Question

Sadie has recurrent lower urinary tract infections (UTIs) caused by E. Coli

what symptoms is she likely to have?

How can Sadie eliminate possible fecal contamination of the urethra?

what foods can irritate the bladder?

Sadie is given sulfonamides as an antibacterial agent. what liquids will help keep the urine acidic for better therapeutic effects from the medications?

To prevent future UTIs, Sadie is given phenazopyridine. She calls the office and says that her urine is bright orange-red and she is concerned. what do you tell her?

why are females more prone to UTIs?

Answer 1

# FOLLOWING ARE THE SYMPTOMS SADIE LIKELY TO HAVE:

- Fever

- Burning micturition

- Frequent urination

- Feeling of incomplete emptying of bladder

- Fatigue

- Foul smelling urine, dark or Cloudy

- Lower back pain or pressure in the lower abdomen

# SADIE CAN ELIMINATE POSSIBLE FECAL CONTAMINATION OF THE URETHRA BY:

-She should be educated to clean the perineum from front to back and to "never" clean back to front

- Always maintain good perineal hygiene

- If fecal incontinence, Proper diet according to Dietician.Also teach pelvic floor exercise to strengthen pelvic muscles

# FOLLOWING FOODS CAN IRRITATE BLADDER:

-Caffeine containing food like tea, coffee, chocolates

- Carbonated drinks

- Spicy food

- Citrous foods like orange, tomato, grapes, lemon

- Alcohol can also irritate the bladder

# LIQUIDS THAT CAN HELP IN KEEPING THE URINE ACIDIC WHILE ON SULPHONAMIDES:

- Cranberry juice is the most effective. Also, Blueberry, pomegranete juices

#WHEN ON PHENAZOPYRIDINE, PATIENT SHOULD BE EDUCATED AS FOLLOWS:

- Phenazopyridine can turn the urine orange to reddish in colour which is normal. The inner wear can stain So ask the patient not to wear light panties

# FOLLOWING ARE THE REASONS WHY FEMALES ARE MORE PRONE TO UTIs:

- Females have small urethra so it becomes easy for microorganisms to travel

- Diatance between urethra and rectum is less making it easy for the microorganisms to travel from rectum to urethra

- Sexual activity( So, it is important to wash the perineum after intercourse thoroughly)

- Peri and Post menopause women due to low levels of estrogen

- Failing to maintain personal hygiene especially during Monthly cycles

- Failing to use public toilets to empty bladder while travelling( Bladder emptying is very important)