By Jeffrey VanWingen M.D. — One of many Women's Health blogs on SmartLivingNetwork.com
ï»¿Urinary complaints are a daily problem in my practice. Many conditions can create issues with urination. This blog will help you sort through symptoms that you may be having moving toward determining cause.
Urinary Symptoms Terms
Before considering specific issues with urination, it is important to review the language associated.
What is a urinary tract infection? Urinary tract infections are one of the most common bacterial infections.
What are risk factors for a urinary tract infection? They are much more common in women. In fact, they are the most common bacterial infection in adult women with one-half of women experiencing at least one urinary tract infection in their lifetime. Women's susceptibility to these infections are due in large part because of the short distance between the bladder and the opening of the urethra (urine tube) and it's close proximity to the anus which teems with bacteria.
What are symptoms of a urinary tract infection? Symptoms of a simple urinary tract infection include urinary frequency and dysuria or relatively sudden onset. Such infections are also called bladder infections or uncomplicated cystitis.
How is a urinary tract infection diagnosed? Urinary tract infections are usually diagnosed with a urinalysis performed in a doctor's office. This test involves checking the urine for levels of its various components and a peek under the microscope for blood, white blood cells (our body's defense against infection) and bacteria. If a bladder infection is suspected or found, it is important that the specimin be sent to a lab for culture. A culture will grow the offending bacteria and it will be tested against various antibiotics to ensure susceptibility. This is important because there is a growing amount of resistance to antibiotics. If the wrong antibiotic is chosen and only partially effective, the infection may smolder and return as a more serious infection. Recent studies have demonstrated that some women who self-diagnose a urinary tract infection may be treated safely with a phone call to their doctor. Women who have had uncomplicated infections in the past are usually accurate in determining whether they in fact have another episode.
What are treatments for a urinary tract infection?
How can I prevent a urinary tract infection?
Some simple measures can be taken to prevent urinary tract infections.
What side effects can urinary tract infections cause? These infections can become complicated if the infection advances further inward to the kidneys (pyelonephritis) and from there into the blood streem (urosepsis). The later complication can be life threatening.
What are warning signs of a complication caused by urinary tract infection? Warning signs of a complicated infection include back pain in the flank (just below the ribs) and fever.
Other variations of symptoms may be caused by other issues.
Doctors feel differently about whether patients should be seen and evaluated with a urinalysis and exam to diagnose and treat. These symptoms should prompt medical evaluation:
Frequent infections warrant an evaluation to make sure that the bladder is emptying properly. If a significant amount of urine is left in the bladder after voiding, bacteria have time to grow in the stagnant urine.
Urinary complains are common and urinary tract infections are a common cause. Consideration of symptoms and possibly an analysis of the urine often readily leads to a diagnosis. Remember, however, that infections can be prevented with some simple practices.
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