Chronic Urinary Tract Infection And Treatment
In older men, urinary tract infections are quite common and are associated with an enlarged prostate as well as other diseases that come with age. Urinary tract infections are slightly more common in women than in men. Women who have had an infection once are more likely to get the inflammation back. In most cases, each infection is caused by a different type or strain of bacteria. Some bacteria can attack the cells of the body and multiply, creating a colony of antibiotic-resistant bacteria. In women prone to recurrent inflammation, antibiotic prophylaxis is required, which means that a lower concentration of antibiotics is prescribed for another six months after the initial cure. Women who have bladder infections more often during the year should have a urine culture done to see which bacteria are present and which antibiotic is effective. Two weeks after the end of therapy, a urine culture should be performed to see if the inflammation has healed. Untreated bladder inflammation in the elderly can progress very quickly to kidney inflammation and urosepsis. It is less common in younger people, but bladder inflammation should be treated, especially in pregnant women.
Prevention measures for women with recurrent urinary tract infections
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What Causes A Urinary Tract Infection
Urinary tract infections are caused by microorganisms usually bacteria that enter the urethra and bladder, causing inflammation and infection. Though a UTI most commonly happens in the urethra and bladder, bacteria can also travel up the ureters and infect your kidneys.
More than 90% of bladder infection cases are caused by E. coli, a bacterium normally found in the intestines.
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 (
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Uti Causes And Symptoms
A UTI, or urinary tract infection, is caused by organisms that are too small to be seen without a microscope, including fungi, viruses and bacteria. Despite the bodys many natural defenses, certain bacteria have the ability to attach themselves to the lining of the urinary tract and inhabit the urethra, bladder and kidneys. The majority of UTI cases are caused by E. colibacterium that can live in the bowel and vaginal cavities, around the urethral opening, and in the urinary tract.
Other significant pathogens that can cause UTIs include Proteus mirabilis, Staphylococcus saprophyticus, Staphylococcus epidermidis and Klebsiella pneumonia. In diabetic patients, Klebsiella and group B streptococcus infections are more common. Pseudomonas infections are more common in chronically catheterized patients.
Urinary tract infections are extremely common, especially among sexually active women ages 18 to 24. Although a UTI isnt typically complicated or life-threatening, it does cause pain and suffering and negatively impacts ones quality of life.
Generally, symptoms of a UTI in adults may include:
- pain when urinating
- a burning sensation in the bladder or urethra when urinating
- a strong, frequent urge to urinate, but only passing small amounts
- muscle aches
- urine that appears red or bright pink
- strong-smelling urine
- people with suppressed immune systems
- people with diabetes
Precautions Regarding UTIs and Home Remedies for UTI
Final Thoughts on Home Remedies for UTI
Is It Possible To Prevent Recurrent Urinary Tract Infections With A Vaccine
Currently, there are no commercially available vaccines for UTIs, either recurrent or first-time infections. One of the problems in developing a vaccine is that so many different organisms can cause infection a single vaccine would be difficult to synthesize to cover them all. Even with E. coli causing about most infections, the subtle changes in antigenic structures that vary from strain to strain further complicates vaccine development even for E. coli. Researchers are still investigating ways to overcome the problems in UTI vaccine development.
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What Are The Causes Of Urinary Tract Infections
An infection occurs in the urinary tract when bacteria enter the urethra and sets up camp there. Sometimes they will migrate from there to the bladder, causing further infection. If you dont get treated, the bacteria can even move on to the kidney. When we urinate, we often flush out the bacteria, but sometimes this bacterium can take root.
You really dont want this to happen, as it can turn quite serious and require a hospital stay, as well as lead to an even worse kidney or bladder infection. These bacteria usually come from the colon. Sometimes other tiny organisms that are sexually transmitted can also cause these kinds of infections.
Common causes of UTIs include:
- Improper wiping, or anything which spreads bacteria from the anus to the genitals
- Sexual intercourse
- Kidney stones or other obstructions of the urinary tract
- Incomplete emptying of the bladder, often due to spinal cord injuries or other conditions
- Suppressed immune systems, which can occur with HIV/AIDS or diabetes
Treatment Options For Urinary Tract Infections
Ladies, if you think you have a urinary tract infection, you are probably right. One study found that women who self-diagnose a UTI are right 84% of the time.
You can apply this know-how to partner with your health care provider to pick the right treatment The go-to treatment of a UTI, which is caused by a bacteria, is antibiotics. Your questions about treatment decisions can make a difference, especially since antibiotic recommendations have shifted and not all doctors have changed their practices.
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How Long Should I Take Antibiotics
Your doctor will let you know. Typically, for an uncomplicated infection, you’ll take antibiotics for 2 to 3 days. Some people will need to take these medicines for up to 7 to 10 days.
For a complicated infection, you might need to take antibiotics for 14 days or more.
If you still have symptoms after completing antibiotics, a follow-up urine test can show whether the germs are gone. If you still have an infection, you’ll need to take antibiotics for a longer period of time.
If you get UTIs often, you may need a prolonged course of antibiotics. And if sex causes your UTIs, you’ll take a dose of the medicine right before you have sex. You can also take antibiotics whenever you get a new UTI if youâre having symptoms and a positive urine culture.
Why Should I Take The Full Dose
Antibiotics work well against UTIs. You might start to feel better after being on the medicine for just a few days.
But even so, keep taking your medicine. If you stop your antibiotics too soon, you wonât kill all the bacteria in your urinary tract.
These germs can become resistant to antibiotics. That means the meds will no longer kill these bugs in the future. So if you get another UTI, the medication you take might not treat it. Take the full course of your medicine to make sure all the bacteria are dead.
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Phew Its Over But Will It Come Back
Theres good news and theres bad news. The bad news: one out of five women who get a UTI will get another one. If you do get another UTI, speak with your doctor about UTI treatment options, he or she may prescribe a longer course of antibiotics or have other UTI treatment options for you. The good news: changing up some of your daily habits and following some of our tips above may also help you protect yourself. When it comes to keeping UTIs away, knowledge is power.
Treatment Of Recurrent Utis
Some people develop recurring urinary tract infections and may require further testing to determine the cause. Treatment may include longer doses of antibiotics or more potent doses of antibiotics delivered intravenously. Recurrent UTIs may be a symptom of a more chronic problem and require further examination by a trained urologist.
Couling, R. . Managing lower UTI in adults in the community. Nurse Prescribing. 6, 485-489.
Huang, C.-H. et al. . Cranberry-Containing Products for Prevention of Urinary Tract Infections in Susceptible PopulationsA Systematic Review and Meta-analysis of Randomized Controlled Trials. Archives of Internal Medicine. 172:988-996.
OShea, L. . Diagnosing urinary tract infections. Practice Nurse. 40, 20-25.
Riley, J. . Urinary tract infection. Conditions and Procedures in Brief, 1-3.
Stapleton, A.E. et al. . Recurrent Urinary Tract Infection and Urinary Escherichia coli in Women Ingesting Cranberry Juice Daily: A Randomized Controlled Trial. Mayo Clinic Proceedings. 87:143-150.
Urinary tract infection. . Mayo Clinic. Retrieved from .
Urinary tract infectionCauses. . University of Maryland Medical Center.
Urinary tract infections in adults. . National Kidney and Urologic Diseases Information. Publication No. 122097.
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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.
Recommendations For Uti Prevention
To prevent urinary tract infection, some research suggests that the following may be helpful:
- Increasing fluid intake: The doctor may recommend increased fluid intake to help flush bacteria out of the urinary system.
- Drinking cranberry juice: Drinking 8 ounces of cranberry juice a day may help prevent recurrent UTIs. People who take blood thinners such as warfarin or are prone to kidney stones should check with a physician before trying this approach.
- Proper hygiene: Regular bathing keeps the genital area bacteria free, and women should wipe front-to-back after using the bathroom so as to avoid introducing bacteria into the urethra.
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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.
Do I Need To See A Doctor
Yes. Painful urination can be a symptom of a more serious problem. You should tell your doctor about your symptoms and how long youve had them. Tell your doctor about any medical conditions you have, such as diabetes mellitus or AIDS, because these could affect your bodys response to infection. Tell your doctor about any known abnormality in your urinary tract, and if you are or might be pregnant. Tell your doctor if youve had any procedures or surgeries on your urinary tract. He or she also need to know if you were recently hospitalized or stayed in a nursing home.
If your doctor thinks your pain may be from vaginal inflammation, he or she may wipe the lining of your vagina with a swab to collect mucus. The mucus will be looked at under a microscope to see if it has yeast or other organisms. If your pain is from an infection in your urethra , your doctor may swab it to test for bacteria. If an infection cant be found, your doctor may suggest other tests.
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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:
Are There Any Home Remedies For A Urinary Tract Infection
The best “home remedy” for a UTI is prevention . However, although there are many “home remedies” available from web sites, holistic medicine publications, and from friends and familymembers there is controversy about them in the medical literature as few have been adequately studied. However, a few remedies will be mentioned because there may be some positive effect from these home remedies. The reader should be aware that while reading about these remedies , they should not to overlook the frequent admonition that UTIs can be dangerous. If the person does not experience relief or if his or her symptoms worsen over 1 to 2 days, the person should seek medical care. In fact, many of the articles about UTI remedies actually describe ways to reduce or prevent UTIs. Examples of home treatments that may help to prevent UTIs, that may have some impact on an ongoing infection, and that are unlikely to harm people are as follows:
There are over-the-counter tests available for detecting presumptive evidence for a UTI . These tests are easy to use and can provide a presumptive diagnosis if the test instructions are carefully followed a positive test should encourage the person to seek medical care.
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Probiotic Food Like Curd And Buttermilk:
Probiotics are basically good bacteria that fight against bad bacteria. Not only for UTI but also for good health and digestion eating probiotics is always good for health. Coming to urinary tract infection probiotics helps us by preventing the bacteria sticking on the walls of urinary tract, thereby prevent the urinary tract infection.
What Studies Say About Urinary Tract Infections
Okay, before we get to this amazing find, lets review what we know about UTIs. According to the National Institute of Kidney and Urologic Diseases Information Clearinghouse , a UTI is the second-most common infection in the human body. Anyone can get one, but women seem to be more at risk.
UTIs can be a serious problem. According to recent research, women with UTI infections are at a higher risk of dying or having complications if they develop bladder cancer. Symptoms are often believed to be due to the UTI and the bladder cancer is not diagnosed until it is too late.
However, other studies have some good news. One study of over 28,000 women found that if women with recurrent UTIs could find out the cause of their UTIs, they can simply eliminate whatever is causing the UTIs and easily avoid antibiotic-use or expensive medical care. The studys findings are good news, as they mean that women do not have to suffer with repeated hospital visits or frequent UTIs.
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How To Prevent Uti’s In Cats
The best way to prevent urinary tract infections from occurring in a cat is to ensure the urinary tract opening is kept clean at all times. Regular litter box cleaning and the washing of cat beds will aid in this task. Overweight cats may have trouble cleaning themselves and may need help keeping their urinary tract openings clean with a wet cloth or wipe. Adequate water intake will also help flush the bladder out regularly.
Best Remedies For Bladder Infections
About bladder infections
Bladder infections are the most common type of urinary tract infection . They can develop when bacteria enter the urethra and travel into the bladder.
The urethra is the tube that takes urine out of the body. Once bacteria go into the urethra, they can attach to the walls of the bladder and multiply quickly.
The resulting infection can cause uncomfortable symptoms, such as the sudden urge to urinate. It may also cause pain while urinating and abdominal cramping.
A combination of medical and home treatments may ease these symptoms. If left untreated, bladder infections can become life-threatening. This is because the infection can spread to the kidneys or blood.
Here are seven effective bladder infection remedies.
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