Urinary tract infections (UTIs) account for almost 10 million
office visits and 1.6 million hospitalizations each year, according
to the National Kidney Foundation (NKF). Women are the primary
patients. In fact, according to the NKF, as many as one in five
women will experience a UTI at some point in their lives, and
within that group, about one out of every five will eventually
develop another one. Some women may even experience three or more
urinary tract infections in a year.
However, a UTI is usually not a serious cause for concern. Most
are easy to treat with antibiotics, and symptoms often resolve in
just a few days with treatment. There are also a number of ways to
prevent an infection from occurring in the first place.
If you have a UTI or simply wish to avoid getting one, there are
many tips you can follow from day to day.
If you think you may have a urinary tract infection,
see a doctor. If treatment begins early, a UTI can usually
be cured in just a few days. However, if left untreated, the
infection can spread to your kidneys, where it may cause
life-threatening complications. These complications include kidney
damage and the spread of infection into your bloodstream. In
addition, when a UTI has progressed to this point, treatment is
more difficult and may require hospitalization. You can usually
avoid all of this simply by seeking medical attention at the first
signs of an infection.
If you are pregnant, have your urine tested for
UTI regularly. Urinary tract infections are more likely to
travel to your kidneys when you are pregnant because of hormonal
changes and repositioning of the urinary tract. Pressure from the
growing uterus can make it more difficult to empty your bladder.
Kidney infection during pregnancy may lead to complications such as
high blood pressure, kidney damage, premature delivery or a
life-threatening blood infection.
Discuss your antibiotics with your
doctor. Antibiotics are generally safe, but they can
produce reactions and serious medical complications in some women.
If you have a history of antibiotic allergies, your doctor may
perform tests to determine any risk for allergic reactions to the
medication. These may include a skin test. If you are pregnant or
elderly, you also have a higher risk of side effects. While you are
taking antibiotics, ask your doctor before taking any other
medications, nutritional supplements or herbal remedies, which may
interfere with your antibiotics.
Complete your full course of treatment.
Don't stop taking your antibiotics before your doctor says it's
okay, even if your symptoms subside. This helps to ensure that the
infection is completely eradicated. If you stop taking antibiotics
too soon, some bacteria may be left in your urinary tract. These
bacteria can quickly multiply and cause another bout of the same
infection. Further, if you stop taking your antibiotics before all
the bacteria are killed, they can change into another form of
bacteria that is more difficult to treat. This increased resistance
to antibiotics is an emerging worldwide health concern. Several
antibiotic-resistant strains of bacteria already exist, and new
ones are emerging frequently.
Urinate frequently. Be sure to urinate every
three to four hours and as soon as the urge occurs. Emptying your
bladder regularly gives bacteria less time to become
established.
Drink plenty of water. You should drink
six to eight 8-ounce glasses of water every day. This helps you to
urinate frequently and makes it more difficult for bacteria to
become established in your bladder. It also helps to flush out any
bacteria that may be present.
Drink cranberry juice and take vitamin C. Both
increase the acidity of your urine, which helps prevent the growth
of bacteria. In addition, cranberry juice makes your bladder wall
slippery, so bacteria are not able to adhere to it. This makes them
even easier to flush from your system when you urinate.
Wash before intercourse and urinate
afterward. Sexual intercourse may allow bacteria to enter
your urethra. You and your partner should wash your genitals before
sexual intercourse to reduce the number of bacteria in the area.
You should also urinate shortly after intercourse to flush away any
bacteria that may have entered your urethra.
Use good hygiene. Always wipe from front
to back after using the toilet, especially following a bowel
movement. Wiping from the back to the front may allow bacteria from
your colon to enter your urethra, leading to infection. And you
should be sure to wash your genitals daily. This helps remove
bacteria from the area.
Avoid irritants. Don't use strong soaps
or other products that contain chemicals that can irritate your
urethra. Mild soaps are better for this delicate part of your body.
The use of deodorant sprays and feminine products, such as powders
and douches, can also irritate your urethra and lead to a UTI.
Certain foods and beverages, such as caffeine and alcohol, can
irritate your urinary tract as well.
Keep your genital area dry. Excess moisture
can promote the growth of bacteria. Dry the area with gentle
patting after you urinate. Wearing cotton underwear and clothes
that fit loosely helps ensure that the area remains dry.
Don't soak. Don't sit in a bath or hot tub for
extended periods of time. Soaking for a long time allows bacteria
from elsewhere on your body, or the body of anyone else in the tub,
to enter your urethra. Bacteria on the tub itself can cause
infection too.
If you have constipation, treat it.
Constipation places pressure on your urinary tract and increases
your risk of a UTI. You can treat constipation by eating more fiber
and taking laxatives. Bulking laxatives and stool softeners are
among the safest types of laxatives available.