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Causes - Symptoms - Treatments
The urinary tract is the body's filtering system
for removal of liquid wastes. Women are especially susceptible to
bacteria which may invade the urinary tract and multiply resulting
in infection. Although most urinary tract infections (UTI) are not
serious, they are painful. Approximately fity percent of all women
will have at least one UTI in her lifetime with many women having
several infections throughout their lifetime. Fortunately, these
infections are easily treated with antibiotics that cause the symptoms
to quickly disappear. Some women seem are more prone to repeated
infections than others and for them it can be a frustrating battle.
What Causes Urinary Tract Infections?
The most common cause of UTI is bacteria from the
bowel that lives on the skin near the rectum or in the vagina which
can spread and enter the urinary tract through the urethra. Once
bacteria enters the urethra it travels upward causing infection
in the bladder and sometimes other parts of the urinary tract. Sexual
intercourse is a common cause of urinary tract infections because
the female anatomy can make women more prone to urinary tract infections.
During sexual intercourse bacteria in the vaginal area is sometimes
massaged into the urethra by the motion of the penis.
Women who change sexual partners or begin having sexual
intercourse more frequently may experience bladder or urinary tract
infections more often than women in monogomus relationships. Although
it is rare, some women get a urinary tract infection every time
they have sex.
Another cause of bladder infections or UTI is waiting
too long to urinate. The bladder is a muscle that stretches to hold
urine and contracts when the urine is released. Waiting very long
past the time you first feel the need to urinate causes the bladder
to stretch beyond its capacity which over time can weaken the bladder
muscle. When the bladder is weakened it may not empty completely
and some urine is left in the bladder which may increase the risk
of urinary tract infection or bladder infection.
Other factors may also increase a woman's risk of
developing UTI including pregnancy, having urinary tract infections
or bladder infections as a child, having past menopause, and diabetes.
What are the Symptoms of Urinary Tract Infections?
Symptoms of UTI or bladder infection are not easy
to miss and include a strong urge to urinate that cannot be delayed
which is followed by a sharp pain or burning sensation in the urethra
when the urine is released. Most often very little urine is released
and the urine that is released may be tinged with blood. The urge
to urinate recurs quickly and soreness may occur in the lower abdomen,
back, or sides.
This cycle may repeat itself frequently during the
day or night--most people urinate about six times a day, when the
need to urinate occurs more often a bladder infection should be
suspected.
When bacteria enters the ureters and spread to the
kidneys, symptoms such as back pain, chills, fever, nausea, and
vomiting may occur, as well as the previous symptoms of lower urinary
tract infection.
Proper diagnosis is vital since these symptoms can
also be caused by other problems such as infections of the vagina
or vulva. Only your physician can make the distinction and make
a correct diagnosis.
How is Diagnosis of UTI Made?
The number of bacteria and white blood cells in a
urine sample is the basis for diagnosing urinary tract infections.
Urine is examined under a microscope and cultured in a substance
that promotes the growth of bacteria. A pelvic exam may also be
necessary.
Treatments and Prevention of Urinary Tract Infections
Antibiotics are the usual treatment for bladder infections
and other urinary tract infections. Seven to ten days of antibiotics
is usually required although some infections may require only a
single dose of antibiotics.
It's important that all antibiotics are taken as prescribed
and not discontinued before the full treatment is complete. Symptoms
may disappear soon after beginning antibiotics but if the antibiotics
are quit early the infection may still be present and recur.
Another urine test may be ordered about a week after
completing treatment to be sure the infection is cured.
Tips for Preventing Urinary Tract Infections
The most important tip to prevent urinary tract infections,
bladder infections, and kidney infections is to practice good personal
hygiene.
Always wipe from front to back after a bowel movement
or urination, and wash the skin around and between the rectum and
vagina daily. Washing before and after sexual intercourse may also
decrease a woman's risk of UTI.
Drinking plenty of fluids (water) each day will help
flush bacteria out of the urinary system and emptying the bladder
as soon as the urge to urinate occurs may also help to decrease
the risk of bladder infection or UTI. Some physicians recommend
urinating before and after sex as well as a mean of flushing out
any bacteria that may enter the urethra during sexual intercourse.
Vitamin C makes the urine acidic and helps to reduce
the number of potentially harmful bacteria in the urinary tract
system.
Wear only panties with a cotton crotch--cotton allows
moisture to escape whereas other materials may trap moisture and
create a potential breeding ground for bacteria.
Cranberry juice often helps to reduce frequency of
bladder infections. Cranberry supplements are available over-the-counter
and many women find they work amazingly quickly when an UTI has
occurred, however, a physician's diagnosis is still necessary even
if cranberry juice or herbals reduce pain or symptoms.
If you experience frequent urinary tract infections
changing sexual positions that cause less friction on the urethra
may help. Some physicians prescribe an antibiotic to be taken immediately
following sex for women who tend to have frequent UTIs.
Source : Women's
Health
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