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What Treatment For Urinary Tract Infection

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When Should I See My Doctor

Home remedies for urinary tract infection or UTI (urine infection)

If you have any symptoms associated with a UTI or a pre-existing health condition, dont delay visiting your doctor for treatment.

UTIs can be more dangerous if youre pregnant, due to an increased risk of kidney involvement. See your doctor if you are pregnant and you think you have a UTI, even if your symptoms are mild.

Children with UTI symptoms should see a doctor, to check for a more serious underlying condition.

Bladder infections may spread to your kidneys . This is a serious infection and needs immediate treatment with antibiotics. Signs and symptoms of kidney infection include fever, back pain, diarrhoea and vomiting. If you have these symptoms, it is important to see your doctor.

Classification Of Urinary Tract Infection:

Urinary tract infection may be classified as upper urinary tract infection and lower urinary tract infection. According to the infected site, if its bladder then its called cystitis, if the bacterium is in the kidney then its called pyelonephrites, if its in urine the term bacteriuria is used . Manifestation of genitourinary tract infection vary from mild symptomatic cystitis to pyelonephrites and finally to septicaemia. Pyelonephrites are the sequelae of untreated or inadequately treated lower UTI and the most common cause of hospital admission during pregnancy and which lead to preterm labour. Urinary tract infections are further divided into complicated and uncomplicated infections. Uncomplicated infections are those with no prior instrumentations and complicated infections are those that have done instrumentations such as indwelling, urethral catheters and it include structural and functional abnormalities . Again UTI is classified as community acquired and hospital acquired . In community acquired UTI single species of bacteria is found and the organisms are Escherichia coli, P.mirabilis, Pseudomonas. Hospital acquired UTI is often due to multi drug resistant strain in this similar organism but greater preponderance of Streptococci or Klebsiella is seen .

How Common Are Urinary Tract Infections

Urinary tract infections are very common, occurring in 1 out of 5 women sometime in their lifetime. Though UTIs are common in women, they can also happen to men, older adults and children. One to 2% of children develop urinary tract infections. Each year, 8 million to 10 million visits to doctors are for urinary tract infections.

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Causes Of Urinary Tract Infections

Urinary tract infections are usually caused by bacteria from poo entering the urinary tract.

The bacteria enter through the tube that carries pee out of the body .

Women have a shorter urethra than men. This means bacteria are more likely to reach the bladder or kidneys and cause an infection.

Things that increase the risk of bacteria getting into the bladder include:

  • do not use scented soap

  • do not hold your pee in if you feel the urge to go

  • do not rush when going for a pee try to fully empty your bladder

  • do not wear tight synthetic underwear, such as nylon

  • do not drink lots of alcoholic drinks, as they may irritate your bladder

  • do not have lots of sugary food or drinks, as they may encourage bacteria to grow

  • do not use condoms or a diaphragm or cap with spermicidal lube on them try non-spermicidal lube or a different type of contraception

Do You Need To See A Doctor To Get Antibiotics For A Uti

Natural remedy: urinary tract infection

You need to speak with your doctor or a licensed medical professional to be prescribed antibiotics for a UTI. This can usually be done in person, at the doctor, or over the phone.

If this is your first UTI or your symptoms are severe, it may be helpful to get treated in person. You may also want to consider an in-person visit with your healthcare professional to rule out sexually transmitted infections if you are sexually active or have multiple sexual partners.

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What Are The Symptoms Of A Uti

Symptoms of a UTI can differ depending on what part of the urinary tract is infected.

A bladder infection usually causes symptoms that include the following:

  • Burning when urinating
  • The feeling that you need to pee frequently, but when you go to the toilet very little urine comes out
  • Pain in the pelvic area just above the pubic bone.

Bladder infections are usually considered a simple UTI and treatment is usually with antibiotics for three to five days. Symptoms usually resolve in a couple of days.

People with an infection of the urethra may experience symptoms similar to a bladder infection in addition to itching or irritation at the end of the urethra where the pee comes out.

Symptoms of a kidney infection are usually more widespread and more severe than those of a bladder infection and may include:

  • Fever or chills
  • Pink or red-tinged urine
  • Burning when urinating
  • The feeling that you need to pee frequently, but when you go to the toilet very little urine comes out
  • Pain in the pelvic area just above the pubic bone
  • Moderate to severe lower back pain
  • Nausea or vomiting.

Urinary Tract Infections In Men

Men can get UTIs, particularly if they have trouble with urine flow. Older men who experience prostatitis are at a higher risk. If the bladder is not emptying properly, the build up ofurine makes it more difficult to cure the infection.

A small number of young men may get a UTI. In males, this is usually the result of a sexually transmitted disease.

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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.

What Are Uti Symptoms

UTI l Urinary Tract Infection & Pyelonephritis Treatment for NCLEX RN & LPN

Symptoms of UTIs may include the following: pain or burning when urinating, pressure in the low belly, an urge to urinate often, and fatigue and shakiness. If you have severe pain in your back or lower abdomen, vomiting, nausea, or fever, see your healthcare provider immediately. These can be signs of a serious kidney infection. Speak with your healthcare provider if you think you may have a UTI.

  • Urinary Tract Infection, Centers for Disease Control and Prevention . Web. 20 September 2021.
  • Bladder Infection in Adults, National Institute of Health . Web. 20 September 2021.
  • Urinary Tract Infections, MedlinePlus. Web. 20 September 2021.
  • Urinary Tract Infections, Mayo Clinic. Web. 20 September 2021.
  • Phenazopyridine, MedlinePlus. Web. 21 September 2021.

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What Causes Urinary Tract Infections

Normal urine is sterile and contains fluids, salts, and waste products. It does not contain bacteria, viruses, or fungi. A UTI occurs when germs, most often bacteria from the digestive tract, get into the opening of the urethra and start to multiply.

Most UTIs are caused by E. coli bacteria, which normally live in the colon.

How Do You Treat Utis

Urinary tract infections are usually treated with antibiotics prescribed by a healthcare provider. The length of antibiotic treatment depends on the severity of the infection, whether you have had a UTI before, and if your symptoms go away quickly. If you are prescribed antibiotics for a UTI, it is important to take them as instructed by your healthcare provider.

There are additional medications and treatments available over-the-counter that may help ease symptoms and pain or prevent additional UTIs such as urinary pain relief tablets, cranberry pills, and heating pads.

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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.
  • Recurrent Urinary Tract Infections

    Home Remedies for Urinary Tract Infection (UTI)

    Patients with three or more infections per year should be offered either continuous low-dose antibiotic prophylaxis, patient-initiated, or postcoital prophylaxis if the onset of infection is linked to sexual intercourse .7 Before a prophylactic regimen is chosen, a urine culture should be performed to determine the susceptibility of the pathogen. The duration of continuous prophylactic therapy is usually 6 months to a year. Unfortunately, within 6 months of discontinuing antibiotic prophylaxis, 40% to 60% of women develop a urinary tract infection, and prophylaxis must be resumed.20 Patient-initiated therapy at the onset of symptoms has been shown to be effective in young, healthy nonpregnant women.21 Short-course regimens have been advocated for patient-initiated therapy in compliant women with frequently recurring and symptomatic urinary tract infections. The major advantages of short-course therapy over continuous therapy are convenience and the avoidance of antibiotic toxicity symptomatic infections are not prevented, however. For postcoital prophylaxis, nitrofurantoin, trimethoprim-sulfamethoxazole, or fluoroquinolones taken within 2 hours after sexual intercourse have been shown to significantly reduce the incidence of recurrent cystitis.22, 23

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    Urinary Tract Infections In Babies And Young Children

    Babies and children are at risk of UTIs. These infections always need to be investigated as they may indicate a serious underlying condition, such as urinary reflux. Reflux is caused by a bladder valve problem allowing urine to flow back into the kidneys from the bladder. Reflux can cause the urine to stay inside the body increasing the risk of infection. It may lead to kidney scarring, which in turn leads to high blood pressure and sometimes kidney problems.

    Drink Plenty Of Fluids

    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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    Patient Counselling Of Uti:

    Drinking plenty of clear liquids will keep urine diluted.

    Urinate frequently to wash out bacteria that may be present, avoid holding urine for prolonged periods of time.

    Urinate after intercourse to wash out bacteria that may have been introduced into the urethra.

    Avoid wearing tight jeans, wet bathing suites.

    A Pharmacist Can Help With Utis

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

    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. They may be able to give antibiotics if they’re needed.

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    Does Cranberry Juice Prevent A Urinary Tract Infection

    Many people say that cranberry juice can help treat, or even prevent, a UTI. Researchers are currently looking into the topic, but havent found a definitive answer yet. Healthcare providers recommend drinking lots of fluids if you have, or have a history of getting, a UTI. Adding a glass of unsweetened cranberry juice to your diet isnt a proven way to prevent a UTI, but it typically wont hurt you either.

    Which Antibiotic Will Work Best

    Your doctor will take a urine sample to confirm that you have a UTI. Then the lab will grow the germs in a dish for a couple of days to find out which type of bacteria you have. This is called a culture. Itâll tell your doctor what type of germs caused your infection. Theyâll likely prescribe one of the following antibiotics to treat it before the culture comes back:

    Which medication and dose you get depends on whether your infection is complicated or uncomplicated.

    âUncomplicatedâ means your urinary tract is normal. âComplicatedâ means you have a disease or problem with your urinary tract. You could have a narrowing of your ureters, which are the tubes that carry urine from your kidneys to your bladder, a narrowing in the urethra which transports urine from the bladder out of the body, or, you might have a blockage like a kidney stone or an enlarged prostate . It’s also possible you have a urinary fistula or a bladder diverticulum.

    To treat a complicated infection, your doctor might prescribe a higher dose of antibiotics. If your UTI is severe or the infection is in your kidneys, you might need to be treated in a hospital or doctor’s office with high-dose antibiotics you get through an IV.

    Your doctor will also consider these factors when choosing an antibiotic:

    • Are you over age 65?
    • Are you allergic to any antibiotics?
    • Have you had any side effects from antibiotics in the past?

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    Can A Uti Go Away On Its Own

    While most patients with a UTI will be prescribed antibiotics, the truth is, uncomplicated urinary tract infections are often self-limiting, meaning they can potentially run their course sans antibiotic treatment, noted a 2018 report in PLoS Medicine.

    In fact, that same report found that more than one-half of the women studied experienced a UTI resolution without the use antibiotics. However, since kidney infections occurred in 7 out of 181 women using ibuprofen, the researchers concluded that, at this time, they cannot recommend ibuprofen alone as initial treatment to women with uncomplicated UTIs.

    A better idea, for now: Simply wait until a positive urine culture comes back before treating with antibiotics.

    Practice Healthy Hygiene Habits

    11 Best Home Remedies for Urinary Tract Infection to Improve Bladder Health

    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.

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    What Can I Do To Prevent A Uti

    • Empty your bladder often. Urinate and empty your bladder as soon as you feel the need. Do not hold your urine for long periods of time.
    • Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you. You may need to drink more liquids than usual to help flush out the bacteria. Do not drink alcohol, caffeine, or citrus juices. These can irritate your bladder and increase your symptoms. Your healthcare provider may recommend cranberry juice to help prevent a UTI.
    • Urinate after you have sex. This can help flush out bacteria passed during sex.
    • Do pelvic muscle exercises often. Pelvic muscle exercises may help you start and stop urinating. Strong pelvic muscles may help you empty your bladder easier. Squeeze these muscles tightly for 5 seconds like you are trying to hold back urine. Then relax for 5 seconds. Gradually work up to squeezing for 10 seconds. Do 3 sets of 15 repetitions a day, or as directed.

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