What Is A Urinary Tract Infection
If you have ever experienced the frequent urge to go the bathroom with painful and burning urination, you have probably experienced a urinary tract infection . UTIs are one of the most common types of infections, accounting for over 10 million visits to health care providers each year. Roughly 40% of women experience a UTI at some time, and in women, it is the most common infection. Healthcare costs related to UTIs exceed $1.6 billion per year.
A urinary tract infection can happen anywhere along your urinary tract, which includes the kidneys , the ureters , the bladder , or the urethra . Most UTIs occur in the bladder and urethra. Common symptoms include frequent need to urinate, burning while urinating, and pain in lower abdomen area.
There are different types of UTIs based on where the bacteria goes. A lower urinary tract infection occurs when bacteria gets into the urethra and is deposited up into the bladder this is called cystitis. Infections that get past the bladder and up into the kidneys are called pyelonephritis.
Urinary tract infection symptoms may include:
- Pain or burning upon urination
- A frequent or urgent need to urinate
- Passing small amounts of urine
- Blood in the urine or or pink-stained urine
- Urines that looks cloudy
- Strong-smelling urine
- Pain, cramping in the pelvis or pubic bone area, especially in women
Upper UTIs which include the kidney may also present with symptoms of fever, chills, back or side pain, and nausea or vomiting.
Care For Pregnant Women
The hormonal and anatomical changes of pregnancy mean that being pregnant increases the risk for both urinary tract infections and yeast infections. Not only this but pregnant people and their unborn babies may experience more health complications with even simple infections. UTIs and yeast infections during pregnancy can lead to a higher risk of preeclampsia, premature labor, and low birth weight.
Pregnant women who think they have a UTI or a yeast infection should see their healthcare provider without delay, as these infections should be treated right away to prevent serious complications to both the mother and the child. Your healthcare provider can also help you pick the safest treatments, since some antibiotics and antifungals are not suitable for pregnant women.
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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 theyre needed.
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Steroid And Antibiotic Eye Drops For Pink Eye
These are prescription eye drops for pink eye made by combining one or more types of antibiotics and various steroids. It comes as a suspension and ointment. Steroids help in reducing inflammation while antibiotics will treat your bacterial infection. Generic steroid drops are also available.
The common steroids used include hydrocortisone, prednisolone, loteprednol, and dexamethasone while the common antibiotics used include tobramycin, bacitracin, neomycin, gentamycin and polymixin B. They come in various brands names such as Catapred, Blephamide, Poly- Tobradex, Pred-G, Isopto, Pred, Zylet among many others.
You need to use these drops 1-3 times a day and if you get the ointment, you need to apply a half an inch 3-4 times a day. There is not sufficient studies to support the use of this medication during pregnancy.
Similarly, lactating mothers are only limited to using steroids containing medication since it gets secreted in milk when they take pills or have injections. There are no adequate studies on the effect when used on your eyes.
Side effects include swelling, redness, irritation, and itching on your eyes. Rare side effects include cataract formation, optic nerve damages as well as glaucoma.
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What Other Information Should I Know
Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to phenazopyridine.
Phenazopyridine can interfere with laboratory tests, including urine tests for glucose and ketones. If you have diabetes, you should use Clinitest rather than Tes-Tape or Clinistix to test your urine for sugar. Urine tests for ketones may give false results. Before you have any tests, tell the laboratory personnel and doctor that you take this medication.
Phenazopyridine stains clothing and contact lenses. Avoid wearing contact lenses while taking this medicine.
Do not let anyone else take your medication. Your prescription is probably not refillable.
If you still have symptoms after you finish the phenazopyridine, call your doctor.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
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Does Walgreens Sell Over
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.
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What Is Overactive Bladder
Normally, your urinary tract functions quite well. Yourkidneys produce urine that is stored in the bladder, and your bladder isrelaxed when there is no urine present. As your bladder fills withurine, your nerves send a signal that it needs to be emptied. When youhave overactive bladder, the signals to empty the bladder are sent eventhough the bladder is not full. As a result, you may notice thefollowing: 1) you feel the need to urinate 8 or more times during theday, and 2 or more times during a typical night 2) you feel a sudden,strong, and immediate urge to urinate and 3) you leak urineuncontrollably after you have the sudden and strong urge to urinate.Further, when you attempt to urinate, there is often very little urineor no urine at all.
Overactive bladder is not the same as stress incontinence.With stress incontinence, you leak urine when sneezing, laughing, orcarrying out other physical activities.
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Signs And Symptoms Of Cystitis
The main symptoms of cystitis include:
- pain, burning or stinging when you pee
- needing to pee more often and urgently than normal
- urine thatâs dark, cloudy or strong smelling
- pain low down in your tummy
- feeling generally unwell, achy, sick and tired
Possible symptoms in young children include:
- pain in their tummy
- reduced appetite and vomiting
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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Urgency Or Difficulty Urinating
A bladder disorder can make it difficult to fully empty your bladder. This can cause frequent urination, feeling like you always have to urinate, or both.
When the bladder wall thickens, the bladder may not be able to hold as much urine as it normally does. This can create those urgent feelings of having to urinate more frequently. BOO can also make it harder to urinate.
What Are The Signs Of A Bladder Infection
Reviewed by our clinical team
A bladder infection is a common condition normally caused by the growth of bacteria in the urinary tract. It typically causes mild urinary symptoms that pass on their own within a few days, however it can sometimes spread to the kidneys causing more serious symptoms. A bladder infection falls under the category of a UTI and is also known as cystitis. You may also hear it referred to as a water infection.
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Should Uti Treatment Vary According To Whats Causing The Infection
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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Cystex Urinary Pain Relief Tablets
Cystex Urinary Pain Relief Tablets is yet another product that contains Methenamine, and therefore works in the same way as AZO Urinary Tract Defense.
The dose of Methenamine in both products is identical and both contain the same amount of Sodium salicylate .
Cystex Urinary Pain Relief Tablets will not change the color of the urine as some other OTC medications do.
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Manufacturers Respond To The Fda
The FDA received at least three responses to its list ofphenazopyridine questions within a 6-month period. The ConsumerHealthcare Products Association asked the FDA to reviewphenazopyridine, but completely sidestepped the issue ofcarcinogenicity.11 A submission from PolymedicaPharmaceuticals asserted that urinarydiscomfort should be self-treatable, and further argued against warningpatients on product labels that they may need a concomitantantibacterial.12 Polymedica also claimed that phenazopyridinedosages of 190 to 195 mg are safe and effective, but did not submitclinical dosage studies to support its assertions. Polymedica arguedagainst including any carcinogenesis statement. In short, the submissionwas entirely laudatory about phenazopyridine, although it did notreport newly conducted clinical studies, as would have been required bythe FDA to establish safety and efficacy.
A brief submission from Johnson & Johnson made essentially the same arguments as Polymedica, denying theneed for carcinogenicity labeling.13 This submission also failed to include new clinical studies providing evidence of safety and efficacy.
Why Are Females At A Higher Risk For Utis
People with female reproductive organs are at a higher risk for UTIs because of their anatomy. The female urethra, the tube which empties urine from your bladder out of your body, is shorter than someone born with male anatomy.
The female urethra is also quite close to female reproductive organs. That means bacteria from sexual intercourse as well as products like spermicide can be in close contact with the urethra and bladder.
Females also experience menopause and pregnancy. These two biological events change the bacteria in your reproductive and digestive tracts and create conditions that make UTIs more likely.
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Editorial Sources And Fact
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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What Oral Antibiotics Are Used To Treat An Uncomplicated Uti In Women
The following oral antibiotics are commonly used to treat most uncomplicated UTI infections :
Your doctor will choose your antibiotic based on your history, type of UTI, local resistance patterns, and cost considerations. First-line options are usually selected from nitrofurantoin, fosfomycin and sulfamethoxazole-trimethoprim. Amoxicillin/clavulanate and certain cephalosporins, for example cefpodoxime, cefdinir, or cefaclor may be appropriate options when first-line options cannot be used.
Length of treatment for cystitis can range from a single, one-time dose, to a course of medication over 5 to 7 days. Kidney infections may require injectable treatment, hospitalization, as well as a longer course of antibiotic, depending upon severity of the infection.
Sometimes a UTI can be self-limiting in women, meaning that the body can fight the infection without antibiotics however, most uncomplicated UTI cases can be treated quickly with a short course of oral antibiotics. Never use an antibiotic that has been prescribed for someone else.
In men with symptoms that do not suggest a complicated UTI, treatment can be the same as women. In men with complicated UTIs and/or symptoms of prostatitis are not present, men can be treated for 7 days with a fluoroquinolone . Tailor therapy once urine cultures are available.
Ways To Conquer Painful Uti Symptoms
Did you know that females are up to 30–thirty!–times as likely to get a urinary tract infection as males are? Theres a whole list of things to love about being a woman, but the increased likelihood of having a UTI isnt one of them.
Painful symptoms can make UTIs burdensome and inconvenient. So lets talk about the home remedies and medications that could help you manage UTI symptoms or cure a UTI.
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Etiology And Risk Factors
Urine is generally sterile, and the causative agents for most UTIs originate in bowel flora that enter the periurethral area. Most UTIs are caused by one organism UTIs caused by multiple organisms may indicate contamination. The causative agents are gram-positive and gram-negative organisms, as well as some fungi.1 The gram-negative bacterium Escherichia coli accounts for almost 90% of all episodes.3,5 Other common causative agents include Staphylococcus saprophyticus, Klebsiella pneumoniae, Enterococcus faecalis, group B streptococcus, Proteus mirabilis, Pseudomonas aeruginosa, Staphylococcus aureus, and Candida species.
Otc Treatments That Can Help Your Uti
Try these at-home treatments while youre waiting to get your antibiotics . And while youre at it, drink as much water as you can. Peeing often will help flush out more of the gunk and hopefully help you feel better a little faster.
This is basically like Tylenol or Motrin for your urinary tract. It uses a different active ingredient phenazopyridine hydrochloride but the function is pretty much the same. Itll temporarily numb the tissue around your urinary tract to make the whole situation down there a little more tolerable. You can expect relief in as little as 20 minutes that lasts up to 8 hours.
However, note that this can make your urine reddish-orange tinged and can stain fabric. Also dont take it for more than 2 days.
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Drink Plenty Of Water
Although urinating can be painful when you have a UTI, its important to drink as many fluids as possible, particularly water. Most adults should aim to drink between six and eight 8-ounce glasses of water per day.
The more you drink, the more youll urinate. Urinating helps flush harmful bacteria from the urinary tract.
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Bladder Wall Thickening In Men And Women
The underlying causes of a thickened bladder wall can differ between men and women.
BOO is more common among men, because its often linked to prostate problems. An enlarged prostate forces the bladder to work harder to empty itself of urine. This in turn causes the bladder wall to thicken. Prostate treatment can help reduce the burden on the bladder.
UTIs are more common among women. Thorough treatment can ease the strain on the bladder and allow thickened bladder walls to return to normal.
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Are Quinolones Safe
The fluoroquinolones, such as ciprofloxacin and levofloxacin have also been commonly used for simple UTIs however, FDA safety recommendations strongly suggest that this class be reserved for more serious infections and only be used if other appropriate antibiotics are not an option.
- An FDA safety review found that both oral and injectable fluoroquinolones are associated with serious and potentially disabling side effects involving tendons, muscles, joints, nerves and the central nervous system.
- These adverse effects can occur soon after administration to weeks after exposure, and may potentially be permanent.
- Patients should discuss the use of fluoroquinolones and their side effects with their healthcare provider.
However, certain oral fluoroquinolones may be appropriate for more complicated UTIs, including pyelonephritis and complicated UTIs in men with prostate involvement. For the outpatient treatment of uncomplicated pyelonephritis, the following quinolones may be appropriate. Based on resistance patterns , an inital dose of a long-acting parenteral antimicrobial, such as ceftriaxone, may be needed, or a 24-hour dose of an aminoglycoside.
Patients should be informed of the most current FDA warnings surrounding the use of fluoroquinolone antibiotics.