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Q&A Topics

Bladder Infection


Good day,

On the 5 of April I fell very ill (after feeling sick/offish for a while) I went to the docter and was told I had UIT(3+). I was given antibotics i think it was cipro/ciplox (not sure of the name now. It made me very sick and after a course of three days still had infection. I was then given a longer dose but upon return I still had the infection. This went on for a while I was changed to another antibiotics Bio amoksiklav. After this when i went for dipstick infection did not show, but a few days later it was back! I went back to docter and this time a urine sample was taken sent away and i was put on another antibititc three days later went back for results and I was told I had a urine infection I was put on fluconizole and taken off antibiotics. I then got really ill a few days later went back to dicter and guess what…? Infection back again. This time I was admitted to hospital blood test run (this come back fine), they did scan (sonar) of my Kidney and it all come back fine to no kidney stones or anything. However the went ahead and treat me for pyleonephritis as the docter per his words suspected that the tubes that run from the kidney to the bladder may be where the problem lies. Was put on zinnat for 5days afetr did a urine test again and it showed it was clera and i had felt a bit better however almost two weeks later i fell ill again and went back to docter and once again they found the infection. The urine culture that was done showed that I had Strep B infection and that Amoxycillin 500mg 2tabs three times a day!... I am at a point of frustration as I am still feeling real ill. I have been booked for a cystoscopy (not sure if that the right name but it something to do with checking the bladder). Unfortunately im not on medical aid so when it comes to hospital I can only depend on the Karl Bremmer where I am being treated. I am frustrated as I want to see a uriologist to sort this out. I am been feeling real ill since the 05 of April without real relief. I want to go to a Uriologist but not sure where to go within the private sector where I can pay (as I can). I have an appoint booked for a Uriologist but the availbale space is only in two months time :-(!!! What should I do…? To add tio this I have also missed my period during this time its been two month now. I do get spotting now and then but last a day then goes away. I am considering going for Gynea check especially with all other symptoms persisting!! Please help advise!! Could this be something else that the docters are missing if it is the UTI what can I do to prevent it from recurring what natural remedies are there as I am also getting tired of all teh antibiotics!!

Yesheen (dr.) Singh Medical Doctor View profile

Dear J



Thank you for your question. I can feel the immense level of frustration you are experiencing through your experience. Just reading about your case makes me angry and sad at how slow mainstream medicine is when it comes to understanding health and wellbeing. The reliance on antibiotics when in doubt is so damaging and is the main cause of your problem, not the initial disease.



I think that the your case is one of a little problem turning into a big one where it could easily have been arrested in the early stages before it turned out so messy. From the your history I don't doubt that you began with a bacterial urinary tract infection (UTI). The doctor's route of antibiotics was appropriate according to the protocols most doctors follow. But when you experienced no resolution of symptoms the doctor should have done a urine culture before putting you onto further courses of antibiotics.



When they did do a culture they found a fungal infection (Fluconazole is an antifungal and not an antibiotic) which is not surprising as a side effect of repeated unecessary antibiotic use is fungal over growth. When they sent you to hospital and found no signs of pyelonephritis there was no indication for intravenous antibiotics, which probably did further harm instead of healping you recover. Now you are left with a problem that is months old and with worries of more serious problems with your kidneys. The changes you are experiencing in your menstrual cycle are probably due to the high amounts of stress you are under as a result of this condition, as well as the compounding effects of multiple antibiotic courses on your immune system.



The main ingredient missing from this mix is a strong probiotic. If you did have a bacterial infection, and it did respond to one or more of your many antibiotic courses, then the antibiotics cleared out both the bad bacteria and the good bacteria. With the good bacteria gone the fungus had plenty of opportunity to overgrow and, surprise surprise, it gives you exactly the same symptoms as a bacterial overgrowth if ocuring in the bladder. That's why urine cultures should be done after the first course of antibiotics have failed.



The repeated courses of antibiotics have only to further compromise your immune system, both locally in the bladder/vulva area, causing a continuation of symptoms, as well as systemicaly. Do you have a recent history of several little but not serious respiratory or gastrointestinal tract infections?



I would not bother with a gynae or a urologist now. All they can suggest is further courses of antibiotics or steroids, which will only worsen your condition, not help it.



I would start with a strong probiotic, preferably from the fridge section of you local health shop - try UltraFlora Plus by Metagenics and use one capsule before breakfast and one before dinner. Secondly I would stop all antibiotics. Thirdly I would begin using a D-Mannose supplement (Solgar make an excellant one). Thirdly I would look at ways to supercharge your immune system - cut out all sugar, dairy and wheat, use a Vitamin C supplement (Ester C from The Real Thing is a good example), exercise three to four times weekly.



These are the more general places to begin with. If you have any other conditions or are using other medication then it becomes a little more complex as some conditions can affect the immune system adversly requirng more specific therapy. In this case I would begin with the steps above, try them for at least a month, and if there is no resolution then contact either me via www.healthnation.co.za or your nearest functional medicine practitioner for more help.



Many thanks and warm regards

Yesheen Singh

Angela Lombard Nursing Practitioner View profile

Dear T

Thank you for your concerned query.

It is very important that you see a medical doctor for a full assessment and physical examination - this has not been done with the clinical picture you have given. The dizziness, loss of appetite, tiredness, and reoccurring urine infection are abnormal signs and symptoms and do need to be investigated and treated. I recommend in addition that you have a Pap smear (cervical smear) so as to rule out a vaginal infection please. Should you not have been happy with the consultation done, then you need to think of going to another general practitioner for a second opinion.

Do make this responsible appointment today.

Kind regards

Angela

Angela Lombard Nursing Practitioner View profile

I suggest that you make an appointment to see your general practitioner for a urinalysis of your urine. I recommend that you see your GP at this stage as it may well be that you will require a conventional antibiotic. Depending on when you last had a cervical (pap) smear, this would be a preferable procedure for your GP to do as well. It definitely sounds like you have an infection, so please schedule an appointment to see your GP.

I do hope you feel better soon.

Warm regards

Angela

Angela Lombard Nursing Practitioner View profile

Your treatment has obviously worked in relieving your urinary tract infection, but what you now have is a side effect resulting in thrush, as a result of the two antibiotics prescribed. It is important to know that once thrush is in the body it will always be there, so it is vital to keep it reduced and contained. What you need to do now, is to take a course of probiotics like Probiflora 9 strain, which will settle and correct the balance of your natural flora and fauna in the gastrointestinal system. I suggest that you take one capsule an hour before or after food in the morning and evening. Lactacyd is an effective douche wash. This can be used all over the body, but is specifically geared for the genital area. This is due to the mild pH level in the wash. You can invest in a small yoghurt carton of plain Greek bulgarian yoghurt - keep it in the fridge, and apply to a clean panty liner 3 times a day, for 3 days. This has a soothing and cooling effect for the irritated mucous membranes of the vagina. It is important to have an annual cervical smear done so as to determine the extent of any future outbreaks of thrush, due to the history you have already given. Many other questions have been answered on cnception for the website which you can source under fertility and sexual health. You are also welcome to see me at our well clinics in Cape Town and Cavendish, Claremont. Kind regards, Angela, Nursing Practitioner.

Sean (dr.) Gomes Medical Doctor View profile

Walking bare feet on a cold floor is not a direct cause of urinary tract infections. Women do have certain triggers that pre-dispose them to urinary tract infections such as sitting on a hot car seat or getting cold. The reason is two fold, in the first instance, the hot seat creates an environment where bacteria are more likely to thrive and in the second case, getting cold can lower ones immune system thereby also allowing the bacteria to thrive. The most common cause of UTI are bacteria from the bowel that live on the skin near the rectum or in the vagina which can spread and enter the urinary tract through the urethra. Once these bacteria enter the urethra they travel upwards causing infection in the bladder.

Sexual intercourse is a common cause of urinary tract infections because the female anatomy can make women more prone to urinary tract infections. During sexual intercourse bacteria in the vaginal area is sometimes massaged into the urethra.

Another cause of bladder infections or UTI is waiting too long to urinate. Waiting very long past the time you first feel the need to urinate causes the bladder to stretch beyond its capacity which over time can weaken the bladder muscle. When the bladder is weakened it may not empty completely and some urine is left in the bladder which may increase the risk of urinary tract infection or bladder infection.

Taking cranberry juice or tablets can help prevent UTI’s. This is related to the bactericidal effect of Cranberry on E.Coli, the bacteria commonly associated with UTI’s.

You can also find out more regarding complementary remedies on our website at www.wellnesswarehouse.com/healthnotes.php?org=wellware&ContentID=1283006

Should you have an infection then you will most likely need antibiotics. You will need to visit your doctor to have antibiotics prescribed.

Regards Dr Sean Gomes

Reena Sukdev Homeopath View profile

UTIs are caused by bacteria such as E. coli that travel into the urethra, bladder, and sometimes the kidneys. Other STIs such as trichomoniasis and chlamydia can cause UTIs. Experiencing stress, having a weak immune system, eating a poor diet, diabetes, use of certain diaphragms and spermicides, use of certain birth control pills can increase the risk factors. You may have to look at yours and your partners sexual history. Importantly, you will need to consult a medical practitioner who will perform a urinalysis to make an accurate diagnosis. Once this is done, proper treatment can be provided. Some herbal remedies commonly used in the treatment of UTI are Cranberry, Goldenseal and Buchu which are available at our Natural Medicine Dispensary.
Staphysagria is a prime homeopathic remedy for repeated UTI especially due to sexual intercourse. Taking a good probiotic and a high dose of Vitamin C will also be good idea. For further advice please visit me at the Natural Medicine Dispensary.
Regards Reena (Resident Homeopath)

Sameera (dr.) Abbas Naturopath View profile

Kidney infection (pyelonephritis) is a bacterial infection of one or both kidneys. It can be caused by anything that can obstruct the flow of urine, such as a kidney stone, or reflux of urine from the urinary bladder back into the ureters, due to repeated urinary tract infections that are not treated effectively, or mostly due to a bacteria called Escherichia coli ( found largely in the large intestine).

Poor toilet hygiene can also increase the risk of kidney infection as bacteria are easily spread from the anal area to the vagina and eventually to the bladder or kidneys.

People with a poor & weakened immune system, diabetes and pregnant women are also more at risk for pyelonephritis as their ability to fight off infection are compromised.

Kidney infections can also be due to secondary conditions such as staphylococci skin infections which can be carried to the kidneys by the bloodstream.

A kidney infection usually starts in the genital area ascends through the urethra to the bladder, pass the ureters and eventually the kidneys, therefore good toilet hygiene is very important to help prevent infection.

Kidney failure is different to kidney infection. It is the inability of the kidney to filter metabolic waste from the blood. Can be caused by injury to the kidneys or within the kidneys (due to drugs, poisons, heavy metals, poisonous mushrooms, pesticides, surgery) obstruction of urine flow (tumour, kidney stones) and due to a decrease of blood supply to the kidneys (low blood pressure, shock, severe blood loss, dehydration). However, repeated kidney infections can eventually lead to kidney failure.

It would be best to have a urine test done to check for the presence of bacteria. Infections should not be left untreated as it can cause severe damage to your kidneys.

If you are suffering from these symptoms I recommend you see a doctor for further assessment and treatment.

Regards

Sameera Abbas
(Naturopath)

Sean (dr.) Gomes Medical Doctor View profile

I would recommend that you visit your doctor for a further assessment. Your increased urinary frequency could be caused by a urinary tract infection. This would need to be diagnosed with a urine test. The fact that you are thirsty all the time could be related to an endocrine problem such as diabetes. Hence you are wanting to drink all the time and therefore have increased urinary frequency. Both these illnesses would need to be properly diagnosed and treated by your doctor. Regards Dr Sean Gomes MD

Chase (dr.) Webber Naturopath View profile

Kidney infections can be diffucult to clear, depending on the cause. You would be advised to ask your doctor to examine deeper as to the type of bacterial infection, if it is associated with a kidney stone or infection elsewhere in the body, then to use a specific anti-biotic effective for that infection and use long enough to prevent a relapse. I would also advise that you use a good probiotic whilst on the anti-biotic and after for at least 2months to build up your system again. regards Dr Chase Webber ND


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