THE HEALTHPLACE
A Private Medical Practice of David P. Kalin, M.D., M.P.H.
P.O. Box 6009
Palm Harbor, Fl 34684
Tel  813.966.1431
  Fax 813.925.1932

drkalin@drkalin.com

 

Is Life Just a Case of Honeymoon Cystitis?

 

0h no, she’s calling me again:

“D

octor, would you please just fill this prescription one more time? I’ll come in and see you next time. My Mother always used to get this ...   It ruined our entire weekend. I knew you would be there early (at the office) 7:00 a.m. on Monday morning. I’ve been getting up every 15 minutes; it’s embarrassing. Blood!”

“I

 was scared to death; I didn’t think it was my period ... I never want to go through that discomfort again. No, I haven’t been doing anything else...with anyone else. I sit all day in this hot office, and yes, we have to wear panty hose. Oh, I get them about three or four times a year.  No, I haven’t had any trouble since my last pregnancy.  Recurrent infection... you mean I’ll have to stop that?  Doctor, I feel bloated all the time; I’m dizzy, just don’t feel the same.  Doc, I’ve had a backache.  Could it have anything to do with my period or with sex?”

The proverbial bladder infection, heralded by a feeling of urgency to urinate; not a lot, but frequently, and I mean now, and pain. Occasionally the urine will become cloudy or foul-smelling or even bloody.

M

ost of us, men don’t suffer the same symptoms with the prevalence of our counterparts. We’re protected by the length of the urethra, the long canal from the bladder to the opening of the penis, where the urine comes out.  We also don’t “suffer” from the monthly use of tampons or pads, the close proximity to the anus      (and potential infections), multiple births with subsequent falling of the bladder, vaginal discharges, or infections and the “trauma” of intercourse.  We do get our share, though - burning with shampoo, discharge with venereal disease, and dribbling from an enlarged prostate with its effect of blocking the flow of urine.  Our curse, however, is nothing compared to our mates.  

T

en to 20% of women will have at least one urinary tract infection during their lives, so it is said; I suspect more. Most will be caused by four or five of the most common bacterial organisms which usually come from the rectal flora, (bugs in the bowel) or chlamydia (VD). Usually the infection will strike when shampoo, spermacides, douches, spray deodorants, or wiping the wrong way (back to front), swimming in a chlorinated pool or at a sandy beach.  Fortunately, most urinary tract infections (UTI’s, as they are called in the business) are “cured” by a few of the common antibiotics - ampicillin, sulfa, macrodantin, keflex, or bactrim, accompanied by an increased amount of fluids, especially cranberry juice.

B

ecause of the potential for a urinary tract infection not clearing up completely, a repeat analysis is often done after treatment.  From time to time, however, the infection may be resistant to the antibiotics. For this reason a urine culture should be done either immediately or within two to three days if no relief is derived from the medication.  A urine culture is a process of growing the bacteria and determining the most effective antibiotic.  The medications, in conjunction with an awareness of the causative factor or factors, will eliminate the tendency toward recurrence.

 

But remember: three or more environmental changes usually will provide a ready recipe for bladder infections.

 

W

ith this global awareness of the causes of bladder infections, I hope you will not have to spend an endless honeymoon with cystitis.

 

 

Ehhh….What’s Up Doc?

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