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Diabetic Kidney Disease

1. Urinary tract Infection in bathinda

A urinary tract infection (UTI) occurs in any part of the urinary system, which includes the kidneys, ureters, bladder, and urethra. Most infections affect the lower urinary tract, specifically the bladder and urethra.

Symptoms of urinary tract infection

  • A persistent strong urge to urinate
  • A burning sensation during urination
  • Frequent urination with small amounts of urine
  • Cloudy urine
  • Urine that appears red, bright pink, or cola-colored, indicating blood in the urine
  • Strong-smelling urine
  • Pelvic pain in women, particularly in the center of the pelvis and around the pubic bone

Causes of urinary tract infection

A urinary tract infection (UTI) usually develop when bacteria enter the urinary tract through the urethra and begin to multiply in the bladder. Although the urinary system is designed to keep bacteria out, its defenses can sometimes fail, allowing bacteria to establish and grow into a full-blown infection.

The most common urinary tract infection predominantly occur in women and affect the bladder and urethra.

Bladder infection: This type of UTI is often caused by Escherichia coli (E. coli), a type of bacteria commonly found in the gastrointestinal (GI) tract. However, other bacteria can also be responsible. Sexual activity can lead to a bladder infection, though it is not necessary to be sexually active to develop one. Women are particularly at risk due to their anatomy; the proximity of the urethra to the anus and the urethral opening’s closeness to the bladder makes it easier for bacteria from the anus to enter the urethra and travel to the bladder.

Urethra infection: This type of UTI can occur when GI bacteria spread from the anus to the urethra. Additionally, sexually transmitted infections such as herpes, gonorrhea, chlamydia, and mycoplasma can cause urethral infections. This risk is higher for women because the female urethra is close to the vagina.

Risk factors of urinary tract infection

Risk factors for UTIs specific to women include:

  • Female anatomy: Women have a shorter urethra than men, which means bacteria have a shorter distance to travel to reach the bladder.
  • Sexual activity: Being sexually active can lead to more frequent UTIs, and having a new sexual partner increases the risk even further.
  • Certain birth control methods: Using diaphragms for birth control can increase the risk of UTIs, as can the use of spermicidal agents.
  • Menopause: After menopause, a decrease in estrogen levels causes changes in the urinary tract, which can raise the risk of developing UTIs.
Complications of urinary tract infection

When treated promptly and correctly, lower urinary tract infections rarely lead to complications. However, if left untreated, UTIs can cause serious health issues.

Potential complications of a UTI include:

  • Repeated infections: Experiencing two or more UTIs within six months or three or more within a year, with women being particularly susceptible.
  • Permanent kidney damage: Resulting from a kidney infection caused by an untreated UTI.
  • Low birth weight or premature delivery: When a UTI occurs during pregnancy.
  • Narrowed urethra in men: Due to repeated infections of the urethra.
  • Sepsis: A potentially life-threatening complication that can occur if the infection spreads up the urinary tract to the kidneys.
Prevention

These steps can help reduce the risk of UTIs:

  • Drink plenty of liquids, especially water: Staying hydrated dilutes the urine and increases urination frequency, helping to flush bacteria from the urinary tract before an infection can start.
  • Try cranberry juice: While studies on cranberry juice preventing UTIs are inconclusive, drinking it is generally safe.
  • Wipe from front to back: After urinating and bowel movements, wiping front to back helps prevent bacteria from spreading from the anus to the vagina and urethra.
  • Empty your bladder after sex: Urinating soon after intercourse and drinking a full glass of water helps flush out bacteria.
  • Avoid potentially irritating feminine products: Products such as deodorant sprays, douches, and powders used in the genital area can irritate the urethra.
  • Change your birth control method: Diaphragms, unlubricated condoms, or condoms treated with spermicide can promote bacterial growth.

2. Kidney infection in bathinda

A kidney infection, known as pyelonephritis, is a form of urinary tract infection (UTI) caused by bacteria traveling from another area of your body, such as the bladder, to one or both kidneys.

Kidney infections tend to be more severe than lower urinary tract infections. It is important to consult a healthcare provider if you experience symptoms of a kidney infection.

Symptoms of kidney infection

Symptoms of a kidney infection might include:

  • Fever
  • Chills
  • A burning feeling or pain when urinating
  • Having to urinate often
  • A strong, lasting urge to urinate
  • Back, side or groin pain
  • Nausea and vomiting
  • Pus or blood in the urine
  • Urine that smells bad or is cloudy
  • Belly pain

Causes of kidney infection

Bacteria entering the urinary tract via the urethra can multiply and migrate to the kidneys, which is the most common cause of kidney infections.

Bacteria from infections in other parts of the body can also travel through the bloodstream to the kidneys. In rare instances, an infection in an artificial joint or heart valve can lead to a kidney infection.

Occasionally, a kidney infection may occur following kidney surgery.

Risk factors of kidney infection

Factors that increase the risk of a kidney infection include:

  • Being female: Women have a shorter urethra than men, making it easier for bacteria to travel from outside the body to the bladder. The proximity of the urethra to the vagina and anus also facilitates bacterial entry into the bladder. Once bacteria reach the bladder, the infection can spread to the kidneys. Pregnant women are at an even higher risk of kidney infections.

  • Having a urinary tract blockage: Any condition that slows urine flow or makes it difficult to completely empty the bladder can increase the risk of kidney infections. This includes kidney stones, a narrowed urethra, or an enlarged prostate gland.

  • Having a weakened immune system: Medical conditions like diabetes and HIV can weaken the immune system, as can certain medications, such as those taken after an organ transplant to prevent rejection.

  • Having damage to nerves around the bladder: Damage to the nerves or spinal cord can prevent the sensation of a bladder infection, making it difficult to detect when the infection has spread to the kidneys.

  • Using a urinary catheter: Urinary catheters, which are tubes used to drain urine from the bladder, can increase the risk of infection. They are sometimes used after surgical procedures or diagnostic tests, and for individuals who are bedridden.

  • Having a condition that causes urine to flow backward: Vesicoureteral reflux, a condition where small amounts of urine flow from the bladder back into the ureters and kidneys, increases the risk of kidney infections, especially in children and adults.

Complications of kidney infection

If left untreated, a kidney infection can result in potentially serious complications, including:

  • Kidney scarring: This can lead to chronic kidney disease, high blood pressure, and kidney failure.
  • Blood poisoning (sepsis): Since the kidneys filter waste from the blood and return the filtered blood to the body, a kidney infection can cause bacteria to spread throughout the bloodstream.
  • Pregnancy complications: A kidney infection during pregnancy can increase the risk of delivering a baby with low birth weight.
Prevention

To reduce your risk of kidney infection, take measures to prevent urinary tract infections. Women, in particular, can lower their risk by:

  • Drinking fluids, especially water: Fluids help flush bacteria from the body during urination.
  • Urinating promptly: Don’t delay urinating when you feel the urge.
  • Emptying the bladder after sex: Urinating as soon as possible after sexual intercourse helps clear bacteria from the urethra, reducing the risk of infection.
  • Wiping carefully: Always wipe from front to back after urinating and after a bowel movement to prevent bacteria from spreading to the urethra.
  • Avoiding genital products: Deodorant sprays and douches in the genital area can cause irritation.
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