Painful and frequent urination, cloudy and smelly urine are signs of a urinary tract infection.
Mild cystitis most of the time
Most urinary tract infections are cystitis, due to the microbe Escherichia coli normally present in the intestine. Benign, they must be taken care of quickly to avoid complications.
“Poorly cared for, they can be the starting point of an upper urinary tract infection called pyelonephritis, an infection of the kidneys. In addition, a urinary tract infection in a child, a man, an elderly woman, an infection that is trailing or accompanied by fever and lower back pain requires a quick medical consultation », Explains Dr Manuel, general practitioner.
A test with a urine dipstick helps in the diagnosis.
Drug treatment and a healthy lifestyle
First-line: drink a lot and empty your bladder often to eliminate germs. In 25% of cases, healing is spontaneous within 48 hours.
Antibiotic treatment will help if the signs are unbearable or if they last for more than two days.
“The molecule with the most advantages (tolerance, efficacy and little induction of resistance to antibiotics) is Fosfomycin trometamol. It is taken in a single intake of a single sachet, after emptying the bladder, if possible at bedtime, and acts within a few hours ”.
Understanding the cause of recurrent cystitis
Recurrences of urinary tract infection, although frequent and very uncomfortable, are in most cases not serious. However, their cause must be sought.
- If the recurrences are related to insufficient hydration, then you should drink more.
- If they are related to sexual activity, then remember to urinate after each intercourse.
- Other causes can be found: too much local hygiene, too tight clothing, hormonal changes linked to menopause which can be responsible for atrophy of the mucous membranes in the vagina.
“An analysis of the urine (ECBU = Urinary cytobacteriological examination) makes it possible to verify that it is an infection with a usual microbe and sensitive to the usual antibiotics”, specifies Dr Manuel.
The right preventive actions
Now that the urinary tract infection has been eradicated, everything must be done to ensure that it does not come back. It is important tourinate as soon as the need arises and drink a lot,especially in hot weather when a large amount of water does not pass through the kidneys but evaporates through perspiration.
In the bathroom, always wipe yourself with the toilet paper from front to back.
Regarding intimate hygiene, scented or irritating products are to be avoided. Better to prefer products with a neutral pH and limit too energetic intimate toilets so as not to unbalance the intestinal flora.
Finally, the cranberry can be used: it seems to limit the ability of Escherichia coli to adhere to the mucous membrane of the bladder and to cause infectious recurrences.