$Unique_ID{BRK02126} $Pretitle{} $Title{How to Avoid Bladder Infections} $Subject{bladder infection bladder infections cystitis urination urethra sexual activity diaphragm antibiotics} $Volume{} $Log{ Types of Urinary Tract Infections*0007101.scf Predisposing Factors for Urinary Tract Infections*0007102.scf} Copyright (c) 1993 Tribune Media Services, Inc. How to Avoid Bladder Infections ------------------------------------------------------------------------------ QUESTION: This is the fourth time this year that I have had to visit my doctor for a bladder infection. And again the culture is positive. Though the antibiotics always put things right, I must be doing something wrong. I am only 24, am in good health generally, and don't understand why I keep coming up with these infections. Maybe there were a few things mother never told me. May I look to you for some helpful information? ------------------------------------------------------------------------------ ANSWER: There are a number of helpful hints I can offer you, that perhaps mother didn't know either, and a few that are a bit more obvious. One of the most important actions to take is prompt urination when you feel the urge. Try to establish a routine that keeps your bladder empty, for that lessens the ability of bacteria to move up the urethra (passage from the bladder to the outside), and establish themselves within the bladder, where they can rapidly reproduce. Instead of wiping with toilet tissue after a bowel movement, wash the area immediately after. If you can develop a regular schedule for bowel movements at a time where a shower is possible immediately afterward, such as early morning or evening, your chances of bladder infection can be substantially reduced. And showers provide for cleaner skin than bathing in a tub. Try wearing looser undergarments, forgoing tight garments that trap body moisture, and permit body bacteria to multiply. Consider your sexual activity. The use of a diaphragm is often the major contributing factor in recurrent urinary tract infections. And the personal hygiene of your partner is also a consideration. If after all these changes have been considered and effected, bacterial urinary infections continue, you might discuss the use of antibiotics prophylactically, to prevent infection. This can continue for as long as 3 to 6 months, but only with continued follow-up and testing by your physician. Sulfa medications and nitrofurantoin are frequently used for this purpose. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.