Table of contents. What is a UTI? What Is a UTI? If located in the bladder, the UTI is called surprise! A kidney infection pyelonephritis requires medical intervention to prevent permanent damage. Most UTIs require a prescription. Get started. Some UTIs will go away on their own in as little as 1 week.
However, UTIs that do not go away on their own will only get worse over time. If you think you have a UTI, speak with a doctor about the best course of action. What antibiotics treat UTIs?
The most common antibiotics for UTI treatment are nitrofurantoin Macrobid , sulfamethoxazole-trimethoprim Bactrim , cephalexin Keflex , and fosfomycin Monurol. However, other antibiotics may be prescribed depending on the type of bacteria causing your infection.
Speak to a doctor to figure out which antibiotic is best for you. Can UTIs go away on their own? If the UTI is minor and uncomplicated, your body may be able to fight of the infection without medication. However, most doctors will recommend a course of antibiotics, as that is a surefire way to rid your body of infection and ensure it doesn't get worse. When should you see a doctor for a UTI? The following also increase your chances of developing a UTI: Diabetes Advanced age and conditions that affect personal care habits such as Alzheimer disease and delirium Problems emptying the bladder completely Having a urinary catheter Bowel incontinence Enlarged prostate , narrowed urethra , or anything that blocks the flow of urine Kidney stones Staying still immobile for a long period of time for example, while you are recovering from a hip fracture Pregnancy Surgery or other procedure involving the urinary tract.
Exams and Tests. Most of the time, you will need to provide a urine sample for the following tests: Urinalysis -- This test is done to look for white blood cells, red blood cells, bacteria, and to test chemicals such as nitrites in the urine. This test can diagnose an infection most of the time. Clean-catch urine culture -- This test may be done to identify the bacteria and determine the best antibiotic for treatment.
You may also need the following tests to help rule out other problems in your urinary system: CT scan of the abdomen Intravenous pyelogram IVP Kidney scan Kidney ultrasound Voiding cystourethrogram. For a simple bladder infection, you will take antibiotics for 3 days women or 7 to 14 days men. If you are pregnant or have diabetes, or have a mild kidney infection, you will most often take antibiotics for 7 to 14 days.
Finish all of the antibiotics, even if you feel better. If you do not finish the whole dose of medicine, the infection may return and be harder to treat later. Always drink plenty of water when you have a bladder or kidney infection. Tell your provider if you might be pregnant before taking these drugs. Your provider may suggest that you: Take a single dose of an antibiotic after sexual contact to prevent an infection.
Have a 3-day course of antibiotics at home to use if you develop an infection. Take a single, daily dose of an antibiotic to prevent infections. You may also be admitted to the hospital if you: Are an older adult Have kidney stones or changes in the anatomy of your urinary tract Have recently had urinary tract surgery Have cancer, diabetes, multiple sclerosis, spinal cord injury, or other medical problems Are pregnant and have a fever or are otherwise ill At the hospital, you will receive fluids and antibiotics through a vein.
Outlook Prognosis. Possible Complications. Complications may include: Life-threatening blood infection sepsis -- The risk is greater among the young, very old adults, and people whose bodies cannot fight infections for example, due to HIV or cancer chemotherapy.
Kidney damage or scarring. Kidney infection. When to Contact a Medical Professional. In most cases, UTIs are caused by E. A mild UTI causes symptoms, including painful urination, constantly feeling the need to urinate and cramping pain in the lower abdomen. In the elderly population, a mild UTI can even cause confusion. Symptoms from a complicated UTI include fever, lower back pain, blood in urine, and even pus in urine.
While some UTIs may go away without antibiotic treatment, Dr. Pitis cautions against foregoing antibiotics. A provider can test for a UTI with a urine sample.
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