Frequent urination condition?
Hello, doctor.
I am currently abroad and a few days ago I experienced symptoms of a urinary tract infection (UTI), unsure if it was cystitis or urethritis.
To prevent it from worsening into pyelonephritis, I consulted a doctor.
The pharmacist prescribed me antibiotics (Nitrofurantoin Macro 100).
After taking a few doses, my dysuria and hematuria have improved, but I still have persistent urinary frequency.
The urine volume is neither too much nor too little, and the urine appears clear without any unusual odor.
Is this normal? How long will it take to resolve? Thank you, doctor.
(I have been continuously drinking water and cranberry juice, and I go to urinate as soon as I feel the urge.)
S, 20~29 year old female. Ask Date: 2019/08/24
Dr. Du Shixi reply Urology
Hello: 1) After completing the course of antibiotics, monitor your symptoms and pay attention to your lifestyle habits.
Clear urine is a good sign, while minimizing the intake of spicy and irritating foods is advisable.
Frequent urination may be caused by increased fluid intake; if each urination is around 150-200 cc, it should be fine.
However, if the volume is significantly less than usual, there may still be a mild infection.
Maintain a fluid intake of 2000 cc or ensure your urine is clear if not engaging in strenuous activities.
Women may consider wearing looser clothing, avoid staying in excessively hot environments for too long, and refrain from sitting on hot surfaces.
Opt for showers instead of baths, and if engaging in sexual activity, please ensure proper hygiene.
Wishing you good health.
Reply Date: 2019/08/24
More Info
Frequent urination after a urinary tract infection (UTI) treatment can be a common concern for many patients. It's great to hear that you've seen improvement in your symptoms, such as discomfort and hematuria (blood in urine), after starting antibiotics like Nitrofurantoin. However, the persistence of frequent urination can understandably be worrisome.
Understanding Frequent Urination Post-UTI Treatment
1. Normal Post-Infection Symptoms: After a UTI, it is not uncommon for patients to experience lingering symptoms, including frequent urination. This can occur due to irritation of the bladder lining from the infection itself. Even after the infection is cleared, the bladder may remain sensitive, leading to increased urgency and frequency of urination.
2. Bladder Irritation: The bladder can take time to heal after an infection. The inflammation caused by the infection can lead to a condition known as "overactive bladder," where the bladder muscles contract more frequently than normal, resulting in the need to urinate more often, even if the bladder is not full.
3. Hydration and Cranberry Juice: Your efforts to stay hydrated and consume cranberry juice are beneficial. Hydration helps flush out any remaining bacteria and can soothe the urinary tract. Cranberry juice is often recommended for UTI prevention, as it may help prevent bacteria from adhering to the bladder wall, although its effectiveness in treating active infections is debated.
What to Expect
- Duration of Symptoms: The duration of frequent urination can vary from person to person. For many, symptoms may improve within a few days to a couple of weeks after completing antibiotic treatment. However, some individuals may experience symptoms for a longer period, especially if the bladder has been significantly irritated.
- When to Seek Further Help: If your frequent urination persists beyond a few weeks, or if you experience any new symptoms such as increased pain, fever, or changes in urine color or odor, it is advisable to consult your healthcare provider. They may want to rule out any residual infection or other underlying conditions.
Additional Considerations
- Pelvic Floor Health: Sometimes, pelvic floor dysfunction can contribute to urinary symptoms. If you find that your symptoms are not improving, consider discussing pelvic floor therapy with your doctor. This can help strengthen the muscles involved in urination and improve bladder control.
- Follow-Up Testing: If symptoms persist, your doctor may recommend further testing, such as a urinalysis or urine culture, to ensure that there is no residual infection or other urinary tract issues.
- Medication Review: If you are taking other medications or supplements, discuss these with your healthcare provider, as they may contribute to urinary symptoms.
In conclusion, while it is not unusual to experience frequent urination after a UTI, it is essential to monitor your symptoms and seek medical advice if they do not improve. Your proactive approach to hydration and symptom management is commendable, and with time, you should see improvement. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.
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