A urinary tract infection, or UTI, is a distressing and uncomfortable disorder that usually affects women and is characterized by symptoms such as a strong, persistent urge to urinate, cloudy urine and a burning sensation while urinating. When these infections happen over and over, a chronic urinary tract infection can seriously affect quality of life. Targeted treatment recommendations for chronic UTI aim to reduce flare-ups, increase comfort and prevent further health complications, such as kidney infections.
Modified Antibiotic Treatment
According to the Mayo Clinic, antibiotics are the first course of treatment for most urinary tract infections. A short schedule of antibiotics for three days to two weeks is common for most UTIs, but those with chronic urinary tract infections may take antibiotics for at least six months, and the antibiotic is often stronger. Additionally, taking the antibiotic at night may increase its effectiveness. An antibiotic dose after each sexual encounter may also help because sexual intercourse can increase a woman’s risk for UTI. Some doctors also prescribe a daily dose of antibiotics as a preventative measure or provide patients with a supply of antibiotics to take whenever symptoms emerge.
Home Urinalysis
Doctor’s offices typically perform urinalysis to detect the presence of bacteria and confirm a diagnosis of UTI. For recurrent urinary tract infections, home dipsticks available over the counter can confirm a UTI when symptoms start. These dipsticks detect the presence of the bacteria byproduct nitrite and are highly accurate when the first urine of the day is tested.
Surgery
Rarely, an anatomical cause for chronic UTI is discovered and may require surgery. The structures along the urinary path in a man or woman are intricate, and an anomaly may persistently introduce bacteria into the system. When this occurs, surgery is absolutely essential to preserve the urinary tract and prevent health risks to the kidneys.
Lifestyle Modifications
Those who suffer chronic urinary tract infections must especially pay attention to the preventative recommendations doctors make for all sufferers of UTI. These recommendations include using sanitary pads instead of tampons, wiping from front to back, avoiding douching, urinating and cleaning the genitals before and after sexual intercourse, avoiding any perfumes or irritating scents in the genital area, wearing loose-fitting clothing and taking showers, not baths. For menopausal women, using an estrogen cream in the vaginal area may also help. Limiting caffeine, alcohol, and citrus products can reduce bladder irritation and the need to urinate. It is important to urinate when the urge arises and to drink plenty of fluids. Include cranberry juice in this regimen only if you have no family history of kidney stones.
