Bladder infection in women
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Bladder infection in women: Essentials
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What is a bladder infection?

A bladder infection happens when germs (bacteria) grow in your bladder. This causes inflammation and irritation. You might find that it hurts when you pass urine.

Both men and women can get bladder infections. But they are rare in men. The causes are also different. Here we deal with bladder infections in women, and look at what to do about frequent infections (these are called recurrent bladder infections).

Normally urine contains no bacteria. But sometimes, bacteria from around your
 
 
 
 
 
rectum
The rectum is the last six to eight inches of the large intestine, ending with the anus (where you empty your bowels).
 
 
 
 
 
rectum and
 
 
 
 
 
vagina
This is the passage from a woman's womb (uterus) to the outside of her body.
 
 
 
 
 
vagina can spread to your
 
 
 
 
 
urethra
Your urethra is the tube that carries urine from your bladder out of your body. In a man, the urethra runs through the inside of the penis. In a woman, the urethra is shorter, and opens onto the top of the vagina.
 
 
 
 
 
urethra (the tube that carries urine from your bladder to the outside). From here, the bacteria can travel up to your bladder and cause an infection.

Bacteria can get into your bladder from your urethra, and from there they can move to your kidneys.

The infection irritates the lining of your urethra and bladder, and possibly your
 
 
 
 
 
kidney
Your kidneys are organs that filter your blood to make urine. You have two of them, on either side of your abdominal cavity, toward your back.
 
 
 
 
 
kidneys. This is similar to what happens when an infection irritates the inside of your nose or throat when you have a cold. You'll probably feel a burning pain when you pass urine. You might also find that you need to urinate often or suddenly.
 
 
 
 
 
Source:
Sen A.
Recurrent cystitis in non-pregnant women.
July 2008. Clinical Evidence (Based on April 2007 search) Available at http://clinicalevidence.bmj.com/ (accessed on 27 November 2008).
 
 
 
 
 
1

Women are more likely than men to get bladder infections. This is because their urethra is shorter and opens nearer their
 
 
 
 
 
anus
The anus, which is at the end of the rectum, is where a stool leaves your body when you go to the bathroom. Part of the anus is a muscle that helps you hold in the stool until you are on the toilet.
 
 
 
 
 
anus.

Wiping from back to front, instead of front to back, after a bowel movement increases the chances of spreading bacteria to your bladder. You're also more likely to get a bladder infection after sex.
 
 
 
 
 
Source:
Fihn SD, Boyko EJ, Normand EH, et al.
Association between use of spermicide-coated condoms and Escherichia coli urinary tract infection in young women.
American Journal of Epidemiology. 1996; 144: 512-520.
 
 
 
 
 
2 You can try to prevent an infection by urinating after you've had sex. This might help get rid of any bacteria that might have gotten into your bladder and urethra.

Other things that increase your chances of getting a bladder infection include:

  • Using a contraceptive cream (also called a vaginal spermicide)
     
     
     
     
     
    Source:
    Fihn SD, Boyko EJ, Normand EH, et al.
    Association between use of spermicide-coated condoms and Escherichia coli urinary tract infection in young women.
    American Journal of Epidemiology. 1996; 144: 512-520.
     
     
     
     
     
    2
  • Having
     
     
     
     
     
    diabetes
    Diabetes is a condition that causes too much sugar to circulate in your blood. It happens when your body stops making a hormone called insulin (type 1 diabetes) or when insulin stops working (type 2 diabetes).
     
     
     
     
     
    diabetes
  • Having a tube to drain urine from your bladder (this is called a catheter)
  • Being elderly (you might get infections if your bladder doesn't empty completely because of medical problems or if you have a hard time getting to a bathroom)
     
     
     
     
     
    Source:
    U.S. National Library of Medicine.
    Medline plus: Urinary tract infection.
    Available at http://www.nlm.nih.gov/medlineplus/ency/article/000521.html (accessed on 27 November 2008).
     
     
     
     
     
    3
  • Reaching
     
     
     
     
     
    menopause
    When a woman stops having periods, it is called menopause. This usually happens around the age of 50.
     
     
     
     
     
    menopause (your defense against infection can become weaker because of changes to the lining of your vagina and urethra)
  • Being pregnant (the baby can press down on your bladder and other parts of your urinary tract, so your bladder can't empty completely and flush out any bacteria).
Some women get bladder infections again and again. Doctors call these recurrent bladder infections (they're also called recurrent urinary tract infections and recurrent UTIs). But doctors disagree about how frequent the bladder infections must be for them to be called recurrent. Some doctors say two infections in one year, or two infections every year for a few years.
 
 
 
 
 
Source:
Stamm WE, McKevitt M, Roberts PL, et al.
Natural history of recurrent urinary tract infections in women.
Review of Infectious Diseases. 1991; 13: 77-84.
 
 
 
 
 
4 Others say you need to have at least six infections in a year to have recurrent bladder infections.

When you get repeated infections, you could be getting a new infection, with different bacteria, each time. Or an old infection might be coming back because it hasn't cleared up completely.

Bacteria that cause bladder infections can sometimes spread to your kidneys and cause an infection there. A kidney infection is much more serious than a bladder infection and can cause permanent damage to your kidneys. Doctors call this an upper urinary tract infection, or pyelonephritis. You should see a doctor right away if you have signs of a kidney infection, such as a high temperature, pain in your side, nausea and vomiting. To read more, see our information on Kidney infections.

Sources for the information on this page:
  1. Sen A.Recurrent cystitis in non-pregnant women.July 2008. Clinical Evidence (Based on April 2007 search) Available at http://clinicalevidence.bmj.com/ (accessed on 27 November 2008).
  2. Fihn SD, Boyko EJ, Normand EH, et al.Association between use of spermicide-coated condoms and Escherichia coli urinary tract infection in young women.American Journal of Epidemiology. 1996; 144: 512-520.
  3. U.S. National Library of Medicine. Medline plus: Urinary tract infection.Available at http://www.nlm.nih.gov/medlineplus/ency/article/000521.html (accessed on 27 November 2008).
  4. Stamm WE, McKevitt M, Roberts PL, et al.Natural history of recurrent urinary tract infections in women.Review of Infectious Diseases. 1991; 13: 77-84.
This information was last updated on Dec 04, 2008
BMJ Group
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
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