Urinary tract infections (UTIs) occur due to microbes such as bacteria overcoming the body’s defenses in the urinary tract. They can affect the kidneys, bladder, and the tubes that run between them.
The urinary tract consists of the upper and lower urinary tract. The kidneys and ureters make up the upper urinary tract, and the urethra and bladder make up the lower urinary tract.
UTIs have different names depending on where they occur. For example:
A UTI is a bacterial infection of the urinary tract that can
A UTI is classified as “simple” or “complicated.” Simple UTIs will
- pregnant people
- immunocompromised people
- older people
- those using catheters
- those having radiotherapy treatment
Additionally, blockages and problems with kidney function can increase a person’s risk of developing a complicated UTI.
Overall, females are more likely to develop a UTI than males, with 40–60% of females developing an infection at least once in their life and 10% of females developing a UTI once a year. Females are at a higher risk than males because their urethra is shorter, which makes it easier for bacteria to enter the bladder.
Lower UTIs affect the bladder or urethra and can cause:
- a frequent need to urinate
- pain, discomfort, or burning sensation when urinating
- a sudden urge to urinate
- cloudy, strong-smelling urine that may contain blood
- the sensation that the bladder is not fully empty
- feeling unwell, tired, and achy
Upper UTIs affect the kidneys and ureters. As well as the symptoms above, they can cause:
- a fever of 100.4 ºF (38 ºC) or higher
- pain in the back and sides
- chills and shivering
- nausea and vomiting
Males and females share the same symptoms. However,
It is worth noting that this study involved 1,256 people from a single community in Japan, so the findings may not apply to other populations.
Additional symptoms in children include:
- a high temperature
- appearing generally unwell — for example, babies may appear irritable and not feed well
- wetting the bed or themselves
In older adults or those with a catheter
- wetting themselves
- new shivering
- new shaking
The Urology Care Foundation notes that different bacteria live on the skin or around the rectum and vagina. When the bacteria enter the urethra, they can travel to the bladder.
According to the
- Escherichia coli
- Protus mirabilis
- Enterococcus faecalis
- Staphylococcus saprophyticus
- Klebsiella pneumoniae
People of any age and sex can develop a UTI. However, some people are more at risk than others.
The following factors can increase the likelihood of developing a UTI:
- being sexually active
- having difficulty fully emptying the bladder
- having a condition that causes a blockage in the urinary tract, such as kidney stones
- having diabetes
- having recently used a catheter
- having had a previous UTI
vesicoureteral reflux, a condition that causes the urine to flow backward from the bladder and up toward the kidneys
- having poor hygiene
Additionally, the urethra is closer to the rectum, where the UTI-causing bacteria are present.
Going through menopause and using birth control methods, such as diaphragms or spermicide, can also increase the chance of developing a UTI.
Is pregnancy a risk factor for a UTI?
According to the American College of Obstetricians and Gynecologists, pregnant people have a higher risk of UTIs than other people.
Changes in the body during pregnancy can cause changes in the urinary tract.
Males share the same risk factors for developing a UTI. However, having an enlarged prostate is a male-specific risk factor.
An enlarged prostate can
In some cases, lower UTIs can lead to pyelonephritis. This is a sudden and severe kidney infection.
- flank pain
- burning urination
- increased frequency and urgency to urinate
- mental changes
If a person suspects they have a kidney infection, they should seek medical attention as soon as possible.
Recurrent or long-lasting kidney infections can cause permanent damage. Some sudden kidney infections can be life threatening, particularly if bacteria enter the bloodstream in a condition known as septicemia.
They can also increase the risk of pregnant people delivering infants prematurely or with low birth weight.
There are several measures that an individual can take to reduce the risk of developing a UTI,
- drinking 6–8, 8-ounce glasses of water per day
- emptying the bladder fully when urinating
- urinating after sexual intercourse
- wearing loose-fitting clothing and cotton underwear
- keeping the genital area clean
- avoiding the use of perfumed products on the genitals
Females should also wipe from the front to the back to help avoid spreading the germs from the rectum to the vagina. In addition, if a person experiences frequent or recurring UTIs, they should talk with a doctor about switching birth control methods if they use it.
The American College of Obstetricians and Gynecologists mentions that cranberry pills and unsweetened cranberry juice may help decrease the chance of contracting UTIs. However, research is ongoing.
Individuals should contact a doctor if they develop UTI symptoms, especially if they have developed symptoms of a potential kidney infection.
A doctor will usually diagnose a UTI after asking about a person’s symptoms and testing a urine sample to assess the presence of white blood cells, red blood cells, and bacteria.
If someone has recurrent UTIs, a doctor may request further diagnostic testing to determine if anatomical or functional issues are the cause. Such tests may include:
- Diagnostic imaging: This involves assessing the urinary tract using ultrasound, CT and MRI scanning, radiation tracking, or X-rays.
- Urodynamics: This procedure determines how well the urinary tract stores and releases urine.
- Cystoscopy: This allows the doctor to see inside the bladder and urethra with a camera lens inserted through the urethra via a long thin tube.
A healthcare professional can
The type of medication and length of treatment will depend on a person’s symptoms and medical history.
People should always complete the full course of treatment to make sure that the infection is fully clear and reduce the risk of antibiotic resistance. UTI symptoms can disappear before the infection has completely gone.
To cure a UTI that has occurred due to problems within the urinary system, a healthcare professional will need to diagnose the underlying issue.
If the person is seriously ill, they may need to be admitted to a hospital to ensure they consume sufficient fluids and receive the correct medication.
People may also need to go to the hospital if they are:
- pregnant and are otherwise ill
- an older adult
- have cancer, diabetes, multiple sclerosis, spinal cord injury, or other medical problems
- have kidney stones or other changes in their urinary tract
- recovering from recent urinary tract surgery
To help treat and prevent recurrent UTI infections, a healthcare professional may:
- suggest changing birth control methods
- prescribe a single daily dose of antibiotics for 6–12 months
- prescribe a single dose of antibiotics to take each time a person has sexual intercourse
There are several suggested remedies that people with a UTI can try at home. These include:
- Staying hydrated: The
NIDDKstates that drinking plenty of fluids, with water being the best option, can help flush bacteria from the body.
- Urinating frequently: Urinating as soon as a person feels they need to can help
prevent and treata UTI.
- Probiotics: Researchers have not definitively concluded whether probiotics are an effective treatment for UTIs. However, Lactobacillus probiotics may improve vaginal health by producing antibacterial hydrogen peroxide, lowering the pH of urine so bacteria cannot easily grow, and preventing bacteria from attaching to urinary tract cells.
- Heat therapy: A person can apply a hot water bottle or warm cloth to their abdomen or back to manage any pain from a bladder or kidney infection.
- washing hands before and after touching the genitals
- avoiding spermicides
- wiping from front to back to reduce the spread of bacteria from the rectum to the vagina
- using vaginal estrogens, if appropriate
A person should contact a doctor if they develop symptoms of a UTI. Without treatment, UTIs can lead to a sudden and severe kidney infection which can be life threatening.
- severe pain in the back near the ribs or lower abdomen
Below are answers to the top frequently asked questions about urinary tract infections.
How do you know if someone has a urinary tract infection?
Although symptoms can differ from person to person, the following symptoms may indicate a person has a UTI:
- burning when urinating
- frequent need to urinate
- cloudy, dark, strong-smelling urine
- blood in the urine
- lower stomach pain
- back pain to mid-back pain
If a person develops these symptoms or notices these symptoms in another person, they should seek medical advice.
Will a UTI go away on its own?
Some UTIs can go away on their own. A
A person should always see a doctor if they develop symptoms of a UTI as they can progress into a kidney infection.
Why do I keep getting urinary tract infections?
Risk factors for recurrent urinary tract infections
- spermicide use within the previous year
- getting first UTI under the age of 16
- having a mother with a history of UTIs
- urinary incontinence
- not fully emptying the bladder when urinating
- low urinary volumes
- high frequency of sexual intercourse
A person should speak with a doctor if they get recurrent UTIs.
What are the causes of urinary tract infections?
The primary cause of UTIs is bacteria traveling from the rectum, perineum, and vagina to the urethra.
However, some other causes can include blood-borne bacteria.
People may be at a higher risk of developing a UTI if they:
- have frequent UTIs
- are sexually active
- have difficulty fully emptying the bladder
- have a blockage in the urinary tract, such as kidney stones
- have diabetes
- use a catheter
- have vesicoureteral reflux
A UTI is an infection of the urinary tract. The urethra and bladder make up the lower urinary tract, and the upper urinary tract consists of the kidneys and ureters.
The main symptoms include a burning sensation during urination and a frequent and intense urge to urinate. The symptoms are the same for both males and females. However, males are more likely to experience the sensation that they have not finished urinating and urine dribbling from the penis after urination.
UTIs occur due to bacteria present on the skin and around the rectum and vagina. However, some risk factors are female- or male-specific.
Treatment includes antibiotics, and a person should drink plenty of fluids.
If an individual notices symptoms of a UTI, they should contact a healthcare professional. Without treatment, a kidney infection can occur.