Common Urinary Issues
Mar 05, 2012
Florida - Southwest
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A: Kidney stones are a painful condition whereby stones form in the kidney and pass through the ureter into the bladder. Usually the pain associated with kidney stones is caused by the passage of the stone into the bladder. Surprisingly, most patients experience few symptoms when the stone leaves the bladder. There are multiple causes for kidney stones. Most of the time though, there is no definable cause. The best prevention for kidney stones is to drink plenty of fluids, at least 6-8 glasses of water a day. Depending on the composition of the stone, certain medications are useful in preventing kidney stones.
Q: Why do I keep getting urinary tract infections?
A: Urinary tract infections (UTIs) are caused by bacteria that grow in any part of the urinary tract. The bladder is the most common site for a UTI. Frequent UTIs, 3 or more per year, are divided into persistent (one bacteria that doesn't resolve with treatment) or recurrent (a separate infection, with the same or different bacteria, that has a period of resolution between infections).
Causes for frequent UTIs include poor hygiene techniques, hormonal changes such as menopause, incontinence, kidney stones and intercourse to name a few. Some serious diseases, including bladder cancer, may mimic a urinary tract infection and should be ruled out by a qualified urologist before starting treatment for frequent UTIs.
Q: I've started to leak urine. Is this a normal part of aging?
A: No, it is not a normal part of ageing but unfortunately may become more common as women age. Over 40 million women in the United States are believed to have some type of urinary leakage. There are two main types of leakage. Urge urinary incontinence which is when you have to rush to the bathroom and don't make it in time and stress urinary incontinence which occurs with physical activity, cough or sneeze. It is most common in my practice to see women with a component of both which is a bit more complex to treat. The most important thing to know is that these conditions can be successfully treated and can vastly improve a persons quality of life.
Q: My doctor told me I have an enlarged prostate, but I have no difficulty urinating. In fact, I urinate too often. I have good flow and sometimes I have difficulty making it to the bathroom. If my prostate was enlarged wouldn't it be difficult to urinate?
A: Symptoms of an enlarged prostate (BPH) can be frequent and urgent urination rather than difficulty urinating. As the prostate grows and begins to obstruct the bladder, the bladder muscles become thicker, and the bladder begins to contract more often and unexpectedly. A careful urology evaluation can determine if these symptoms are due to enlarged prostate, cancer or a bladder or kidney problem.
Jonathan Jay, M.D. , Board Certified Urologist Specialists in Urology 239-434-6300
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UTIs and Older Adults: Symptoms and Prevention
UTIs and Older Adults: Symptoms and PreventionUrinary tract infections (UTIs) are a prevalent health issue among older adults, often leading to discomfort and potential complications if not addressed promptly. Home care agencies and caregivers play a vital role in managing UTIs, offering tailored support to prevent and treat these infections effectively. Lets explore how they can help.Understanding UTI Symptoms in Older AdultsOlder adults may not exhibit the typical symptoms of UTIs, such as burning during urination or frequent urges to urinate. Instead, they might experience cognitive changes, confusion, agitation, or sudden behavioral shifts. These atypical signs can be challenging to recognize, but trained caregivers are adept at identifying them early, ensuring prompt treatment and reducing the risk of complications like kidney infections or sepsis.Why Are Older Adults More Susceptible to UTIs?Several factors contribute to the increased risk of UTIs in older adults. As people age, both men and women often face challenges in completely emptying their bladders, which can lead to bacterial growth in the urinary tract. In men, conditions like benign prostatic hyperplasia (BPH) can obstruct urine flow, while in women, post-menopausal hormonal changes can alter the balance of bacteria, increasing infection risk.Prevention Tips and Care StrategiesEducation and Awareness: Home care professionals educate seniors and their families about the unique symptoms of UTIs in older adults. By increasing awareness, they empower families to recognize potential infections early. Understanding the signs can lead to quicker interventions, preventing more serious health issues.Hydration and Nutrition: Staying hydrated is crucial in preventing UTIs. Caregivers encourage seniors to drink plenty of water, aiming for at least 64 ounces a day, to help flush out bacteria from the urinary tract. They also promote a balanced diet to support overall health and resistance to infections. Proper nutrition, including foods rich in vitamins and minerals, can strengthen the immune system, making it more effective at fighting off infections.Personal Hygiene: Proper hygiene practices are essential in preventing UTIs. Caregivers assist with daily hygiene routines, ensuring that seniors maintain cleanliness and follow practices such as wiping from front to back. This reduces the chance of bacteria entering the urinary tract. Regular bathing and changing of undergarments also play a crucial role in maintaining hygiene and preventing infections.Regular Bathroom Visits: Encouraging regular bathroom visits helps prevent the buildup of bacteria in the bladder. This is particularly important for seniors with cognitive impairments, who may forget to urinate regularly. Caregivers can remind and assist them in maintaining this routine. Establishing a schedule for bathroom visits can help ensure that seniors empty their bladders regularly, reducing the risk of bacterial growth.Catheter Care: For seniors using catheters, home care providers ensure proper catheter maintenance to reduce infection risks. This includes regular cleaning and monitoring for any signs of infection, which is crucial for preventing UTIs in patients with limited mobility. Caregivers are trained to recognize early signs of infection, such as changes in urine color or odor, and can coordinate with healthcare providers for timely intervention.Lifestyle Modifications: Caregivers may suggest lifestyle changes, such as wearing loose, breathable clothing and avoiding irritants like caffeine and alcohol, which can exacerbate UTI symptoms. These modifications can significantly reduce the risk of infections. Encouraging physical activity, as appropriate, can also support overall health and improve bladder function.Use of Supplements: Some studies suggest that cranberry juice or supplements may help prevent UTIs by preventing bacteria from sticking to the urinary tract walls. Caregivers can coordinate with healthcare providers to determine if such supplements are appropriate for the patient. Additionally, probiotics may support urinary tract health by maintaining a healthy balance of bacteria.UTIs pose a significant health challenge for older adults, but with the right care and preventive measures, their impact can be minimized. Home care agencies provide essential support, from education and early detection to personalized care and lifestyle guidance. These services empower seniors to live healthier, more independent lives while managing their health effectively in the comfort of their own homes. By addressing both the symptoms and underlying causes of UTIs, caregivers play a pivotal role in safeguarding the well-being of older adults.
Dangers of UTI in the elderly
Younger people may perceive urinary tract infections (UTIs) as a nuisance, but for the elderly, it can be a serious condition with unexpected symptoms. It is important to seek medical attention promptly.The urinary system is the bodys drainage system for removing wastes and extra water. It includes two kidneys, two ureters, a bladder, and a urethra. UTIs are the second most common type of infection in the body.In some elderly people, mental changes and confusion may be the only signs of a UTI. Older adults with a UTI are more likely to be tired, shaky, and weak or have muscle aches and abdominal pain.Many things can affect bladder health. We cant control everything that affects bladder health, but there are many bladder health behaviors that can be controlled. Here are some things that may affect bladder health.DiabetesBeing OverweightLow Physical ActivitySome MedicinesGetting a UTI diagnosed and treated quickly in the elderly is essential otherwise there can be serious consequences.
Drinking Enough Fluids Isnt Just for the Summer!
It's important for your body to have plenty of fluids each day. Water helps you digest your food, absorb nutrients from food, and then get rid of unused waste. Water is found in foods, both solids and liquids, as well as in its natural state.With age, you might lose some of your sense of thirst. To further complicate matters, some medicines might make it even more important to have plenty of fluids.Remember, water is a good way to add fluids to your daily routine without adding calories.Try these tips for getting enough fluids:Don't wait until you feel thirsty to drink water or other fluids.Take sips of water, milk, or juice between bites during meals.Add liquids throughout the day.Have a cup of low-fat soup as an afternoon snack.Drink a full glass of water when you take a pill.Have a glass of water before you exercise.Drink fat-free or low-fat milk or other drinks without added sugars.If you drink alcoholic beverages, do so sensibly and in moderation. That means up to one drink per day for women and up to two drinks for men.Don't stop drinking liquids if you have a urinary control problem. Talk with your doctor about treatment.Learn how to shift to healthier beverage choices.Editors Note: This article was submitted by John Morris, Community Relations Director at Ashton Commons Senior Living. He can be reached at 724-436-0070 or for more information visit their website at www. ashtoncommons.com.