Daily Health Tips: Chronic Urinary Tract Infection


Q: Hello Dr, I have question on why UTI sometimes seems to be more chronic? Also what causes itching after sexual intercourse and how can it be prevented.

A: Urinary Tract Infections occur anywhere in the urinary tract (Genius me, right :D) and include infections of the kidneys, the ureters (the tubes that connect the kidneys to the bladder),  the bladder (the reservoir or store house for the urine) and the urethra (the tube that transports the urine from the bladder to the outside).

So, who is more likely to have an infection and why? Women are more likely to have infections and this is because they have short urethrae (those tubes that transport the urine outside) and because the opening of this tube is very close to the opening of the anus. And so, if a woman urinates and has not quite mastered the art of cleaning from the front to the back, she could transfer bacteria from her anus to her urethra and this in turn travels up and infects the bladder.

Women who also use the birth control method, diaphragm appear to also be at risk as it may cause the bladder not to empty completely when they urinate. Indeed, not urinating immediately after sexual intercourse in women may also predispose to this as the urethra may have may have become irritated, making it easier for germs to move in. People with depressed immune systems, frequent constipation and some people born with some disorders of their uro-genital system are also prone to UTIs. In men, narrowing of the urethra which may happen in men who have had straddle injuries (eg falling astride {with legs apart} on a pole…ouch!), history of STIs or prostrate problems may make a man open to UTIs.

Recurrent and chronic urinary tract infections (UTI that keeps recurring) may be due to changes in hormone (estrogen) level as one gets to menopause, problems with the urinary tract in terms of function or shape, kidney or bladder stones, bacteria getting into the urinary tract during sexual intercourse etc

What symptoms does a person with UTI have? They would complain of feeling they have to urgently urinate often and then when they do get to the toilet, they can only pass out very little urine, pain or burning sensation during urination, pain in the flank (just under the ribs at the back), the urine may be cloudy or reddish or coke coloured, fever with chills and rigours etc.

UTIs have to be treated because these infections could keep back tracking from the urethra to the bladder to the ureters and then to the kidneys…we don’t want that do we?! 😉

Treatment is focused on eradicating the infection…of course 😀 Usually a urine sample is taken to the lab. Part of the lab work is a culture and sensitivity test to find out the organisms causing the infection and the specific antibiotic that is active against it. Please take your prescription for the right period of time even if your symptoms disappear before you finish. Your doctor may also order other tests as he sees fit eg checking out for congenital defects etc.

Apart from the preventive tips above, be sure to drink lots of water which help dilute your urine and help flush out the bacteria.

As for genital itching after sexual intercourse, you may have to see your doctor for a more detailed examination. However, people who have problems that interfere with their relaxation and lubrication during sexual intercourse may come down with genital itching due to thrush (candidiasis).

For more on this and prevention, please click on these links: https://chatwithdrketch.com/2015/10/21/daily-health-tips-itching-of-the-vulva/

Have a great day people 😀

Advertisements
This entry was posted in Uncategorized. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s