Doctor Answers Commonly Searched Questions About Urinary Tract Infections
10
October

By Adem Lewis / in , , , , , , , , , , , , , , , , , , , , , , /


[Music] hi I’m dr. Natasha Boyan I’m a family physician at one medical we’re an innovative primary care organization and today i’m chatting all about urinary tract infections why are you t is so common UTIs are really common in cisgendered females because our urethra so the hole that our urine comes out of it’s a little bit shorter and so it becomes easy for bacteria that naturally exist on our bodies to climb up our little pee hole and cause an infection in general our urine should be sterile so it should be bacteria free but bacteria can easily get in there why are you tea is more common in pregnancy one of the big reasons is because our hormones change in pregnancy and it actually makes it harder for our bladder to squeeze out urine and so what ends up happening is that women are sitting with urine in their bladder and that can become a breeding ground for bacteria and so that can actually cause UTIs another thing that happens in pregnancy is the tube between the bladder and the kidneys actually dilates and gets bigger and so it becomes a little bit easier for bacteria to crawl up into your kidneys and kind of cause that infection and then one of the other things that happens in pregnancy is about 70% of women in pregnancy will get glucose which is sugar inside their urine and when they get sugar in their urine bacteria love to feast on that sugar and so they’re more prone to getting urinary tract infections an important thing to remember about UTI in pregnancy is you don’t necessarily use the same antibiotics that you use when you’re not pregnant because it might not be safe for the fetus so certainly if you get a UTI in pregnancy you should see your gynecologist or your primary care provider can UTI is spread UTIs are not sexually transmitted infections so they’re not contagious you cannot pass it to another person that being said UTIs are caused by E coli and other bacteria that naturally exist on our bodies and we do tell people you know you probably won’t want to have sex when you have a urinary tract infection because the pelvic area is feeling a little bit in it’s a little bit uncomfortable so it makes sense to wait until after your ute UTI is cleared before you have sex when do UTIs go away without antibiotics this is a little bit of a myth so I have a lot of patients who will tell me they felt the start of a UTI they drank a lot of water and a lot of cranberry juice and their UTI resolved the reality is cranberry juice has this component that makes it harder for e.coli to attach on to our bladder walls so yes cranberry juice can help with UTIs but when you have a full-blown UTI and lots of bacteria that cranberry juice is just not gonna cut it so for most UTIs you actually do need to take antibiotics to get them cleared certainly there are some instances especially at the beginning of a UTI when that bacteria is just starting to climb up your bladder that’s when you likely are able to clear it out and flush it out by drinking water one thing I do caution patients about though there are a lot of over-the-counter products for UTIs and they claim to treat UTIs but what they really do is they’re kind of numbing up our your refill tract and you think that you’re feeling better but the reality is now you’re just numb and you’re not feeling that burning sensation but you might still have bacteria in your bladder so the most important thing I can say is that if you feel symptoms of a UTI if you feel burning with urination if you’re peeing a lot more than usual if you have an urgency to go urinate definitely see a healthcare professional should all UTIs be treated with antibiotics yes if you have a urinary tract infection and you’ve gotten a urine culture and it’s growing out bacteria it’s really hard to get that to resolve on its own so you should see your primary care doctor and you should get antibiotics to treat that what is the difference between a UTI and urea plasma so a UTI is usually bacteria like e-coli it’s something that generally exists in our system anyway urea plasma is also a bacteria that a lot of people have in their system but when ecoli gets into your urine it will cause an infection it is not supposed to be there you’re gonna symptoms but meanwhile with urea plasma you might have that in your urine and you may or may not feel symptoms we do think it’s good to differentiate and get tested most of the time when people have symptoms though that is actually a bacterial UTI when should a UTI go away UTI is generally start to feel better within about a day or two of starting antibiotics but the reality is you need to take the full dose of antibiotics to make sure that every single bacteria is killed that generally would be about three to seven days depending on the antibiotic that you have if you start taking an antibiotic and you’re still feeling UTI symptoms you’re still feeling burning it’s really painful you can see your healthcare provider and they can often give you medications that will numb the urethral tract as you’re starting to recover will a UTI test show an STD that’s a tricky one a UTI test is a urine culture that’s supposed to grow bacteria and it grows out bacteria like e-coli an STI test is also a urine but it’s a different kind of urine that we run we run a thing called in that and basically what we’re testing is we’re testing the DNA of the bacteria so if you’re looking for something like chlamydia or gonorrhea it’s important to let your primary care provider know that you want to be tested for STI is because that test that they’re running for your urine might not necessarily find sti’s how do you t-i-is happen there are a couple of different ways that UTIs happen one really common way is ecoli or other bacteria gets into the urethra which is where we urinate out of there’s a couple of different things that put us at risk of UTIs one is sexual activity when we’re having sexual activity we end up moving bacteria that naturally exists in our genitals and it ends up moving into the urethra another risk factor for getting UTIs is if you’re somebody whose Anatomy just has your urethra a little bit closer to your rectum our general gut just has a lot of bacteria and so bacteria can exist around our rectum this is why I tell my patients make sure you wipe front to back after you void and don’t wipe back to front another risk factor for UTIs is going through menopause so when women go through menopause their estrogen levels change their vaginal flora changes and they might be less adept at fighting UTIs they might get UTIs more because urine is sitting in their bladder a little bit longer it’s not being squeezed out and then the last risk factor is using spermicides when we use spermicides it kills sperm but it can also kill good bacteria in our genital area that’s often fighting bad bacteria so we tell people who are prone to UTIs don’t use spermicides just put that on the shelf because there’s other better ways to prevent pregnancy can UTIs kill you unfortunately yes if a UTI is untreated it can be really dangerous UTIs can keep moving through your organs they can move into your kidneys UTIs can end up in your bloodstream and that bacteria is called urosepsis when someone gets urosepsis it’s very dangerous to their lives and I don’t want to scare anyone it is really uncommon to die from a UTI so when you get a UTI don’t just blow it off make sure that you get professional help and you get that treated we see UTIs all the time in healthcare it’s nothing to be ashamed of it’s very easy to treat and actually you don’t necessarily need to see a doctor in person to get it treated a lot of primary care providers like in our group will treat people’s UTIs virtually if they know they’ve got the symptoms if they’ve had it before so definitely you reach out to someone that you trust a trusted health care provider and let’s get that UTI taken care of [Music] you


100 thoughts on “Doctor Answers Commonly Searched Questions About Urinary Tract Infections

  1. Ever since I’ve had a really bad UTI almost a year ago I am still dealing with a similar pain every now and then. It’s usually goes away after a few hours, but it’s very annoying. Did anyone else experience that?

  2. Very helpful. But i constantly get UTI's & I don't have insurance. I wish you could buy antibiotics over the counter.

  3. Before you take antibiotics try D-MANNOSE! D-mannose is natural powder you drink with water and it works like a charm.

  4. I recently had a bad UTI and ate a can of pineapple chunks in pineapple juice and symptoms subsided within a couple of hours.

  5. I love this doctor she is so sweet…. Can u pleasss so a video about SCOLIOSIS , menopause, what happens to the body after pregnancy

  6. I like how she tried to not be transphobic by saying "cisgender female" but actually forgot trans men who may also have a vagina. Thank you for the effort. Maybe just talking directly about the body parts instead of explaining through genders would be more inclusive.

  7. Well dang. Im taking a college health class right now and it said nothing about spermicide allowing utis to be more common. I guess its good that Im watching this

  8. Why bother saying cisgender as if you're acknowledging transgender people if you're then going to just completely ditch the effort to be accurate and inclusive? I can kind of appreciate the effort, but seems like a token gesture

  9. anyone struggling with recurrent utis needs to research the embedded UTI theory and professor malone lee's work in london. he is my consultant and is one of the only consultants in europe to specialise in this area. Please educate yourseld on this epidemic of a condition.

  10. Also if you are prone to UTI from a weak immune system or kidney disease like me then you’ll probably be on anti biotics for about 2 weeks through IV

  11. Sorry but you forgot about kidney disease ! That’s a risk factor as well , so if you have kidney disease then it’s so easy to get UTIS

  12. I’ve gotten UTIs. There not fun at all. So just make sure everyone gets informed by this video, and stay safe out there! And go see a doctor if need be!

  13. Good job, Youtube Algorithm. I haven't searched anything about UTI. but yeah, almost every year I get UTI. So this is actually informative for me haha..

    #CranberryJuice

  14. My mom passed away from an E. coli UTI infection that wasn’t caught in time and it spread around her body, she was pregnant with me.

  15. I was weirded out that my UTI didn't clear up with the antibiotics (culture came back positive and everything), but the pain moved. Then today I got my period. Hooray for endometrosis. 🙈

  16. Urine being sterile – that is misleading. It is "sterile" in that it is free of commonly detected bacteria, that would cause an UTI. There is already bacteria in there, but it's normally cultures that wouldn't cause an infection.

  17. I'm pregnant and had the worst UTI, ended up getting into my kidney and the back pain ( kidney pain) i had was horrible i couldnt sit or lay down or anything cause it was putting pressure on it or baby was moving and pushing on it ended up staying over night got antibiotics through an iv then got a prescription for antibiotics, once i finished the antibiotics though it keep coming back so now i have to take a small dose just once everyday to stop it from getting really bad until i've had the baby. Not fun at all

  18. I got a kidney infection from a uti, I HIGHLY recommend you get it treated before anything else happens cause kidney infections are the absolute worst

  19. I literally just got discharged from the hospital today bc I had a uti for a few weeks (didn’t know it) & it spread into my kidneys & went septic. Worst pain of my life.

  20. Three things I got from this video:
    1. Go to the doctors for treatment
    2. Wait til it's completely gone before getting physical
    3. Mortality (uncommon)

  21. it’s hilarious when someone is chugging cranberry cocktail thinking it’s the the same as cranberry juice

  22. I refill a water bottle 4 times a day and it’s 30 ML of water I drink. And pee every 2 hours. Am I flushing the bacteria out of me good?

  23. When I was 5, I had a UTI for over a year and I would have fevers that would get all the way up to 108 degrees

  24. Almost died when I was 5 because of this doctors insisted it was nothing then I started getting sick and ouking they said it was just the stomach flu, but it kept getting worse. Mom took me to childrens hospital to find out my kidneys were almost septetic from being left untreated for so long. Got them so much as a child after this (one of the worst childhoods ever) and still get them now

  25. Oh, the adorable Dr. is back, best thing for healtheducation, likeable Dr that make you enjoy it instead of fearing it

  26. I used to get painful UTIs frequently & my doctor said to start taking cranberry supplements everyday. I started doing that about 15 years ago & I have not had a single UTI! The cranberry supplements are much more potent than drinking cranberry juice.

  27. Wow this is crazy News I did not know this!.. Uti must see a Doctor. What are the symptoms of both? What are the symptoms of toxic shock syndrome?

  28. Okay but I'm not sure that's true.
    I've had plenty of UTIs. Even quite bad ones.
    Never taken antibiotics for it.
    Pretty sure you don't need to, it just speeds up the process.

  29. Stop masturbating with a shower head. My doctor never told me this because it's an awkward thing to bring up, but once I stopped using it, my UTIs stopped occurring as frequently.

  30. When you say "cis females" I think you mean "people with vulvas." cis women aren't the only people with vulvas: trans men and non binary people can have them too. Just a gentle Nudge to adjust your language to include trans masculine and nonbinary people. 💜

  31. I had many UTI’s during my childhood, and again later in live, I started what I thought where back pains but I made high fever and even couldn’t stand anymore. So my gp said it’s not normal anymore every around three months you have an UTI, so was referred to an specialist it was a suffering needed to do different things. They found out I had a reflow of urine to my kidney and he saw old scars in my kidneys but my right kidney is the bottom part most damaged and doesn’t work that well. So I had a re-implant from my blather to my kidney. Now I’m under medical continuity supervision also because of my Crohn’s and Spondylitis Ankolysis

  32. About 2 months ago I had a UTI infection and it SUUUUUUUUUUUCKED! To prevent infection you can drink a crap ton of water and change underwear daily. BUT MOST IMPORTANTLY CHANGE. YOURE. TAMPONS. It’s soooo dangerous to keep tampons in for too long (12+ hours) But I hope it won’t be AS common anymore.

  33. I really like the way she talks about the UTIs. This makes me feel like going and doing sexual activity with the girls and peeing with them to show how much is there when getting infection.

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