Tuesday, January 31, 2023

Uti Not Better After Antibiotics

What Can I Do

I took antibiotics for a urinary tract infection, but don’t feel quite better yet. What should I do?

Through research and trial and error, I found the things that worked for me. I now have been pain-free for over five years, and I am not taking any medications.

Many women find themselves in a situation like the one I have described at some point in their lives. Their GP or gynecologist may not be very knowledgeable about it. Trying to get information about urinary symptoms that are not caused by bacteria and getting the appropriate treatment can be very frustrating.

But What About A Worsening Of Your Symptoms Three Days Into The Antibiotic Course

Well, its possible that symptoms are bad enough, or an infection is bad enough, that it will take three to four days for things to clear up, says Dr. Ingber.

However, usually, if its a simple UTI , we only use three days total of most antibiotics .

Macrobid is the brand name for the antibiotic nitrofurantoin. This drug may take a little longer than the three-day antibiotics to start turning back the symptoms.

So symptoms REALLY should be better after one to two days, because day three would be the last day of abx , says Dr. Ingber.

In the more rare case of bacterial spread to the kidneys , it may take 5-7 days for symptoms to get better.

However, we typically know this to start e.g., patients have fevers, severe back/flank pain, and we would give seven days of abx to start.

Dr. Ingber is board-certified in Urology and Female Pelvic Medicine & Reconstructive Surgery is a Fellow of the International Society for the Study of Womens Sexual Health. The Center for Specialized Womens Health, division of Garden State Urology & Atlantic Medical Group.specializedwomenshealth.com 537-5557
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. Shes also a former ACE-certified personal trainer.

What Makes A Uti Worse An Ultimate Uti Faq

Many of us have experienced it: a burning sensation while peeing along with pelvic pain. You may have a urinary tract infection, commonly referred to as a UTI. A Brief Intro to UTIs A UTI is an infection in the Read More

Many of us have experienced it: a burning sensation while peeing along with pelvic pain. You may have a urinary tract infection, commonly referred to as a UTI.

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Uti In Men Is Rare But You Have To Follow Your Doctor’s Prescription To Prevent Recurrent Utis

Written by Bhavyajyoti Chilukoti | Updated : June 9, 2017 6:06 PM IST

I am a 50-year-old man. I had severe pain while urinating. After doing a series of tests, my doctor confirmed that I had UTI and prescribed me antibiotics. I took these medications for two days, and I started feeling better. Do I still need to continue the course of antibiotics even if I feel better? Is UTI common in men? Will I get it again if I do not take medication?

The query is answered by Dr Hemendra Shah, Urologist at Fortis S.L Raheja Hospital, Mahim.

Currently, Urinary Tract Infection is the 4th most common type of infection. UTI in the adult males is rare as compared to females and usually, indicates an infection that occurs within the urinary tract system. As the urethra in a woman is shorter than that in a man, bacteria has to travel a shorter distance to reach the urinary bladder in women than in men and hence, the risk is higher in women than men. Most bacteria that enter your urinary tract are expelled when you urinate, but if the bacteria stays in the urinary tract, you are at a high risk of an infection. The chances of occurrence of UTI in men are more frequent with increasing age, blockage in the urinary tract or decreased immunity. Also, if you have a bladder catheter, the risk is high. Also read about symptoms of UTI in men.

Get Your Prescription Filled Right Away

Kidney Infection Not Getting Better After Antibiotics ...

Once you are done with your appointment and have received a prescription for an antibiotic, its important you get it filled at a pharmacy as soon as possible. The faster you start taking your medication, the faster your UTI will be gone.

If you usually use next-day prescription delivery or a mail order pharmacy, this is one time when you should avoid doing this. These options can cause a delay by anywhere from 1 day to 1 week . Youre better off using a local pharmacy in this case.

If going into the pharmacy is a concern due to COVID-19, many pharmacies have added options to help minimize the amount of time you are inside the building. Some options to ask about at your pharmacy include:

  • Same-day delivery through services like Instacart

  • Using the pharmacys drive-thru pick-up window

  • Curbside pick-up

  • Paying ahead of time through the pharmacys smartphone app to make your time spent at the checkout counter faster

Every pharmacy is different, so make sure to ask your personal pharmacy if these options are available at your location.

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Are Urinary Tract Infections Contagious

You cannot pass a UTI on to another person. However, if you have an infection of any type particularly one that is antibiotic resistant there is always a risk that the bacteria causing the infection could infect those around you if you do not adhere to proper hygiene standards. If you have an ESBL resistant infection, you will often be kept in isolation in a hospital ward, to decrease the risk of spreading these bacteria to other vulnerable patients. For prevention of UTIs, it is particularly important that you wash your hands after using the bathroom and after sexual contact, and maintain a clean environment.

Find out more about what you can do to prevent the spread of harmful bacteria.

Causes Of Urinary Tract Infections After Antibiotic Treatment

Antibiotics are the usual treatment that can help resolve the symptoms of UTI. Aside from that, procedures like those from a dental clinic may require taking antibiotics beforehand. However, some cases still show UTI symptoms even after taking antibiotic treatment. Below are the potential reasons why it can happen.

1. Antibiotic Resistance

A patient can become antibiotic-resistant when the bacteria causing the UTI do not respond to the applied antibiotics. In actuality, it results from the frequent administration of antibiotics. For example, the patient has chronic UTIs. It will then affect the evolution of the bacteria, making them antibiotic-resistant.

2. Wrong Antibiotics

The course of antibiotics differ from one another, and each antibiotic treats different infections. If the antibiotic is not proper for the bacteria strain causing UTIs, then it will become ineffective. Generally speaking, E. coli is the typical bacteria that cause UTIs. But then again, other bacteria strains, viruses, or fungi can also be a reason behind it.

3. Underlying Conditions

It is also possible that antibiotics are not working because the patient doesnt have UTI in the first place. The reason behind it could be an underlying health condition that shows UTI-like symptoms. These conditions include the following.

  • Bladder irritation

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When Should Symptoms Disappear

The length of treatment for your symptoms will depend on the cause.

If your doctor confirms that you have a simple UTI, expect symptoms to disappear within 3-10 days. If your doctor says your UTI is more severe, it may take several weeks for the infection to clear and your symptoms to disappear.

If the cause of your symptoms is unrelated to a UTI, talk to your doctor about the recommended treatment plan and when you can expect your symptoms to disappear.

Regardless of the cause of your symptoms, if your doctor prescribes a course of antibiotics for the treatment of your symptoms, its important that you complete the full course of medication as directed.

What Can I Do To Avoid Getting A Uti In The First Place

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Women are more susceptible to U.T.I.s, as they are commonly known, owing to the way these germs infect: They often travel through fecal residue from the rectum to the urethra this can happen through sex or poor bathroom hygiene. Even taking great care does not make them entirely avoidable.

Here are some steps that can help prevent urinary tract infections: Drink plenty of fluids, which helps flush out the bladder. Empty your bladder after sexual intercourse. Practice good bathroom hygiene, which, simply put, means wiping from front to back.

During the reproductive years, women are as much as 50 times more likely than men to get a U.T.I. However, those numbers even out significantly in an aging population because men wind up getting surgical procedures, or have bowel control issues, that might lead to the same spread of germs from gut and rectum to the urinary tract.

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Can Uti Symptoms Linger After Antibiotic Treatment

A urinary tract infection is an infection caused by bacterial growth that occurs in any part of the urinary tract, though most UTIs occur in the lower urinary tract .

This type of UTI is referred to as a simple, or uncomplicated, UTI. If the infection spreads to your upper urinary tract, it can cause a kidney infection.

In some cases, a kidney infection, also called pyelonephritis, can be life-threatening.

The most common symptom of a UTI is frequent urination, but signs can also include a burning or painful sensation when urinating, cloudy urine, blood in urine, back pain, and pelvic pain.

Women in menopause or postmenopause may sometimes have a UTI without experiencing any symptoms.

Its important to speak to a medical provider to determine whether you have a UTI, especially if its your first time experiencing symptoms.

In most cases, antibiotic treatment will clear the infection and resolve your symptoms within 3-10 days. There are some conditions, however, that can cause your symptoms to linger after treatment:

What Should I Do If My Antibiotic Doesnt Work For My Urinary Tract Infection

If your symptoms dont improve within a couple of days or get worse after starting an antibiotic you should contact your healthcare provider. A different antibiotic, a longer course of antibiotics or another treatment may be required. A physical exam or urine sample may be required.

When you have a UTI its important to:

  • Only take an antibiotic that has been prescribed for you
  • Take the antibiotic exactly as instructed by your healthcare provider and finish the full course of treatment even if you feel better
  • Drink plenty of water and other fluids
  • Urinate or pee regularly

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What To Eat When You Have Bladder Pain

It can be hard, with just a list of things you can’t have, to figure out what to eat. There are plenty of foods you can still eat.

  • Any meat, poultry, fish, or shellfish is OK, except cured meats like bacon or salami.
  • Most vegetables other than tomatoes, onions, or hot peppers are fine.
  • You can still eat bread, other than rye and sourdough.
  • Dairy foods including milk, butter, cottage cheese, American cheese, and vanilla ice cream work. You can start adding some of the milder aged cheeses in small amounts once you start feeling better.
  • Pasta, rice, and most cereals are OK.
  • Salads can be a problem because of the dressing, but you can try them with herb-infused olive oil and coarse salt.

When you feel better, start slowly adding back foods one at a time. It can be tempting to just go back to your regular eating pattern, but you don’t want to have to start over. I started with a little mayonnaise on my sandwich because I really missed it. Add one food at a time, and take it very slowly.

Most vegetables, meats, breads, and dairy products will be fine.

Why Wont My Urinary Tract Infection Go Away

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Urinary tract infections are caused by bacteria that invade your system through the urethra. Under most normal circumstances, your body purges these bacteria on its own, and drinking a lot of water and practicing proper hygiene in the area can help.

However, the body isnt always successful at cleaning the system, resulting in an uncomfortable and often persistent urinary tract infection. Because UTIs are not thought to be serious, too many patients fail to seek out necessary treatment, and the problem only continues, if not worsens.

A UTI can occur anywhere in the urinary tract, from the kidney to the bladder to the ureters to the urethra . Symptoms of the condition include:

  • burning sensation or pain from urination
  • bloody, cloudy, or foul-smelling urine
  • low-grade fever
  • strong urge to urinate
  • pressure or cramping in the back or lower abdomen

To avoid an extended battle with a UTI, quick, effective action must be taken to combat the issue. Mild infections usually call for oral antibiotics and perhaps pain medication. If your problem is more chronic in nature, stronger antibiotics might be required. Increasing your intake of fluids and avoiding caffeine, alcohol, and citrus juices will also help speed recovery.

It should be noted that women tend to suffer more frequently than men because they have shorter urethras that are closer to the anus. Pregnancy, menopause, diabetes, advancing age, kidney stones, incontinence, and prolonged periods of immobility are also risk factors.

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Get Uti Treatment Today With K Health

When you have a UTI, all you want is relief. Did you know you can get affordable primary care with the K Health app?

to check your symptoms, explore conditions and treatments, and if needed text with a doctor in minutes. K Healths AI-powered app is HIPAA compliant and based on 20 years of clinical data.

K Health articles are all written and reviewed by MDs, PhDs, NPs, or PharmDs and are for informational purposes only. This information does not constitute and should not be relied on for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment.

K Health has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

What Are The Signs That An Antibiotic Is Not Working For A Urinary Tract Infection

Usually people start to feel better within 1-2 days of starting an antibiotic to treat a bladder infection. If your symptoms dont improve or you start to feel worse then your antibiotic may not be working.

The symptoms of an uncomplicated bladder infection typically include:

  • Pain or a burning sensation when you urinate or pee
  • Needing to pee frequently
  • Feeling like you need to pee within minutes of going
  • Blood stained pee
  • Feeling pressure or cramping in your lower abdomen

If your antibiotic is not working then these symptoms will likely continue and you may even develop symptoms of a more serious kidney infection including:

  • Fever
  • Pain in your lower back or side
  • Nausea and vomiting

Left untreated, kidney infections can permanently damage the kidneys and can sometimes become life-threatening.

Kidney infections are usually treated with a longer 7-14 day course of antibiotics and in more severe or complicated cases may require treatment with intravenous antibiotics and admission to hospital. If you have a kidney infection it may take you a few more days to feel better after you start antibiotics.

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Living With A Urinary Tract Infection

If youre living with a urinary tract infection, here are a few quick tips to help you take control:

  • Be wary of home tests. Although widely available, home tests can be unreliable, and UTI symptoms always require a call to the doctor, regardless of what the test shows.
  • Ask about long-term antibiotics. If you have recurrent UTIs , continuous low-dose antibiotic therapy may be the answer. Its likely to be cheaper than treating each infection.
  • Consider switching your birth control method. Research shows that women who use diaphragms are more susceptible to UTIs. The reason: Spermicides containing nonoxynol-9, often used with diaphragms, can change the bacterial balance in the vagina, enabling E. coli to proliferate.

Cephalexin Could Promote Yeast Infection

UTI Treatment

Beneficial bacteria Lactobacilli are present in healthy vaginas and help to maintain an acidic pH that deters pathogens and yeast.

Like any other antibiotic, taking full dose Cephalexin regularly can deplete your good bacteria and yeast infection may be a side effect.

Unfortunately, once your good bacteria are depleted, you are not only more likely to get a yeast infection but also more vulnerable to infection from your own E. coli. This, in turn, could lead to recurrent UTIs.

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Urinate When The Need Arises

Frequent urination puts pressure on bacteria in the urinary tract, which can help to clear them out.

It also reduces the amount of time that bacteria in the urine are exposed to cells in the urinary tract, reducing the risk of them attaching and forming an infection.

Always urinate as soon as possible when the urge strikes to and treat UTIs.

Can Home Remedies Quickly Treat A Uti

As resistance to antibiotics is becoming more common, many people are looking for ways to avoid using them. While this can be a good thing in some cases, it can draw out your illness in other instances.

The most commonly asked about home remedy for UTIs is cranberry. Drinking cranberry juice or taking cranberry tablets has been long-touted as a natural alternative for treating UTIs. The thought is that cranberry makes your urine more acidic which, in turn, kills the bacteria causing your infection.

Unfortunately, cranberry does not treat UTIs very well. On the flip side, though, it can be useful for helping to prevent infections if youre prone to them. This seems to also be the case for other acidic fruits like lemon. Just be sure if youre going to try this for preventing future UTIs that you drink unsweetened juice, as sugar actually helps bacteria to grow.

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