency vet hospital where he was diagnosed with pyelonephritis.

    Fortunately, Chance recovered fully, but only after an expensive and extensive stay at the veterinary referral center.

    In cases like Chances, the early signs of urinary tract infection can go undetected. But a UTI was sneaking up on him none the less. By the time the more obvious signs cropped up, it was critical that he receive veterinary care. Quick thinking from proactive pet parents like Chances can make the difference.

    Prednisone And Bladder Problems

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    What Is The Cost Of Treating A Urinary Tract Infection In Dogs

    The cost to treat a UTI varies, with geographic location being one of the biggest factors to take into consideration. Costs to consider include:

    • Office visit: varies depending on your vet, with an emergency veterinary clinic often costing much more.

    • Antibiotics: medication can range in price from $25$100 or even more, depending on the type of antibiotic needed, the length of treatment, and the size of your dog .

    • Tests: a urinalysis and urine cultures can run up to a few hundred dollars depending on your location, veterinarian, how the urine is collected and the extent of diagnostic testing required.

    What Steroid Medications Are Commonly Prescribed For Lupus

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    Prednisone is the steroid most commonly prescribed for lupus. It is usually given as tablets that come in 1, 5, 10, or 20 milligram doses. Pills may be taken as often as 4 times a day or as infrequently as once every other day. Usually, a low dose of prednisone is about 7.5 mg per day or less, a medium dose is between 7.5 and 30 mg per day, and a dose of more than 30 mg qualifies as a high dose. Your doctor may also prescribe a similar drug called prednisolone, especially if you have had any liver problems. Prednisolone and prednisone are very similar. In fact, the liver must convert prednisone to prednisolone before the body can use it.

    Sometimes lupus flares can be treated with an intra-muscular injection of a drug called Triamcinolone. These injections are usually given at your doctors office, and they often reduce flares without some of the side-effects that would accompany an increase in the dosage of an oral steroid like prednisone. Usually, the only noticeable side effect of these injections is a dimple or loss of pigmentation at the injection sight.

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