The Dangers of Holding Pee and Urine Infection

What it is

Urine infection is the presence of germs (bacteria) in the urine, with the resulting inconvenience to the p
atients. It produces itching when urinating, pain in lower abdomen, and
increase in frequency of urination, urinary urgency and feeling of not finishing urination urine.

Holding urine effects inflamed bladder (cystitis) by contact with infected urine. Various bacteria can
infect the urine. The most common are: Escherichia
Coli, Klepsiella, Enterococcus, Proteus Mirabilis, Pseudomonas, Corinebacter.

What are its causes?

Urine infection-
causing bacteria live naturally in the human gut, there doing important work of fermentation. The anus i
s also colonized by these bacteria. Due to the proximity between the anus and urethra (especially in wo
men) bacteria contaminateurine and progress to the bladder. Why urine infection produces mainly cystit
is andaffects women more frequently. If the infection is more intense you can climb up
toone of the kidneys and cause back pain and high fever (acute pyelonephritis). Somewomen have more
willingness than others to suffer
from urine infection unless youknow the exact cause. Factors that favor the infection of urine in women
are drinking very little water, waiting in intervals of time too long, the leaking of urine, peeing sex, meno
pause, bad habits of hygiene (by excess or default) and constipation.

Male urine infection produces prostatitis-acute, with intense pain when urinating and high fever. It
is mostly related to prostate problems in patients of advanced age,
mostly due to benign prostate hyperplasia (BPH). It
can also affect young men. In children is associated with malformations of the urinary vesico-ureteral
reflux, megaureter and ectopic ureter tree; or problems of function of the urinary bladder (bladder
instability, neurogenic bladder)

Sometimes urine infection appears in both men and women associated with lithiasis
(kidney stones). Also in sick or infirm who have been treated with surgery, Urological or carry a catheter
or urinary catheter.

How is it diagnosed?

Cystitis symptoms are very typical in most cases. If the presentation is typical and occurs sporadically it
is not necessary to conduct more studies. But if any of the following circumstances:

More than 2-3 cystitis a year.

Cystitis or infection of urine van repeating over several months.

It does not cure with a regular batch of antibiotic.

It has been associated with fever or bleeding from urine (hematuria).

In these circumstances,
it is advisable to perform a urine culture and an ultrasound.Possible predisposing factors such
as kidney stones or dilatation, malformations ofkidney or ureter can be diagnosed. In more complex cas
es, it may be necessary to carry out x-rays with contrast (intravenous urography), CT scan, and
cystography or urodynamic study.
Once completed the antibiotic treatment, especially in cases of hemorrhagic cystitisor repetition and py
elonephritis, prostatitis, it
is advisable to perform a urine cultureto check that the treatment has been effective.

Which prognosis has?

Urine infection has good prognosis and is easily cured with antibiotics, especially the sporadic and simpl
e cystitis. In some cases of cystitis of recurrence, chronic prostatitis, chronic pyelonephritis, irreparable
malformations of the urinary tract, neurogenic bladder... you
can have real difficulties to control the infection. In some cases urine infection becomes chronic and can
not be eradicated.

When urine infection is associated with renal obstruction (for example by a stone inthe ureter) it
is an infection of complicated urine that can have serious consequences for the patient and should be ad
dressed urgently.

What is the treatment?

Antibiotics are the treatment of urine infection. There are several very effective antibiotics that can
be taken a few days by oral routes (ciprofloxacin and its allied, amoxicillin-clavulanic
acid, cephalosporins,
sulfonamides). Simple cystitis cases can be treated with antiseptics (fosfomycin) in short runs. When the
re is fever and general involvement the antibiotic should be administered intravenously
(serum) which requireshospitalization in many cases. Endovenous treatment lasts a
few days until the disappearance of fever but is necessary to continue for three weeks more with oral an
tibiotic. If there is renal obstruction is necessary to place a ureteral catheter or a nephrostomy
tube, to unblock the kidney and allow urine to flow libremen.