Chronic Urinary Tract Conditions: Different Names For The Same Family Of Problems
|Hypersensitive Bladder Syndrome
|An umbrella term used in East Asia to cover conditions resulting in symptoms including, bladder pain, discomfort, pressure or other unpleasant sensation, and is associated with disorders such as a frequent need to urinate day and nightand/or an urgent need to urinate. It encompasses Bladder Pain Syndrome. International Painful Bladder Foundation|
If you do a little research, you will quickly find there are also sub-categories within these conditions, with varying symptoms and levels of injury to the urinary tract.
It is not our intention here to imply these chronic urinary tract conditions are the same, or that they affect people in the same ways. But they do have an important thing in common in the majority of cases, no cause has been identified, and the condition is therefore not curable. Treatment focuses on reducing symptoms rather than resolving the underlying issue.
|After about 3.5 years of chronic urinary tract infections, two doctors said they couldnt help me further. A third said maybe you just have irritable bladder or IC. That maybe didnt feel like a diagnosis. Why did my test results tell them nothing?|
So why do we mention these chronic urinary tract conditions?
Let us explain
The Absence Of Recurrent Uti Guidelines
Because there are no guidelines on managing complex or recurrent UTI, primary care doctors are generally not in a position to help.
|Most UTI guidelines are aimed at management of simple uncomplicated UTI. It can be very difficult to successfully manage complex or recurrent UTI in primary care. If symptoms persist, or where there is diagnostic uncertainty GPs will need to make a referral for specialist assessment.”|
For females that progress from a single UTI, to recurrent UTI or chronic urinary tract infection, or to a diagnosis of Interstitial Cystitis, there has historically been very little hope of effective treatment. We hope to help change this.
How Long Should A Uti Last After Antibiotics
For most cases of uncomplicated urinary tract infections , you will need to take a 3-day course of antibiotics and make sure to stay hydrated. Some infections, however, may require longer treatment for up to 7-10 days. For complicated UTIs, your course of antibiotics may extend up to 2 weeks or more. How long it takes to recover depends on:
- What bacteria is causing the infection
- What type of drug is used
- Your medical history
Symptoms like pain and the need to urinate often may resolve pretty quickly after starting antibiotics. But its important to complete the entire course of antibiotics to make sure the infection is completely gone, because it can stay in your body for a while.
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Pyelonephritis And Caox Nephropathy Potentiate Each Other
Whereas 16S rRNA gene sequencing and EQUC consistently detected the presence of bacteria in the limited number of urinary stones that we analyzed, it is not known whether the association between bacteria and USD is causal, disease modifying or merely coincidental. To further evaluate the association between USD and bacteria, we compared the renal bacterial burden and CaOx deposit number per cross section in mice with CaOx nephropathy and pyelonephritis by transurethral inoculation of uropathogenic E. coli induced alone and in combination . The combination of CaOx and experimental pylenonephritis resulted in a 130-fold higher bacterial burden than experimental alone . Conversely, the CaOx deposit number normalized to mean cross section area was 2.7-fold higher when both CaOx and UPEC were present compared to CaOx nephropathy alone .
Uti After Antibiotics: What Are The Potential Causes
Why can the symptoms of UTI after antibiotics show up? What could be the potential causes behind urinary tract infection symptoms after taking antibiotics? In dentistry, some cases may require patients to take antibiotics before dental surgery. Will there be a possibility to develop urinary tract infections after these antibiotics? As a patient, we want every procedure to go smoothly before and after. Side effects are one of the factors we often feel scared of. So, lets find out the relationship between UTI symptoms and antibiotics.
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Uti Gone Get The Green Light From The Doctor
Great, you have been taking your antibiotics regularly as prescribed and finally finished your UTI treatmentnow what? Head back to the docs office! Youll have to take another pee test to make sure youre officially rid of that awful UTI. Never assume your urinary tract infection magically vanished on its own, because bacteria is sticky, and isnt easily removed from the urinary tract. Better yet, head to the store to pick up a cranberry supplement, they help flush the urinary tract!
Make sure to get the proper treatment for a UTI from your doc, and once you know your UTI is gone, take cranberry to help maintain a healthy urinary tract.
Helps inhibit the progression of infection until you see a health care professional. AZO is not intended to replace medical care.
*These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
What Are The Symptoms Of Acute Cystitis
The symptoms of acute cystitis can come on suddenly and can be very uncomfortable. The most common symptoms include:
- a frequent and strong urge to urinate even after you empty your bladder, which is called frequency and urgency
- a painful or burning sensation when urinating, which is called dysuria
The urinary system consists of the:
- urinary bladder
The kidneys filter waste from your blood and create urine. The urine then travels through tubes called ureters, one on the right and one on the left, to the bladder. The bladder stores the urine until youre ready to urinate. Urine then travels out of the body through a tube called the urethra.
The most frequent cause of acute cystitis is an infection of the bladder caused by the bacterium E. coli.
Bacteria that cause UTIs typically enter the urethra and then travel up to the bladder. Once in the bladder, the bacteria stick to the bladder wall and multiply. This leads to inflammation of the tissue lining the bladder. The infection can also spread to the ureters and kidneys.
Although infections are the most common causes of acute cystitis, several other factors can cause the bladder and lower urinary tract to become inflamed. These include:
- certain medications, particularly the chemotherapy drugs cyclophosphamide and ifosfamide
- radiation treatment of the pelvic area
- the long-term use of a urinary catheter
- sensitivities to certain products, such as feminine hygiene sprays, spermicidal jellies, or lotions
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Chronic Urinary Tract Infection
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What is a chronic urinary tract infection?
Chronic urinary tract infections are infections of the urinary tract that either dont respond to treatment or keep recurring. They may either continue to affect your urinary tract despite getting the right treatment, or they may recur after treatment.
Your urinary tract is the pathway that makes up your urinary system. It includes the following:
- Your kidneys filter your blood and generate body waste in the form of urine.
- Your ureters are tubes that carry urine from the kidneys to the bladder.
- Your bladder collects and stores urine.
- Your urethra is the tube that carries urine from the bladder to the outside of your body.
A UTI can affect any part of your urinary system. When an infection only affects your bladder, its usually a minor illness that can be easily treated. However, if it spreads to your kidneys, you may suffer from serious health consequences, and may even need to be hospitalized.
Although UTIs can happen to anyone at any age, theyre more prevalent in women. In fact, the
What To Do When Uti Symptoms Linger After Treatment
If your UTI symptoms persist even after completing the treatment course recommended by your provider, reach out to your doctor for additional testing and information.
Depending on your symptoms and history, your doctor or healthcare provider may choose to do a urine culture or order additional tests, such as a pelvic ultrasound or computed tomography scan, to better diagnose the underlying condition.
In the meantime, there are several things you can do to help soothe or lessen the severity of your symptoms.
Some of these practices may also help prevent future UTIs.
- Practice good bathroom hygiene: Practicing good urination and bowel movement hygiene can help prevent bacteria from entering the urinary tract. Hygiene recommendations include not holding your urine for too long when you feel the need or urge to urinate. In addition, women and people with vaginas should always wipe from front to back after a bowel movement, and should urinate soon after sexual intercourse.
- Stay well hydrated: Drink plenty of water and urinate regularly. This can help to flush out the harmful bacteria in your system. Research shows that increasing your daily water intake can decrease your risk for recurrent UTIs.
- Avoid scented or irritating products: You may enjoy the smell, but scented tampons, pads, bubble baths, toilet paper, spermicides, deodorants, and laundry detergents can throw off the balance of bacteria in the vagina, which can cause irritation or infection.
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Get Moderate Amounts Of Calcium
Even though most kidney stones consist of calcium oxalate, this does not mean you should avoid calcium. Calcium is important for bone strength. You should still get your daily recommended amount of calcium. Stones form when calcium binds to oxalate. You can prevent this from happening byt drinking enough fluids to avoid concentrating these minerals in your urine, or decrease the amount of oxalate in your diet.
Signs That Uti Is Not Responding To Antibiotics
What if you feel lower back pain? Is this a sure sign that infection is progressing to the kidneys and antibiotics are not working?
While lower back pain could be an important sign of kidney infection, in many cases low back pain alone is not a sure sign that bacteria ascended to the kidneys, it could be just pain radiating from the bladder due to UTI, clarifies Dr. Hawes. However, if you are experiencing fever and/or nausea, these are very serious symptoms and you should seek immediate medical attention.
This is when the chances are higher to get sick with an infection caused by antibiotic-resistant bacteria:
- You underwent multiple UTI treatments in your lifetime
- If you have been using the same antibiotic for previous infections
- Stopped taking antibiotics and didnt finish all the pills that your doctor prescribed you
- If you are guilty of keeping a stash of antibiotics and self-treating UTIs, cold, travel diarrhea, etc.
- Youve been recently hospitalized
- If you are immunosuppressed or have any serious chronic health issues, for example, uncontrolled diabetes.
Dr. Hawes highlights that it is important to request a urine culture test before deciding on a type of antibiotic. If you are taking multiple antibiotics without checking bacterial drug sensitivity, its a guessing game that only increases your chances to develop resistant bacteria.
Read how torevert antibiotic resistance with diet.
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Bladder Cancer Signs And Symptoms In Women
Blood in the urine
- Blood in the urine is the most common sign of bladder cancer and is also often the first sign noticed. This is because early bladder cancer frequently causes bleeding without pain or other symptoms.
- Depending on the amount of blood present, the urine may appear pink, red, or brownish in color. When blood is present at levels not visible to the naked eye it is referred to as microhematuria. Microhematuria is detected by laboratory urine tests.
- It is important to note that hematuria also occurs commonly in people who do not have bladder cancer. In one study, only about 10% of people with visible hematuria were diagnosed with bladder cancer.7
A change in urination habits and/or symptoms of irritation, such as:
- Increased frequency
- Pain or a burning sensation during urination
- Increased urgency
- Difficulty passing urine
Bladder cancer that has grown in size or spread to other areas of the body may cause a variety of symptoms including an inability to pass urine, lower back pain on one side of the body, pain in the pelvic region, appetite/weight loss, general weakness, swollen feet, or bone pain.
If you have noticed any of these symptoms and are concerned, visit your doctor and ask about testing options, including Cxbladder. Cxbladder is a non-invasive urine test that can quickly and accurately detect or rule out bladder cancer.Learn more about Cxbladder
Risk Factors For Kidney Infections
Are you at risk of a kidney infection? There are many factors that have been shown to increase your risk, including:
- Catheter use
- Problems emptying your bladder completely
- Sex: females are at a greater risk
- Stress incontinence
- Type 1 and type 2 diabetes
- Vesicoureteral reflux, a condition that causes urine to flow backward
- Weakened immune system
Did you know? One in five women will experience at least one bladder infection in their lifetime. Left untreated, the infection can travel to the kidneys via two tubes called ureters and cause a more serious infection.
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.
Is Interstitial Cystitis Linked To Frequent Utis
We mentioned a study above, that found that 74% of survey respondents diagnosed with Interstitial Cystitis, had previously been diagnosed with recurrent UTI.
Research has also shown that a high percentage of females with Interstitial Cystitis may in fact have biofilms, IBCs, or both within their bladder, and that this is the cause of their ongoing infection and recurrent symptoms.
Interstitial Cystitis and associated conditions are considered to be incurable, however
Interstitial Cystitis is a diagnosis of exclusion. This means IC is diagnosed in the absence of any other obvious cause. If a cause for your UTI symptoms is not identified by testing, a diagnosis of IC may be given.
Check out our expert video series to learn more about the chronic UTI and IC connection.
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Option #: Bacterial Antibiotic Resistance
Have you taken all prescribed antibiotics but your symptoms are only getting worse? It could be that your bacteria are resistant to this type of drug.
You might have heard about superbug bacteria that withstand all available antibiotics. Well, increasingly, bacterial resistance is a real-life problem that physicians facing more often than before.
Here are the main signs that could signal that your bacteria are resistant to the prescribed medication:
- You are feeling worse, while youve been taking antibiotics diligently for over 48 hours.
- You are experiencing fever or nausea .
Realistically, you should feel much better by the third day of an antibiotic treatment, the bacterial load should be lowered, and therefore symptoms should subside, says Dr. Lisa Hawes even if not all symptoms resolved, you definitely should not have cloudiness, odor, or blood in your urine 48 hours after starting antibiotics.
Pearls And Other Issues
Urinary tract infections are primarily a clinical diagnosis, and expert opinion should be sought before initiating treatment of an isolated positive result in an otherwise asymptomatic patient, the only exception being asymptomatic bacteria.
Quite often, clinicians end up treating the positive culture report rather than a genuine urinary tract infection. Most often, positive culture in an asymptomatic patient can be traced to a poor sampling technique.
Another confusing scenario is that of septic, delirious, elderly patient who is unable to provide a history or demonstrate adequate examination signs to help localize a septic source. Quite frequently, these patients are treated as having a presumed UTI in the absence of a clear alternative septic source.
UTI associated radiological changes can sometimes take several months to resolve and must be interpreted with care in cases of recurrent or persistent infections.
UTI must be considered as a differential diagnosis when evaluating a patient with a pelvic inflammatory disease or an acute abdomen.
Male patients with a urinary tract infection must also be screened for sexually transmitted infections.
Interstitial cystitis is frequently misdiagnosed and treated as a UTI, and must be considered as an alternative diagnosis in patients who keep presenting with cystitis symptoms without positive cultures.
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