Sunday, June 23, 2024

Why Do I Constantly Get Bladder Infections

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What Can I Do To Help Prevent Cystitis

Why do you keep getting bladder infections (UTIs)? (pelvic physio perspective)

Unfortunately there is no evidence that any lifestyle changes really help to prevent cystitis. Traditionally, doctors have advised drinking plenty of fluids to ‘flush out’ the germs , and drinking cranberry juice. However, there is no evidence this makes any difference. Researchers are also studying the effects of probiotics on preventing cystitis but currently there isn’t enough evidence to know if they are of any use either. Other changes, such as the way you clean yourself and which underwear you wear, have also not been found to make any difference. If recurring cystitis is a problem, you may need to discuss one of the options below with your doctor.

Uti Antibiotics And Escaping Arrest

I left with a prescription for prophylactic antibiotics, tears in my eyes and a searing pain in my crotch Running to the chemist, desperate to fill the script, desperate to pee, desperate to see the end and find a cure.

As I clawed my antibiotics from their foil wrappers, clutching my bottle of sickly sweet aloe juice, I was questioned by police. Clearly they saw the desperation in my eyes, my weight loss and a persona of anything less than stable. I was a junkie, an antibiotic junkie.

Between the prophylactic antibiotics, the invasive bladder inspection and the breakup of my relationship, my UTIs after sex stopped, for a time, for a time

I have had one since, years after sex had stopped causing me anxiety. And yes, it was late in the evening the night before a public holiday in my slightly provincial home town.

The eye roll I gave the pharmacist who suggested Ural, a urinary alkalinizer, has actually gone down in history. I nearly pulled a muscle in both optic nerves.

Id just had sex with a new partner. This reinforced my own newly developed theory that there are some men that I am just not compatible with on some basic biological, bacterial level. Swipe left, move along, body says no.

Help I Get A Uti Every Single Month


First off, let me start by saying I have seen specialists, I have taken countless amounts of antibiotics and I follow every rule known to man to avoid UTIs.

I’ve been getting them for about 4 years now. The last specialist I went to gave me a 2 year supply of bactrim and clearly it doesn’t work. I am extremely clean. I wipe front to back, I wash before and after intercourse , I always relieve my bladder before and after intercourse as well. I drink about a gallon of lemon water a day. I also drink a cup of warm lemon honey water when I wake up and right before I go to sleep . I take vitamins that promote healthy vaginal walls and bladders. NOTHING WORKS!

I have to pee all the time. I’m also getting recurrent yeast and vaginosis infections which I believe are causing the UTIs but I can’t seem to shake those either. This is seriously ruining my life! I’m miserable!!! I’ve had so many tests done including a cervical cancer biopsy and countless blood work. Even had them inject dye into my bladder and take xrays.. Everything came back normal. I have been tested for STDs more times than I can count and I always comes back clean.

I read something about an injection directly into the bladder to cure this? Any advice will help. I have also tried just about EVERY SINGLE over the counter product on the planet. I have wasted so much money. I just want a solution. WTF IS GOING ON?!!!

1 like, 125 replies

Read Also: Can Spinal Stenosis Cause Bladder Problems

Advocate For Yourself You Know Your Body Best

If there was one other thing Id pass on to other sufferers of UTIs after sex, or recurrent UTIs in general, its this: Dont accept it when youre told its just the way you are, or when youre offered remedies you dont believe have validity.

Do your own research and keep track of your symptoms. Consider whether your partner may be contributing to the issue. And think about whether it makes sense for both of you to be tested.

Start with some of the resources on this website:

Classification Of Urinary Tract Infections

Why Do I Always Get A Bladder Infection After Intercourse ...

UTIs are classified into 6 categories. The first category is an uncomplicated infection this is when the urinary tract is normal, both structurally and physiologically, and there is no associated disorder that impairs the host defense mechanisms. The second category is an complicated infection this is when infection occurs within an abnormal urinary tract, such as when there is ureteric obstruction, renal calculi, or vesicoureteric reflux. The third category, an isolated infection, is when it is the first episode of UTI, or the episodes are 6 months apart. Isolated infections affect 2540% of young females. The fourth category, an unresolved infection, is when therapy fails because of bacterial resistance or due to infection by two different bacteria with equally limited susceptibilities. The fifth category, reinfection, occurs where there has been no growth after a treated infection, but then the same organism regrows two weeks after therapy, or when a different microorganism grows during any period of time., This accounts for 95% of RUTIs in women. Bacterial persistence happens when therapy is impaired by the accumulation of bacteria in a location that cannot be reached by antibiotics, such as infected stones, urethral diverticula and infected paraurethral glands. The sixth category, relapse, is when the same microorganism causes a UTI within two weeks of therapy however, it is usually difficult to distinguish a reinfection from a relapse.

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You Have A Structural Problem

In people assigned male at birth, recurrent UTIs may suggest you have an enlarged prostate, Dr. Herati says.

In those assigned female at birth, it may be a sign of pelvic prolapse, Dr. Ellerkman says. This is when the muscles supporting the pelvic organs weaken, causing them to drop in the pelvis and making the vagina bulge out.

Both of these conditions can hinder your ability to fully empty your bladder, which turns the bladder into a warm swimming pool of urine where E. coli loves to breed, Dr. Ellerkman says.

The fix: If you have recurrent UTIs caused by an enlarged prostate, surgery may be necessary, Dr. Herati says. Talk to your physician about your options.

If your UTIs are due to pelvic organ prolapse, doing kegels can often help the condition from worsening, Dr. Ellerkman says. It can also help to work with a pelvic floor physical therapist to be sure you’re performing kegels properly.

Related Reading

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Infection occurs when the parasite cysts are accidentally swallowed by drinking contaminated water and eating contaminated food. The infection can spread through person-to-person contact or by transferring the infection from the hands to the mouth after touching contaminated surfaces, such as doorknobs.

Recommended Reading: Bladder Leakage Only At Night

Key Points About Urinary Tract Infections

  • Urinary tract infections are a common health problem that affects millions of people each year. These infections can affect any part of the urinary tract.
  • Most UTIs are caused by E. coli bacteria, which normally live in the colon.
  • The most common symptoms of UTIs include changes in urination such as frequency, pain, or burning urine looks dark, cloudy, or red and smells bad back or side pain nausea/vomiting and fever.
  • Antibiotics are used to treat UTIs. Other treatments may include pain relievers, and drinking plenty of water to help wash bacteria out of the urinary tract.
  • Other things that can be done may help reduce the likelihood of developing UTIs.

Treatment From A Gp For Utis That Keep Coming Back

Urinary Tract Infections – Why Do I Get UTIs?

If your UTI comes back after treatment, you may have a urine test and be prescribed different antibiotics.

Your doctor or nurse will also offer advice on how to prevent UTIs.

If you keep getting UTIs and regularly need treatment, a GP may give you a repeat prescription for antibiotics.

If you have been through the menopause, you may be offered a vaginal cream containing oestrogen.

Recommended Reading: How To Retrain Your Bladder At Night

Recurrent Urinary Tract Infection In Pregnancy

UTI is the most frequent medical complication of pregnancy. The risk factors of preterm delivery, low infant birth weight and abortions are most commonly associated with symptomatic and asymptomatic bacteriuria during pregnancy. In pregnancy, factors that contribute to UTI risk are ureteric and renal pelvis dilation increased urinary pH decreased muscle tone of the ureters, and glycosuria, which promotes bacterial growth. Treatment of asymptomatic bacteriuria in pregnancy reduces the risk of pyelonephritis. As RUTIs are common in pregnancy, they need prophylactic treatment if they occur. Screening for bacteriuria is recommended in all pregnant women at their first prenatal visit and then in the third trimester., They should subsequently be treated with antibiotics such as nitrofurantoin, sulfisoxazole or cephalexin.,, Antibiotic prophylaxis for RUTI in pregnant women is effective using continuous or post-coital regimens. The causative organisms of UTI in pregnancy are similar to those found in non-pregnant patients, with E. coli accounting for 8090% of infections., Urinary group B streptococcal infections in pregnant women need to be treated and followed by intrapartum prophylaxis.

When To Get Medical Advice

It’s a good idea to see your GP if you think you might have a UTI, particularly if:

  • you have symptoms of an upper UTI
  • the symptoms are severe or getting worse
  • the symptoms haven’t started to improve after a few days
  • you get UTIs frequently

Your GP can rule out other possible causes of your symptoms by testing a sample of your urine and can prescribe antibiotics if you do have an infection.

Antibiotics are usually recommended because untreated UTIs can potentially cause serious problems if they’re allowed to spread.

Also Check: High Grade Bladder Cancer Recurrence

Why Are Utis More Common In People With Vaginas

When it comes to UTIs, urethra size matters.

“A shorter urethra is an easier path for bacteria to climb into the bladder,” says Amin Herati, MD, director of men’s health and male infertility and assistant professor of urology at Johns Hopkins Medicine.

In adults with vaginas, the urethra is much shorter, measuring about 1 to 1.5 inches long, while the urethra in people with penises is about 7 to 8 inches long, per an October 2018 paper in Biology of Sex Differences.

Plus, in people with vaginas, the opening of the urethra is in close proximity to the opening of the vagina.

“From birth, the vagina is filled with different bacteria and yeast. But occasionally that microbiome can be altered, and there might become less of a certain type of good bacteria,” says R. Mark Ellerkmann, MD, director of the Urogynecology Center at Mercy Medical Center in Baltimore. And if that bacteria gets into the urethra, which can happen during sex or with improper wiping after going to the bathroom, it can lead to a UTI.

To make matters more complicated, the vaginal opening is also close to the anus.

“All you need is for some E. coli from the anal area to move across the perineum, and it’s a hop, skip and jump to the vagina and urethra,” Dr. Ellerkmann says.

That said, although it’s less common, people with penises can also get recurrent UTIs.

Whatever your anatomy, if you’re experiencing a urinary tract infection every few months, below are some reasons that may help explain what’s going on.

What Ive Learned About Utis After Sex

Why Frequent UTIs Might Be Interstitial Cystitis or Bladder Pain ...

Fortunately for me, I now know a lot more about UTIs after sex, thanks to the diligent and constant study and questioning of this website.

The last time it happened I immediately recognised what was happening. I was uncomfortable but I managed to flush it out before it developed into the splatter fest, recurring carnage of my previous experiences.

My Tips For Avoiding UTIs After Sex:

  • Wash your hands before any sexual activity and ask your partner to do the same.
  • Shower before sex, and ask your partner to do the same, if you find this helps.
  • Oral sex can transfer organisms just as any other sexual contact can Im still experimenting with different approaches here.
  • Always pee immediately after sex to help flush your urinary tract.
  • Try using condoms, I find latex-free condoms are the best option.
  • If the issue seems specific to sex, consider whether your partner should also be tested, and dont ignore the possibility of STIs they can cause UTI-like symptoms.
  • Dont let yourself get constipated! This can cause a world of UTI problems.
  • Take a look at your health in general. Maybe your diet isnt helping.
  • Stay hydrated! And pee regularly!
  • Also Check: What Causes An Overactive Bladder In Males

    What Can Happen If A Uti Is Not Treated

    If treated right away, a UTI is not likely to damage your urinary tract. But if your UTI is not treated, the infection can spread to the kidneys and other parts of your body. The most common symptoms of kidney infection are fever and pain in the back where the kidneys are located. Antibiotics can also treat kidney infections.

    Sometimes the infection can get in the bloodstream. This is rare but life-threatening.

    How Do Utis Affect People With Dementia

    If someone with dementia develops a UTI, they may quickly become more confused or agitated, or you might notice a sudden change in their behaviour. This sudden confusion is also known as delirium.

    The person with dementia may not be able to communicate how they feel, so if you notice a sudden or drastic change in them, seek medical advice. Infections can speed up the progression of dementia, so it’s important to get help quickly if you suspect someone has a UTI.

    Read Also: Bladder Leakage Pads For Men

    What Should Men Know About Sex And Urinary Tract Infections

    The urinary tract is a group of organs responsible for processing urine. It includes:

    • The kidneys a pair of organs that filters blood and removes waste.
    • The bladder the organ that stores urine.
    • The ureters two tubes that connect the kidneys and bladder
    • The urethra the tube from which urine exits the body. When men ejaculate, semen is expelled from the urethra.

    Urinary tract infections are caused by bacteria that find their way into the urinary tract. They typically enter the body through the urethra and can travel to other organs.

    Urinary tract infections are not as common in men as they are in women. This is largely due to anatomy. A womans urethra is closer to her vagina and anus, making it easier for bacteria to enter. A mans urethra runs for the length of his penis, so bacteria have a much longer route to other parts of the urinary tract.

    Symptoms of UTIs are similar for men and women. They include a constant need to urinate, discomfort during urination, cloudy or discolored urine, and abdominal or lower back pain. Men might have an unusual discharge from the penis.

    Older men are more likely to develop UTIs than younger men. Other common risk factors are an enlarged prostate, diabetes, and kidney stones. Any abnormalities in the urinary tract or recent catheter insertion can also raise the risk of UTIs.

    Most of the time, UTIs can be treated with antibiotics. People who get frequent UTIs may need to take an antibiotic after having sex.

    You Are Sexually Active

    Do I Have A UTI? | 9 Possible Causes of A Urinary Tract Infection | Health

    Having sexual intercourse can also put you at higher risk for getting UTIs. This is because sex can cause bacteria from the vagina and anus to get pushed up the urethra, says Ruiz. Once this bacteria is in the urethra, it can cause an infection.

    In order to counteract this, Ruiz says you should always urinate after sex to flush away bacteria and help prevent a UTI.

    Also Check: What Is A Bladder Tank

    Why Does My Uti Keep Coming Back

    Chronic or recurring UTIs may keep coming back due to one of the risk factors listed above. Use of spermicides for birth control, for instance, may kill off beneficial bacteria in and around the vagina, making it easier for harmful bacteria to enter the urinary tract.

    In some cases, what seem like recurrent UTIs may actually be another condition, such as kidney stones or interstitial cystitis, a painful bladder condition with no infection. If you think youre getting recurrent UTIs, see your provider, who can help rule out another condition, notes ACOG.

    You Dont Drink Enough Water

    Guzzling H2O will make you go pretty often. And thats a good thing. When you do this, the bacteria gets flushed out before they have a chance to grab hold, Minkin says.

    Consider that your cue to make a giant water bottle your BFF. Hooton TM, et al. . Effect of increased daily water intake in premenopausal women with recurrent urinary tract infections: A randomized clinical trial. DOI: 10.1001/jamainternmed.2018.4204

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    The Risks Of Antibiotics For Utis

    Even while antibiotics usually treat UTIs quickly and effectively, people can be allergic to them. The user can also carry certain risks.

    For example, in estimating, 22 percent of the women getting treatment for uncomplicated UTIs to develop a vaginal Candida infection. This is actually a type of fungal infection.

    Other side effects of antibiotics pertaining to UTI treatments with antibiotics include:

    • Headache

    Further severe risks of using antibiotics include:

    1. Creating stronger strains of bacteria:

    Over a space of time, some categories of bacteria have become resistant to traditional antibiotics. There are many categories of E. coli that are showing increasing drug resistance, and these are the basic cause of UTIs.

    Whenever people use an antibiotic, there is a high risk of the bacteria showing resistance to it. This is even more possible when people do not obey doctors instructions by not completing the full prescribed course of treatment.

    As a result of this, doctors are making effort to cut-down the use of antibiotics. Especially as other treatments may be effective or when illnesses can clear on their own.

    It is very important to continue a course of antibiotics until the end date that the doctor provides. People should also never share antibiotics with other individuals.

    2. Damaging good bacteria

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