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May 4, 2024

A Complete Guide to Urinary Tract Infections

A common health issue that affects millions of people worldwide, especially women, is Urinary Tract Infections (UTIs). While UTIs are often uncomfortable and inconvenient, understanding their causes, symptoms, prevention methods, and treatments can help manage and even prevent them altogether.

In this comprehensive guide, we’ll delve into everything you need to know about UTIs to stay healthy and informed.


Understanding Urinary Tract Infections

Bacteria entering the urinary tract can multiply leading to a urinary tract infection. The urinary tract comprises the ureters, bladder, urethra and the kidneys.

Most UTIs occur in the lower urinary tract, affecting the bladder and urethra, but they can also affect the kidneys, leading to more severe complications.


Types of Urinary Tract Infections

Urinary Tract Infections (UTIs) can manifest in various forms depending on the location and severity of the infection within the urinary tract. Here are the primary types of UTIs:

Cystitis

Cystitis is the most common type of UTI, characterised by inflammation of the bladder. It typically occurs when bacteria enter the urethra and travel upward into the bladder, where they multiply and cause infection. Cystitis often leads to symptoms such as frequent urination, urgency, burning sensation during urination, cloudy or bloody urine, and pelvic discomfort.

Pyelonephritis

Pyelonephritis is a more severe type of UTI that involves infection of the kidneys. It occurs when bacteria from the bladder ascend through the ureters and infect one or both kidneys. Pyelonephritis can cause symptoms similar to cystitis, such as urinary urgency and burning, along with additional symptoms like fever, chills, nausea, vomiting, and flank pain (pain in the side or back).

Urethritis

Urethritis is an infection of the urethra, the tube that carries urine from the bladder to the outside of the body. It is often caused by sexually transmitted infections (STIs) such as chlamydia or gonorrhoea but can also result from bacterial or viral infections. Symptoms of urethritis may include pain or burning during urination, discharge from the urethra, and increased urinary frequency.

Asymptomatic Bacteriuria

Asymptomatic bacteriuria refers to the presence of bacteria in the urine without accompanying symptoms of infection. While it doesn’t cause symptoms in most cases, it can lead to complications in certain populations, such as pregnant women or individuals with underlying medical conditions such as diabetes or kidney disease.

Recurrent UTIs

Some individuals may experience recurrent UTIs, defined as three or more UTIs within one year or two or more UTIs within six months. Recurrent UTIs can be frustrating and may require further evaluation to identify underlying risk factors or conditions predisposing individuals to frequent infections.


Symptoms of Urinary Tract Infections

Recognising the symptoms of UTIs is crucial for early detection and treatment. Common signs and symptoms include:

  • Frequent and urgent need to pee, with only small amounts actually coming out.
  • Burning sensation when you urinate, or if your urine looks cloudy or bloody.
  • Feeling fatigued or achy in your lower abdomen or back.
  • Pelvic pain or discomfort
  • Fever or chills (indicating a kidney infection)

Preventing Urinary Tract Infections

There are several preventive measures individuals can take to reduce their risk:

  • Drinking an adequate amount of water each day helps flush bacteria out of the urinary tract, reducing the risk of infection. Aim to drink at least eight glasses of water daily, or more if you’re physically active or in hot weather.
  • Practising proper hygiene habits is essential for preventing UTIs. Always wipe from front to back after using the restroom to prevent bacteria from entering the urethra. Additionally, avoid using products that can cause irritation soaps in the genital area such as douches, feminine sprays, or harsh
  • Emptying the bladder after sexual intercourse helps flush out any bacteria that may have entered the urinary tract during sex, reducing the risk of UTIs. Encourage your partner to maintain good genital hygiene as well.
  • Choose underwear made from breathable fabrics such as cotton, which allows air circulation and reduces moisture buildup. Avoid tight-fitting clothing, especially in the genital area, as it can create a warm, moist environment that promotes bacterial growth.
  • Using condoms during sexual activity helps prevent the spread of bacteria that can cause UTIs. If you’re prone to recurrent UTIs, consider using a lubricant during intercourse to reduce friction and irritation.
  • Holding urine for prolonged periods can create a conducive environment for bacterial growth in the urinary tract. Aim to urinate regularly and avoid delaying bathroom trips when you feel the urge to go.

Treatment for UTIs

It’s essential to seek medical attention if you suspect you have UTI. UTIs are typically treated with antibiotics to kill the bacteria causing the infection. In addition to antibiotics, healthcare providers may recommend:

Pain relievers

Over-the-counter pain relievers like ibuprofen can help alleviate discomfort.

Increased fluid intake

Drinking water can help flush out bacteria and alleviate symptoms.

Heating pads

Applying a heating pad to the abdomen can provide relief from pelvic pain or discomfort.

Urinary tract analgesics

Medications that numb the bladder and urethra can help relieve pain during urination.

If left untreated, UTIs can develop into more severe issues, such as kidney infections or bloodstream infections. It’s essential to follow your healthcare provider’s recommendations and complete the full course of antibiotics to ensure the infection is fully eradicated.


Care is the Key

Urinary Tract Infections are common and treatable conditions that can affect anyone. By understanding the disease, individuals can take proactive steps to maintain urinary tract health and minimise their risk of developing infections.

Remember to stay hydrated, practise good hygiene, and seek medical attention if you experience symptoms of a UTI. With proper care and attention, you can keep your urinary tract healthy and avoid the discomfort of UTIs.



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