If you ignore urethral inflammation, will you recover on your own? The key lies in the body's immunity. If the body has good immunity, even if you don't take medicine, you may recover on your own. In order to make your body have good resistance, rest more, drink more water, eat more fruits and vegetables, don't stay up late, quit smoking and drinking, exercise more, and don't accumulate too much pressure. These are the small places you should try to do in your daily life.
See a doctor if you have symptoms, but you can't delay seeing a doctor with the optimistic attitude of "you can be good to yourself". Infection has two directions, which may self-heal, aggravate or even cause pyelonephritis; To make matters worse, it may even lead to sepsis. Therefore, if you feel frequent micturition, urinary fever, dysuria, hematuria and dull pain in the lower abdomen, if the symptoms persist for more than 1 week and do not improve, you should see a doctor.
The symptoms of pyelonephritis are different from stones. Pyelonephritis usually occurs only on one side. Symptoms are fever, backache and persistent dull pain. Urinary calculi are bouts of intense pain (a bit like labor pains), because stones fall into the ureter and contract when the ureter peristalsis, thus causing severe pain.
The common urinary tract problems during pregnancy are frequent urination and urgency. How to improve in life? * Don't drink less water because you are worried about running to the toilet all the time, so as not to increase the chance of urinary tract infection. It is recommended to drink1500 ~ 2000 c.c. every day. Don't drink all the beef at once. It is recommended to drink it in batches, about100 ~150 c.c. per hour. * Eat more high-fiber fruits and vegetables, keep the habit of exercise and regular defecation, and avoid forced defecation. * If you are overweight, moderate weight loss will help improve the symptoms of overactive bladder. * Because chemicals in cigarettes can cause bladder problems, it is recommended to quit smoking. * Try to avoid eating the following drinks or foods within 3 to 5 days. If the symptoms improve, try to avoid eating in the future. For example: soft drinks, coffee, citrus fruits and drinks, spicy food. Dr. Du Yiming further pointed out that drinking more water will increase the amount of urination and bacteria will be easily excreted. You can drink soup or drinks (but the effect of drinking water is ideal). But it is not recommended to drink soda, carbonated drinks will increase the chance of urinary calculi.
How to prevent recurrent urinary tract infection? Repeated infection is defined as more than 2 times in 6 months or more than 3 times in 1 year. Usually pay more attention to prevention:
* Drink plenty of water, consider drinking cranberry juice or taking probiotics. :: Reduce the frequency of sexual activity. After sex, it is recommended to urinate immediately, which will help to flush bacteria out of the body. * Wear less pants that are too tight. * Wipe after using the toilet. * Bladder prolapse, urinary incontinence, urinary calculi, excessive urine volume, abnormal urinary system and other factors may lead to repeated infections. It may be necessary to cooperate with the doctor to do relevant examinations, including ultrasound, X-ray, computed tomography, etc.
Treatment of common urinary tract problems and urinary tract infections during pregnancy Antibiotics are the most important treatment drugs. Even pregnant women with urinary tract infection can still choose class B antibiotics, which will not harm the fetus. However, there is a key principle in antibiotic treatment, that is, all the drugs in a course of treatment must be taken, and it is not allowed to interrupt itself to avoid drug resistance. Usually, the course of antibiotics is about 3 days to 1 week, depending on the situation. The common side effects of antibiotics, such as gastrointestinal discomfort, are usually not too serious.
Urodynamic examination When the common urological examination can't find the cause, it may be necessary to do urodynamic examination at this time. Urodynamic examination is an invasive examination. Place a small catheter in the bladder to measure the pressure change during urination. It takes about half an hour, and the process won't be too painful.
Why do you often pee? There are many reasons for frequent urination. If you are pregnant, it is mostly caused by uterine compression. If you are not a pregnant woman, but an ordinary woman, you may urinate frequently because of drinking too much water and bladder inflammation. Factors such as abnormal work and rest, poor physical resistance, and sultry environment may lead to repeated infections. In addition, the urinary tract structure is abnormal, such as dysuria and stones. , will lead to an increase in the probability of infection. If it is confirmed that there is no infection, frequent urination, thirst, or other diseases such as diabetes, it will be referred to the endocrinology department for treatment.
You should get into the habit of not holding your urine. Many women will automatically start to hold their urine when they are busy at work or things, but this habit is very bad. The bladder is dominated by muscles and nerves. Once you hold your urine, the muscle layer can't contract normally. After a long time, it will be fibrotic, elastic, tired, difficult to urinate, and more susceptible to infection. At present, there is no special treatment for bladder nerve injury. We should avoid further injury and wait for the nerve to repair and grow on its own.
Urinary tract problems common during pregnancy are prone to renal edema in the late pregnancy. Dr. Du Yiming explained that the uterus compresses the ureter during pregnancy, and renal edema is prone to occur in the third trimester of pregnancy, especially in the right kidney, which belongs to physiological renal edema. Some people will feel pain in their right kidney, while others will not. The influence of renal edema is easy to cause infection and pain, and a few pregnant women may even cause uterine contraction because of excessive pain. But sometimes it is the pain caused by physiological renal edema or stones, because pregnancy is not suitable for X-ray, which is often difficult to distinguish.
Urinary tract infection during pregnancy, be careful of the risk of premature delivery. Because urinary tract infection may have the risk of premature delivery, once the symptoms of infection appear, you should see a doctor as soon as possible and actively treat it. Moreover, the probability of infection during pregnancy is higher than that of women who are generally not pregnant. Dr. Zhang Jingxin added that pregnant women are more susceptible to infection than non-pregnant women. It is estimated that it may be caused by factors such as a big belly, inconvenient toilet use, less toilet use, or poor resistance during pregnancy. In addition, more secretions such as vaginal discharge during pregnancy are also one of the reasons for the increase in infection rate during pregnancy. Mild infection symptoms are itching of urethral orifice; Severe infection symptoms are knife-like pain when urinating, or burning urine, or even hematuria, which must be actively treated. Don't hold your urine at ordinary times, wipe after going to the toilet, eat dried cranberries (or cranberry juice or cranberry ingots), wear more skirts and drink more water. When taking a bath, you can also consider using private parts cleaning products (but it is not advisable to over-rinse * * *).
Common urinary tract problems during pregnancy Two common urinary incontinence during pregnancy Dr. Zhang Jingxin explained that urinary incontinence can be divided into many types. Two common types of urinary incontinence during pregnancy are "urge urinary incontinence" and "stress urinary incontinence". The so-called "urge urinary incontinence" has symptoms similar to overactive bladder (but not overactive bladder), and there will be sudden urgency; As for "stress urinary incontinence", it is only when you exert yourself, such as laughing and coughing, that the abdominal pressure will increase, which will lead to "stress urinary incontinence". However, "stress urinary incontinence" is not really "complete urinary incontinence". The so-called "complete urinary incontinence" refers to involuntary urinary incontinence (often leaking urine but not found), which usually occurs in people with nerve or spinal cord injury and is rare in pregnant women.
As for the common "stress urinary incontinence" of pregnant women, the reasons are relatively loose pelvis, loose urethral orifice and poor bladder coordination during pregnancy. Sometimes it may just be a feeling of leaking urine, but it may not really leak urine.
Doing yoga during pregnancy is helpful to improve urinary incontinence, and yoga during pregnancy can also train muscle coordination; If you want to do Kegel exercise during pregnancy, please consult an obstetrician first.
Drink plenty of water at all times. Dr. Jingxin Zhang pointed out that the recommended amount of water to drink can also be estimated by weight. People of different weights drink different amounts of water. Basically, drinking about 40C is enough. C per kilogram of water, for example, a 50 kg person drinks about 2000C c. C water, but be sure to drink it in small quantities in batches. Some people may feel that they are busy during the day and often forget to drink water. It is suggested that they might as well bring a kettle and try to urge themselves to develop the habit of "drinking a mouthful of water at any time". After a long time, they will get used to drinking water in batches.
Common urinary tract problems during pregnancy About overactive bladder According to epidemiological research, about 16 ~ 18% of adults in Taiwan Province Province have problems related to overactive bladder. Bladder hyperactivity is a comprehensive symptom, which describes the situation of excessive sensitivity or abnormal contraction of the bladder (such as frequent urination, urgency, and some people will be incontinent). Bladder hyperactivity can only be considered if the urinary frequency cannot be found. At present, the main speculation in the medical field is that "bladder detrusor contracts irrepressibly during urine storage". If the cause can be found, such as infection and inflammation, it can't be regarded as overactive bladder. Pregnant or postpartum mothers usually do not belong to the prone group of overactive bladder, but may have symptoms similar to overactive bladder due to fetal oppression of bladder, temporary pelvic floor dysfunction or emotional anxiety.
What are the factors that lead to overactive bladder? Dr. Zhang Jingxin explained that overactive bladder is a comprehensive symptom caused by many symptoms, and it is a physiological change with unknown reasons.
One school thinks that "neurological factors lead to the inability to inhibit bladder contraction"; One school thinks that "the bladder muscle itself is unstable"; The other school thinks that "the defensive function of bladder epidermis is defective", and the substances in urine affect the sensory nerves under the bladder epidermis, and the bladder sensation becomes very sensitive, which may produce unstable detrusor contraction. In addition, nervous system diseases (such as stroke, Parkinson's disease and so on. ), postoperative stress urinary incontinence, pelvic floor dysfunction, depression, etc. It may also lead to overactive bladder.
Although there is no evidence that eating habits can lead to overactive bladder, sexual life or diets that increase urine output (sugar substitute, high salt, spicy food, caffeine, etc.). ) will change the composition of urine and may aggravate symptoms.
How to diagnose common urinary tract problems during pregnancy? As long as the symptoms of urgency, frequent urination and incontinence often occur and cannot be attributed to specific reasons, it can be called overactive bladder. However, it still needs to go through a series of tests, such as abdominal X-ray, bladder ultrasound, urine test and urine bacterial culture. , are looking for other diseases that are not overactive bladder. If a more objective evaluation is needed, you can use the urination log to record the number of urination and the amount of urination for three days. If you urinate more than 8 times a day, you have a sense of urgency, and the amount of urination per time is very small, which can be confirmed as overactive bladder.
Related effects? The reason for active treatment is that it will affect the quality of life. I often need to find a toilet when I go out, and I am also worried that I can't find a toilet because of sudden urgency, or that frequent urination in the middle of the night will affect my sleep. However, overactive bladder itself does not cause bladder cancer or kidney disease. However, some patients will cause urinary tract infection because of urinary incontinence. Recurrent urinary tract infection is one of the pathogenic factors of bladder cancer or kidney disease.
How to improve it? Comprehensive treatment of overactive bladder, such as regular eating habits, slow pace of life, fixed urination interval, pelvic floor muscle exercise, drug treatment, etc. If there is no improvement, bladder urodynamics should be checked. If you are diagnosed with overactive bladder, you may recover on your own with the disappearance of the inducing factors, but you may relapse again because of the inducing factors. Patients with overactive bladder drink the same amount of water as ordinary people, but if the amount of water is insufficient, it may increase the incidence of urinary tract infection or urinary calculi and aggravate overactive bladder.
Many patients with overactive bladder can't function normally because of the unstable detrusor contraction, and the urine flow is small and slow. If you try to urinate difficultly and cannot urinate smoothly, it is not recommended to continue to exert force.
Zhang Jingxin Education: Bachelor of Medicine, National Defense Medical College, Master of Medical Science Research Institute, Taipei Medical College. Experience: Resident and chief physician of surgical urology department of Taipei Veterans General Hospital, researcher of urology department of affiliated hospital of Taipei Medical College, and attending physician of urology department of Taiwan Province Miner's Hospital. Current position: Attending physician of Urology Department, Affiliated Hospital of Taipei Medical College.
Du Education: Department of Medicine, Taipei Medical College. Graduation experience: Resident, Chief Urologist, Affiliated Hospital of Taipei Medical College. Current position: Attending physician, Affiliated Hospital of Taipei Medical College.