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What Is UTI?

A urinary tract infection (UTI) occurs when parts of your urinary system become infected. This system includes your kidneys, ureters, bladder, and urethra, all working together to filter waste and remove it from your body through urine. Normally, urine flows through the system without any problems. However, bacteria, fungi, or even viruses can enter the urinary tract and cause an infection.

 

The most common culprits are bacteria, which usually affect the bladder (called cystitis) or urethra (known as urethritis). The infection can spread less frequently to the kidneys (pyelonephritis), which is more serious.

UTI Symptoms

The symptoms of a UTI can vary depending on whether the infection affects the lower urinary tract (bladder and urethra) or the upper tract (kidneys). Recognising these symptoms early can help in seeking prompt treatment.

Lower Tract UTI Symptoms:

When the infection is in the bladder or urethra, you may notice:

  • A burning or stinging feeling when you pee.

  • A frequent urge to urinate, even if only a small amount comes out.

  • Cloudy, dark, or strong-smelling urine.

  • Blood in your urine, making it look pink, red, or tea-coloured.

  • Pressure or pain in your lower abdomen or pelvis.

  • Rectal pain (in men).

Upper Tract UTI Symptoms:

If the infection has spread to your kidneys, the symptoms may be more severe, such as:

  • Pain in your upper back or sides.

  • Fever and chills.

  • Nausea and vomiting.

  • Extreme tiredness or weakness.

Other Possible Symptoms:

In some cases, people with UTIs may also experience:

  • Incontinence (leaking urine).

  • Fatigue or a general feeling of being unwell.

  • Mental confusion, particularly in older adults.

While UTIs are common, symptoms can worsen without treatment, primarily if the infection spreads to the kidneys. If you notice any of these signs, seeing a doctor for proper diagnosis and care is essential.

UTI Causes

UTIs are usually caused by bacteria entering the urinary system, often through the urethra. Once inside, these bacteria can travel to the bladder and, in some cases, even reach the kidneys. The most common bacteria responsible for UTIs is Escherichia coli (E. coli), which naturally lives in the intestines but can cause infections if it spreads to the urinary tract.

Why Are Women More Affected?

Women are more likely to get UTIs because they have a shorter urethra than men, making it easier for bacteria to reach the bladder. The urethra’s close proximity to the anus also increases the risk of bacteria entering the urinary system. Factors like sexual activity, using diaphragms or spermicidal condoms, and hormonal changes during menopause can further raise the chances of infection.

Other Risk Factors:

Several conditions and situations can make UTIs more likely, including:

  • Blockages: Kidney stones or an enlarged prostate can prevent the bladder from emptying completely, allowing bacteria to multiply.

  • Weakened Immune System: Diabetes or other health issues can reduce the body’s ability to fight infections.

  • Urinary Catheters: These devices can introduce bacteria into the urinary tract.

  • Pregnancy: Hormonal changes and pressure on the bladder can increase the risk.

Proper hygiene, staying hydrated, and seeking prompt medical care when symptoms appear can help reduce the risk of UTIs.

UTI Treatment

The treatment for a urinary tract infection (UTI) depends on the type of infection, but bacteria cause most UTIs and require antibiotics. Your doctor will determine the best course of treatment based on your symptoms and test results.

Antibiotics For Bacterial UTIs

Bacterial UTIs are the most common and are effectively treated with antibiotics. Commonly prescribed antibiotics include nitrofurantoin, amoxicillin, fosfomycin, and cephalosporins. More potent antibiotics like fluoroquinolones may be used for more severe infections, such as those that have spread to the kidneys. It’s essential to take the full course of antibiotics, even if your symptoms improve, to completely clear the infection.

Alternative Treatments For Frequent UTIs

If you experience recurrent UTIs, your doctor may recommend a low-dose antibiotic for a set period, taking medication after certain triggers (e.g., after sexual activity), or nonantibiotic options like methenamine hippurate to prevent infections.

Treatment For Viral And Fungal UTIs

Though less common, viral UTIs are treated with antivirals like cidofovir, and fungal UTIs require antifungal medications.

Severe Infections

Hospital treatment with intravenous (IV) antibiotics may be necessary in complicated cases involving kidney infections or antibiotic-resistant bacteria. Once stabilised, you can continue treatment at home with oral antibiotics.

Prompt treatment is vital to prevent complications, and drinking plenty of fluids can support recovery by flushing out bacteria. Always consult a healthcare provider for the right treatment plan.

UTI Prevention

Preventing urinary tract infections (UTIs) involves a combination of good hygiene, healthy habits, and, in some cases, medical advice. Here are some practical ways to lower the risk of developing a UTI.

  • Stay Hydrated: Drink 6 to 8 glasses of water daily to flush out bacteria from your urinary tract.

  • Don’t Hold Urine: Empty your bladder regularly and fully to prevent bacteria from multiplying.

  • Practice Good Hygiene:

    • Wipe from front to back after using the toilet to avoid spreading bacteria.

    • Avoid scented soaps or sprays in the genital area to maintain a healthy balance of bacteria.

  • Sexual Health:

    • Urinate before and after intercourse to reduce the risk of bacteria entering the urinary tract.

    • Consider alternative birth control methods if you use diaphragms or spermicides, as they can increase UTI risk.

  • Diet And Supplements:

    • Take cranberry supplements or drink unsweetened cranberry juice, which may help prevent UTIs.

    • Use vaginal probiotics, like lactobacillus, to maintain a healthy bacterial balance.

  • For Postmenopausal Women:

    • Use doctor-prescribed topical oestrogen to improve vaginal health and reduce infections.

  • Medical Advice:

    • Speak with your doctor if you experience frequent UTIs, as they may recommend preventive antibiotics or personalised care plans.

Following these tips can significantly lower the risk of developing a UTI and maintain better urinary health. Mobi Doctor offers convenient online consultations to help prevent and treat UTIs. Get expert advice, personalised treatment plans, and support.

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