Urinary tract infections (UTIs) are caused by bacteria and are 10 times more common among women than men. More than 50% of women will have at least one UTI during their lifetime. Most of these infections require treatment with antibiotics. About 30% to 40% of UTIs recur within 6 months after the initial episode. When UTIs do recur, it is often because the treatments used to suppress bacteria seem to work at first, but they do not produce a lasting cure. UTIs can also recur if a woman is infected by different bacteria.
Symptoms of UTIs include:
Risk factors include:
Your health care provider will feel your abdomen and kidneys for changes and use laboratory tests, such as a urine culture, to find out if you have a UTI. If the usual treatments do not work, your provider will explore the possibility that you have some other condition. Other illnesses, such as sexually transmitted diseases (STDs), can cause symptoms that mimic a UTI.
Doctors may presecribe antibiotics or other drugs to treat UTIs. The course for most antibiotics is 7 to 10 days, though shorter courses of treatment are also available.
Some complementary and alternative (CAM) therapies may be helpful for UTIs, but they may not be right for every person. Natural medicines and supplements may interact with prescription medications. Work with a knowledgeable health care provider, and always tell all of your providers about the herbs and supplements you are taking.
Following these nutritional tips may help reduce symptoms:
You may address nutritional deficiencies with the following supplements:
Natural hormone replacement therapy may help prevent UTIs. Ask your provider about this treatment.
Herbs may help strengthen and tone the body's systems. As with any therapy, you should work with your provider before starting treatment. You may use herbs as dried extracts (capsules, powders, or teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, make teas with 1 tsp. (5 grams) herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day. You may use tinctures alone or in combination as noted. Many herbs interact with medications, and may make certain conditions worse, so tell your doctor about any herbal therapies you are using or considering using. The following herbs may be useful for short term treatment of a urinary tract infection.
Few studies have examined the effectiveness of specific homeopathic remedies. Professional homeopaths, however, may recommend one or more of the following treatments for UTI based on their knowledge and clinical experience. Before prescribing a remedy, homeopaths take into account a person's constitutional type, includes your physical, emotional, and intellectual makeup. An experienced homeopath assesses all of these factors when determining the most appropriate remedy for a particular individual.
Preventive measures you can follow:
If you are pregnant, you are at higher risk of developing a UTI.
Appleton J. Arginine: Clinical potential of a semi-essential amino. Altern Med Rev. 2002;7(6):512-22.
Arya LA, Northington GM, Asfaw T, Harvie H, Malykhina A. Evidence of bladder oversensitivity in the absence of an infection in premenopausal women with a history of recurrent urinary tract infections. BJU Int. 2012;110(2):247-251.
Cabrera C, Artacho R, Gimenez R. Beneficial effects of green tea -- a review. J Am Coll Nutr. 2006;25(2):79-99.
Chan WK, Lam DT, Law HK, et al. Ganoderma lucidum mycelium and spore extracts as natural adjuvants for immunotherapy. J Altern Complement Med. 2005;11(6):1047-1057.
Chen SL, Wu M, Henderson JP, et al. Genomic diversity and fitness of E. coli strains recovered from the intestinal and urinary tracts of women with recurrent urinary tract infections. Sci Transl Med. 2013;5(184):184ra60.
Doron S, Gorbach SL. Probiotics: their role in the treatment and prevention of disease. Expert Rev Anti Infect Ther. 2006;4(2):261-275.
Dryden GW Jr, Deaciuc I, Arteel G, McClain CJ. Clinical implications of oxidative stress and antioxidant therapy. Curr Gastroenterol Rep. 2005;7(4):308-316.
Epp A, Larochelle A, Lovatsis D, Walter JE, Easton W, Farrell SA. Recurrent urinary tract infection. J Obstet Gynaecol Can. 2010;32(11):1082-1101.
Gagyor I, Bleidorn J, Kochen MM, Schmiemann G, Wegscheider K, Hummers-Pradier E. Ibuprofen versus fosfomycin for uncomplicated urinary tract infection in women: randomised controlled trial. BMJ. 2015;351:h6544.
Griffin C. Probiotics in obstetrics and gynaecology. Aust N Z J Obstet and gynaecol. 2015;55(3):201-209.
Grover ML, Bracamonte JD, Kanodia AK, et al. Assessing adherence to evidence-based guidelines for the diagnosis and management of uncomplicated urinary tract infection. Mayo Clin Proc. 2007;82(2):181-185.
Guay DR. Cranberry and urinary tract infections. Drugs. 2009;69(7):775-807.
Heitzman ME, Neto CC, Winiarz E, Vaisberg AJ, Hammond GB. Ethnobotany, phytochemistry and pharmacology of Uncaria (Rubiaceae). Phytochemistry. 2005;66(1):5-29.
Hickerson AD, Carson CC. The treatment of urinary tract infections and use of ciprofloxacin extended release. Expert Opin Investig Drugs. 2006;15(5):519-532.
Hoesl CE, Altwein JE. The probiotic approach: an alternative treatment in urology. Eur Urol. 2005;47(3):288-296.
Horl WH. Urinary tract infections. Internist. 2011;52(9):1026, 1028-1031.
Kodner CM, Gupton EK. Recurrent urinary tract infrections in women: diagnosis and management. Am Fam Physician. 2010;82(6):638-643.
Litza J, Brill J. Urinary tract infections. Prim Care. 2010;37(3):491-507.
Marelli G, Papaleo E, Ferrari A. Lactobacilli for prevention of urogenital infections: a review. Eur Rev Med Pharmacol Sci. 2004;8(2):87-95.
Marschall J, Carpenter CR, Fowler S, Trautner BW. Antibiotic prophylaxis for urinary tract infections after removal of urinary catheter: meta-analyis. BMJ. 2013;346:f3147.
Marx JA, Hockberger RS, Walls RM, eds. Rosen's Emergency Medicine. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014.
McMurdo ME, Argo I, Phillips G, Daly F, Davey P. Cranberry or trimethoprim for the prevention of recurrent urinary tract infections? A randomized controlled trial in older women. J Antimicrob Chemother. 2009;63(2):389-395.
Mishra B, Srivastava S, Singh K, Pandey A, Agarwal J. Symptom-based diagnosis of urinary tract infection in women: are we over-prescribing antibiotics? Int J Clin Pract. 2012;66(5):493-498.
Ochoa S, Malaga G. Recommendations of the consensus conference "diagnostic and therapeutic management of urinary tract infection in childhood." An Pediatr (Barc). 2007;67(5):517-525.
Peterson J, Kaul S, Khashab M, Fisher AC, Kahn JB. A double-blind, randomized comparison of levofloxacin 750 mg once-daily for five days with ciprofloxacin 400/500 mg twice-daily for 10 days for the treatment of complicated urinary tract infections and acute pyelonephritis. Urology. 2008;71(1):17-22.
Pigrau-Serrallach C. Recurrent urinary tract infections. Enferm Infecc Microbiol Clin. 2005;23 Suppl 4:28-39.
Quintus J, Kovar KA, Link P, Hamacher H. Urinary excretion of arbutin metabolites after oral administration of bearberry leaf extracts. Planta Med. 2005;71(2):147-152.
Reid G, Bruce AW. Probiotics to prevent urinary tract infections: the rationale and evidence. World J Urol. 2006;24(1):28-32.
Rossignol L, Maugat S. Blake A, et al. Risk factors for resistance in urinary tract infections in women in general practice: a cross-sectional survey. J Infect. 2015;71(3):302-311.
Schindler G, Patzak U, Brinkhaus B. et al. Urinary excretion and metabolism of arbutin after oral administration of Arctostaphylos uvae ursi extract as film-coated tablets and aqueous solution in healthy humans. J Clin Pharmacol. 2002;42(8):920-927.
Schwenger EM, Tejani AM, Lowewen PS. Probiotics for preventing urinary tract infections in adults and children. Cochrane Database Syst Rev. 2015; 12.
Simopoulos AP. Omega-3 fatty acids in inflammation and autoimmune diseases. J Am Coll Nutr. 2002;21(6):495-505.
Sufka KJ, Roach JT, Chambliss WG Jr, et al. Anxiolytic properties of botanical extracts in the chick social separation-stress procedure. Psychopharmacology (Berl). 2001;153(2):219-224.
Vahlensieck W, Bauer H. Prevention and alternative methods for prophylaxis of recurrent urinary tract infections in women. Urologe A. 2006;45(4):446-450.
van Pinxteren B, van Vliet SM, Wiersma TJ, Goudswaard AN. Summary of the practice guideline 'Urinary-tract infections' (second revision) from the Dutch College of General Practitioners. Ned Tijdschr Geneeskd. 2006;150(13):718-722.
Vincent CR, Thomas TL, Reyes L, White CL, Canales BK, Brown MB. Symptoms and risk factors associated with first urinary tract infection in college age women: a prospective cohort study. J Urol. 2013;189(3):904-910.
Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
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