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.
Final Thoughts On Obstructive Uropathy
The good news is that most urinary tract obstruction causes can be corrected. However, obstructive uropathy treatment is necessary immediately when symptoms are present, or there may be irreversible kidney damage.
Kidney damage is less likely when urinary tract obstruction is diagnosed and treated quickly, but if there is a severe obstruction that damages both kidneys, a kidney transplant or dialysis may be needed.
If you suffer from urinary tract obstruction, consult your doctor or natural practitioner to help determine the cause and most appropriate treatment. Depending on the cause, natural methods may be able to treat symptoms related to the obstruction.
What Are The Symptoms Of Urinary Tract Obstruction
What are the symptoms of obstructive uropathy? The symptoms of the condition depend on whether the problem is sudden or starts slowly, or if one or both kidneys are involved.
Pain is the most common obstructive uropathy symptom. The pain can be minimal or completely absent with partial obstructive uropathy. With complete urinary tract obstruction, there may be severe pain that leads to nausea and vomiting.
Other symptoms may include fever, weight gain or swelling, and mild to severe pain in the back or on one or both sides of the body. Tenderness or swelling in the kidneys may also arise as urine flows back into the other organs.
When there is a blockage in the ureters, you may experience a change in urinary habits, including difficulty urinating, reduced amounts of urine, a slow dribbling of urine, a feeling that the bladder isnt totally empty, blood in the urine, and a frequent urge to urinateespecially at night.
You may also experience reduced amounts of urine if one of your kidneys is blocked, though most of the time, both kidneys must be blocked to affect the output of urine.
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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.
How To Prevent From Getting Urinary Tract Infection
Here are a few ways in which you can prevent getting the UTI.
- You can start by emptying your bladder often
- It is very important to drinking plenty of liquids, especially during summer season
- Be very careful while cleaning the area under the foreskin after showering if you are not circumcised
- Be very careful in cleaning your genitals before and after intercourse, to make sure there is no bacterial invasion
- It is very essential to wear a condom during intercourse
- It is essential to urinate after sex, to remove any bacteria
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What Are Other Possible Causes Of Painful Urination
A painful burning feeling when you urinate is often a sign of a urinary tract infection . However, painful urination can occur even if you dont have an infection. Certain drugs, like some used in cancer chemotherapy, may inflame the bladder. Something pressing against the bladder or a kidney stone stuck near the entrance to the bladder can also cause painful urination.
Painful urination can also be caused by vaginal infection or irritation. You might be sensitive to chemicals in products such as douches, vaginal lubricants, soaps, scented toilet paper, or contraceptive foams or sponges. If it hurts to urinate after youve used these products, youre probably sensitive to them.
What Is A Uti
A urinary tract infection occurs when bacteria ends up in your urinary tract. Were not talking about the good kind of bacteriathe kind that keeps you alive and healthybut the bad kind like E. coli. This does not belong anywhere near your urethra or bladder, because when it does take up residence there, it can cause an infection.
UTIs generally fall into two categories:
- Lower tract UTIs: These are concentrated in the urethra and bladder, a.k.a. the lower urinary tract. If located in the bladder, the UTI is called a bladder infection or cystitis. Lower UTIs make up the vast majority of UTIs and are easily treated with antibiotics.
- Upper tract UTIs: These UTIs are more rare and serious. Upper tract UTIs usually occur when an untreated lower tract UTI spreads to the kidneys. A kidney infection requires medical intervention to prevent permanent damage.
Common lower tract UTI symptoms include:
- Pain or burning sensation during urination
- Having the urge to urinate frequently
- Blood in the urine
- Cramping or general discomfort in the lower abdomen
Upper tract UTIs share some of the same symptoms of lower tract UTIs, though more common symptoms are:
- Body chills
- Lower back pain
Understanding what causes a UTI may help you prevent one before it happens. Here are the risk factors:
- Age: Some evidence suggests that post-menopausal women are at higher risk for recurrent UTIs due to urinary incontinence and estrogen deficiency that naturally occurs after the menopause transition.
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How Long Does It Take To Get A Prescription For Uti Antibiotics
The wait time for a prescription depends on how quickly you can meet with a healthcare provider and whether it is in person, on the phone, or over video. If you need to see a doctor in person, it will depend on what appointments are available in the office. If you are looking for an online doctor, you can usually get an appointment and prescription the same day.
Keep in mind that using a mail order service means it might take 2 to 5 days for the medication to arrive. It can be hard to wait for your medication to come in the mail when your UTI symptoms are interfering with daily life. Some telemedicine services like GoodRx Care allow you to meet with a doctor online, and then pick up your prescription later the same day at a local pharmacy.
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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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.
Practice These Healthy Habits
Preventing urinary tract infections starts with practicing a few good bathroom and hygiene habits.
First, its important not to hold urine for too long. This can lead to a buildup of bacteria, resulting in infection .
Peeing after sexual intercourse can also reduce the risk of UTIs by preventing the spread of bacteria .
Additionally, those who are prone to UTIs should avoid using spermicide, as it has been linked to an increase in UTIs .
Finally, when you use the toilet, make sure you wipe front to back. Wiping from back to front can cause bacteria to spread to the urinary tract and is associated with an increased risk of UTIs .
Urinating frequently and after sexual intercourse can reduce the risk of UTI. Spermicide use and wiping from back to front may increase the risk of UTI.
Several natural supplements may decrease the risk of developing a UTI.
Here are a few supplements that have been studied:
- D-Mannose. D-Mannose is a type of sugar that is found in cranberries. Research suggests its effective in treating UTIs and preventing recurrence (
Home Remedies For Utis
Until there are more advancements in UTI treatment, antibiotics remain the most effective standard treatment. However, prescription medication doesnt have to be the only line of defense.
Along with standard therapy, you can incorporate home remedies to feel better sooner and reduce the likelihood of recurrent infections.
Causes Of Urinary Tract Infection
UTIs can be caused by a bacterial transmission and can become a risk factor for older men. Mild UTI can still be monitored and can be easily treated whereas a severe case may complicate things and can also lead to surgery.
Here are some of the common causes of UTI:
- Can be caused because of being immobile for long periods
- Can be caused by not drinking enough fluids
- Can be caused by recent urinary tract surgery
- Can be caused by diabetes
- Can be caused by being uncircumcised
- Can be caused by engaging in anal intercourse
- Can be caused by Sexual intercourse
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Antibiotics Used For Complicated Utis
Before getting into how to best treat a complicated UTI, its important to understand which UTIs are considered complicated. Here are some guidelines:
- Urinary tract abnormalities are present
- Youre pregnant
- The patient is a child
- A comorbidity is present that increases risk of infection or treatment resistance, such as poorly controlled diabetes
- Youre a man, since most UTIs in men are considered complicated
- Youre elderly
Kidney infections are often treated as a complicated UTI as well, notes the Merck Manual.
If a UTI is complicated, a different course of antibiotics may be required. And the initial dose of antibiotics may be started intravenously in the hospital. After that, antibiotics are given orally at home. In addition, follow-up urine cultures are generally recommended within 10 to 14 days after treatment. Not all of the antibiotics approved for uncomplicated UTIs are appropriate for the complicated version. Some that are considered appropriate, include:
What Are My Uti Treatment Options
According to Mayo Clinic, urinary tract infections are pretty much always treated with oral antibiotics. In rare cases, severe UTIs or UTIs affecting the kidneys may need to be treated with an IV antibiotic solution.
Urinary tract infections are most often bacterial infections, which is why antibiotics are so consistently effective. Read on to learn more about UTI treatment, including top antibiotics for UTIs, over-the-counter options, and natural remedies.
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About Urinary Tract Infections
Urinary tract infections are common infections that can affect the bladder, the kidneys and the tubes connected to them.
Anyone can get them, but they’re particularly common in women. Some women experience them regularly .
UTIs can be painful and uncomfortable, but usually pass within a few days and can be easily treated with antibiotics.
This page is about UTIs in adults. There is a separate article about UTIs in children.
This page covers:
A Pharmacist Can Help With Utis
You can ask a pharmacist about treatments for a UTI. A pharmacist can:
- offer advice on things that can help you get better
- suggest the best painkiller to take
- tell you if you need to see a GP about your symptoms
Some pharmacies offer a UTI management service and can prescribe antibiotics if they’re needed.
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What Is The Urinary Tract
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.
When To Get Medical Advice
It’s a good idea to see your GP if you think you might have a UTI, particularly if:
- you have symptoms of an upper UTI
- the symptoms are severe or getting worse
- the symptoms haven’t started to improve after a few days
- you get UTIs frequently
Your GP can rule out other possible causes of your symptoms by testing a sample of your urine and can prescribe antibiotics if you do have an infection.
Antibiotics are usually recommended because untreated UTIs can potentially cause serious problems if they’re allowed to spread.
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Im Pregnant How Will A Uti Affect My Baby
If you have a UTI and it isnt treated, it may lead to a kidney infection. Kidney infections may cause early labor. Fortunately, asymptomatic bacteriuria and bladder infections are usually found and treated before the kidneys become infected. If your doctor treats a urinary tract infection early and properly, it wont hurt your baby.
Antibiotics Used For Uncomplicated Utis
If you are a healthy individual whose urinary tract is anatomically and functionally normal and you have no known heightened UTI susceptibility youve got whats dubbed an uncomplicated UTI, according to guidelines published in August 2019 in the Journal of Urology. For these individuals, antibiotics are considered the first-line of treatment.
The type of antibiotics you are prescribed and for how long is contingent on the type of bacteria detected in your urine, your current health status, and whether your UTI is uncomplicated or complicated. Depending on which antibiotic your doctor prescribes, women may need a single dose or up to a five-day course. For men, antibiotics are usually given for a slightly longer period of time, notes UpToDate.
Typically, if you are diagnosed with an uncomplicated UTI, one of the following will be prescribed as first-line treatment:
The following antibiotics are considered second-line treatments for UTI. They are generally chosen because of resistance patterns or allergy considerations:
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Treatment For Urinary Tract Infection In Teens
Antibiotic treatment is required to cure urinary tract infection in most cases. Your teens doctor may choose the type of antibiotic depending on the type of bacteria and your teens health condition.
Some may require pain medications to manage the burning sensation due to UTI. However, most teens may have pain relievers after initial doses of antibiotics.
Treatment for one or three days may be enough to treat minor infections. Simple or minor urinary tract infections are treated with the following medications .
- Bactrim or Septra
More potent antibiotics are prescribed for complicated UTIs or pyelonephritis . Fluoroquinolones are usually prescribed for severe infections when the benefits outweigh the risks of complicated UTIs . The commonly prescribed fluoroquinolones are :
Frequent infections may require long-term treatment, and your teen may have to take single-dose antibiotic therapy if UTI is associated with sexual activity. You may have to discuss with the doctor for the best treatment method, depending on the cause of infection.
Most teens get well in a few days of oral antibiotic treatment. However, your teen has to complete the prescribed course of antibiotic treatment to avoid future infections, even if they do not have any symptoms. Your teen may require hospitalization and intravenous antibiotics treatment in the case of severe UTI.