Urinary Tract Infections (UTIs)

A urinary tract infection (UTI) is an infection that affects any part of the urinary system, including the bladder, urethra, ureters, and kidneys.

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What is a Urinary Tract Infection (UTI)?

A urinary tract infection (UTI) is an infection that affects any part of the urinary system, including the bladder, urethra, ureters, and kidneys. Most UTIs are caused by bacteria, and they can be classified based on the area of infection:

  • Bladder infection (Cystitis): The most common type, usually causing discomfort or pain in the lower abdomen.
  • Urethral infection (Urethritis): Causes burning sensation while urinating.
  • Kidney infection (Pyelonephritis): More serious, involving fever, back pain, and nausea.

Risk factors of a UTI

  • Gender: Women are more likely to develop UTIs due to the shorter length of the urethra.
  • Sexual activity: Increases the risk of bacteria entering the urinary tract.
  • Certain types of birth control: Using diaphragms or spermicidal agents.
  • Menopause: Reduced oestrogen levels lead to changes in the urinary tract, making infections more likely.
  • Urinary catheter use: Prolonged use of a catheter increases infection risk.
  • Urinary tract abnormalities or blockages: Such as kidney stones or enlarged prostate.

Symptoms of a UTI

  • Frequent, urgent need to urinate, often passing small amounts.
  • Burning or pain during urination.
  • Cloudy, strong-smelling, or bloody urine.
  • Pelvic pain in women.
  • In more severe cases (e.g., kidney infection), fever, chills, nausea, and pain in the upper back or sides may occur.

How are UTIs diagnosed?

Urinalysis: A sample of urine is analysed for bacteria, white blood cells, or other signs of infection.

Urine culture: May be done to identify the specific bacteria causing the infection and to determine which antibiotics will be effective.

Imaging: In complicated cases, imaging studies like ultrasound or CT scans may be used to check for structural abnormalities or kidney involvement.

Treatment of UTIs

  • Antibiotics: The primary treatment for bacterial UTIs. The type of antibiotic and duration of treatment depends on the severity of the infection.
  • Pain relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort.
  • Hydration: Drinking plenty of water helps flush bacteria from the urinary tract.
  • Follow-up: If symptoms persist or worsen, follow-up tests may be necessary.

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Urinary Tract Infections (UTIs) Specialists