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Is a chronic urinary tract infection the same thing as a recurrent UTI? What does it mean if you get frequent urinary tract infections? Is there anything you can do if you keep getting UTIs? These are just some of the questions we get on a daily basis. And even better, feel more equipped to tackle it head on. At the moment, it is generally accepted that recurrent UTIs occur due to either reinfection or a persistent Mesa on free local sex post hsb sunday. Evidence suggests that many recurrences of UTI may actually be caused by an underlying bladder infection that came about due to ineffective initial treatment.
Frequent UTIs caused by persistent bladder infection are also referred to as chronic cystitis or chronic urinary tract infection. Note that while terms used for various urinary tract conditions may sound different, they could refer to the same thing. When we refer to recurrent UTI in this site, we usually mean persistent infections; also called chronic urinary tract infections.
If your frequent UTIs are actually caused by an underlying chronic urinary tract infection, you need to pay attention here:. The fact that your UTIs keep returning should be enough evidence of this. But you may not know why chronic urinary tract infections are so hard to properly treat. Fortunately, we can explain it through super interesting science. While most uncomplicated UTIs either resolve on their own, or with a course of antibiotics, there is an increasing of cases of chronic urinary tract infections that cause ongoing symptoms. You get a UTI, you take the antibiotics you are given, the symptoms disappear, and everything seems normal.
Then you suddenly find yourself with another UTI… You take the antibiotics you are given, the symptoms disappear, and everything seems normal, until…. It may sound like a broken record, but this is the situation more and more females find themselves in. I take antibiotics when it gets really bad, and it seems to help, but I always get another one, and I always anticipate getting another one.
I try my best to prevent it, but it seems inevitable. In short, a ificant of females move through escalating stages of diagnosis as antibiotic treatment fails to cure them and testing fails to find a cause. Because there are no guidelines on managing complex or recurrent UTI, primary care doctors are generally not in a position to help.
It can be very difficult to successfully manage complex or recurrent UTI in primary care.
For females that progress from a single UTI, to recurrent UTI or chronic urinary tract infection, or to a diagnosis of Interstitial Cystitis, there has historically been very little hope of effective treatment. We hope to help change this. Depending which country you are in, what your symptoms are, and which terminology your doctor is familiar with, you may have heard the following terms to describe different conditions of the urinary tract:. It encompasses Bladder Pain Syndrome. International Painful Bladder Foundation If you do a little research, you will quickly find there are also sub- within these conditions, with varying symptoms and levels of injury to the urinary tract.
It is not our intention here to imply these chronic urinary tract conditions are the same, or that they affect people in the same ways. But they do have an important thing in common — in the majority of cases, no cause has been identified, and the condition is therefore not curable. Treatment focuses on reducing symptoms rather than resolving the underlying issue. Why did my test tell them nothing? There is strong evidence that many have been misdiagnosed with incurable conditions, when in fact they are afflicted with a chronic, embedded bladder infection that can be identified with appropriate testing, and treated effectively over time.
And above, we explained that recurrent UTIs can be attributed to a persistent bladder infection that is not properly eradicated by treatment. A persistent bladder infection can last for years in the form of a chronic urinary tract infection. For many females, the cycle of acute and symptom-free periods is never broken, and some move on to be diagnosed with the conditions mentioned above, such as Interstitial Cystitis ICor Painful Bladder Syndrome PBS.
More on that later. Behind the misdiagnosis of hundreds of thousands potentially millions of people, are embedded chronic urinary tract infections that involve biofilms. In the case of a chronic urinary tract infectiona biofilm is a community of bacterial cells that stick together and adhere to the bladder wall.
These cells then produce a protective slime that shields the bacterial community from antibiotics and the natural defences of the body. This goopy shield makes diagnosis and treatment very difficult. And while the bacteria are contained within their shield, the body is less likely to mount an effective response to their presence.
When bacteria are periodically released or escape from the biofilm, the body recognizes a threat. This triggers an inflammatory response, heightening symptoms of a UTI. This can be experienced as a cycle of acute symptoms, followed by periods of fewer or no symptoms. Evidence shows they are probably right. For those who suffer from a chronic urinary tract infection, the symptoms and ongoing pain can be debilitating, dramatically and adversely affecting their daily lives, as well as their overall mental and physical health.
We should also note here that biofilms can be fungal as well as bacterial, and there may be more than one pathogen present in the bladder at any given time. In fact, biofilms can be complex and diverse communities of multiple pathogens. But keep in mind, what causes a chronic urinary tract infection in one person is very likely different from the next person.
In fact, evidence of IBCs was found in about one fifth of urine samples from females with acute uncomplicated symptomatic UTIs. You can view it here. Although the existence of biofilms in human infection has been accepted in medicine for decades, it is much more recently that attention has turned to their involvement in chronic UTI. If free-floating pathogens are identified, their susceptibility to antibiotics is also tested while they are in a free-floating state.
The problem with these types of tests is that they do not specifically detect biofilm formations in the bladder. And therefore, they are not helpful in deciphering which treatments may be effective against microbes within a biofilm. To figure out how to treat a chronic urinary tract infection that involves biofilms or IBCs, it would be necessary to test different treatments on any pathogens within a biofilm or IBC, rather than on free-floating, easy-to-target pathogens. Some advancements in testing have been made.
Researchers have been able to pinpoint indicators of biofilms and IBCs in the bladder. These include filamentous bacteria and exfoliated IBCs. Exfoliated IBCs refers to bladder lining cells that contain microbes and have been shed from the bladder into the urine.
Both are s of an embedded bladder infection. Unfortunately, this area requires a lot more research. At the moment, tests to specifically identify an embedded chronic urinary tract infection are not available to the general public. On a more positive note, there are tests available that are more accurate than standard culturing methods.
Tests that use DNA sequencing methods, like those offered by Pathnostics and MicroGenDXhave the ability to identify microorganisms in a urine sample, regardless of whether they are free-floating or were part of a biofilm. You can about the issues with standard UTI testsand how to find alternative UTI testing options in the next sections.
Treatment protocols for chronic urinary tract infection do exist, however, specialists who can administer these are few and far between. And this type of treatment requires regular monitoring to evaluate any improvement in the embedded infection.
Learn more about persistent UTI treatment approaches here. Research has also shown that a high percentage of females with Interstitial Cystitis may in fact have biofilms, IBCs, or both within their bladder, and that this is the cause of their ongoing infection and recurrent symptoms. Interstitial Cystitis is a diagnosis of exclusion.
This means IC is diagnosed in the absence of any other obvious cause. And a cause for the onset of those symptoms has not been identified. Instead, we should think of the term as a placeholder, while we wait for a specific cause to be identified.
A diagnosis of exclusion leaves a lot of room for misdiagnosis. Some researchers now believe the insensitivity of standard testing methods may have led to large s of unnecessary diagnoses of IC. Hundreds of females ly diagnosed with Interstitial Cystitis — that is, the absence of infection — have been able to receive better testing that has identified an infection. With an infection identified these individuals have gained long term treatment that relieves their painful symptoms and has often led to complete resolution of the issue.
You may even be able to take this action at the first of a UTI, and prevent the symptoms from escalating. This is what the ride should look like….
Instead, for many females, parts of the sequence are missing, and a cure has been out of reach. Getting tested to discover the cause of your UTI symptoms is the best path to a permanent solution. And the best way to get tested is to see a doctor. Finding the right doctor, however, can also be tough. But first things first. Share your questions and comments below, or get in touch with our team. Notify me by when the comment gets approved. Notify me of followup comments via e-mail. I think I am textbook biofilm infection. I am 29 years old and have had 4 UTIs in 3 months since I got married. I am now getting them every two weeks.
When I was not sexually active for two years before marriage, I never got them. When I was sexually active in my life before, I got them monthly. I have treated my vagina thinking this is where it comes from but to no available I have treated my bladder with everything you can imagine, still comes back a couple weeks later. I am losing my mind. My mum is 68 years old and has had recurrent utis and yeast infections for two months, she has been on 5 Mesa on free local sex post hsb sunday of antibiotics so far with one severe uti diagnosis after test and another a month later testing positive for cystitis.
Hi Josie, sorry to hear about that. Can you please send me a direct message and let me know where your mum is based? My UTI or cystisis is not goin away since 3 months. Even after taking Injections for antibiotics, Oral antibiotics. All medication has become resistant.
How to cure this. Thanks, Melissa. My mom gets a uti every 4 to 6 weeks if she is lucky sometimes she finishes 10 days of antibiotic and within 4 days she has another utithe doctor does a culture every time and its comes back a different bacteria then the one she just finished antibiotics for the doctors around here dont want to give her more than 5 to 7 days of medication because they are afraid but she gets septic many times. She is 94 and is getting UTIs for 50 years.
That is her only real serious health problem. Dont know where to turn for help. She gets a lot of iv antibiotics when pills dont help. Please help me. Hi Carol, sorry to hear that. Can you please send me a direct message and let me know where your mother is based so I can share the most relevant resources?
Waiting to hear back the .Mesa on free local sex post hsb sunday
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