Understanding Urinary Tract Infections (UTIs)

A Comprehensive Guide for Patients

Family Medicine

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Last updated: Mar 24, 2025

What is a UTI?

A urinary tract infection (UTI) is a common infection that occurs in any part of the urinary system, most commonly affecting the bladder and urethra.

Common Symptoms

  • Frequent urge to urinate
  • Burning sensation during urination
  • Cloudy or dark urine
  • Strong-smelling urine
  • Pelvic pain (in women)
  • Lower back pain
  • Blood in urine (hematuria)

Risk Factors

  • Gender: Women are more prone to UTIs
  • Sexual activity
  • Menopause
  • Urinary tract abnormalities
  • Catheter use
  • Weakened immune system
  • Diabetes

Diagnosis

  1. Urinalysis
  2. Urine culture
  3. Physical examination
  4. Medical history review

Treatment Options

Antibiotics

  • First-line antibiotics (3-7 days)
  • Extended course for complicated UTIs

Self-Care Measures

  • Increased fluid intake
  • Urinating frequently
  • Using heating pads
  • Over-the-counter pain relievers

Prevention

  1. Stay hydrated
  2. Wipe from front to back
  3. Urinate after sexual activity
  4. Avoid irritating feminine products
  5. Take showers instead of baths

When to See a Doctor

  • Severe pain or bleeding
  • Symptoms lasting more than 3 days
  • Fever or chills
  • Back pain
  • Pregnancy

Complications if Untreated

  • Kidney infection
  • Recurring infections
  • Sepsis (in severe cases)
  • Pregnancy complications

Special Considerations

  • Recurring UTIs: May require different treatment approach
  • Pregnancy: Requires immediate attention
  • Elderly patients: May present with atypical symptoms
  • Children: Need prompt medical evaluation

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