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Reputation: 1711

Do you have any advice for dealing with chronic UTIs?

I've been getting UTIs quite a bit lately - 4 in the past 5 months. I've been doing all the things you're supposed to do to prevent them - taking cranberry pills daily, peeing after sex, drinking lots of water, drinking pure cranberry juice if I feel the early symptoms, but it's not helping.

I have three questions:
1) Is there anything else I can try to prevent future UTIs?
2) Are there any treatments for UTIs besides antibiotics?
3) Could this be something else that just has similar symptoms? If so, what?

I am going to see a urologist next month, but my regular doc hasn't been able to offer much help.

4 Answers

  • 4_small
    Reputation: 46

    I have a few thoughts: Have the UTI's been confirmed with a culture? That would settle the question about whether each episode indeed was an infection and might help guide your efforts toward prevention. If the bacteria is E.coli, for example, there have been studies showing that d-mannose powder can be effective as a treatment and plausibly might help in prevention if you were motivated to take it proactively.

    A deeper question worthy of exploration might be "why is this happening to you right now?" Has there been a change in your behavior, lifestyle, diet, etc in the last 5 months that might be affecting your immune system negatively making you more susceptible to these infections? High stress, dietary protein deficiency, over-consumption of sugar or alcohol, and/or lack or sleep are some of the many possible factors that can bring our defenses down.

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  • P1000628_small
    Reputation: 1

    It sounds like you are taking great steps to figure this out. Having a culture to confirm it is an infection, and wht type of infection it is - both important steps. Recurrent UTIs can suggest other minor issues in the urethra, and seeing a urologist is also a good idea, to be thorough. I have seen oral birth control increase UTIs in some women, as well as the other factors Dr. Dodge lists below. Another one I would add to the list is whether you have a new partner.

    There are other sound options you can use besides antibiotics, if you catch the infection early enough and have close monitoring with your doctor to prevent progression to kidney infections. One additional piece I would consider for you would be a high-quality probiotic. Again, your doctor can advise you on specifics; it is an important piece if you have done a few rounds of antibiotics.

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  • Willie_small
    Reputation: 32

    From what I've heard, and with my own experience with UTIs, cranberry juice will usually only work to help prevent future infections. People who have a history of frequent UTIs will drink cranberry juice on a daily basis. But once you're already having issues, it doesn't help much.

    Keep your sugar intake at a minimum. It can really make things worse. Some people read online that cranberry juice helps without doing more research, and will end up making their UTI worse because of all the sugar in the juice, so it's good you're drinking it pure.

    While you said you'd rather not give up alcohol for social reasons, I'd *highly* recommend you do. Not only does most alcohol have a high sugar content, the alcohol itself can make things far worse than just sugar alone.

    Some UTIs absolutely will not go away without antibiotics. I had one for a month, thinking I could get rid of it by drinking tons of water, etc. The issue with doing this is that if your body is trying to fight off the infection but just can't quite do it, the infection will actually start to get resistant to your body's attempts, and will be even harder to get rid of, even with weaker antibiotics. If it stays untreated, you could wind up in the hospital with a kidney infection.

    By the time I went to the doctor, I had to be put on ciprofloxacin, which is a nasty antibiotic, and is usually used as a last resort.

    On thing you can do while you're waiting for your appointment with the urologist is ask your regular doc for some pills that will numb your urinary tract. It's near instant relief of that horrible feeling of having to pee all the time.

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  • Avatar_default
    Reputation: 90

    Are you taking birth control pills? My wife used to and had problems with UTIs all the time. She went off the pill and hasn't had a flare up in years.

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