What are the ways to manage recurrent UTIs?

Question

Hello doctor,

I am a 24-year-old female who is 5 feet 5 inches tall and weighs about 152 pounds. Almost every day when I am about to sleep, I always feel like peeing, and it is very little, which comes out painfully when I am about to finish. It always happens at night and hardly during the day. I have been treated for UTI, then it goes away for some time, then comes back again. It is painful, uncomfortable, and disturbs my sleep patterns. It has been happening for the past two years.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Based on your symptoms, it appears that you are experiencing recurrent urinary tract infections (UTIs) (a bacterial infection that affects the urinary tract) or another form of lower urinary tract irritation. The fact that the discomfort predominantly occurs at night, with painful urination towards the end, and that the issue has persisted for two years indicates the need for further investigation into potentially underlying causes.

Recurrent UTIs, especially when previous treatments have provided only temporary relief, may require additional diagnostic tests to identify the cause of recurrence. These may include:

Urine culture: This test is done by collecting urine samples to ensure that the correct antibiotic is being used and to rule out resistant bacteria.
Ultrasound or cystoscopy: This test is done to assess the bladder and urinary tract for any abnormalities, such as stones, structural issues, or inflammation that could contribute to recurrent infections.
Bladder function tests: To evaluate bladder emptying and potential irritation.

In the meantime, here are a few general recommendations to manage the symptoms and reduce the risk of recurrence:

Stay hydrated: Drinking plenty of water throughout the day can help flush out bacteria from your urinary system.
Urinate regularly: Avoid holding in urine for long periods, as this can increase the risk of infections.
Probiotics and cranberry supplements: Some studies suggest these may help prevent recurrent UTIs by maintaining a healthy balance of bacteria in the urinary tract.
Maintain good hygiene: Practice proper genital hygiene, and avoid using irritants such as scented soaps or feminine sprays that may disturb the natural flora.
Consider prophylactic antibiotics: In some cases of recurrent UTIs, a healthcare provider may recommend low-dose antibiotics as a preventive measure.
Since the issue has been persistent for a significant period, I suggest scheduling an appointment with a urologist (urinary tract specialist) or gynecologist (female reproductive health) for a thorough evaluation and to determine a long-term management plan.

Kindly consult a physician, discuss with them, and start taking the medications with their consent.

I hope this information will help you.

Kindly revert in case of queries.

Thank you.