Urinary Problems and Injuries, Age 12 and Older

Transcription

1 Urinary Problems and Injuries, Age 12 and Older Table of Contents Topic Overview Check Your Symptoms Home Treatment Prevention Preparing For Your Appointment Related Information Credits Topic Overview Most people will have some kind of urinary problem or injury in their lifetime. Urinary tract problems and injuries can range from minor to more serious. Sometimes, minor and serious problems can start with the same symptoms. Many urinary problems and injuries are minor, and home treatment is all that is needed to relieve your symptoms. See pictures of the female urinary system and male urinary system. Urine color and odor Many things can affect urine color, including fluid balance, diet, medicines, and diseases. How dark or light the color is tells you how much water is in it. Vitamin B supplements can turn urine bright yellow. Some medicines, blackberries, beets, rhubarb, or blood in the urine can turn urine red-brown. Some foods (such as asparagus), vitamins, and antibiotics (such as penicillin) can cause urine to have a different odor. A sweet, fruity odor may be caused by uncontrolled diabetes. A urinary tract infection (UTI) can cause a bad odor. Urinary symptoms Common symptoms of a urinary problem include:

2 Burning with urination (dysuria). This is the most common symptom of a urinary tract infection. Frequent urge to urinate without being able to pass much urine (frequency). Pain in the flank, which is felt just below the rib cage and above the waist on one or both sides of the back. Fever. Urgent need to urinate (urgency). Feeling like you can't completely empty your bladder. Blood in the urine (hematuria). Your urine may look red, brown, or pink. Blood in the urine may occur after intense exercise, such as running or bicycling. Leaking urine (incontinence). Nausea and vomiting. When you only have one symptom or if your symptoms are vague, it can be harder to figure out what the problem is. If you are slightly dehydrated, your urine will be more concentrated, and urinating may cause discomfort. Drink more fluids enough to keep your urine light yellow or clear like water to help decrease discomfort. Urinary tract infections When you have a urinary tract infection (UTI), you may have several urinary symptoms. UTIs are more common in women than in men. This is because the urethra is shorter in women and comes into contact with bacteria from the skin, anus, and vagina. You can reduce your chance of having a UTI by controlling risk factors that can cause these infections. Infections that commonly cause UTI symptoms include: Bladder infections, which are the most common type of UTI, and occur most often in sexually active women ages 20 to 50. An estimated 50% of women develop bladder infections sometime during their lives. Kidney infections, which are less common and more serious than bladder infections. Prostatitis and epididymitis. These are urinary tract problems in men. For more information, see the topics Prostatitis and Epididymitis. Urethritis, which can occur with sexually transmitted infections (STIs), causing pain with urination. Interstitial cystitis. This causes symptoms like a UTI, but no infection is present. Other urinary problems Kidney stones are another urinary problem that can cause mild to severe urinary symptoms. Men ages 20 to 30 are affected most often with kidney stones, but anyone can get stones at any age. For more information, see the topic Kidney Stones. An injury to the genital area can cause severe pain. The severity of the pain is not always an indicator of the severity of the injury. After an injury such as a hit to the genital area, it is important to watch for urinary problems. You usually need to see your doctor if you are

3 having trouble urinating, can't urinate, have blood in your urine, have swelling, or have ongoing pain. In women and girls, genital skin irritation can cause pain with urination. Urinary problems related to aging As people age, some urinary problems become more common. Stress incontinence is the most common form of urinary incontinence in older women. Multiple childbirths, aging, and decreasing hormone levels may cause changes in the pelvic muscles and supportive structures that lead to stress incontinence. It may also occur in men, especially those who have had prostate surgery. For more information, see the topic Urinary Incontinence in Women or Urinary Incontinence in Men. In men, trouble urinating or the inability to urinate is often caused by prostate enlargement. For more information, see the topic Benign Prostatic Hyperplasia (BPH). Check your symptoms to decide if and when you should see a doctor. Check Your Symptoms Do you have problems with urination? How old are you? 11 years or younger 12 to 55 years 56 years or older Are you male or female? Male Female Are you pregnant?, you know that you're pregnant.

4 , you're not pregnant, or you're not sure if you're pregnant. Did the urinary symptoms begin after an injury? An injury could be from a blow to the belly, groin, or lower back (the kidney area). Did the injury happen within the past 2 weeks? Is there any blood in your urine? Are you having trouble urinating? Are you able to urinate at all? On a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine, how bad is the pain that comes from not being able to urinate? 8 to 10: Severe pain 5 to 7: Moderate pain 1 to 4: Mild pain Has it been more than 12 hours since you were last able to urinate?

5 Do you have pain on one side of your back, just below your rib cage? This is called flank pain. It sometimes is a symptom of a problem with the kidneys. How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain 5 to 7: Moderate pain 1 to 4: Mild pain Have you recently started having new or worsening pain when you urinate? How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain 5 to 7: Moderate pain 1 to 4: Mild pain Have you had pain while urinating that has lasted more than a day? Within the past couple of weeks, have you started having a more frequent urge to urinate?

6 You may notice that even though you have the urge to urinate, there's not much urine when you try to urinate. How bad is the urge to urinate? Severe (very uncomfortable) Moderate to mild (somewhat uncomfortable) Has this frequent urge to urinate lasted more than a day? Are you nauseated or vomiting? Nauseated means you feel sick to your stomach, like you are going to vomit. Do you have only one kidney or a Foley catheter in place? Do you think that the urinary problem may have been caused by abuse? Do you have diabetes?

7 Is your diabetes getting out of control because you are sick? Do you and your doctor have a plan for what to do when you're sick? Is the plan helping get your blood sugar under control? How fast is it getting out of control? Quickly (over several hours) Slowly (over days) Do you think you may have a fever? Did you take your temperature? How high is the fever? The answer may depend on how you took the temperature. High: 104 F (40 C) or higher, oral Moderate: F (38 C) to F (39.9 C), oral Mild: F (37.9 C) or lower, oral

8 How high do you think the fever is? High Moderate Mild or low How long have you had a fever? Less than 2 days (48 hours) At least 2 days but less than 1 week 1 week or more Do you have a health problem or take medicine that weakens your immune system? Do you have shaking chills or very heavy sweating? Shaking chills are a severe, intense form of shivering. Heavy sweating means that sweat is pouring off you or soaking through your clothes. Have you been urinating a lot more than usual for no clear reason? An unexplained increase in urination can be an early symptom of diabetes. Do you have any other symptoms of diabetes?

9 Do you think that a medicine may be causing the urinary problems? Think about whether the problems started after you began using a new medicine or a higher dose of a medicine. Are you having new or worsening problems with bladder control or leaking urine for longer than 1 week? Have the urinary problems lasted for more than a week? Home Treatment Bladder infections Starting home treatment at the first minor signs of a bladder infection may prevent the problem from getting worse, clear up your infection, and prevent complications. Drink more fluids enough to keep your urine light yellow or clear like water as soon as you notice the symptoms and for the next 24 hours. This will help dilute the urine, flush bacteria out of the bladder, and decrease irritation. te: If a medical condition such as a kidney or heart problem prevents you from drinking more fluids, make sure you are drinking your usual amount of fluids. Drinking cranberry juice may reduce the chances of having urinary tract infections. Urinate when you feel the urge. Don't wait until a more convenient time. Do not drink alcohol, caffeine, and carbonated beverages, which can irritate the bladder. Take a warm bath, which may help relieve pain and itching. Avoid using bubble bath, because it may cause more irritation. If urinary pain or vaginal burning and redness occur in a young girl, she may have an allergy to bubble bath or soap. Use gentle soaps, such as hypoallergenic soaps. Avoid deodorant soaps. Use as little soap as possible.

10 Apply a heating pad over your genital area to help relieve the pain. Set the heating pad temperature on low. Never go to sleep with a heating pad in place. Examine your genital area. Increased redness may mean skin irritation. Wear loose clothing and soft cotton underwear. Do not use soaps, perfumes, or feminine hygiene sprays on the genital area. Avoid intercourse until symptoms improve. Do not use a diaphragm or spermicidal cream, foam, or gel. A diaphragm may put pressure on your urethra. This pressure may slow down or prevent your bladder from emptying completely. Spermicides can cause genital skin irritation. Recurrent bladder infections in women If you have frequent bladder infections without complications, you and your doctor may develop a self-treatment plan. The plan usually includes taking antibiotics at the first sign of a bladder infection. Contacting your doctor is not necessary. For more information, see the topic Urinary Tract Infections in Teens and Adults. If you are certain that your symptoms are caused by a bladder infection, follow your doctor's instructions for taking the medicine and monitoring your symptoms. Keep a diary of the number of times you use your self-treatment plan. Call your doctor if: Your symptoms do not improve after 48 hours of treatment. You start having bladder infections more often than in the past. Your self-treatment plan is developed for your health needs. Do not take antibiotics that have not been specifically prescribed for this bladder infection. Do not take antibiotics left over from a previous prescription or antibiotics prescribed for someone else. Urinary incontinence Urinary incontinence is common, especially among older adults. Home treatment can often help decrease your symptoms. Talk to your doctor about your incontinence at your next regularly scheduled appointment. Reduce the amount of fluids you drink to no more than 2 qt (2 L) daily. Establish a schedule of urinating every 2 to 4 hours, whether you feel the need or not. Make a clear, quick path to the bathroom, and wear clothes that you can easily remove, such as ones with elastic waistbands or Velcro closures. Keep a bedpan or urinal close to your bed or chair. Practice "double voiding" by urinating as much as possible, relaxing for a few moments, and then urinating again. Do not drink caffeinated or carbonated beverages, such as caffeinated coffee, tea, and soda. Do not drink more than 1 alcohol drink a day. Increase the amount of fiber in your diet. Constipation may make your symptoms worse. For more information, see the topic Constipation, Age 12 and Older.

11 Talk with your pharmacist or doctor about all medicines you take, including nonprescription medicines, to see whether any of them may be making your incontinence worse. Strengthen your pelvic muscles by doing Kegel exercises every day and by having a regular exercise program. Control your weight. If you are overweight, try to lose some weight. Remember that effective weight-loss programs depend on a combination of diet and exercise. For more information, see the topic Weight Management. Quit smoking or using other tobacco products. This may reduce the amount that you cough, which may reduce your problem with incontinence. For more information, see the topic Quitting Smoking. Home treatment for other urinary problems For information about home treatment for other urinary problems, see the following: For men who have symptoms of prostate enlargement, see the topic Benign Prostatic Hyperplasia (BPH). For men who have symptoms of prostate infection, see the topic Prostatitis. For new kidney stones, see the topic Kidney Stones. Symptoms to watch for during home treatment Call your doctor if any of the following occur during home treatment: Other symptoms develop, such as fever, belly pain, or vomiting. You are unable to urinate or have increasing difficulty urinating. Symptoms of a bladder infection do not completely go away after home treatment. More urinary symptoms develop, such as localized back pain (flank pain) or blood in your urine. Symptoms become more severe or more frequent. Prevention You can help prevent urinary problems by following these tips: Drink more fluids, enough to keep your urine light yellow or clear like water. Water and cranberry juice are good choices. Extra fluids help flush the urinary tract. te: If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. Do not drink alcohol, caffeine, and carbonated beverages, which can irritate the bladder. Urinate frequently. Urinate whenever you have the urge. Wash the genital area once a day with plain water or mild soap. Rinse well and dry thoroughly. Increase the amount of fiber in your diet. Constipation may make your symptoms worse. For more information, see the topic Constipation, Age 12 and Older. The following tips can help women prevent urinary symptoms:

12 Wipe from front to back after using the toilet. This may reduce the spread of bacteria from the anus to the urethra. Do not take bubble baths or use perfumed soaps or powders in the genital area. These products may cause genital skin irritation. Do not douche, and do not use vaginal deodorants or perfumed feminine hygiene products. Wear cotton underwear, cotton-lined panty hose, and loose clothing. This helps promote the circulation of air to the vaginal area. Change sanitary napkins often. Drink extra water before intercourse, and urinate promptly afterward. This is especially important if you have had many urinary tract infections. Do not use a diaphragm or spermicidal cream, foam, or gel. A diaphragm may put pressure on your urethra. This pressure may slow down or prevent your bladder from emptying completely. Spermicides can cause genital skin irritation. For information about preventing kidney stone formation, see the topic Kidney Stones. Preparing For Your Appointment To prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your doctor diagnose and treat your condition by being prepared to answer the following questions: How long have you had your symptoms? What are your symptoms? Have you had: Pain or burning upon urination? An urge to urinate frequently, but you usually pass only small quantities of urine? Dribbling (inability to control urine release)? Reddish or pinkish urine? Bad-smelling urine? Cloudy urine? Have you had a fever? Have you had flank or belly pain? Have you had nausea or vomiting? Have you had vaginal or penile discharge or itching? Do you have a new sex partner, or do you practice high-risk sexual behavior? Have you ever had a problem like this in the past? If so, when? How was it treated? What do you think may have triggered this episode? Have you had a recent injury to the belly, pelvis, or back? What home treatments have you tried, and how effective were they? Do you have any health risks? Remember that a urine specimen will probably be collected during your office visit. Try not to urinate immediately before the visit.

13 Related Information Abdominal Pain, Age 12 and Older Female Genital Problems and Injuries Credits By Healthwise Staff Primary Medical Reviewer William H. Blahd, Jr., MD, FACEP - Emergency Medicine Adam Husney, MD - Family Medicine Specialist Medical Reviewer H. Michael O'Connor, MD - Emergency Medicine Current as of May 27, 2016 te: The "printer friendly" document will not contain all the information available in the online document. Some information (e.g. cross-references to other topics, definitions or medical illustrations) is only available in the online version. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.