Overview

A urinary tract infection (UTI) is an infection in any part of your urinary system - kidneys, ureters, bladder, or urethra. Most infections involve the lower urinary tract (bladder and urethra).

Common Symptoms

  • Strong, persistent urge to urinate
  • Burning sensation when urinating
  • Passing frequent, small amounts of urine
  • Cloudy or strong-smelling urine
  • Pelvic pain (in women)
  • Rectal pain (in men)
  • Blood in urine (in some cases)

Risk Factors

  • Female anatomy (shorter urethra)
  • Sexual activity
  • Menopause
  • Urinary tract abnormalities
  • Suppressed immune system
  • Catheter use
  • Recent urinary procedure

Diagnosis

  • Urinalysis: Checks for white blood cells, red blood cells, and bacteria
  • Urine culture: Identifies the specific bacteria causing the infection
  • Imaging: CT scan or ultrasound for recurrent UTIs
  • Cystoscopy: Examining the bladder with a scope for recurrent cases

Treatment

Antibiotics (Primary Treatment)

  • Nitrofurantoin (Macrobid): 5-7 day course
  • Trimethoprim/sulfamethoxazole (Bactrim): 3-day course
  • Fosfomycin (Monurol): Single dose
  • Ciprofloxacin: For complicated infections

Pain Relief

  • Phenazopyridine (Azo): Relieves burning and urgency
  • Note: This only treats symptoms, not the infection

Home Remedies (Supportive)

  • Drink plenty of water
  • Avoid caffeine, alcohol, and spicy foods
  • Apply heating pad to abdomen
  • Cranberry products (may help prevent, not treat)

Prevention

  • Drink 6-8 glasses of water daily
  • Urinate when needed (do not hold it)
  • Wipe front to back
  • Urinate after sexual activity
  • Avoid irritating feminine products
  • Consider probiotics