Why Does My Child Keep Getting A Uti
Common causes of UTIs are constipation, wiping from back to front, holding in pee, taking bubble baths or staying in a wet bathing suit for extended periods.
However, recurrent UTIs could be a sign of a malformation or malfunction of the urinary tract, such as vesicoureteral reflux . VUR occurs when the flow of urine goes the wrong direction from the bladder to the kidneys and is common among infants and children.
Your childs doctor can help rule out other conditions related to UTIs and discuss treatment options.
What Can You Do If You Keep Getting Utis
If you keep getting UTIs, you must talk to your doctor. After talking with you, your doctor will either recommend treatments for recurring urinary infections or send you to a special doctor called a urologist. A urologist focuses on diseases and problems of the entire urinary system, so he may be able to better pinpoint what is causing your infections and how to treat and prevent them.In addition to the tips mentioned above, you can also take some other simple steps to help prevent UTIs, such as:
- Drink plenty of water.
How Are Urinary Abnormalities Diagnosed
It’s important for a doctor to rule out any underlying problems in the urinary system when a child gets UTIs repeatedly. Kids with recurrent infections should see a pediatric urologist to see what is causing the infections.
Some problems can be found before birth. Hydronephrosis that develops before birth can be seen in an ultrasound as early as 16 weeks. In rare cases, doctors may consider neonatal surgery if hydronephrosis affects both kidneys and is a risk to the fetus. Most of the time, though, doctors wait until after birth to treat the condition, because almost half of all cases seen prenatally disappear by the time a baby is born.
Doctors will closely watch the blood pressure of a newborn thought to have hydronephrosis or another urinary system abnormality, because some kidney problems can cause high blood pressure. Another ultrasound may be done to get a closer look at the bladder and kidneys. If the condition appears to be affecting both kidneys, doctors usually will order blood tests to check kidney function.
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How Are Urinary Tract Infections Diagnosed
Your doctor will use the following tests to diagnose a urinary tract infection:
- Urinalysis: This test will examine the urine for red blood cells, white blood cells and bacteria. The number of white and red blood cells found in your urine can actually indicate an infection.
- Urine culture: A urine culture is used to determine the type of bacteria in your urine. This is an important test because it helps determine the appropriate treatment.
If your infection does not respond to treatment or if you keep getting infections over and over again, your doctor may use the following tests to examine your urinary tract for disease or injury:
- Ultrasound: In this test, sound waves create an image of the internal organs. This test is done on top of your skin, is painless and doesnt typically need any preparation.
- Cystoscopy: This test uses a special instrument fitted with a lens and a light source to see inside the bladder from the urethra.
- CT scan: Another imaging test, a CT scan is a type of X-ray that takes cross sections of the body . This test is much more precise than typical X-rays.
Persistent Uti Vs Recurrent Or Frequent Uti: Whats The Difference
|A recurrent urinary tract infection is officially defined as three episodes of a UTI in the previous 12 months or two episodes within the previous 6 months.|
At the moment, it is generally accepted that recurrent UTIs occur due to either reinfection or a persistent infection.
|Reinfection refers to an infection where the pathogen is eradicated by treatment, then the same or a different pathogen ascends the urinary tract to cause a new infection.|
|Persistence means the pathogen that caused the UTI is not completely cleared from the bladder by treatment, remains detectable in the urine, and after treatment returns to a level that once again causes symptoms of infection. This cycle of persistence can repeat indefinitely, feeling like a new infection each time. A persistent infection is also called a chronic urinary tract infection.|
Evidence suggests that many recurrences of UTI may actually be caused by an underlying bladder infection that came about due to ineffective initial treatment.
Frequent UTIs caused by persistent bladder infection are also referred to as chronic cystitis or chronic urinary tract infection.
Note that while terms used for various urinary tract conditions may sound different, they could refer to the same thing.
When we refer to recurrent UTI in this site, we usually mean persistent infections also called chronic urinary tract infections.
Whatever youre doing to treat each occurrence of UTI is probably not working.
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My Recurrent Urinary Tract Infections Treatment Regimen
I didnt realize at the time that this was the beginning of my recovery. My regimen took me to a place where I no longer had any symptoms. I was able to stop taking supplements on a daily basis. It wasnt about managing my symptoms anymore, they were just gone.
I was basically back at square one and I wanted a fresh start. I wanted more information everything I could get my hands on. I started with a range of blood tests to check my general health.
I discovered I was quite low in a few essential vitamins and minerals. In speaking with clinicians I have learned this is very common in people who have been fighting long term chronic infection.
First, I began to take a range of supplements targeting my deficiencies. Then I created a regimen of strong herbal antifungals and antibacterials based on the advice of my new doctor.
These were teamed up with oral and vaginal probiotics that contained probiotic strains showing promise for urinary tract and vaginal health.
I had tried all of these separately after reading studies about each of them. But I had never tried them together, or with a plan and a timeframe in mind.
I started my new regimen.
I Refused To Accept Utis As My Future
Its not in my nature to learn to deal with something that I know shouldnt be. There is no way my body is built to crumble at the first hint of sex, or fatigue, or dehydration. Ive always been stronger than that.
Im pretty good at knowing exactly what is happening in my body and when. Ive accurately diagnosed myself with injuries that have taken years to show up in scans. Im my very own body whisperer.
So when this happened, it was a virtual kick in the guts, or more specifically, the bladder.
Getting a UTI every few weeks or months doesnt give you much breathing room to feel human. To get things done.
There is a constant shadow hanging over you. Restaurant and bar reconnaissance isnt about people anymore. Its about toilets. You learn to scope out any venue for its bathrooms. At any given moment, I could tell you where the nearest public toilet was.
I never went anywhere without a remedy in my bag. For me, that meant carrying antibiotics 24 hours a day.
Holiday planning came with underlying anxiety, and relationships dont even get me started on how recurrent urinary tract infections impact those.
Too late Im on a roll.
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What Causes A Recurrent Urinary Tract Infection
A common cause of a recurrent UTI is that some bacteria from a previous UTI may remain in the urinary tract system. In these cases, it may not have been completely eradicated the last time it was treated.
Another common cause of a recurring UTI could be related to your habits, such as:
- Not urinating frequently enough to flush your system
- Not urinating after sexual intercourse
- Wiping incorrectly
What Are The Signs & Symptoms Of Utis
Symptoms of a UTI can include:
- pain when peeing
- changes in how often a child needs to pee
- changes in the look or smell of pee
- lower belly pain
- lower back pain or discomfort
UTIs also can cause kids to wet their pants or the bed, even if they haven’t had these problems before. Infants and very young children may only show nonspecific signs, such as fever, vomiting, or decreased appetite or activity.
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You Have Kidney Or Bladder Stones
For anyone, frequent UTIs could also be a sign of kidney or bladder stones.
“Bacteria love to attach to foreign objects,” Dr. Herati says. “So if you have a structural abnormality like a stone, the body can’t fight those bacteria as effectively.”
âThe fix:â Drinking more fluids, especially water, may help you pass the stones, according to the Mayo Clinic.
Even more reason to drink? A November 2018 study in âJAMA Internal Medicineâ found that people assigned female at birth who drank an extra six cups of water a day experienced half as many UTIs as those who didn’t add the extra H2O. “Dilution helps,” Dr. Herati says.
If this advice doesn’t remedy your problems, it’s important to see your doctor, who can perform tests to check for stones and recommend other treatments, such as surgery.
A Note From Our Ceo: I’ve Been There
I was stuck in the cycle of UTIs for years. I was desperate for a way to get ahead, but was told there was little I could do. This inspired my husband and I to start Uqora, alongside doctors & scientists. Today weve helped over 200,000 people and counting with our UTI relief products and proactive urinary tract supplements. We’re so glad you’ve found us!
Jenna Ryan, Uqora CEO & Co-founder
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Biofilms And Persistent Uti
|In the case of a chronic urinary tract infection, a biofilm is a community of bacterial cells that stick together and adhere to the bladder wall. These cells then produce a protective slime that shields the bacterial community from antibiotics and the natural defences of the body.|
This goopy shield makes diagnosis and treatment very difficult. And while the bacteria are contained within their shield, the body is less likely to mount an effective response to their presence.
When bacteria are periodically released or escape from the biofilm, the body recognizes a threat. This triggers an inflammatory response, heightening symptoms of a UTI. This can be experienced as a cycle of acute symptoms, followed by periods of fewer or no symptoms.
|I get a UTI every month or so. In between each really bad UTI I would feel mostly better, but Id often have sensations like another UTI was coming on. I was continually drinking water to try and prevent it, but, like clockwork, my symptoms would suddenly get much worse and Id end up with another full blown UTI.|
We hear many people refer to this as a cycle of flare ups or episodes. This implies they believe it to be a continuous, chronic issue with both acute and symptom-free phases. Evidence shows they are probably right.
How Is A Uti Diagnosed
To find out whether you have a UTI, your doctor or nurse will test a clean sample of your urine. This means you will first wipe your genital area with a special wipe. Then you will collect your urine in midstream in a cup. Your doctor or nurse may then test your urine for bacteria to see whether you have a UTI, which can take a few days.
If you have had a UTI before, your doctor may order more tests to rule out other problems. These tests may include:
- A cystogram. This is a special type of x-ray of your urinary tract. These x-rays can show any problems, including swelling or kidney stones.
- A cystoscopic exam. The cystoscope is a small tube the doctor puts into the urethra to see inside of the urethra and bladder for any problems.
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Treatment From A Gp For Utis That Keep Coming Back
If your UTI comes back after treatment, you may have a urine test and be prescribed different antibiotics.
Your doctor or nurse will also offer advice on how to prevent UTIs.
If you keep getting UTIs and regularly need treatment, a GP may give you a repeat prescription for antibiotics.
If you have been through the menopause, you may be offered a vaginal cream containing oestrogen.
Causes And Risk Factors Of Interstitial Cystitis
Doctors dont know the exact cause of interstitial cystitis, but many researchers believe that it is initially triggered by damage to the bladder lining.
In a study published in September 2017 in the journal BMC Chemistry, researchers found that many people with IC produce a protein, called antiproliferative factor, that makes the bladder sensitive to urine.
This protein prevents the growth of bladder cells, so it may prevent the bladder from healing itself when damage occurs.
Many researchers believe that IC may develop for a number of different reasons, such as the following:
Damage to the bladder Surgery or other types of trauma may damage the bladder, contributing to this condition.
Bladder distention The inability to empty your bladder for long periods of time has been associated with interstitial cystitis.
Nerve damage Spinal cord trauma and inflammation of the pelvic nerves have been suspected as causes.
Bacterial infection A bladder infection, or cystitis, may contribute to the onset of IC in some people.
Muscle dysfunction When the pelvic floor muscles arent working right, they may contribute to bladder problems.
Autoimmune disorder Some researchers suspect that the bodys own immune system may attack certain bladder cells in some people with IC.
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How Are Chronic Utis Treated
If you have recurrent or chronic UTIs, your doctor may send you to a urologist who specializes in diseases of the urinary system. According to the National Institute of Diabetes and Digestive and Kidney Diseases, some of the ways that recurrent UTIs are evaluated and treated include:
- Testing The doctor will want to take a urine sample to test for bacteria and white blood cells. It may be necessary to do special X-ray studies to see if there is an obstruction or stones in the urinary tract. A urologist may look into your bladder by passing a special scope through the opening into your bladder. This exam is called cystoscopy.
- Antibiotics for Treatment Normally, UTIs responds very well to antibiotics, and you may only need to take medication for a few days. For recurrent UTIs, antibiotics may be needed for 10 days or more.
- Surgery In some cases of prostate disease, stones, or other obstruction of the urinary system, surgery may be done to restore normal flow of urine and help clear up infections.
- Antibiotics for Prevention Some strategies to prevent recurrent UTIs with antibiotics include taking low-dose antibiotics for six months or taking antibiotics after sexual intercourse.
- Frequent Urine Testing Women who have recurrent UTIs may benefit from testing their urine frequently with a dipstick that warns of any bacteria in the urine.
Cranberry Juice And Tablets
Cranberry juice and tablets have been shown to reduce RUTIs as they contain a compound called tannin, or proanthocyanidin, which reduces E. coli vaginal colonisation.65,66 Although earlier, smaller studies have shown that consuming cranberry juice or tablets can prevent RUTIs, an updated Cochrane review showed that evidence for its benefit in preventing UTIs is small therefore, cranberry juice cannot be recommended any longer for UTI prevention.21,6769
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Recurrent Uti And Constant Yeast Infections
Frequent antibiotic use came with other side effects. The most obvious was yeast infections. Although this was a less painful experience than the UTIs, it was an even more constant companion.
Each time I took antibiotics, I would need to use over the counter antifungals. These would relieve the symptoms just long enough for the next UTI to take hold. This of course meant more antibiotics, then more antifungals.
Then more antibiotics, then more antifungals You get the picture.
It felt as though I was never not taking something. I felt completely out of control of the state of my body. I had no confidence in its ability to find a better balance.
The antibiotics and antifungals had destroyed any semblance of a healthy microbiome in all areas, including my digestive tract.
Eventually the effectiveness of the antibiotics and antifungals lessened, and I would have just a few hours respite before the UTI and yeast infections would return.
My UTI symptoms became constant at this point. I virtually had not a single moment where I wasnt aware of discomfort in my urinary tract. And discomfort is mostly putting it lightly.
I began to notice a link between digestive symptoms, yeast related symptoms and the frequency of UTI flare ups. There was hardly a moment that I felt symptom free. Id had enough, and I decided to take what felt like drastic action.
What Are The Risk Factors For Recurrent Utis
Independent risk factors for recurrent UTIs in premenopausal women include sexual intercourse three or more times per week, spermicide use, new or multiple sex partners, and having a UTI before 15 years of age. In postmenopausal women, estrogen deficiency and urinary retention are strong contributors.
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Diagnosing A Urinary Tract Infection In Older Adults
Vague, uncommon symptoms such as confusion make UTIs challenging to diagnose in many older adults. Once your doctor suspects a UTI, its easily confirmed with a simple urinalysis.
Your doctor may perform a urine culture to determine the type of bacteria causing the infection and the best antibiotic to treat it.
There are home UTI tests that check urine for nitrates and leukocytes. Both are often present in UTIs. Because bacteria are often in the urine of older adults to some degree, these tests arent always accurate. Call your doctor if you take a home test and get a positive result.
More severe infections may require a broad-spectrum antibiotic such as ciprofloxacin and levofloxacin .
You should start antibiotics as soon as possible and take them for the entire duration of treatment as prescribed by your doctor. Stopping treatment early, even if symptoms resolve, increases the risks of recurrence and antibiotic resistance.
Antibiotic overuse also increases your risk for antibiotic resistance. For this reason, your doctor will likely prescribe the shortest treatment course possible. Treatment typically lasts no more than 7 days, and your infection should clear up in a few days.
Its important to drink plenty of water during treatment to help flush out the remaining bacteria.