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Wednesday, October 01, 2008

 

That burning sensation down under

Truths about urinary tract infection

By Johanna M. Sampan, Reporter
 

Troubled due to throbbing pain and burning sensation while peeing? Bothered by the intense abdominal pain while walking? Is there a crucial discharge of pus even it’s not time of menstruation?

All about UTI

Urinary Tract Infection or UTI is an affliction that can be bacterial, fungal or mixed infections that affect several parts of the urinary tract such as kidneys, bladder, ureter and urethra. Urine alone contains a variety of fluids, salts and waste products but doesn’t contain microorganisms. UTI takes place once bacteria reproduces in the bladder or kidney.

This information perhaps causes discomfort and anxiety but UTI can be “promptly and easily treated with a short course of antibiotics,” Shierly May Dy-del Rosario, MD explains, adding, “Early detection of UTI would definitely avoid the worsen of the infection.”

Sexually active women usually acquire UTI through the urethra. Poor toilet habits can also predispose to infection and people with anatomical malformations or presence of renal cortical cysts or stones of the urinary tract can also be affected. Unknown factor of developing UTI are allergies. “Allergies to food can irritate the bladder wall and intensify propensity of UTI,” Dy-del Rosario shares.

A common misconception of the masses is that women only contract UTI. Del Rosario explains that women are more prone to UTI than males because in females, the urethra is much shorter and closer to the anus than in males. Ladies also lack the antibacterial properties of prostatic secretions that only men have. But among elderly, UTI frequency is in roughly equal proportions for both women and men.

The usual symptoms of this medical condition are dysuria or painful hollow feeling in the abdomen or sometimes even urinating frequently they still feel bladder-full.

In severe infections, fever and chills or and episodes of vomiting are current. Some others have non-specific symptoms like flank or hypogastric pains while still others are asymptomatic without any symptoms at all.

Preventive measures

Dy-del Rosario says, “Prevention is better than cure.” Here are some of her tips on how to avoid UTI. Drink lots of fluid especially water and cranberry juice because liquid intake cleans the urinary tract. Also cranberry contains tannin, a substance that kills fungus in the urinary tract that causes infections. Practice good hygiene including wiping from the front to the back to avoid contamination of the urinary tract by fecal pathogens. Avoid resisting the urge to urinate because urinating cleanses the body. Visit the doctor and have regular check up to ensure body’s condition.

When infection occurs, oral antibiotics such as astrimethoprim, cephalosphorins, nitrofurantoin, or a fluoroguinolone (e.g. ciprofloxacin, levofloxacin or ofloxacin) are often prescribed.

Trimethoprim is one of the most widely used antibiotics for UTI and is usually taken for seven days. It is usually recommended to be taken at night to ensure maximal urinary concentrations and increase its efficacy. Though caution must be exercised for possible mild allergic reactions.

Dy-del Rosario explains that for pregnant patients, cephalosphorins and nitrofurantoin are usually the drugs of choice.

If antibiotics cannot cover the range of microorganism, an antifungal medication is added. Some conditions might require the antibiotics be administered via intravenous (IV) means. This should be continued for 48 hours, after the fever subsides, the patient could be discharged and maintain taking antibiotics for 5 more days.

If the patient has a poor response to IV antibiotics having continuous fever and worsening renal function, then an ultrasound imaging is needed to indicate if there’s a formation of an abscess either within or around the kidney, or the presence of an obstructing lesion such as a stone or tumor.

For home medication, increased water-intake, frequent voiding, preventing of sweets and sugary food, drinking unsweetened cranberry juice, taking cranberry supplements and taking vitamin C with the last meal of the day can help cure the infection.

Vitamin C intake increases the acidity of the urine, making the urinary tract less prone to infectioon.

   

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Severino O. Frayna Jr., Benjie Dela Rosa
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