Urinary Tract Infection (cont.)
Jerry R. Balentine, DO, FACEP
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Urinary Tract Infections (UTIs) Overview
- Urinary Tract Infection Causes
- Urinary Tract Infection Symptoms and Signs
- When to Seek Medical Care
- Urinary Tract Infection Diagnosis
- Urinary Tract Infection Treatment
- Urinary Tract Infection Self-Care at Home (Home Remedies)
- Urinary Tract Infection Medical Treatment
- Urinary Tract Infection Follow-up
- Urinary Tract Infection Prevention
- Urinary Tract Infection Prognosis
- Authors and Editors
- Take the UTI Quiz
- Urinary Tract Infection (UTI) - Slideshow
- Urinary Incontinence in Women - Slideshow
- Urinary Tract Infection (UTI) in Adults FAQs
Urinary Tract Infection Treatment
There are a variety of self-care measures (home remedies) and other treatments available for urinary tract infections.
Urinary Tract Infection Self-Care at Home (Home Remedies)
Because the symptoms of a urinary tract infection mimic those of other conditions, you should see your health-care provider if you think you have a urinary tract infection. A urine test is needed to confirm that you have an infection. Self-care is not recommended.
You can help reduce the discomfort by taking the following steps:
- Follow your health-care provider's treatment recommendations.
- Finish all antibiotic medication even if you are feeling better before the medication is gone.
- Take a pain-relieving medication.
- Use a hot-water bottle to ease pain.
- Drink plenty of water.
- Avoid coffee, alcohol, and spicy foods, all of which irritate the bladder.
- Quit smoking. Smoking irritates the bladder and is known to cause bladder cancer.
Urinary Tract Infection Medical Treatment
The usual treatment for both simple and complicated urinary tract infections is antibiotics. The type of antibiotic and duration of treatment depend on the circumstances.
Lower urinary tract infection (cystitis)
- In an otherwise healthy young female, a three-day course of antibiotics is usually enough. Some providers prefer a seven-day course of antibiotics. Occasionally, a single dose of an antibiotic is used. Your health-care provider will determine which of these options is best for you.
- Adult males with a UTI require seven to 14 days of antibiotics. If the prostate is also infected (prostatitis), four weeks or more of antibiotic treatment may be required.
- Adult females with potential for or early involvement of the kidneys, urinary tract abnormalities, or diabetes are usually given a five- to seven-day course of antibiotics.
- Children with uncomplicated cystitis are usually given a 10-day course of antibiotics.
- To alleviate burning pain during urination, phenazopyridine (Pyridium) or a similar drug, can be used in addition to antibiotics for one to two days.
Upper urinary tract infection (pyelonephritis)
- Young, otherwise healthy females with symptoms of pyelonephritis can be treated as outpatients. They may receive IV fluids and antibiotics or an injection of antibiotics in the emergency department, followed by 10-14 days of oral antibiotics. They should follow up with their health-care provider in one to two days to monitor improvement.
- If you are very ill, dehydrated, or unable to keep anything in your stomach because of vomiting, an IV will be inserted into your arm. You will be admitted to the hospital and given fluids and antibiotics through the IV until you are well enough to switch to an oral antibiotic.
- A complicated infection may require treatment for several weeks.
You may be hospitalized if you have symptoms of pyelonephritis and any of the following:
- appear very ill;
- are pregnant;
- have not gotten better with outpatient antibiotic treatment;
- have underlying diseases that compromise the immune system (diabetes is one example) or are taking immunosuppressive medication;
- are unable to keep anything in your stomach because of nausea or vomiting;
- had previous kidney disease, especially pyelonephritis within the last 30 days;
- have a device such as a urinary catheter in place; or
- have kidney stones.
Urethritis in men and women can be caused by the same bacteria as sexually transmitted diseases (STDs). Therefore, people with symptoms of STDs (vaginal or penile discharge for example) should be treated with appropriate antibiotics.
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