What Is The Prognosis For A Urinary Tract Infection
A good prognosis is usual for spontaneously resolved and quickly treated UTIs. Even patients that have rapidly developed symptoms and early pyelonephritis can have a good prognosis if quickly and adequately treated. The prognosis begins to decline if the UTI is not quickly recognized or treated.
Elderly and immunosuppressed patients may not have the UTI recognized early their prognosis may range from fair to poor, depending on how much damage is done to the urinary tract or if complications like sepsis occur.
Like adults, most adequately treated children will have a good prognosis. Children and adults with recurrent UTIs may develop complications and a worse prognosis recurrent UTIs may be a symptom of an underlying problem with the urinary tract structure. These patients should be referred to a specialist for further evaluation.
Which Infections Are Worse
NIDDK . A kidney infection is usually caused by a bladder or urethra infection where the bacteria multiply and travel upward toward the kidneys.
Kidney infections can be extremely serious and painful, sometimes leading to hospitalization to receive intravenous antibiotics. If left untreated, kidney infections due to UTIs can cause infections in the bloodstream. This can be life-threatening.
Signs And Symptoms Of Urinary Tract Infections
UTI symptoms can vary, and it’s possible for someone who has a urinary tract infection to experience no symptoms. But for many people, UTI symptoms are uncomfortable and painful. Besides a strong, persistent urge to urinate, common symptoms include:
When a urinary tract infection moves to the kidneys, symptoms such as fever, shaking, chills, and pain in the upper back, side, or groin may occur.
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Favorite Site For Urinary Health Podcasts
Podcasts arent just for politics, laughs, and murder mysteries. The American Urological Association has a fantastic one called, aptly, the Urology Care Podcast, which covers topics like sexual health myths, UTIs, prostate cancer, and more. Currently there are more than 140 episodes to listen to, ranging from about 4 minutes to 28 minutes long.
How Do You Get Urinary Tract Infections
The design of the human body makes it so it isnt hard to get a bacterial UTI, because the infection comes from outside, through the urethra. Bacteria in the genital area can enter the urethra and the urinary tract, either because wiping after going to the bathroom, sexual activity, or unsanitary conditions. Once the bacteria have entered the urethra, the body tries fight them off, but sometimes the bacteria multiply and cause an infection.
In the case of a fungal infection, usually the fungus gets to the urinary tract through the blood stream. Those who develop this type of infection are usually ill with a disease that has compromised their immune system, such as AIDS.
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Are Urinary Tract Infections Contagious
No. Urinary tract infections are not contagious.
- Lower abdominal pain or pelvic pressure or pain
- Mild fever , chills, and “just not feeling well”
- Urethra : Burning with urination
Upper urinary tract infection
Symptoms develop rapidly and may or may not include the symptoms of a lower urinary tract infection.
- Fairly high fever
- Flank pain: pain in the back or side, usually on only one side at about waist level
In newborns, infants, children, and elderly people, the classic symptoms of a urinary tract infection may not be present. Other symptoms may indicate a urinary tract infection.
- Newborns: fever or hypothermia , poor feeding, jaundice
- Infants: vomiting, diarrhea, fever, poor feeding, not thriving
- Children: irritability, eating poorly, unexplained fever that doesn’t go away, loss of bowel control, loose bowels, change in urination pattern
- Elderly people: fever or hypothermia, poor appetite, lethargy, change in mental status
Pregnant women are at increased risk for a UTI. Typically, pregnant women do not have unusual or unique symptoms. If a woman is pregnant, her urine should be checked during prenatal visits because an unrecognized infection can cause pregnancy health complications.
Although most people have symptoms of a urinary tract infection, some do not.
What Is The Prognosis For A Person With A Urinary Tract Infection
Urinary tract infections typically respond very well to treatment. A UTI can be uncomfortable before you start treatment, but once your healthcare provider identifies the type of bacteria and prescribes the right antibiotic medication, your symptoms should improve quickly. Its important to keep taking your medication for the entire amount of time your healthcare provider prescribed. If you have frequent UTIs or if your symptoms arent improving, your provider may test to see if its an antibiotic-resistant infection. These are more complicated infections to treat and may require intravenous antibiotics or alternative treatments.
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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.
How Are Recurrent Utis Treated
Treatment for recurrent UTIs depends on whatâs causing them. Sometimes the answer is as simple as teaching a child to empty their bladder as soon as they have the urge to go.
If a condition like VUR is causing the infections, the solution is a bit more complicated. Kids with VUR must be watched closely, because it can lead to kidney infection and kidney damage. Most kids outgrow the condition. Some might need surgery to correct the reflux.
Some kids with VUR benefit from daily treatment with a small amount of antibiotics, which can also make surgery unnecessary. Kids with VUR should see a pediatric urologist, who can decide if antibiotic treatment is the best option.
In some cases, surgery is needed to correct VUR. The most common procedure is ureteral reimplantation, in which one or both of the ureters are repositioned to correct the backflow of urine from the bladder. This procedure requires only a small incision and, in some children, can be done using robotic-assisted laparoscopy. When surgery is necessary, the success rate is high, but not everyone is a good candidate for it.
Kids may be candidates for ureteral reimplantation if they:
- have an intolerance to antibiotics
- get recurrent infections while on antibiotic treatment
- have severe, or âhigh-grade,â reflux
- are older kids and teens with reflux
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Tips For Caregivers On Dealing With Hallucinations & Delusions
Consult a physician if your loved one is having delusions or hallucinations, to rule out other causes unrelated to dementia. Mental illness and medical conditions such as migraines, brain tumors, epilepsy, urinary tract infections, and dehydration can all be causes.
Resist the need to stop or control difficult behaviors. Think carefully about whether or not your loved one is causing a problem. If the answer is no, try letting it be. This is not to say that you have to lie to or humor your loved one you can be honest while also showing respect. For example, you might say, I dont hear or see anyone outside the window, but I know you do, and you seem worried.
Consider the situation. Investigate why a hallucination or delusion is occurring in that particular moment. Beyond mental and medical causes, there can also be environmental and social causes as well.
Keep a journal to record when, where, and how your loved one experiences delusions or hallucinations. Record how your loved one is behaving, and what sorts of events have happened recently.
Control the environment. Make sure there is sufficient lighting in the room and not too many distractions. A radio or TV, for example, might cause your loved one to hear voices and not understand that whats coming from the speakers is not actually in the room. Also, pulling curtains or shades can provide comfort for someone afraid of being watched.
What Are The Symptoms Of A Urinary Tract Infection
These are the most common symptoms of a UTI:
- Frequent urination
- Pain or burning when passing urine
- Urine looks dark, cloudy, or reddish in color
- Urine smells bad
- Feeling pain even when not urinating
- Pain in the back or side, below the ribs
- Nausea and/or vomiting
- Despite an strong urge to urinate, only a small amount of urine is passed
- Women may feel an uncomfortable pressure above the pubic bone
The symptoms of UTI may look like other conditions or medical problems. Always see a health care provider for a diagnosis.
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What Tests Will Be Done To Diagnose Overactive Bladder
A healthcare provider may order tests to help diagnose overactive bladder. These tests may include:
- Urinalysis. A urinalysis examines the visual, chemical and microscopic aspects of your pee. A provider will look for red blood cells, white blood cells and bacteria. If you have any of them in your pee sample, you may have an infection that causes OAB.
- Urodynamic testing. Urodynamic tests measure how much pee remains in your bladder after you go to the bathroom, how much you pee, how fast you pee and how much pressure is on your bladder as it fills with pee.
- Ultrasound. An ultrasound is a noninvasive imaging test that allows a healthcare provider to take a detailed look at your bladder.
- Computed tomography scan. A CT scan is a noninvasive imaging test that produces 3D images of your bladder.
- Cystoscopy. A healthcare provider will use a special instrument to look inside your bladder from your urethra. The provider typically uses a numbing gel so you dont feel pain in your urethra. In rare cases, they may use general anesthesia, so you arent awake, wont move and wont feel any pain.
Risk Factors For Recurrent Utis Include:
- Frequent sexual intercourse, which increases the likelihood of bacteria entering the urethra and bladder.
- Using spermicide with or without a diaphragm, as this can harm protective bacteria in the urinary tract that defend against infection.
- Vaginal atrophy, which is a postmenopausal condition caused by decreased estrogen levels.
- Genetics, especially the inherited genes that regulate the bodyâs immune response to infections.
Itâs common for some people to have bacteria in their urine but not experience any symptoms. In these cases, no treatment is necessary.
Talk with your health care team if you think you have a UTI. You may need an appointment to discuss your symptoms and collect a urine sample.
You should seek medical attention if you develop a fever, chills, disorientation, or back or side pain. These could be signs of a kidney infection, which requires treatment, or a systemic infection of the bloodstream that requires hospitalization.
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Antibiotics For A Uti
The form of antibiotic used to treat a bacterial UTI usually depends on which part of the tract is involved.
Lower tract UTIs can usually be treated with oral antibiotics. Upper tract UTIs require intravenous antibiotics. These antibiotics are put directly into your veins.
Sometimes, bacteria develop resistance to antibiotics. To reduce your risk of antibiotic resistance, your doctor will likely put you on the shortest treatment course possible. Treatment typically lasts no more than 1 week.
Results from your urine culture can help your doctor select an antibiotic treatment that will work best against the type of bacteria thats causing your infection.
Treatments other than antibiotics for bacterial UTIs are being examined. At some point, UTI treatment without antibiotics may be an option for bacterial UTIs by using cell chemistry to change the interaction between the body and the bacteria.
There are no home remedies that can cure a UTI, but there are some things that you can do that can help your medication work better.
These home remedies for UTIs, like drinking more water, may help your body clear the infection faster.
You Dont Pee After Sex
The threat of getting a UTI shouldnt stop you from getting it on. But that doesnt mean resigning yourself to the afterburn.
One simple way to cut your risk: Head to the potty after youve finished your romp. Youll possibly flush out the bacteria that may have made their way into your urinary tract. Urinary Tract Infection. .
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How Is It Diagnosed
Your healthcare provider will ask about your symptoms and medical history. You may have lab tests of your urine and discharge from the urethra and prostate gland.
For serious or repeated infections, you may need:
- An intravenous pyelogram . An IVP is a special type of X-ray of the kidneys, ureters, and bladder.
- An ultrasound scan to look at the urinary tract.
- A cystoscopy. This is an exam of the inside of the urethra and bladder with a small lighted instrument. It is usually done by a specialist called a urologist.
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:
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.
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Urinary Tract Infection Prevention
You can help lower the risk of getting UTIs by:
- Urinating after sexual activity
- Wiping from front to back after urination or bowel movements
- Drinking more fluids, especially water
- Taking showers instead of baths
- Using unscented feminine hygiene products
Scientists have found, in some studies, that cranberries may help prevent infection-causing bacteria from attaching to the walls of the urinary tract. Adding unsweetened cranberry juice, cranberry supplements or dried cranberries to your diet may reduce your risk of getting a urinary tract infection.
Treatment Of Uti In Children
Your childs UTI will require prompt antibiotic treatment to prevent kidney damage. The type of bacteria causing your childs UTI and the severity of your childs infection will determine the type of antibiotic used and the length of treatment.
The most common antibiotics used for treatment of UTIs in children are:
If your child has a UTI thats diagnosed as a simple bladder infection, its likely that treatment will consist of oral antibiotics at home. However, more severe infections may require hospitalization and IV fluids or antibiotics.
Hospitalization may be necessary in cases where your child:
- is younger than 6 months old
- has a high fever that isnt improving
- likely has a kidney infection, especially if the child is very ill or young
- has a blood infection from the bacteria, as in sepsis
- is dehydrated, vomiting, or unable to take oral medications for any other reason
Pain medication to alleviate severe discomfort during urination also may be prescribed.
If your child is receiving antibiotic treatment at home, you can help ensure a positive outcome by taking certain steps.
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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 of getting a UTI as good as, if not better than, any diet or supplement.
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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