Description
The urinary tract
can be infected from above (by bacteria entering the kidneys from the
bloodstream and traveling downward) or from below (bacteria entering the
urethra and traveling upward). Most often, infections begin in the urethra
and move up the urinary tract to the kidneys. Since a woman's urethra is
shorter than a man's, women are more prone to urinary tract infections (UTIs)
than men or children. One woman in five develops a UTI during her lifetime.
UTIs in men, while not as common, can be very serious when they do occur
Causes
Bacteria cause most UTIs.
Most infections arise from one type of bacteria,
Escherichia coli (E. coli), which normally live in the colon. Chlamydia and
mycoplasma may also cause UTIs in both women and men, but these infections
tend to remain limited to the urethra and reproductive system. Unlike E.
coli, chlamydia and mycoplasma may be sexually transmitted, and these
infections require treatment of both partners.
Symptoms
The symptoms depend on how old the person is and the location of the UTI
infection.
Pressure in the lower pelvis, burning, painful
sensation while urinating
Frequent need to urinate (frequency), urge to
urinate (urgency)
Need to urinate at night, cloudy, bloody, or
abnormal-colored urine
Blood in the urine (hematuria), abnormal odor to
the urine
Fever, chills, nausea or vomiting
Diagnosis
Urinalysis test: The urine is examined for white
and red blood cells and bacteria.
Bacterial culture and sensitivity test to see
which drug best treats the bacteria
Treatment
If you are a healthy adult woman who is not pregnant, or a man, a 3-day
course of antibiotic pills will usually cure your UTI. Tell your doctor if
you have symptoms such as back pain and fever (a fever over 101°F could
indicate that the infection has spread to your kidneys).
The drugs most often
used to treat routine, uncomplicated UTIs are trimethoprim (Trimpex),
trimethoprim/sulfamethoxazole (Bactrim, Septra, Cotrim), amoxicillin (Amoxil,
Trimox, Wymox), nitrofurantoin (Macrodantin, Furadantin), and ampicillin.
Preventative steps that a woman can take to avoid a UTI:
Drink plenty of water every day. Some doctors
suggest drinking cranberry juice, which in large amounts inhibits the growth
of some bacteria by acidifying the urine. Vitamin C (ascorbic acid)
supplements have the same effect.
Urinate when you feel the need, i.e., do not
resist the urge to urinate.
Wipe from front to back to prevent bacteria around
the anus from entering the vagina or urethra.
Take showers instead of tub baths.
Cleanse the genital area before sexual
intercourse.
Avoid using feminine hygiene sprays and scented
douches, which may irritate the urethra
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