How Are Urinary Tract Infections Treated
You will need to treat a urinary tract infection. Antibiotics are medicines that kill bacteria and fight an infection. Antibiotics are typically used to treat urinary tract infections. Your healthcare provider will pick a drug that best treats the particular bacteria thats causing your infection. Some commonly used antibiotics can include:
- Quinolones .
Its very important that you follow your healthcare providers directions for taking the medicine. Dont stop taking the antibiotic because your symptoms go away and you start feeling better. If the infection is not treated completely with the full course of antibiotics, it can return.
If you have a history of frequent urinary tract infections, you may be given a prescription for antibiotics that you would take at the first onset of symptoms. Other patients may be given antibiotics to take every day, every other day, or after sexual intercourse to prevent the infection. Talk to your healthcare provider about the best treatment option for you if you have a history of frequent UTIs.
What Causes An E Coli Infection In Cats
As we have noted already, all cats have a number of E. coli bacteria in their bodies, and most of them dont develop any disease at all. But in some cases, E. coli is involved in the development of urinary infections , especially in cats that arent capable of grooming, for example.
Whenever the bacteria grow and get to an abnormal level, no matter if this happens in the cats digestive or urinary tract, the animal is at risk of developing an infection.
Constipation is common in geriatric cats, and it puts them at a higher risk. There are a number of other bacteria and yeast that keep a balance inside the digestive tract, and the same goes for the urinary tract, too. If the feces remain inside the cats intestines for too long, they might become the perfect environment for a bacterial culture.
If your cat has been suffering from diarrhea, she could also develop an E. coli infection simply because, along with the feces themselves, there is a wide range of healthy bacteria and yeast being eliminated from the digestive tract.
Newborn kittens can develop an E. coli infection if it is passed to them from the mother either in the womb or during birth. They can also get it while nursing from the mammary glands if they are contaminated. Naturally, they can also get infected if they are kept in unhygienic conditions.
When E. coli causes a gastrointestinal infection, the cat might show symptoms such as vomiting and diarrhea , and might have no interest in food whatsoever.
Do I Need To See A Doctor
Yes. Painful urination can be a symptom of a more serious problem. You should tell your doctor about your symptoms and how long youve had them. Tell your doctor about any medical conditions you have, such as diabetes mellitus or AIDS, because these could affect your bodys response to infection. Tell your doctor about any known abnormality in your urinary tract, and if you are or might be pregnant. Tell your doctor if youve had any procedures or surgeries on your urinary tract. He or she also need to know if you were recently hospitalized or stayed in a nursing home.
If your doctor thinks your pain may be from vaginal inflammation, he or she may wipe the lining of your vagina with a swab to collect mucus. The mucus will be looked at under a microscope to see if it has yeast or other organisms. If your pain is from an infection in your urethra , your doctor may swab it to test for bacteria. If an infection cant be found, your doctor may suggest other tests.
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Prostatitis Epididymitis Urethritis And Orchitis
In contrast to UTI, prostatitis affects men of all ages and, from 1990-1994, accounted for almost 2 million office visits per year in the United States. Prostatitis syndromes account for 25% of male office visits for genitourinary complaints, 8% of visits to urologists, and 1% of visits to primary care physicians. Of these men, 5% have bacterial prostatitis, 64% have nonbacterial prostatitis, and 31% have prostatodynia. Digital examination of the prostate in the setting of probable or possible UTI should be avoided to prevent the risk of inciting bacteremia.
Epididymitis has a bimodal distribution, corresponding to different age groups and pathogens. Most cases in men younger than 35 years are due to sexually transmitted pathogens. Older patients are more likely to have obstructive prostatism or a history of instrumentation or catheterization.
Gonococcal urethritis is more common in ethnic minorities, lower socioeconomic groups, and persons living in urban centers. The risk to a male having intercourse with an infected female is 17%. Some of these associations may be limited by confounding. The peak age for urethritis is 20-24 years.
Mumps orchitis occurs in 18% of postpubertal boys infected with the mumps virus.
John L Brusch, MD, FACP Corresponding Faculty Member, Harvard Medical SchoolJohn L Brusch, MD, FACP is a member of the following medical societies: American College of Physicians, Infectious Diseases Society of AmericaDisclosure: Nothing to disclose.
When Urinary Tract Infections Keep Coming Back
If you are prone to recurrent UTIs, you can head them off before they take hold.
Unless you’re in the fortunate minority of women who have never had a urinary tract infection , you know the symptoms well. You might feel a frequent urgency to urinate yet pass little urine when you go. Your urine might be cloudy, blood-tinged, and strong-smelling. For 25% to 30% of women who’ve had a urinary tract infection, the infection returns within six months.
If you have repeated UTIs, you’ve experienced the toll they take on your life. However, you may take some comfort in knowing that they aren’t likely to be the result of anything you’ve done. “Recurrent UTIs aren’t due to poor hygiene or something else that women have brought on themselves. Some women are just prone to UTIs,” says infectious diseases specialist Dr. Kalpana Gupta, a lecturer in medicine at Harvard Medical School.
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Causes Of Fresh Or First Contamination:
- Insufficient cleaning after toileting
- Unhygienic intimacy. Make sure you are both clean.
- Catheterisation. Even exposure to the air for a few seconds with a new catheter is enough to contaminate it.
- Internal examinations
If you are suffering from a bacterial infection, and not from a blockage or gynaecological problem, it should be possible from the above to understand what is causing repeat bladder infections or UTI’s, and that is an excellent place to start fighting them.
How Does Our Blood React To E Coli
There are some instances in which a strain of E. coli gets into the blood, either through an open wound or the use of an IV line or catheter in hospital settings. When E. Coli bacteria enter the blood stream, it causes blood poisoning, which is also known as septicemia or, in a more severe form, sepsis.
Some of the most common signs and symptoms of sepsis include an elevated heart rate, a very high body temperature , abnormally high respiratory rate, and abnormally high or low amount of white blood cells. In order to diagnose sepsis the doctor will ask for a blood culture test to isolate the infectious agents.
The patient needs to be exhibiting at least 2 of the symptoms and meet the lab criteria from the blood test for sepsis in order to be diagnosed. Other very prominent symptoms of sepsis are used for diagnosing purposes, such as little or no urine and altered mental state. Very low blood pressure is another sign of sepsis that can be used for diagnosing purposes.
Because sepsis can lead to septic shock, and in turn coma and death, it is vital that blood poisoning is diagnosed and treated rapidly.
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Escherichia Coli In Vaginal And Urinary Tract Infections
Escherichia coli is a gram-negative facultative anaerobe that can cause of urinary tract and vulvovaginal infections,such as aerobic vaginitis. E. coli is a common cause of infections in the digestive tract resulting in diarrhoea, and gallbladder and blood infections, as E. coli lives naturally in the digestive tract.
E. coli is easily passed from the anus to the vagina and urinary tract, and may cause food poisoning. E. coli is adapted to live in the urinary tract, where the force of urine makes it cling on harder to your cells. This means you cant wash E. coli away by drinking a lot of water.
E. coli can also swim. E. coli in the vagina is less common than in the urethra, but vaginal infections can also occur, contributing to vaginal odour, inflammation and discharge. Usually a test will reveal E. coli in the vagina or urinary tract.
E. coli creates biofilms, which is the sticky matrix that protects E. coli and friends, and blocks other, friendly microbes from colonising. This is particularly problematic in the urinary tract and vagina, where a seemingly successful treatment leaves you susceptible to infections in future.
People who get UTIs really get them. You can get one or two, but typically you either do or you dont, and this is largely down to whether unhealthy biofilms make it easy for you to develop a UTI again. No unhealthy biofilms means each new infection is truly new.
Questions To Ask Your Doctor
- Do I need any tests, such as urinalysis?
- What is the likely cause of my urinary tract infection ?
- Do I need medicine? How should I take it?
- What are the possible side effects of the medicine?
- When should I expect relief from my symptoms?
- What symptoms would indicate that my infection is getting worse? What should I do if I experience these symptoms?
- I get UTIs a lot. What can I do to prevent them?
- Do I need preventive antibiotics? If so, should I be concerned about antibiotic resistance?
- My child gets UTIs a lot. Could an anatomical problem be causing his or her UTIs?
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Are Urinary Tract Infections Contagious
No. Urinary tract infections are not contagious.
- Lower abdominal pain or pelvic pressure or pain
- Mild fever , chills, and “just not feeling well”
- Urethra : Burning with urination
Upper urinary tract infection
Symptoms develop rapidly and may or may not include the symptoms of a lower urinary tract infection.
- Fairly high fever
- Shaking chills
- Flank pain: pain in the back or side, usually on only one side at about waist level
In newborns, infants, children, and elderly people, the classic symptoms of a urinary tract infection may not be present. Other symptoms may indicate a urinary tract infection.
- Newborns: fever or hypothermia , poor feeding, jaundice
- Infants: vomiting, diarrhea, fever, poor feeding, not thriving
- Children: irritability, eating poorly, unexplained fever that doesn’t go away, loss of bowel control, loose bowels, change in urination pattern
- Elderly people: fever or hypothermia, poor appetite, lethargy, change in mental status
Pregnant women are at increased risk for a UTI. Typically, pregnant women do not have unusual or unique symptoms. If a woman is pregnant, her urine should be checked during prenatal visits because an unrecognized infection can cause pregnancy health complications.
Although most people have symptoms of a urinary tract infection, some do not.
When Should I Call My Healthcare Provider
- Back pain.
If you have any of these symptoms, or your other symptoms continue after treatment, call your healthcare provider. A UTI can spread throughout your urinary tract and into other parts of your body. However, treatment is very effective and can quickly relieve your symptoms.
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What Kinds Of Doctors Treat Urinary Tract Infections
Most urinary tract infections can be treated by your primary care doctor or your child’s pediatrician. They are usually the best provider to treat you as they are most familiar with your medical history, medications you are taking, and other factors that might affect your treatment. If you seek treatment in an urgent care facility, a specialist in emergency medicine may be involved in your care.
If there are frequent reoccurrences of UTIs or if complicating circumstances are present, your primary care doctor might refer you to a urologist, a physician who specializes in the diagnosis and treatment of conditions related to the urinary system.
How Is A Uti Diagnosed In A Child
The healthcare provider will ask about your childs symptoms and health history. The provider will give your child a physical exam. Your child may also have tests, such as:
- Urine testing. This is also known as urinalysis. Your childs urine is sent to a lab to check for red blood cells, white blood cells, bacteria, protein, and signs of infection. The urine will also be sent for a culture and sensitivity. This is done to figure out what type of bacteria is causing the infection and what medicine is best to treat the infection.
- Kidney ultrasound. This is a painless imaging test. It uses sound waves and a computer to make images of blood vessels, tissues, and organs. It can show internal organs as they function and can assess blood flow through vessels. A boy with a UTI or a girl younger than age 5 or 6 may need this test.
- Voiding cystourethrogram . This is a type of X-ray of the urinary tract. A thin, flexible tube is put in the tube that drains urine from the bladder to the outside of the body . The bladder is filled with a liquid dye. X-ray images are taken as the bladder fills and empties. The images will show if there is any reverse flow of urine into the ureters and kidneys.
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What Are Possible Complications Of A Urinary Tract Infection
Most UTIs cause no complications if they spontaneously resolve quickly or if treated early in the infection with appropriate medications. However, there are a number of complications that can occur if the UTI becomes chronic or rapidly advances. Chronic infections may result in urinary strictures, abscesses, fistulas, kidney stones, and, rarely, kidney damage or bladder cancer. Rapid advancement of UTIs can lead to dehydration, kidney failure, sepsis, and death. Pregnant females with untreated UTIs may develop premature delivery and a low birth weight for the infant and run the risks of rapid advancement of the infection.
Check If It’s A Urinary Tract Infection
Symptoms of a UTI may include:
- pain or a burning sensation when peeing
- needing to pee more often than usual during the night
- pee that looks cloudy
- needing to pee suddenly or more urgently than usual
- needing to pee more often than usual
- lower tummy pain or pain in your back, just under the ribs
- a high temperature, or feeling hot and shivery
- a very low temperature below 36C
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Other Ways To Prevent Recurring Utis
If you have more than 3 UTIs in 1 year, or 2 UTIs in 6 months, there are other things that may help prevent UTIs.
There is some evidence that women under 65 years old who keep getting UTIs may find it helpful to take:
- a supplement called D-mannose this is not recommended for pregnant women
- cranberry products, such as juice or tablets
Speak to your doctor before taking any of these during pregnancy.
Be aware that D-mannose and cranberry products can contain a lot of sugar.
Page last reviewed: 18 November 2020 Next review due: 18 November 2023
How Do You Get Infected
You can become infected when you swallow even a small amount of E. coli bacteria. Among the ways this can happen:
- Ground meat: You eat ground meat that carries E. coli, and the meat wasnât cooked enough to kill the bacteria. When meat is processed, sometimes bacteria from the animalsâ intestines make their way into the meat. This happens more with ground meat because it comes from more than one animal.
- Untreated milk: You drink unpasteurized milk, which hasnât been heated to kill bacteria. E. coli can get into the milk from the cowâs udder or from milking equipment.
- Vegetables and fruit: You might eat fresh vegetables or fruit thatâs been tainted by water that has the bacteria. This happens most often when manure from nearby animals mixes with the water supply.
- Other foods and beverages: You might also get E. coli from unpasteurized fruit juices and yogurt and cheese made from raw milk.
- Water: You swallow water that contains E. coli, perhaps while swimming in a pool, lake, or pond.
- Other people: You might get E. coli from another person who has it, such as a child. The bacteria can be passed to you if you clean up after an infected person and then donât wash your hands really well before you touch your mouth.
- Animals: It can be found at petting zoos or animal exhibits at fairs.
You can also contaminate food in your own kitchen if you allow a knife or cutting board that has touched uncooked meat to come into contact with food that will be eaten raw .
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Is It Possible To Prevent Recurrent Urinary Tract Infections With A Vaccine
Currently, there are no commercially available vaccines for UTIs, either recurrent or first-time infections. One of the problems in developing a vaccine is that so many different organisms can cause infection a single vaccine would be difficult to synthesize to cover them all. Even with E. coli causing about most infections, the subtle changes in antigenic structures that vary from strain to strain further complicates vaccine development even for E. coli. Researchers are still investigating ways to overcome the problems in UTI vaccine development.