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.
How To Prevent Uti Re
Following some tips can help you avoid getting another UTI:
- Empty your bladder often as soon as you feel the need to pee don’t rush, and be sure you’ve emptied your bladder completely.
- Wipe from front to back after you use the toilet.
- Drink lots of water.
- Choose showers over baths.
- Stay away from feminine hygiene sprays, scented douches, and scented bath products they’ll only increase irritation.
- Cleanse your genital area before sex.
- Pee after sex to flush out any bacteria that may have entered your urethra.
- If you use a diaphragm, unlubricated condoms, or spermicidal jelly for birth control, you may want to switch to another method. Diaphragms can increase bacteria growth, while unlubricated condoms and spermicides can irritate your urinary tract. All can make UTI symptoms more likely.
- Keep your genital area dry by wearing cotton underwear and loose-fitting clothes. Donââ¬â¢t wear tight jeans and nylon underwear they can trap moisture, creating the perfect environment for bacteria growth.
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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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Risk Factors For Urinary Tract Infection In Older Adults
Certain factors may increase the risk of UTIs in older people.
Conditions common in older adults may lead to urinary retention or neurogenic bladder. This increases the risk of UTIs. These conditions include Alzheimers disease, Parkinsons disease, and diabetes.
They often require people to wear incontinence briefs. If the briefs arent changed regularly, an infection may occur.
Several other things put older adults at risk for developing a UTI:
- a history of UTIs
Treatment From A Gp For Utis That Keep Coming Back
If your UTI comes back after treatment, you may have a urine test and be prescribed different antibiotics.
Your doctor or nurse will also offer advice on how to prevent UTIs.
If you keep getting UTIs and regularly need treatment, a GP may give you a repeat prescription for antibiotics.
If you have been through the menopause, you may be offered a vaginal cream containing oestrogen.
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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.
- Females, wipe from front to back to keep bacteria around the anus from going in the vagina or urethra.
- 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.
How Is A Uti Diagnosed
To find out whether you have a UTI, your doctor or nurse will test a clean sample of your urine. This means you will first wipe your genital area with a special wipe. Then you will collect your urine in midstream in a cup. Your doctor or nurse may then test your urine for bacteria to see whether you have a UTI, which can take a few days.
If you have had a UTI before, your doctor may order more tests to rule out other problems. These tests may include:
- A cystogram. This is a special type of x-ray of your urinary tract. These x-rays can show any problems, including swelling or kidney stones.
- A cystoscopic exam. The cystoscope is a small tube the doctor puts into the urethra to see inside of the urethra and bladder for any problems.
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Favorite Sites To Find Docs
SWIU is all about supporting women urologists and the urologic issues that impact women. One of our favorite SWIU perks is their searchable database for prospective patients to find a local female urologist.
An excellent source for overall urinary health info, UCF also offers a tool to help would-be patients find a urologist near them. You can search by zip code, distance, and through eight urinary specialties, including pediatric urology.
How Are Utis Treated And Prevented
UTIs are usually treated with antibiotics. The specific antibiotic used and how long treatment lasts depend on the type of bacteria causing the infection and if there are any other health complications.
Some common antibiotics used to treat UTIs include:
There are also some steps you can take that may help prevent UTIs. These include:
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Practicing good hygiene, including wiping from front to back for women, which helps prevent the spread of bacteria from stool.
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Drinking plenty of water, which increases urination and can help flush out bacteria.
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Avoiding some types of birth control, like spermicide, which in some women may increase the risk of UTIs.
Some studies suggest that cranberry juice and probiotics can help prevent UTIs in women, but more research needs to be done to see how helpful they really are.
If you develop symptoms of a UTI, its important to let your healthcare provider know right away so that you get the right diagnosis and treatment.
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Common Questions & Answers
UTI symptoms can be uncomfortable or painful. They include the following:
- A strong urge to urinate
- Pain or burning during urination
- Passing small amounts of urine
- Cloudy, strong-smelling, red or pink urine
- Mucus or discharge
- Incontinence
- Fever, shaking, chills, or pain in the upper back, side, or groin
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Urinary Tract Infection Symptoms And Signs
Symptoms of a urinary tract infection are similar in men, women, and children.
- Early symptoms and signs are usually easy to recognize and primarily involve pain, discomfort, or burning when trying to urinate.
- Accompanying this can be the sense that one needs to urinate urgently or the need for frequent urination . Even when there is a strong urge to urinate, you may pass only a small amount of urine.
- The urine itself may appear bloody or cloudy. Men may feel pain in the rectum, while women may experience pain around the pubic bone.
Urinary Tract Infections In The Elderly
Because the elderly often do not experience or report obvious symptoms that younger people have, urinary tract infections can be easily overlooked. Confusion, feelings of general discomfort, disorientation, fatigue, weakness, behavior changes, falling, or a new, acute incontinence are reported as common complaints. Because these symptoms are so general, this often results in a delaying treatment, inviting the complication of sepsis to occur.
UTIs can cause a change in behavior in older people and people with dementia. Masquerading as confusion, agitation, or withdrawal, UTI may actually be the cause of behavioral shifts. The person may not be able to communicate how they feel, therefore it is very important to be familiar with the symptoms of UTI and seek medical help to enable appropriate treatment.
It is also important to be aware that any infection could speed up the progression of dementia and so all infections should be quickly identified and treated.
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Increased Frequency Of Urination
Urinary tract infection is one of the most common causes of frequent urination.
Frequent urination is defined as the need to urinate more than usual. This symptom is often confused with urinary urgency. It is an inconvenient symptom that can greatly disrupt daily life for a person with UTI.
The byproducts of the infection will create inflammation and irritation in the linings of the urethra and bladder. As a result, the irritation of the bladder wall creates the urge to empty the bladder frequently.
Furthermore, the bladder also often feels full. During each trip to the bathroom, the amount of urine is often less than the usual amount.
The bladder also sends confusing signals to the brain. The body would feel the need to pee even when the bladder might not be full.
Typically, the bladder can often hold as much as 600 ml of urine . The urge to urinate is usually felt when the bladder contains about 150 ml of urine .
Most people urinate between 4 to 8 times, depending on fluid intake, over a 24-hour period.
How Do I Know If The Treatment Isnt Working
If the treatment isnt working, your symptoms will stay the same, get worse, or you will develop new symptoms. Call your doctor if you have a fever , chills, lower stomach pain, nausea, and vomiting. You should also call your doctor if, after taking medicine for 3 days, you still have a burning feeling when you urinate. If you are pregnant, you should also call your doctor if you have any contractions.
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What Are Urinary Tract Infections Symptoms
Urinary tract infections often cause symptoms like abdominal pain when urinating, chills, fever, back pain, nausea, or vomiting. The symptoms can come with difficulty peeing or feeling the need to pee all the time. And you might also be burning when you do pee. These symptoms may sound scary but theyre not life-threatening and usually go away on their own within two weeks. But talk to a doctor if you have a urinary tract infection and it doesnt get better after a few days.
Other symptoms might be the need to pee often, especially at night. When you do pee, there might be a burning sensation or blood in your urine. You also might see blood when you wipe after using the bathroom. Sometimes you cant tell if the bleeding is from your vagina or bladder because theyre close together.
The symptoms of urinary tract infections usually get worse the longer they go untreated, and you might start to feel like crap. But dont go it alone, because urinary tract infections are usually easy to treat with antibiotics. If theyre not treated, a UTI can lead to kidney damage or even sepsis, which is when your body starts shutting down from all of the infections in your body.
Its always better to be safe than sorry, so if you have symptoms of a urinary tract infection, book an appointment with your doctor right away.
Urinary Infections In Children
A urinary infection in a child needs to be investigated as it may indicate a more serious condition.
The most common urinary system condition is urinary reflux. With this condition, the bladder valve isnt working properly and allows urine to flow back to the kidneys, increasing the risk of a kidney infection.
Urinary reflux and the associated infections can scar or permanently damage the kidney, and can also lead to:
- high blood pressure
- toxaemia in pregnancy
- kidney failure.
Urinary reflux tends to run in families, so its important to screen children as early as possible if a close relative is known to have the problem.
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Increase Vitamin C Intake
Some evidence shows that increasing your intake of vitamin C could protect against urinary tract infections.
Vitamin C is thought to work by increasing the acidity of the urine, thereby killing off the bacteria that cause infection .
An older 2007 study of UTIs in pregnant women looked at the effects of taking 100 mg of vitamin C every day .
The study found that vitamin C had a protective effect, cutting the risk of UTIs by more than half in those taking vitamin C, compared with the control group .
Fruits and vegetables are especially high in vitamin C and are a good way to increase your intake.
Red peppers, oranges, grapefruit, and kiwifruit all contain the full recommended amount of vitamin C in just one serving .
Despite these studies, there is still more research needed to prove the effectiveness of vitamin C for reducing UTIs. .
SUMMARY
Increasing vitamin C intake may decrease the risk of UTIs by making the urine more acidic, thus killing off infection-causing bacteria.
Drinking unsweetened cranberry juice is one of the most well-known natural remedies for urinary tract infections.
Cranberries work by preventing bacteria from adhering to the urinary tract, thus preventing infection .
In a 2016 study, women with recent histories of UTIs drank an 8-ounce serving of cranberry juice every day for 24 weeks. Those who drank cranberry juice had fewer UTI episodes than the control group .
When Should People Seek Medical Care For A Uti
Any adult or child who develops any of the symptoms of a urinary tract infection needs to be evaluated by a medical professional, preferably within 24 hours. Most medical offices can test urine for infection by using a quick urine “dipstick” test.
- Someone who has symptoms of a lower urinary tract infection should call a health care professional for an appointment, preferably on the same day that symptoms are recognized.
- Someone who has symptoms of an upper urinary tract infection involving the kidneys should call a health care professional immediately. Depending on the situation, he or she will recommend either a visit to the office or a hospital emergency department.
If someone has symptoms of a lower urinary tract infection and any of the following applies, he or she may be at risk for complications of the urinary tract infection.
- Vomiting and inability to keep down clear fluids or medication
- Not better after taking antibiotics for two days
- Pregnant
- Having diabetes or another disease that affects the immune system
- Taking medication that suppresses the immune system such as cancer chemotherapy
Infants, children, and elderly people with any of the signs and symptoms of UTI should see their health care professional as soon as possible or go to an emergency department for evaluation.
The usual treatment for both simple and complicated urinary tract infections is antibiotics. The type of antibiotic and duration of treatment depends on the circumstances.
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Research And Statistics: Who Gets Urinary Tract Infections
In the United States, UTIs result in about 10 million doctor’s office visits annually. People of any age can get a UTI, though most commonly it affects women. According to the National Institute of Diabetes and Digestive and Kidney Diseases, 40 to 60 percent of women develop a UTI during their lives.
Twelve percent of men will have symptoms of at least one UTI during their lives, per the American Urological Association. While UTIs are uncommon in young men, the risk of infection increases with age, especially in men over 50.
Women are at greater risk of urinary tract infections for anatomical reasons: Women have a shorter urethra than men and their urethra is closer to the anus, which means the bacteria that live there dont have to travel far to infect the bladder.
In children, UTIs are common and also occur more frequently in girls than boys. About 3 percent of girls and 1 percent of boys will have a UTI by the time they’re 11 years old.
Physical Changes Spur Urinary Tract Infections During Menopause
Frequent sexual intercourse is one of the biggest UTI risk factors for younger women. For menopausal women, however, physical changes such as the thinning of vaginal tissue, difficulty fully emptying the bladder, incontinence, and pelvic organ prolapse are the main culprits.
In addition, during menopause, the body produces less estrogen, a hormone that among other functions helps keep the bacteria levels in the lining of the bladder and urethra healthy. Vaginal estrogen creams may restore the normal bacterial balance of the vagina, thus helping to stave off recurrent UTIs.
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