Escherichia coli in the urine and bladder symptoms
Bladder infections affect mainly women, and some even more than once a year!
Every woman is sick, at least once in his life an inflammation of the bladder – cystitis. Especially in the summer when in the midst of vacations, beaches and swimming, urinary tract diseases have "their" season.
Inflammation of the bladder occurs mainly in sexually active women 20-50 years of age.
The defense system of the bladder weakens, for example, chlorinated water and prolonged stay in the wet swimsuit. A bladder infection is, in most cases, a woman's prerogative – mainly, as mentioned above, among sexually active women from 20 to 50 years, affecting them in 2 times more often than the male half of the population. Some women meet with the disease about 5 times a year! However, urogenital diseases and sick children, regardless of age. In particular, if the sick child who needed urgent medical care, which will help to prevent the development of complications. The attending physician will determine the causes of the disease and advice on how to treat the problem and relieve the symptoms causing discomfort.
The first symptoms develop very quickly, is characterized by sudden severe pain associated with urination that is worse during urination. The pain is localized in the lower abdomen and is often accompanied by pain in the pelvic region.
Causes of bladder inflammation
Inflammation, usually caused by bacteria – most often Escherichia coli in the urine, which usually lives in the gastrointestinal tract. Of the anus the bacteria reach the urinary tract and bladder next, in the urine E. coli, and other undesirable organisms reproduce.
The reasons for cystitis affects women more often than men are, especially in the anatomical differences. The female urethra has a length of not more than 5 cm, which is 4 times less than that of the men who have him up to 20 cm Causes inflammation may also be presented by chlamydia – a bacterial sexually transmitted.
Men also need to be screened!
Inflammation always is confirmed by laboratory testing of urine samples that define E. coli, which contains urine. For the analysis it is necessary to collect an average sample of early urine. A positive result means that the urine increases the number of leukocytes, protein, bacteria, and sometimes blood. Urine analysis is important for the introduction of proper treatment. In accordance with a type of bacteria that caused the inflammation, the doctor will determine a targeted therapy, thus, assigns the appropriate antibiotics. If cystitis in women is repeated several times during the year, the physician recommends a survey and her partner to exclude the possibility that he is the cause of the disease. In addition, diagnosis with further examinations of the urinary tract – ultrasound, urography and CT.
Usually, inflammation of the urinary tract after treatment with antibiotics, as a rule, there is overcome. However, sometimes, despite treatment, it is repeated with slight breaks in a few weeks. If, however, the cystitis comes back often, inflammation can become chronic due to damage to urothelia – a special type of epithelium found in the bladder. This kind of lining, which can temporarily change its shape. When the bladder is empty, the urothelium is composed of 4-8 layers of cells. Filled bladder cells are stretched, thus, urothelium thinning and only has 2-4 layers of cells. Beneath this epithelium is a layer of connective tissue of the mucous membranes and massive muscular layer. Bladder epithelium – urothelium protects the bladder from harmful substances of external environment, which are in the urine. Essentially, it is a barrier between urine and body fluids, as it is impervious to water and salts.
Chronic cystitis may subsequently become chronic pain of the bladder called interstitial cystitis. Continuous pain and burning sensation is extremely uncomfortable and, in addition, it is considered "mysterious disease" in which antibiotics often do not work.
This disease is a constant urge to urinate, accompanied by pain in the pelvic area. The term "cystitis" implies that we are talking about the General inflammation. It is, however, usually caused by bacteria or viruses. In people withinterstitial cystitis the doctors can't determine why – is it bacterial or viral in nature.
The occurrence of this disease appears to be associated with damage to urothelia. Just as a simple ordinary inflammation, this disease also affects primarily women. It is believed that the protective layer loses its function, leading to increased permeability of the bladder. Toxic substances, bacteria or micro-crystals contained in the urine, subsequently come into contact with the urothelial cells and cause inflammation. It appears, as already mentioned, pain in the pelvic, increased frequency of micturition and bladder sensation, in spite of normal labs.
To restore the proper functioning of urothelia very important hyaluronic acid and chondroitin sulfate. Urothelium contain these two substances. Hyaluronic acid binds water, hydrates the mucous membranes and heals the wound. In the human body contains about 15 g of hyaluronic acid, but because of its exceptional properties, it is widely used in various branches of medicine.
Support effects of hyaluronic acid chondroitin sulfate, which also acts as a protection from infections and irritants.
Women suffering from frequent symptoms of cystitis, unresponsive to antibiotics, doctors help solutions hyaluronic acid and chondroitin sulfate, which are applied directly into the bladder. These drugs also exist in the form of dietary supplements, but are only suitable for people without acute infection. According to doctors the use of these substances is of importance, especially for women who in the past met with a urinary tract infection, or the disease is "common" in their families, and they, therefore, are at risk.
Treatment of Escherichia coli in the urine, as well as the treatment of urinary tract infections is based on antibiotic therapy. In uncomplicated infection it is assumed the presence of sensitive bacteria. In such cases, empirical treatment is chosen.
For people with acute difficulties the drug of choice for cystitis is Nitrofurantoin. The drug concentrates in the urine, and does not affect the intestinal microflora. The following drugs, which are prescribed in inflammation of the urinary tract, are co-trimoxazole, Trimethoprim, or Aminopenicillin.
If untreated, inflammation of the urinary tract can cause complications that subsequently occur in the kidneys, i.e., in violation of their functions.
Prevention of inflammation of the bladder
- It is recommended to increase fluid intake to 8-10 glasses per day (it is better to drink clean water) to help flush out bacteria.
- Drink a glass of water before sexual intercourse. If within one hour after contact, you go to the bathroom, washed out the urinary tract of any bacteria.
- Follow the rules of intimate hygiene.
- Prefer cotton underwear.
- Do not wear tight clothes.
- Don't stay in the wet swimsuit.
- Do not use fragrant Soaps and other irritants intimate areas.
- Use condoms, which protect against infection with chlamydia and other diseases of the genital organs.