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What Medications Treat Urinary Tract Infections

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Treating Urinary Tract Infections Naturally – Dr. Mark Ellerkmann – Mercy

At Walgreens, you can find options for detecting urinary tract infections and for easing symptoms. UTI test strips can help you detect infections, while urinary pain relief tablets and cranberry pills may help to relieve UTI discomfort or prevent recurring UTIs. Researchers are still looking into the possible benefits of cranberry in fighting infections, but their findings are inconclusive. To learn more about the over-the-counter options available for treating UTI symptoms, talk to your healthcare provider or pharmacist.

What You Need To Know About Resistant Urinary Tract Infections

U.T.I.s are one of the worlds most common infections, but many of the drugs used to treat them have become less effective as resistance to antibiotics grows.

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Where Is Uropathogenic E Coli Found

In humans, Escherichia coli typically lives in the lower gastrointestinal tract, but some strains, known as Uropathogenic E. coli , adapt to a more difficult urinary tract environment.

The Risks Of Upec In Uti

UPEC have been linked to an increased risk of UTI in many people who have the disease, and they are found in the urine of many people who have UTI. UTI can be caused by toxins released by UPEC, as well as by the organism spreading the infection. In addition, it is possible that UTIs are caused by UPECs ability to stimulate bacterial spread and persistence in the urinary tract.

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The Many Roles Of Urothelium

Urothelium is characterized by stratified epithelial cells. This mineral is found only in ureters, urinary bladders, and proximal urethras. Urothelium epithelial cells have a keratinized surface layer. Its four main functions are to regulate urine composition, absorb and retain energy, and act as a barrier, absorber, secretory organ, and covert organ.

Drink Plenty Of Fluids

AZO Urinary Tract Health Support Pack 32 ea

Dehydration is linked to an increased risk of UTIs.

This is because regular urination can help flush bacteria from the urinary tract to prevent infection. When youre dehydrated, you arent urinating as often, which can create a breeding ground for bacteria.

A examined nursing home residents and administered a drinking schedule to participants to increase their fluid intake. Following the schedule decreased UTIs requiring antibiotics by 56%.

In a 2020 randomized control trial , 140 premenopausal participants prone to UTIs took part in a 12-month study to test if a higher fluid intake would decrease their risk of recurrent cystitis and, in turn, their risk of developing a UTI. Researchers found that an increase in fluid intake led to a decrease in UTI frequency.

To stay hydrated and meet your fluid needs, its best to drink water throughout the day and always when youre thirsty.

Benefits of drinking more fluids for UTI

Drinking plenty of liquids can decrease your risk of UTIs by making you pee more, which helps remove bacteria from your urinary tract.

evidence suggests that increasing your intake of vitamin C could protect against UTIs.

Vitamin C is thought to work by increasing the acidity of urine, killing off the bacteria that cause infection.

An older 2007 study of UTIs in pregnant women looked at the effects of taking 100 milligrams of vitamin C every day.

Fruits and vegetables are especially high in vitamin C and are a good way to increase your intake.

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Can Utis Be Treated Without Antibiotics

Liu says the best way to treat UTIs is to have a urine analysis.

You can do a urine test strip at home or submit a urine culture at a walk-in clinic if you cant get an appointment with your healthcare provider.

Dr. Swann says its best to consult with a medical expert who can account for ones personal history and circumstances and obtain a bacterial culture if needed.

Liu adds that a urine analysis is particularly important for people who:

  • have recently had a UTI
  • are immunocompromised

If you dont have any of these other concerns and you are treating at home, then you can take pain medication and also make sure that you are drinking plenty of water to see if symptoms improve, she says.

Nonantibiotic options for reducing symptoms associated with UTIs can include increasing water intake, suggests Moore.

In people who are post-menopausal, a life stage associated with a greater risk of UTIs, Moore says to try:

  • topical estrogen to normalize vaginal pH and vaginal colonization with healthy bacteria
  • treatment of bowel issues as they increase the risk of bacteria spread
  • supplements , which prevent bacterial adherence to the bladder lining

Finally, when it comes to treating UTIs at home, bear in mind that cranberry supplements and cranberry juice are different.

Unfortunately,

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.

References

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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Practice Healthy Hygiene Habits

Preventing UTIs starts with practicing a few good bathroom and hygiene habits.

First, its important not to hold your urine for too long. This can lead to a buildup of bacteria, resulting in infection.

Peeing after sexual intercourse can also 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 using the toilet especially if you have a female urethra make sure you wipe front to back. Wiping from back to front can to the urinary tract and is associated with an increased risk of UTIs.

Benefits of healthy hygiene for UTI

Urinating frequently and after sexual intercourse can reduce the risk of UTI. Careful wiping when you use the toilet may also help decrease the risk of UTI.

Several natural supplements may decrease the risk of developing a UTI.

Here are a few supplements that have been studied and are all available in capsule form:

  • D-Mannose.D-Mannose is a type of sugar that is found in cranberries. Research suggests its effective in treating UTIs and preventing recurrence.
  • Cranberry extract. Like cranberry juice, cranberry extract works by preventing bacteria from adhering to the urinary tract.
  • Garlic extract. shows garlic and garlic extract to have antimicrobial properties, so they it may be able to block the growth of bacteria to prevent UTIs.

Should Uti Treatment Vary According To Whats Causing The Infection

Urinary Tract Infection Nursing NCLEX | UTI Symptoms Treatment Cystitis, Pyelonephritis, Urethritis

Your UTI treatment may vary according to whats causing the infection. Certain UTIs, especially chronic and recurring ones, will need antibiotic treatment as opposed to simple home remedies.

If youre prescribed antibiotics to treat a UTI, a healthcare professional may choose an antibiotic thats specific to the type of bacteria thats triggering your infection.

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Pathogenesis And Risk Factors

Multiple potential mechanisms unique to diabetes may contribute to the increased risk of UTI in diabetic patients.38 Higher glucose concentrations in urine may promote the growth of pathogenic bacteria.8,39 However, several studies did not find an association between HbA1c level, which serves as a proxy for glycosuria, and risk of UTI among diabetic patients also, sodium glucose cotransporter 2 inhibitors, which increase glycosuria, were not found to increase the rate of UTI.3,40 High renal parenchymal glucose levels create a favorable environment for the growth and multiplication of microorganisms, which might be one of the precipitating factors of pyelonephritis and renal complications such as emphysematous pyelonephritis.30,41 Various impairments in the immune system, including humoral, cellular, and innate immunity may contribute in the pathogenesis of UTI in diabetic patients.5,6,42 Lower urinary interleukin-6 and -8 levels were found in patients with diabetes with ASB, compared to those without diabetes with ASB.41 Autonomic neuropathy involving the genitourinary tract results in dysfunctional voiding and urinary retention, decreasing physical bacterial clearance through micturition, thereby facilitating bacterial growth.9,10,43 Bladder dysfunction occurs in 26%85% of diabetic women, depending on age extent of neuropathy and duration of diabetic disease,44 and thus should be considered in all diabetic patients with UTI.

Treatment Of Bladder Urinary Tract Infections

The specific intervention depends on the severity of the symptoms. In many instances, healthy patients who have a urinary tract infection but have no symptoms require no treatment at all. Such asymptomatic UTIs typically resolve within two to three days.

If urinary tract infection symptoms are presentsuch as a burning sensation during urination or an increased need to urinatetreatment usually consists of antibiotic medications, which are prescribed for three to 14 days. They include:

  • Trimethoprim: Trimethoprim is the standard treatment for urinary tract infections in otherwise-healthy adults. It is one of the more potent UTI antibiotics, so most patients only require a three-day course. Trimethoprim is generally well-tolerated with few side effects, which generally include nausea, vomiting, diarrhea/constipation or stomach pain.
  • Nitrofurantoin: Nitrofurantoin is the second most commonly prescribed antibiotic for bladder UTIs. It usually requires a longer course than trimethroprim , and is usually well tolerated but should not be taken by anyone with kidney disease. Side effects include nausea and vomiting.
  • Cephalosporins: Cephalosporins are often used as a first-line of treatment in patients that have upper urinary tract infections involving the ureters or kidneys. It is usually taken for seven to 10 days. Side effects include nausea, vomiting, upset stomach and diarrhea.

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Why Is It Important To Take My Antibiotic As Prescribed

When prescribing an antibiotic, a healthcare provider takes many factors into account, such as allergy history, cost, tolerability, previous antibiotic therapy, and prevalence of drug resistance. Drug resistance is a public health problem. It refers to how germs can develop antibiotic resistance to our antibiotics through developing mutations that defend them and passing that genetic information on to other germs .

Antibiotic resistance makes our drugs less effective and affects people everywhere. If your healthcare provider prescribes an antibiotic treatment, you can do your part to help fight this problem. Follow your providers directions and remember the following guidelines .

What Happens When A Uti Goes Untreated

Urinary Tract Complete

Thanks to early diagnosis and proper treatment, the vast majority of lower urinary tract infections result in no complications. However, if left untreated, a UTI can have serious ramifications notes the Mayo Clinic, including:

  • Premature birth and low birth weight
  • Kidney damage, which can occur is an untreated UTI spreads from the bladder to the kidneys.

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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

Precautions Regarding UTIs and Home Remedies for UTI

Final Thoughts on Home Remedies for UTI

Can I Become Immune To The Antibiotics Used To Treat A Uti

Your body can actually get used to the antibiotics typically used to treat a urinary tract infection . This happens in people who have very frequent infections. With each UTI and use of antibiotics to treat it, the infection adapts and becomes harder to fight. This is called an antibiotic-resistant infection. Because of this, your healthcare provider may suggest alternative treatments if you have frequent UTIs. These could include:

  • Waiting: Your provider may suggest that you watch your symptoms and wait. During this time, you may be encouraged to drink plenty of fluids in an effort to flush out your system.
  • Intravenous treatment: In some very complicated cases, where the UTI is resistant to antibiotics or the infection has moved to your kidneys, you may need to be treated in the hospital. The medicine will be given to you directly in your vein . Once youre home, you will be prescribed antibiotics for a period of time to fully get rid of the infection.

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Check If Its A Urinary Tract Infection

Symptoms of a urinary tract infection may include:

  • pain or a burning sensation when peeing
  • needing to pee more often than usual during the night
  • pee that looks cloudy, dark or has a strong smell
  • needing to pee suddenly or more urgently than usual
  • needing to pee more often than usual
  • lower tummy pain or pain in your back, just under the ribs
  • a high temperature, or feeling hot and shivery
  • a very low temperature below 36C

Can I Treat A Uti Without Antibiotics

Mayo Clinic Minute: Treating Urinary Tract Infections

UTI treatment without antibiotics is NOT usually recommended. An early UTI, such as a bladder infection , can worsen over time, leading to a more severe kidney infection . However, a small study has suggested early, mild UTIs might clear up on their own. It’s always best to check with your doctor if you are having UTI symptoms.

Pregnant women should always see a doctor as soon as possible if they suspect they might have a UTI, as this can lead to a greater risk of delivering a low birth weight or premature infant.

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Do I Really Need To Take Antibiotics For A Uti

In most cases, it makes sense to start antibiotics if you know you have a bacterial UTI since this is the only way to treat it.

While it is possible for a UTI to go away on its own, this doesnt always happen. Plus, youll still have to deal with uncomfortable UTI symptoms like pain during urination while waiting to see if the UTI will go away. And if it doesnt, the infection can travel up your urinary tract and cause a more serious infection in your kidneys called pyelonephritis. If youre pregnant, have underlying health conditions, or are older than 65 years old, you should not try to treat a UTI without antibiotics.

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Can Urinary Tract Infections Be Prevented

These steps may help reduce the chance of getting UTIs:

  • Drink plenty of water every day.
  • Drink cranberry juice. Large amounts of vitamin C limit the growth of some bacteria by acidifying the urine. Vitamin C supplements have the same effect.
  • Urinate when you feel the need. Do not wait.
  • Take showers instead of tub baths.
  • Clean the genital area before and after sex, and urinate shortly after sex.
  • Women should not use feminine hygiene sprays or scented douches.
  • Cotton underwear and loose fitting clothes help keep the area around the urethra dry. Tight clothes and nylon underwear trap moisture. This can help bacteria grow.
  • Repeated bouts of urinary tract infections can be treated with small doses of regular antibiotics.

Please consult your health care provider with any questions or concerns you may have about UTIs.

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Editorial Sources And Fact

  • R Orenstein R, Wong ES. Urinary Tract Infections in Adults. American Family Physician. March 1999.
  • Anger J, Lee U, Ackerman AL, et al. Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline. The Journal of Urology. August 2019.
  • Patient Education: Urinary Tract Infections in Adolescents and Adults . UpToDate. January 2020.
  • Huttner A, Kowalczyk A, Turjeman A, et al. Effect of 5-Day Nitrofurantoin vs Single-Dose Fosfomycin on Clinical Resolution of Uncomplicated Lower Urinary Tract Infection in Women a Randomized Clinical Trial. Journal of the American Medical Association. May 2018.
  • What Is The Long

    Urinary Tract Complete

    Urinary tract infections are uncomfortable and painful. Most chronic UTIs will resolve with a prolonged course of antibiotics, but monitoring for further symptoms is important since the chronic UTIs usually recur. People with UTIs should monitor their bodies and seek immediate treatment with the onset of a new infection. Early treatment of infection decreases your risk for more serious, long-term complications.

    If youre susceptible to recurring UTIs, make sure to:

    • urinate as often as needed
    • wipe front to back after urinating

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