Urinary Tract Infections
Dr. Tejinder Ghag, ND
What makes up the urinary tract? The urinary tract consists of the kidneys, ureters (connect the kidneys to the bladder), bladder, and urethra (tube that allows urine to pass from bladder for removal out of the body). A urinary tract infection can affect any part of the tract however majority of infections affect the bladder and urethra.
Risk Factors
Both men and women are affected by UTIs, so why is the incidence higher in women? Both length and location are to blame. Women have a shorter urethra than men and it is also situated closer to the anus. As a result, the urethra has greater exposure to the bacterial load of the anus and a shorter route to travel to the bladder. Once bacteria reach the bladder, they stick to the bladder walls and multiply until there are enough to cause infectious symptoms.
Other risk factors include:
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Increased frequency of sexual intercourse
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New sexual partners
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Menopause
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Diabetes
Symptoms
What does a UTI look like? With infection comes inflammation. In the case of a UTI, inflammation can occur anywhere along the tract and lead to symptoms of urgency, a burning sensation with urination, blood in the urine, cloudy or abnormal smelling urine. UTIs can be recurrent and many women can ‘feel’ when they are about to experience an infection and start on their protocol. However, it is important to keep in mind that UTI symptoms may be masking symptoms of a more serious condition, such as pyelonephritis (kidney infection) thus it is important to seek medical help!
Prevention & Treatment
Conventional treatment focuses on antibiotics and the majority of uncomplicated cases are successfully treated with one round of antibiotics. However, there are many natural alternatives out there you can also try and they double as preventative therapies!
Diet – eliminating processed sugars and alcohol and focusing on increasing pre- and probiotics and water intake have been shown to be beneficial in helping with UTIs. UTIs occur when the bad bacteria overpower the beneficial bacteria. Thus, ensuring a healthy flora either through diet or supplementation is a great treatment and preventative measure. Though research is mixed, strains of Lactobacillus rhamnosus and Lactobacillus reuteri have proven to be the most beneficial when treating UTIs.
Botanicals – Does your mind automatically go to cranberry juice when you hear UTI? That’s because it works! A key step in treating UTIs is preventing bacteria from sticking to the bladder wall. Vaccinium macrocarpon or Cranberry have certain constituents called PACs and they do just that. Other effective herbs include antibacterials such as berberine, goldenseal, oregano and thyme.
Supplements – D-mannose, a simple sugar, has also been shown to be effective. It binds to the cells on the bladder walls that normally the bacteria would bind to. Because their ‘spot’ is taken, the bacteria don’t have a place to bind therefore are flushed out of the system through the urine. Supplementing with Vitamin C and Vitamin D on a daily basis also keep your immune system ready in case another infection occurs.