Urinary Tract Infection Treatment
If you are a healthy adult man or a woman who is not pregnant, a few days of antibiotic pills will usually cure your urinary tract infection. If you are pregnant, your doctor will prescribe a medicine that is safe for you and the baby. Usually, symptoms of the infection go away 1 to 2 days after you start taking the medicine. Its important that you follow your doctors instructions for taking the medicine, even if you start to feel better. Skipping pills could make the treatment less effective.
Your doctor may also suggest a medicine to numb your urinary tract and make you feel better while the antibiotic starts to work. The medicine makes your urine turn bright orange, so dont be alarmed by the color when you urinate.
Urinary Tract Infections And Self
Shireen N. Farzadeh, PharmD Candidate 2019St. Johns University, College of Pharmacy & Health SciencesQueens, New York
Emily M. Ambizas, PharmD, MPH, BCGPAssociate Clinical ProfessorSt. Johns University, College of Pharmacy & Health SciencesQueens, New YorkClinical Specialist, Rite Aid PharmacyWhitestone, New York
US Pharm. 2017 9:4-7.
Urinary tract infections are the most commonly occurring infections, affecting approximately 150 million people worldwide each year.1 In the United States alone, the societal costs of UTIs are estimated to be $3.5 billion annually.1 UTIs can affect both men and women, but they are especially common in women of childbearing age.2 Most women will experience at least one episode during their lifetime by 32 years of age, more than half of all women will have reported having at least one urinary tract infection.2,3 Almost 25% of women will have a recurrent infection within a year.2
How Can I Tell If I Have A Uti
Not all UTIs have obvious symptoms, but signs and symptoms of a possible UTI include the need to urinate often, pain and burning sensations during urination, low fever, nausea, vomiting, feeling ill, and back or abdominal pain. You may also notice that your urine is bloody, cloudy, or odorous.
See your doctor immediately if you think you have a UTI, or ask your pharmacist about purchasing a UTI test kit. If you decide to use the take-home UTI test strips, follow the instructions carefully and be sure to discuss your test results with your doctor.
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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.
What If I Don’t Go To The Doctor
What happens when UTIs are left untreated? Contrary to popular belief, your immune system is often able to clear a UTI on its own. Studies have found that 25-42% of women are able to recover from an uncomplicated UTI without antibiotics.
But that means a majority of UTIs do not go away on their own. If left untreated, they can lead to continued discomfort and other more serious health issues, such as kidney damage or a severe infection. Therefore, treatment is recommended.
“Physicians tailor care plans to each patient, and there is no sole treatment for everyone,” says Stanford physician Kim Chiang, MD. During your visit, feel free to ask in-depth questions, particularly if a non-recommended antibiotic is prescribed.
This is the fifth post in the series Understanding UTIs. The goal of this seven-part series is to provide easy-to-understand, scientifically grounded information about UTIs. Patients referenced are composites, compiled from actual patient experiences.Data on medications used for UTIs were extracted from the National Disease and Therapeutic Index, a nationally representative physician survey produced by IQVIA.
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Other Over The Counter Products For Uti Prevention
Some OTC products do not directly affect the progress of an acute infection, but could help to prevent UTIs in the future:
However, it is crucial to address the reason you had a UTI happened in the first place.
There are multiple factors that can make you more prone to UTIs, such as certain contraceptive methods , diseases that affect vaginal health etc.
Therefore, a holistic approach to UTI prevention is more effective than just treating an acute infection.
Whats your favorite OTC UTI remedy that worked for you?
Written by Anastasia Visotsky, medically reviewed by Dr. Ogunyemi
What Treatments Are Available For Utis
Since bacteria is almost always the culprit for UTIs, physicians will usually prescribe antibiotics.
According to Mayoclinic, commonly prescribed antibiotics include:
Generally, these are short courses prescribed for uncomplicated UTIs. Symptoms begin to clear up within three days.
But what about over-the-counter UTI medicine? Are they effective at treating UTIs? More on that below.
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Now The Pain Is Manageable How Do You Access A Dentist
How to best access the dental care needed to put an end to your toothache depends on several factors.
These factors include whether you currently have a regular dentist, whether you have private dental treatment or treatment on the NHS, and whether your dentist is available at the time your toothache flares up.
Accessing emergency dental care on the NHS if I dont have a regular dentist
There are two ways of finding a nearby NHS dentist who can see you at short notice as an emergency patient.
Find a dentist quickly yourself using Google
The first of these, which we would most recommend for anyone who wants NHS treatment and who does not have a current dentist, is to simply Google NHS emergency dentist near me.
Google map listing for nearby emergency dentists- number and opening times are listed
Searches that ask for a service followed by near me usually bring up a map marked with the relevant locations near you.
Importantly, you will also get a list of relevant practices, along with information such as their phone number, website and their opening times.
If a practice is open, you have every opportunity to try and book an emergency appointment as soon as possible.
Of course when you will get one depends on their availability.
Unfortunately, a dentist may be less eager to squeeze you into a tight schedule if you are new to them.
Get help finding an NHS dentist using 111
If you want support finding a local NHS emergency dentist, you can do so through .
What Is The Best Tooth Abscess Home Remedy
When a tooth or surrounding tissues gets infected and swollen, the only sure way to fix the problem is to visit a dentist. Some home remedies can temporarily relieve the symptoms, but they cant make the problem go away. Here are a few of the most successful ways to live with a tooth abscess until a dentists appointment.
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Questions To Ask Your Doctor
- Do I need any tests, such as urinalysis?
- What is the likely cause of my urinary tract infection ?
- Do I need medicine? How should I take it?
- What are the possible side effects of the medicine?
- When should I expect relief from my symptoms?
- What symptoms would indicate that my infection is getting worse? What should I do if I experience these symptoms?
- I get UTIs a lot. What can I do to prevent them?
- Do I need preventive antibiotics? If so, should I be concerned about antibiotic resistance?
- My child gets UTIs a lot. Could an anatomical problem be causing his or her UTIs?
Treatment Concerns For Antibiotics
While most UTIs can be effectively managed and treated with a course of antibiotics, more and more bacteria are becoming resistant to different types of antibiotics due to mutations in their genetic code. Every time you take an antibiotic, the bacteria that are in your system are more likely to adapt and mutate and become resistant to the administered antibiotic. And since recurrence rates in the case of UTIs are high, its a strong possibility that an antibiotic may not be effective every time. Many antibiotics such as ampicillin, amoxicillin, and sulfonamides are no longer effective against stronger mutated bacteria and hence are not a good choice for combatting these infections.
Antibiotics can also have adverse effects on the flora of the gut and the vagina. Many antibiotics such as fluoroquinolones cannot be prescribed to pregnant women because of the concerns that they might have a possible toxic effect on the fetus.
Other health risks and adverse effects associated with antibiotics for the treatment of urinary tract infections include extreme allergic reactions and numerous side effects. These can include:
- Nausea and vomiting
Another potential risk of taking antibiotics is that they might destroy some of the good bacteria residing in your system that help with your systematic bodily functions without harming you. The death of these bacteria opens up the passageway to a whole new range of possible infections.
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.
Follow Good Bathroom And Diapering Habits
Some children simply dont urinate often enough. Children should urinate often and when they first feel the need to go. Bacteria can grow and cause an infection when urine stays in the bladder too long. Caregivers should change diapers often for infants and toddlers, and should clean the genital area well. Gentle cleansers that do not irritate the skin are best.
Your child should always wipe from front to back after urinating or having a bowel movement. This step is most important after a bowel movement to keep bacteria from getting into the urethra and bladder.
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Azo Urinary Tract Defense
This is a relatively new OTC drug that has appeared in 2016 in pharmacies all over the USA and also could be ordered on.
Once you swallow it, Methenamine will work by slowing down the growth of pathogenic bacteria in the urinary tract.
When exposed to acidic urine, Methenamine turns into formaldehyde to kill the bacteria, but its not strong enough to eliminate an infection completely. It cant cure an active infection but may slow down its progress.
AZO Urinary Tract Defense has been created to prevent UTIs, as well as to provide quick relief at the first signs of infection.
On top of this, Sodium salicylate, an analgesic, also acts as a non-steroidal anti-inflammatory drug .
Taking an NSAID could help to reduce inflammation while fighting a bladder infection. This analgesic, though, will not change the color of your urine and is not linked to cancer.
Quick Tip: In order for AZO Urinary Tract Defense to work to its full potential, youd need acidic urine. For that, take Ascorbic Acid with the drug.
An alternative to AZO Urinary Tract Defense in Canada, Europe, or Australia is Hiprex, which works similarly.
What Are The Symptoms Of A Uti
Symptoms of a UTI can differ depending on what part of the urinary tract is infected.
A bladder infection usually causes symptoms that include the following:
- Burning when urinating
- The feeling that you need to pee frequently, but when you go to the toilet very little urine comes out
- Pain in the pelvic area just above the pubic bone.
Bladder infections are usually considered a simple UTI and treatment is usually with antibiotics for three to five days. Symptoms usually resolve in a couple of days.
People with an infection of the urethra may experience symptoms similar to a bladder infection in addition to itching or irritation at the end of the urethra where the pee comes out.
Symptoms of a kidney infection are usually more widespread and more severe than those of a bladder infection and may include:
- Fever or chills
- Pink or red-tinged urine
- Burning when urinating
- The feeling that you need to pee frequently, but when you go to the toilet very little urine comes out
- Pain in the pelvic area just above the pubic bone
- Moderate to severe lower back pain
- Nausea or vomiting.
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Living With Urinary Tract Infections
If you have 3 or more urinary tract infections each year, your doctor may want you to begin a preventive antibiotic program. A small dose of an antibiotic taken every day helps to reduce the number of infections. If sexual intercourse seems to cause infections for you, your doctor many suggest taking the antibiotic after intercourse.
Can Urinary Tract Infections Be Prevented Or Avoided
There are many lifestyle choices that can help you prevent UTIs. These are some of the things you can do to protect yourself from them:
- Drink plenty of water to flush out bacteria. For some people, drinking cranberry juice may also help prevent urinary tract infections. However, if youre taking warfarin, check with your doctor before using cranberry juice to prevent urinary tract infections. Your doctor may need to adjust your warfarin dose or you may need to have more frequent blood tests.
- Dont hold your urine. Urinate when you feel like you need to. Some children dont go to the bathroom often enough. If your child does this, teach him or her to go to the bathroom several times each day.
- Wipe from front to back after bowel movements. Teach your child to wipe correctly.
- Urinate after having sex to help wash away bacteria.
- Use enough lubrication during sex. Try using a small amount of lubricant before sex if youre a little dry.
- If you get urinary tract infections often, you may want to avoid using a diaphragm as a birth control method. Ask your doctor about other birth control choices.
- Avoid taking or giving your child bubble baths.
- Wear loose-fitting clothing , and dress your child in loose-fitting clothing.
- If you are uncircumcised, wash the foreskin regularly. If you have an uncircumcised boy, teach him how to wash his foreskin.
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Otc Uti Treatment Options
UTIs are typically treated with a course of antibiotics that may run for a single day or a course of 7 days but usually lasts at an average of 1-3 days for uncomplicated urinary tract infections. However, some infections might not even need a course of antibiotics and may cease to exist. But, while treatment of UTIs without antibiotics may be a possible prospect in the future, for now, only a few equally effective OTC UTI treatments are available that can help a patient manage their symptoms. These include:
Hydration: Although not exactly an OTC UTI treatment method, hydration is still the key to treating a UTI quickly. If youve contracted a UTI, it is important to have fluids as frequently as possible so that you urinate more frequently and the harmful bacteria are flushed out of your urinary tract through natural means. This option means curing your symptoms without the use of medication.
- Probiotics: Probiotics serve as an excellent OTC UTI treatment option that helps promote digestion and immunity in your body. Probiotics restore the good bacteria present in your gut and reduce the chances of reinfection.
- Ascorbic Acid: Increasing your Vitamin C intake not only strengthens your immune system but is also a greater OTC UTI treatment option since it helps acidify the urine which may reduce the chance of reinfection.
Treat Related Health Problems
When a childs bladder doesnt work exactly as it shouldcalled dysfunctional voidingtreatments may help the bladder work better and prevent repeated infections. The muscles that control urination may be out of sync. Or, your childs bladder may be overactive or underactive.
Health care professionals can treat these types of bladder problems with medicines, behavior changes, or both. Children often grow out of these bladder problems naturally over time.
If your child has vesicoureteral reflux, a urinary tract blockage, or an anatomical problem, see a pediatric urologist or other specialist. Treating these conditions may help prevent repeated bladder infections.
Diabetes and other health conditions can increase the risk for a bladder infection. Ask your childs health care professional how to reduce the risk of developing a bladder infection.
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