Urologic Complications In Diabetics

Urologic complications, including bladder dysfunction, sexual and erectile dysfunction, as well as urinary tract infections (UTIs) have a profound effect on the quality of life of men and women with diabetes.

1.Bladder Dysfunction

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Over 50% of men and women with diabetes have bladder dysfunction

Bladder dysfunction reflects a progressive condition encompassing a broad spectrum of lower urinary tract symptoms including urinary urgency, frequency, nocturia, and incontinence.

A number of clinical studies in men and women with diabetes have reported bladder instability or hypersensitivity as the most frequent finding, ranging from 39–61% of subjects .

People with a diabetic bladder can have a variety of symptoms: Common ones include frequent urination, incontinence, difficulty starting a urinary stream, urinary tract infections, and sensations of needing to urinate urgently.

The underlying problem is that neuropathy (nerve damage) causes the bladder to lose the ability to sense when it is full, just as neuropathy in the feet can interfere with a person’s ability to sense pressure or pain.

The result is a tendency to retain large amounts of urine in the bladder.

The healthy bladder holds 300–350 cc (cubic centimeters, about 10–12 fluid ounces), but someone with a severely diabetic bladder might end up with a bladder that holds two or three times that amount.

As the bladder stretches out to accommodate increasingly larger volumes, it starts to lose its normal tone, and eventually begins to lose the ability to empty completely.

A healthy bladder will have about a fluid ounce (30 cc) of urine left in it after voiding.

Because of the stretching effects that result from losing sensation in the bladder, this volume (known as the “postvoid residual,” or PVR) eventually creeps up.

People with diabetes who are diagnosed with bladder problems can have PVRs of 100 cc, 200 cc, or even higher, depending on how severe the damage is and on how long the problem has been going on.

The other symptoms of diabetic bladder are nearly all related, in one way or another, to this incomplete emptying of the bladder.

For instance, when the bladder doesn’t empty completely, its remaining capacity fills up more quickly, causing frequent urination.

If a bladder is not emptying regularly, it can become so full that it overcomes the sphincter muscle and just “overflows,” resulting in incontinence.

Urinary tract infections can easily develop in these situations because the PVR in a bladder that doesn’t empty well becomes stagnant, allowing any bacteria that enter the bladder to grow and develop more easily into an infection.

Someone with diabetes is susceptible to this kind of infection to begin with, since diabetes can hamper the function of the immune system.

In women, urinary incontinence is estimated to affect nearly 50% of middle aged and older women, leading to significant distress, limitations in daily functioning, and poorer quality of life .

Diabetes has been identified as an important independent risk factor for incontinence in several large observational studies,

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The Diabetes Prevention Program (DPP) randomized trial demonstrated that an intensive lifestyle intervention involving weight loss and exercise reduced the incidence of diabetes among women with impaired glucose tolerance (IGT) .

Prevalence of weekly stress incontinence was also substantially decreased by the DPP intensive lifestyle intervention. Importantly, reducing incontinence may be a powerful motivator for women with IGT to choose  healthy lifestyle modification to prevent diabetes.

 

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Common treatments for urinary incontinence in women include conservative management (e.g., pelvic muscle training or bladder training), medications, and surgery.

Keeping in mind that every situation is different, a sample treatment plan for someone with a severely distended and poorly-emptying bladder might begin with the placement of a Foley catheter.

This is a tube inserted into the bladder that drains into a bag taped to the leg. This bag can be emptied as needed, and the catheter is left in for five to seven days to allow the bladder to drain and for the bladder muscles to regroup.

When the Foley catheter is removed, the next step is self-catheterizing — inserting a catheter yourself when your bladder needs to be emptied, and removing it afterward.

This may seem intimidating, but it is usually easier than feared, and also usually more comfortable than having a full-time catheter in place.

People new to self-catheterization may also worry about contracting an infection, but there is less risk of infection with self-catheterization than there is with a full-time Foley catheter.

In most people, the bladder eventually recovers, and catheterization can be eliminated entirely. (If it is eliminated too quickly, though, recovery may be slowed or even stalled completely.)

Over time, many people even regain more normal sensations reminding them to void, but they can never again depend only on sensation.

Once you’ve been diagnosed with diabetic bladder, making sure you void at least every few hours while awake must become a lifelong habit.

2.Sexual and Erectile Dysfunction

Sexual and Erectile Dysfunction

Sex And The Diabetic – Erectile Dysfunction

Sexual dysfunction is more common in people with diabetes because poorly controlled diabetes can damage the blood vessels and nervous system causing reduced blood flow and loss of sensation in sexual organs. This can contribute to vaginal dryness in women and erection difficulties in men.

Erectile dysfunction (ED) occurs in a substantial number of men with diabetes, with prevalence estimates ranging from 20 to 71% . ED in diabetic men significantly impacts their quality of life .

Men with diabetes tend to develop erectile dysfunction 10 to 15 years earlier than men without diabetes. As men with diabetes age,erectile dysfunction becomes even more common.

Above the age of 50, the likelihood of having difficulty with an erection occurs in approximately 50% to 60% of men with diabetes.

Above age 70, there is about a 95% likelihood of having some difficulty with erectile dysfunction.

Risk factors associated with an increased risk of ED include hypertension, lipid disorders, coronary heart disease,  older age, higher  Body Mass Index (BMI) and cigarette smoking.

In men with diabetes, the relative risk for ED increases with poor glycemic control, duration of diabetes, and the number of other complications of diabetes (i.e., retinopathy, nephropathy, and limb loss).

Urinary infections are more common in people with poorly controlled diabetes and can cause discomfort for women during intercourse and for men during urination and ejaculation.

These generally are temporary complications, but they can recur.

Sexual activity should be stopped during treatment of urinary tract and yeast infections, which also are relatively common in people with diabetes.

Sexually transmitted diseases (STDs) can be transmitted easily because of the dry, cracked skin found in many people who have diabetes. This makes it important to practice safe sex.

Chronic high blood sugar levels can lead to reduced testosterone and may contribute to decreased sexual interest (libido).

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Thrush is a common condition, made worse by high blood glucose levels, which can make sex uncomfortable. Good control of diabetes will help to prevent this.

Chronic high blood sugars can lead to abnormal nerve function, leading to pain with only light touch.

Heightened sense of pain associated with neuropathy can make sexual relations uncomfortable.

Because intercourse is exercise, people with diabetes should watch for signs of hypoglycemia (low blood sugar) after sex.

People with diabetes (particularly men whose disease is poorly controlled) may have too little or too much of certain hormones, such as prolactin, testosterone or thyroid hormone. Generally these conditions can be treated with pills.

Certain drugs for heart problems, high blood pressure, anxiety, depression, pain, allergies and weight control sometimes cause impotence. Switching medications may solve the problem.

Stress and other mental health problems can cause or worsen sexual dysfunction, as can smoking and alcohol use.

Physical problems not caused by diabetes, such as accidents that injure nerves, prostate surgery, and spinal cord injuries, can cause impotence.

 

sexual-dysfunction

Sexual Dysfunction: A Guide for Assessment and Treatment (Treatment Manuals for Practitioners)

Make an appointment to see your doctor if you are experiencing sexual dysfunction. Your doctor should perform a physical exam, which includes:

1.Medical history, including questions about morning erections (a sign that the impotence probably is not due to a physical problem); how long the problem has occurred; and whether you are experiencing anxiety or stress

2.A physical exam and review of diabetes complications

3.Lab tests to check hormone levels

4.Review of medicines taken

5.Occasionally additional testing, including measurements of erections, an ultrasound, and/or neurological and other tests done at the doctor’s office or by you at home.

6.About 25 percent of ED cases are caused by drugs. Many medications, including common medicines prescribed for diabetes and its complications, can cause ED.

The most common offenders are blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug).

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In addition, over-the-counter medications, including certain eye drops and nose drops, have been associated with ED.

That does not mean you should stop taking these medications! Rather, you should discuss them with your doctor to determine whether a different dosage, an alternate medicine, or additional treatments will resolve the ED.

7.The best known ED medications are :
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Viagra (sildenafil citrate, made by Pfizer, Inc.), Levitra (vardenafil HCl, made by Bayer and GlaxoSmithKline), and Cialis (tadalafil, made by Eli Lilly).

The three are chemically very similar, and all have proven very effective. Because they are effective, convenient, and relatively inexpensive , these medicines have become the treatment of choice for most men experiencing ED.

The main difference among the three is in how long they last. Viagra is supposed to work for between 30 minutes and four hours; Levitra for 30 minutes to two hours, and Cialis for up to 36 hours. In addition, Viagra is slightly less effective if taken with food; Viagra can also cause temporary abnormalities of color vision.

In some cases, however, these drugs may be unsuitable for patients with heart disease. If you are considering one of these drugs and you have heart disease, as many diabetics do, be sure to tell your doctor.

In rare cases, the pills may create “priapism,” a prolonged and painful erection lasting six hours or more (although reversible with prompt medical attention).

8.Topical medicines: When the problem is insufficient blood flow, vasodilators (such as nitroglycerine ointment) can be applied to the penis to increase penile blood flow and improve erections. The main side effect of nitroglycerine ointment is that it may give the partner headaches. To prevent this, the man should use a condom.

9.Penile Injection Medication: This is just what it sounds like. Injected at home directly into the penis, the medication alprostadil produces erection by relaxing certain muscles, increasing blood flow into the penis and restricting outflow.

Although some sources report an 80 percent success rate, the therapy has disadvantages, such as risks of infection, pain, and scarring—fibrosis—in the penis, and it may also cause priapism.

10.External Mechanical Devices:

This category of treatments includes external vacuum therapies: devices that go around the penis and produce erections by increasing the flow of blood in, while constricting the flow out.

Such devices imitate a natural erection, and do not interfere with orgasm. External vacuum therapy mechanisms are approximately 95 percent successful in causing and sustaining an erection.

The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric.

The penis is placed in a cylinder to which a tension ring is attached. Air is evacuated from the cylinder by means of the pump, creating a vacuum, which produces the erection. The cylinder is removed, leaving the tension ring at the base of the penis to maintain the erection.

Vacuum therapy devices have a few disadvantages. One must interrupt foreplay to use them. You must use the correct-size tension ring and remove it, to prevent penile bruising, after sustaining the erection for 30 minutes.

Initial use may produce some soreness. Such devices may be unsuitable for men with certain bleeding disorders. In general, vacuum constriction devices are successful in management of long-term ED.

“Rejoyn” is an inexpensive, nonprescription alternative to the vacuum-actuated devices. Described by its manufacturer as a “support sleeve,” it does not “cause” an erection, but rather supports the flaccid penis as if it were erect (one wears it under a condom).

11.Counseling:

The great majority of ED cases in diabetic men have a physical cause, such as neuropathy or circulatory problems. In some cases, however, the cause of ED is psychological, including depression, guilt, or anxiety.

With a thorough exam, the doctor should be able to determine whether the ED is psychological or physical in nature.

If the cause is psychological, your doctor may refer you to a psychiatrist, psychologist, sex therapist, or marital counselor. Do not view such a diagnosis as an insult. Most psychologically-based ED is easily and successfully treated.

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12.Surgery:
There are two kinds of surgery for ED: one involves implantation of a penile prosthesis; the other attempts vascular reconstruction.

Expert opinion about surgical implants has changed during recent years; today, surgery is no longer so widely recommended. There are many less-invasive and less-expensive options, and surgery should be considered only as a last resort.

The obvious risks are the same that accompany any surgery: infection, pain, bleeding, and scarring. If for some reason the prosthesis or parts become damaged or dislocated, surgical removal may be necessary. With a general success rate of about 90 percent, any of the devices will restore erections, but they will not affect sexual desire, ejaculation, or orgasm.

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13.People with diabetes can lower their risk of sexual and urologic problems by keeping their blood glucose, blood pressure, and cholesterol levels close to the target numbers their health care provider recommends.

Being physically active and maintaining a healthy weight can also help prevent the long-term complications of diabetes.

For those who smoke, quitting will lower the risk of developing sexual and urologic problems due to nerve damage and also lower the risk for other health problems related to diabetes, including heart attack, stroke, and kidney disease.

3.Urinary Tract Infections

Complications of a UTI

Urinary Tract Infection: Neglecting Repeating Infections Can Lead To Complications & Endanger Your Health

When treated promptly and properly, lower urinary tract infections rarely lead to complications. But left untreated, a urinary tract infection can have serious consequences.

Complications of a UTI may include:

1.Recurrent infections, especially in women who experience three or more UTIs.

2.Permanent kidney damage from an acute or chronic kidney infection (pyelonephritis) due to an untreated UTI.

Pyelonephritis is caused by a bacterium or virus infecting the kidneys. Though many bacteria and viruses can cause pyelonephritis, the bacterium Escherichia coli is often the cause.

Bacteria and viruses can move to the kidneys from the bladder or can be carried through the bloodstream from other parts of the body.

A UTI in the bladder that does not move to the kidneys is called cystitis.

 

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Symptoms of pyelonephritis can vary depending on a person’s age and may include the following:

1.Fever

2.Vomiting

3.Back, side, and groin pain

4.Chills

5.Nausea

6.Frequent, painful urination

Children younger than 2 years old may only have a high fever without symptoms related to the urinary tract.

Older people may not have any symptoms related to the urinary tract either; instead, they may exhibit confusion, disordered speech, or hallucinations.

Pyelonephritis is treated with antibiotics, which may need to be taken for several weeks.

While a urine sample is sent to a lab for culture,your health care provider may begin treatment with an antibiotic that fights the most common types of bacteria.

Once culture results are known and the bacteria is clearly identified, the health care provider may switch the antibiotic to one that more effectively targets the bacteria.

Antibiotics may be given through a vein, orally, or both. Urinary tract obstructions are often treated with surgery.

Severely ill patients may be hospitalized and limited to bed rest until they can take the fluids and medications they need on their own. Fluids and medications may be given intravenously during this time.

In adults, repeat urine cultures should be performed after treatment has ended to make sure the infection does not recur.

If a repeat test shows infection, another 14-day course of antibiotics is prescribed; if infection recurs again, antibiotics are prescribed for 6 weeks.

Most people with pyelonephritis do not have complications if appropriately treated with bacteria-fighting medications called antibiotics.

In rare cases, pyelonephritis may cause permanent kidney scars, which can lead to chronic kidney disease, high blood pressure, and kidney failure.

These problems usually occur in people with a structural problem in the urinary tract, kidney disease from other causes, or repeated episodes of pyelonephritis.

3.Increased risk in pregnant women of delivering low birth weight or premature infants.

 

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4.Urethral narrowing (stricture) in men from recurrent urethritis.

The urethra  is the muscular tube that runs from the bladder to the external urethral orifice where it carries urine from the bladder to be expelled into the environment.

In men, the urethra traverses the prostate gland, passes along the penis to terminate at the glans penis (penis tip).

With women, the urethra  is much shorter, runs against the anterior vagina wall to terminate in the vestibule between the clitoris and vaginal orifice.

A narrowing of the urethra can be asymptomatic and remain silent throughout life.

The most common symptoms of urethral strictures are :

A.difficulty passing urine (voiding) – hesitance, straining and sometimes pain .

B.urinary retention due to incomplete emptying of the bladder

C.repeated urinary tract infections (UTIs – urethritis and/or cystitis)

Other signs and symptoms that may be due to the stricture itself  may include :

frequent urination

pelvic and/or lower abdominal pain

urinary incontinence

blood in the semen (hematospermia)

blood in urine (hematuria)

changes in urine stream – slow, weak and spray

post-micturition dribble – dribbling after passing urine

weak ejaculation

The presence and severity of any of the symptoms may vary depending on the degree of the narrowing.

 

Winning the Fight Against Sepsis: What Every Nurse Should Know

5.Sepsis, a potentially life-threatening complication of an infection, especially if the infection works its way up your urinary tract to your kidneys.

Sepsis is a serious medical condition caused by an overwhelming immune response to infection. Chemicals released into the blood to fight infection trigger widespread inflammation.

Bacterial infections are the most common cause of sepsis. However, sepsis can also be caused by other infections.

The infection can begin anywhere bacteria or other infectious agents can enter the body.

It can result from something as seemingly harmless as a scraped knee or nicked cuticle or from a more serious medical problem such as appendicitis, pneumonia, meningitis, or a urinary tract infection.

When infection overwhelms the body, the body can respond by developing sepsis and going into septic shock.

Sometimes called blood poisoning, sepsis is the body’s often deadly response to infection or injury. Sepsis kills and disables millions and requires early suspicion and rapid treatment for survival.

Because sepsis can begin in different parts of the body, it can have many different symptoms. Rapid breathing and a change in mental status, such as reduced alertness or confusion, may be the first signs that sepsis is starting.

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Other common symptoms include:

Fever and shaking chills or, alternatively, a very low body temperature

Decreased urination

Rapid pulse

Rapid breathing

Nausea and vomiting

Diarrhea

The first step to successful treatment for sepsis is quick diagnosis.

If sepsis is suspected, the doctor will perform an exam and run tests to look for:

Bacteria in the blood or other body fluids

Source of the infection, using imaging technology such as X-ray, CT scan, or ultrasound

A high or low white blood cell count

A low platelet count

Low blood pressure

Too much acid in the blood (acidosis)

Altered kidney or liver function

Other tests of bodily fluids and radiologic tests, such as X-ray or CT scan, can often help in diagnosing the cause of the infection.

People diagnosed with severe sepsis are usually placed in the intensive care unit (ICU), where doctors try to stop the infection, keep vital organs functioning, and regulate blood pressure.

Worldwide, one-third of people who develop sepsis die. Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, and organ dysfunction (don’t work properly) and/or amputations.

If you have any information,questions, or feedback you would like to include in this post.

Please email momo19@diabetessupportsite.com or leave your comments below.

Why Are People With Diabetes More Prone To UTI?

 

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There are likely several reasons.

First, people with diabetes may have poor circulation, which reduces the ability of white blood cells to travel in the body and fight off any kind of infection.

Diabetes impairs some parts of your immune response. You have fewer white blood cells and T cells to fight off invading bacteria, viruses, and fungi. Routine antibiotics may be ineffective.

High blood glucose levels can also raise the risk of a Urinary Tract Infections.

High blood sugars can be a result of both Type 1 and Type 2 diabetes.

The pancreas produces a hormone called insulin, which helps to transport glucose from the bloodstream to be utilized as energy.

Insulin resistant diabetes is the most common type of diabetes which is Type 2 diabetes!

Insulin dependent diabetes is the least common diabetes which is Type 1 diabetes!

In type 1 diabetes, the pancreas is unable to produce insulin.

People like me who are Type 1 diabetics are more prone to kidney infections!

I have been a Type 1 diabetic for many years so have had a good few kidney infections!

The kidney infections were very painful!

I think that diabetes can be very hard sometimes what do you think?

Type 2 diabetes is a result of people eating too many high carbohydrate meals and the pancreas is not producing enough insulin to breakdown the glucose in the food to energy!

Excess glucose is filtered in the kidneys and results in significantly higher urine glucose concentrations when compared to the urine of non-diabetics.

Filtered glucose attracts water into the renal tubules, which can increase the urge and frequency of urination.

High glucose concentrations in the urine provide an abundant source of nutrients for bacteria, which can proliferate and cause an infection.

Some people with diabetes have bladders that don’t empty as well as they should because of diabetic neuropathy. As a result, urine stays in the bladder too long and becomes a breeding ground for bacteria.

Diabetic neuropathy is very serious and is caused by high blood sugar levels!

If a person has diabetic neuropathy the muscles in the sphincter are damaged which results in a weak bladder therefore all the urine remains in the bladder rather than being expelled from the body.

Nerve damage can keep your bladder from emptying, either by weakening muscles or scrambling the signals between your brain and urinary system.

Urine that remains in your body too long poses a greater infection risk.

If you have any information,questions, or feedback you would like to include in this post.

Please email momo19@diabetessupportsite.com or leave your comments below.

Diabetes And Urinary Tract Infections

Urinary tract infections
Urinary Tract Infections, UTI’s and Bladder Pain: Volume 1

Urinary tract infections, or UTIs, occur when bacteria or other bugs invade your body’s drainage system. Normally, your immune defenses banish these bugs before they can grow and multiply.

A urinary tract infection is a bacterial infection that grows within the urinary tract – anywhere from the kidneys, the ureters, the bladder and through to the urethra.

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The kidneys are a pair of small organs that lie on either side of the spine at about waist level.

They have several important functions in the body, including removing waste and excess water from the blood and eliminating them as urine.

These functions make them important in the regulation of blood pressure.

Kidneys are also very sensitive to changes in blood sugar levels and blood pressure and electrolyte balance.

Both diabetes and hypertension can cause damage to these organs.

 

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Two ureters, narrow tubes about 10 inches long, drain urine from each kidney into the bladder.

The bladder is a small saclike organ that collects and stores urine.

When the urine reaches a certain level in the bladder, we experience the sensation that we have to void, then the muscle lining the bladder can be voluntarily contracted to expel the urine.

The urethra is a small tube connecting the bladder with the outside of the body.

A muscle called the urinary sphincter, located at the junction of the bladder and the urethra, must relax at the same time the bladder contracts to expel urine.

Any part of this system can become infected. As a rule, the farther up in the urinary tract the infection is located, the more serious it is.

 

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The upper urinary tract is composed of the kidneys and ureters.

Infection in the upper urinary tract generally affects the kidneys (pyelonephritis), which can cause fever, chills,nausea, vomiting, and other severe symptoms.

Unfortunately, if you have diabetes, you are up to twice as likely as those without the disease to develop these often painful infections. They’re especially common among women.

Women with diabetes are about two to three times more likely to have bacteria in their bladders than women without diabetes (interestingly, the same does not appear to be true for men).

There also seems to be an increased risk of the infection spreading upwards into the kidneys in diabetic patients, and diabetic women with urinary tract infections are also more likely to require hospitalization than non-diabetic women.

Why Are People With Diabetes More Prone To UTI?

 

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There are likely several reasons.

First, people with diabetes may have poor circulation, which reduces the ability of white blood cells to travel in the body and fight off any kind of infection.

Diabetes impairs some parts of your immune response. You have fewer white blood cells and T cells to fight off invading bacteria, viruses, and fungi.

For the same reason, diabetics often develop UTIs caused by less commonly encountered germs. Routine antibiotics may be ineffective.

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 Symptoms,Signs And Treatment of UTI

Symptoms of urinary tract infections often include, pain while voiding, blood in the urine, and increased urgency and frequency of urination.

Other symptoms may include nausea, vomiting, and pain in the back and rib region.

Urinary tract infections may be diagnosed from symptoms alone or in conjunction with laboratory analysis of a urine sample.

You should see your doctor if you have any of these signs or symptoms:

1.Burning feeling when you urinate

2.Frequent or intense urges to urinate, even when you have little urine to pass

3.Pain in your back or lower abdomen

4.Cloudy, dark, bloody, or unusual-smelling urine

5.Fever or chills

 

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Women are more likely to get UTIs than men are. When men get UTIs, however, they’re often serious and hard to treat.

UTIs can be especially dangerous for older people and pregnant women, as well as for those with diabetes and those who have difficulty urinating.

The doctor may ask you how much fluid you drink, and if you have pain or a burning feeling when you urinate, or if you have difficulty urinating.

Women may be asked about the type of birth control they use.

You’ll need to urinate into a cup so the urine can be tested.

In addition, your doctor may need to take pictures of your kidneys with an x ray or ultrasound and look into your bladder with an instrument called a cystoscope.

If you have a UTI, your doctor can look through a microscope and find bacteria in a sample of your urine.

If the bacteria are hard to see, the doctor may let them grow for a day or two in a culture. Then the doctor can see exactly which kind of bacteria you have and choose an antibiotic that kills them.

The doctor may use either x rays, sound waves (ultrasound), or CT scan to view your bladder or kidneys. These pictures can show stones, blockage, or swelling.

The urethra and bladder can be seen from the inside with a cystoscope, which is a thin tube with lenses like a microscope.

The tube is inserted into the urinary tract through the urethra.

Once it is determined that your symptoms have been caused by an infection, your doctor will prescribe an antibiotic.

Antibiotics can kill the bacteria causing the infection. The antibiotic prescribed will depend on the type of bacteria found.

For simple infections, you’ll be given 3 days of therapy.

For more serious infections, you’ll be given a prescription for 7 days or longer.

Be sure to follow your instructions carefully and completely. If you have any allergies to drugs, be sure your doctor knows what they are.

Will UTIs Come Back?

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UTI Healing Manual: How to Quickly and Naturally Cure Urinary Tract Infections and Never Experience Them Again

Sometimes. Most healthy women don’t have repeat infections. However, about one out of every five women who get a UTI will get another one. Some women get three or more UTIs a year.

Men frequently get repeat infections. Anyone who has diabetes or a problem that makes it difficult to urinate may get repeat infections.

If you get repeat infections, talk with your doctor about special treatment plans. Your doctor may refer you to a urologist, a doctor who specializes in urinary problems.

Your doctor may have you take antibiotics over a longer period to help prevent repeat infections.

Some doctors give patients who get frequent UTIs a supply of antibiotics to be taken at the first sign of infection. Make sure you understand what your doctor tells you about taking the antibiotic and do exactly that.

Men may need to take antibiotics for a longer time. Bacteria can hide deep in prostate tissue. Men shouldn’t take their spouse’s pills and think they will cure the infection.

See a doctor for treatment that fits your needs.

Urologic Complications In Diabetics

Urologic complications, including bladder dysfunction, sexual and erectile dysfunction, as well as urinary tract infections (UTIs) have a profound effect on the quality of life of men and women with diabetes.

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Prevention Of UTI

Changing some of your daily habits may help you avoid UTIs.

1.Drink lots of fluid to flush the bacteria from your system. Water is best. Try for 6 to 8 glasses a day.

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2.Drink cranberry juice or take vitamin C. Both increase the acid in your urine so bacteria can’t grow easily. Cranberry juice also makes your bladder wall slippery, so bacteria can’t stick to it.

3.Urinate frequently and go when you first feel the urge. Bacteria can grow when urine stays in the bladder too long.

4.Urinate shortly after sex. This can flush away bacteria that might have entered your urethra during sex.

5.After using the toilet, always wipe from front to back, especially after a bowel movement.

6.Wear cotton underwear and loose-fitting clothes so that air can keep the area dry. Avoid tight-fitting jeans and nylon underwear, which trap moisture and can help bacteria grow.

7.For women, using a diaphragm or spermicide for birth control can lead to UTIs by increasing bacteria growth.

If you have trouble with UTIs, consider modifying your birth control method.

Unlubricated condoms or spermicidal condoms increase irritation and help bacteria cause symptoms.

Consider switching to lubricated condoms without spermicide or using a nonspermicidal lubricant.

8.If you have diabetes, be aware of changes in the frequency and/or urgency of your impulses to urinate, as well as for incontinence, infections, or other symptoms that might indicate a problem.


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9.A voiding diary is a simple tool that anyone can use to keep track of these signs. Write down the date, time, and estimated amount of urine you pass.

Also included in the diary should be any additional voiding symptoms that occur, such as episodes of incontinence or needing to rush to the bathroom with little warning.

If you find that you’re voiding less often than every three or four hours, see your health-care provider, armed with the information in your voiding diary.

10. Your urine can change color for a variety of reasons, including from the medications you take, so pay close attention to it to monitor your overall health. One key thing to note is that if your urine is typically a darker yellow, your body is dehydrated, so you need to step up your water intake.

11.Urinate before sex and promptly after: Also, drink a full glass of water to help flush bacteria. This can help minimize bacteria buildup and reduce your risk of getting a UTI.

12.Don’t use douches or feminine hygiene sprays or powders: As a general rule, do not use any product containing perfumes in the genital area.

13.Shower instead of a bath: Take showers and avoid prolonged baths. Bath water may fairly quickly become contaminated by the bather’s own skin florae. Sitting in a tub allows bacteria to reach the bladder opening area.

14.Use tampons for your period: Tampons are advised during the menstrual period rather than sanitary napkins or pads because they keep the bladder opening area drier than a sanitary pad, thereby limiting bacterial overgrowth.

15.Sugary foods and beverages. Biscuits,sweets , soda, and other foods and drinks made with refined sugar or high-fructose corn syrup create an environment in which bacteria thrive and multiply, making infection more likely. Try to stick to natural sources of sugar like fresh fruits.

16.Coffee, tea, cola, and alcohol. All of these beverages can irritate the bladder and make a UTI more likely.

17.When engaging in physical activity and exercise, make sure to empty the bladder frequently and drink plenty of water and other fluids.

18.An estrogen vaginal cream may help increase resistance to bladder infections.

An estrogen cream for the vagina may be suggested for women after menopause even if an oral estrogen supplement or patch has already been prescribed. The cream helps keep the tissues around the bladder healthy and more resistant to infection.

19.Don’t hang around in a wet bathing suit or on a damp towel. Get into dry stuff as soon as you can.

20.Antibiotics: Our preoccupation with a quick fix is partially to blame.

Although sometimes necessary, antibiotics are often over-prescribed for conditions they cannot help with.

Antibiotics wipe out bacteria, both bad (pathogenic) and beneficial, protective ones (probiotics). When the urinary tract and gastrointestinal systems have no probiotics in them, they are left unprotected against invading pathogenic bacteria .

With diligence and careful self-monitoring, someone with diabetes may be able to delay or completely avoid having diabetes-related bladder problems that require catheterization or other medical attention.

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For more great Health and Nutrition Tips refer to the website positivehealthwellness.com.

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