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A strong urge to urinate that doesn’t go away, a burning up being when urinating and any various other soreness or problem with urination, can be signs of a urinary tract infection (UTI), which is very common in the U.S. That will be why knowing the first symptoms of a UTI and what to do are key. While most UTIs are not serious, some can lead to further complications such as kidney infections.
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UTIs, which take place when bacteria find into any some of the urinary area many of these just as the kidneys, urethra or bladder, cause more than 8 million visits to the doctor annually. About 60% of women and 12% of men will have at least one UTI during their lifetime, according to the American Urological Association.
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The AMA’s What Doctors Wish Patients Knew™ series provides physicians with a platform to share what they want patients to understand about today’s health care headlines.
For this installment, two physicians took time to discuss what patients need to know about UTIs and how to manage the symptoms. They are:
Jennifer J. Bryan, MD, a assembled spouse and children medical doctor in Flowood, Mississippi, and a delegate in the AMA House of Delegates for the Mississippi State Medical Association.
- Laura L. Steers, MD, an ob-gyn in Iowa City at the University of Iowa Hospitals & Clinics, which is a known member of the AMA Wellness Method System.
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UTIs shouldn’t be taken lightly
“Most women who are having symptomatic UTIs will present with burning with urination. “The other kind of classic symptoms would be needing to go to the bathroom more frequently or urgently-so needing to get to the bathroom quickly. So, all of a sudden, they possess this attack of soreness with urination,†Dr. Steers said.
“If those symptoms are new, that could be concerning for a urinary tract infection,†she added. “In older women, especially, urinary area microbe infections happen to be a little little bit considerably more delicate in some cases, and they might not necessarily find that burning up with urination, but might see extra stomach soreness or they might only think usually unwell-they might possess fevers or chills, they might possess malaise or nausea or vomiting and throwing up.â€
“If the infection has set up a little and possesses developed, it might be a little touch even more serious-you might build some kind of back again pain or perhaps fever, chills, nausea, throwing up and simply sense terrible in common,†Dr. Bryan said. “It’s important to pay attention to those symptoms and to seek care when they develop.â€
“We think of urinary tract infections a lot of times as just being an infection of the bladder or urethra,†Dr. Steers said. “But when that urinary tract infection goes upwards up the urinary tract, it can start to climb up the ureter and enter the kidney.
“That’s called pyelonephritis. So, that would be an infection of the kidney. From there, it’s very easy for the bacteria to jump into the bloodstream and cause sepsis,†she added. “And from there, sepsis can cause multiple organ failure, lung or even kidney problems-those sorts of stuff.â€
“A UTI is often thought of as being a minor will besue, but it can be life threatening,†Dr. Bryan said. “It’h not necessarily anything to consider smoothly. If the signs and symptoms happen to be minimal Also, you need to get it taken care of.â€
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Listen to your body
There are times where symptoms may not show and it leads to a worsening condition, which will be spotted “even more in our aging population clients or probably someone who is lacking in sensation. For example, if a neurologic will be experienced by them concern where they can’testosterone good sense that they’re also getting signs,†Dr. Bryan said. “So, it’s important to know if you’ve had a history in the past because certainly we’ve seen those patients.â€
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“But know your body and listen. Pay attention and if something even begins to feel off to contact your doctor and get evaluated,†she said, writing “there are usually circumstances where men and women will possess no signs and an irritation can sneak up, but that would be the exception.â€
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Have a plan if prone to UTIs
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“There seems to be an unfortunate genetic subset of people who have recurrent urinary tract infections,†said Dr. Steers. Those more prone to UTIs include “postmenopausal women, women who have prolapse, women with decreased immune response like diabetes or women who get kidney stones more frequently.â€
“If you have urinary tract infections frequently, it will be named by us persistent urinary area infection,†she said, noting that “women meet those criteria by either having two culture-proven urinary tract infections in six months or three within 12 months.
“And those women often will be synced up pretty closely with either a urogynecologist or a urologist and they will have more frequent antibiotics, and they might be about a day-to-day prophylactic antibiotic,†Dr. Steers added.
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Practice proper bathroom hygiene
“Hygiene in the bathroom is also a predwill beposing factor for UTIs,†Dr. Bryan said, which means it is important to “make sure that we cleanse from the front to the back to minimize the spread of bacteria.â€
“That’s because the bacteria that cause a urinary tract infection usually comes from stool or just being colonized there sometimes from e coli and other bacteria found in the gastrointestinal tract,†she explained. “Attention to general hygiene can reduce the risk of UTIs.â€
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Urinate before and after sex
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“Sexual activity is definitely a predwill beposing factor in urinary tract infections,†Dr. Bryan said, remembering that erotic making love itself will certainly not produce UTIs, but it can raise the chances.
This is because “bacteria in the genital or anal region can enter the urethra during sex, so urinating before and after sex can decrease the risk of a UTI definitely,†she said. “Completely bathing and baths before and after intimacy can aid as well.â€
Pregnancy requires quick attention
“Pregnant women oftentimes don’t know that they are at increased risk for urinary tract infections, or they may not really be aware of the risk of further advancement of UTIs,†Dr. Steers said.
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“While they are common for women and mild for most women outside of pregnancy, they can be risky in being pregnant really,†she added, emphasizing that “pregnant women need to present to the doctor sooner than nonpregnant women and get treated for a UTI.â€
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After surgery, move around if you can
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“Just like any infection, there’s more bacteria that are present in the hospital because there are usually lots of sick people around,†said Dr. Steer, noting “the biggest risk to developing a UTI in the hospital is having some sort of catheter in your bladder during the hospitalization or having some sort of procedure near your urethra.â€
To prevent a hospital-acquired urinary tract infection, “the biggest thing would be minimizing the amount of time the catheter is in place,†she said. “From my perspective as a gynecologist, there will be a whole lot of instances where we want the catheter in your bladder, but we try and eliminate it as quickly as possible next.â€
“From the patient perspective, if you’ve had some sort of surgery, the quicker you can tolerate being out of bed and trying to go to the bathroom on your own, that facilitates us acquire the catheter away more rapidly,†Dr. Steer explained.
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Go to the bathroom more often
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“Holding your urine can definitely increase your risk for a lot of different issues, and a urinary tract infection is one of those,†Dr. Bryan said. “Your body is giving you an alarm there and telling you that if you need to go to the bathroom, you need to go.â€
“For people who have minor symptoms, it’s reasonable to try and treat by trying to flush out the bladder, thus increasing normal water intake and heading to the toilet extra regularly,†Dr. Steers said. “We recommend somewhere in the ballpark of going to the bathroom every two to three hours.
“You’re just trying to flush things through and that is an important part of treatment regardless of whether or not you need antibiotics,†she added.
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Stay hydrated
“The biggest thing for prevention is drinking a lot of water and keeping your bladder empty,†said Dr. Steers. “Increasing the amount of water that you drink dilutes out that bacteria and then by going to the bathroom more frequently, you’re also not really rental that bacteria sit inside that swimming pool of populate and urine.â€
“We recommend about eight glasses of water a day, unless you have other reasons why you’re not supposed to be drinking that much fluid,†she said.
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Try taking probiotics
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“Other things that people have looked into would be vitamin C supplements and probiotics,†Dr. Steers said. “The thought behind probiotics will be that there are usually excellent germs and there will be poor bacterias.
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“And if you can keep the good bacteria around, that helps fight off the bad bacteria,†she added. “So, certain people advocate for probiotics and then some other supplements like D-mannose or there is a medication called methenamine salts and those seem to be helpful as well.â€
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Use topical or vaginal estrogen
“Postmenopausal women who have a lot of vaginal atrophy-thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen-might need other forms of prevention,†Dr. Steers said. “We know that by using topical estrogen or vaginal estrogen that can help prevent urinary tract infections.
“It helps boost the genital urinary health and will help keep the good bacteria around,†she added, writing “that oral estrogen will be crucial meant for postmenopausal females seriously.â€
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Take care of yourself
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“General overall health is so important. If you’ve got other medical conditions, tend to those,†Dr. Bryan said. “If your diabetes will be out of control or you’ve got some inflammatory disorder or something that’s not managementled, take care of your general health.â€
That means “getting plenty of rest, making sure that you’re getting plenty of nutrients in your diet, take a multivitamin, exercise, get a good night’s sleep, stay hydrated,†she said. “Take all those things into account when you try to prevent getting infected with something.
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