Bladder Infection

Bladder infections are a form of urinary tract infection (UTI) that primarily affects the bladder. It’s a common condition that can affect individuals of any age but is predominantly seen in women, particularly during early adulthood and post-menopause.

While bladder infections are a common and usually mild condition, if left untreated, they can lead to more serious health issues, including kidney infections.

Common symptoms of bladder infections

Individuals with a bladder infection typically experience a range of symptoms that can disrupt daily life:

• Urgency and Frequency: There is often a persistent, urgent need to urinate coupled with the discomfort of only being able to pass small amounts of urine at a time.
• Pain During Urination: A burning or stinging sensation is common during urination.
• Changes in Urine Appearance: Urine may appear cloudy or bloody and may have a strong odour, indicating the presence of bacteria and infection.
• Pelvic Pain: Women may experience pain in the centre of the pelvis and around the area of the pubic bone.

Severe symptoms or complications

If a bladder infection is not treated, it may lead to severe symptoms and complications:

• Fever and Chills: A high fever, shaking, and chills could suggest that the infection has reached the kidneys.
• Pain in the Back or Side: Pain located below the ribs where the kidneys lie may be a sign of a kidney infection.
• Nausea and Vomiting: These symptoms can occur if the infection spreads to the kidneys, requiring urgent medical intervention.

What causes bladder infections?

Several factors can precipitate a bladder infection, with bacteria being the primary culprit:

• Bacterial Infection: E. coli, a bacterium commonly found in the gastrointestinal tract, is most often responsible. Depending on the context, other bacteria may be involved, such as after surgical procedures.
• Sexual Activity: Sexual intercourse can introduce bacteria into the urinary tract.
• Poor Hygiene: Improper wiping (from back to front) can spread bacteria to the urethra.
• Certain Contraceptives: Diaphragms and spermicides can increase the risk of bladder infections by affecting the natural flora of the vagina.
• Changes in Oestrogen Levels: After menopause, decreased oestrogen levels can lead to changes in the urinary tract, making it more susceptible to infection.

How bladder infections are diagnosed

Accurate diagnosis is key to effective treatment:

• Urine Tests: A routine urine test or culture can detect the presence of bacteria, white blood cells, or blood.
• Imaging Tests: For recurrent infections, ultrasound or cystoscopy can help identify bladder or urinary tract abnormalities.
• Detailed Medical History: Discussing symptoms and medical history with us will help to diagnose and tailor treatment.

Treatments for bladder infections

Treatment strategies aim to eradicate the infection and alleviate symptoms:

• Antibiotics: A course of antibiotics prescribed based on the type of bacteria found in the urine.
• Pain Relief: Over-the-counter pain relievers can help manage pain and reduce fever.
• Fluid Intake: Increasing water consumption helps flush bacteria from the bladder.
• Avoid Irritants: Alcohol, caffeine, and spicy foods can irritate the bladder and should be avoided during treatment.

How to prevent a bladder infection in the future

Preventive measures can significantly reduce the risk of future infections:

• Hydration: Drinking plenty of fluids, especially water, helps dilute urine and ensures frequent urination.
• Bathroom Habits: Urinating regularly and completely emptying the bladder when urinating helps flush out bacteria.
• Personal Hygiene: Proper genital hygiene practices can prevent bacterial spread.

Bladder Infections vs UTIs

While all bladder infections are classified as urinary tract infections (UTIs), not all UTIs are confined to the bladder. UTIs can involve any part of the urinary system, including the kidneys, ureters, and urethra. Understanding the differences between these types of infections is crucial for accurate diagnosis and treatment:

Bladder Infections

These primarily affect the bladder, the organ that collects and stores urine. The symptoms are generally localised discomfort, such as pain in the pelvic area, urgency, and frequent urination, along with cloudy, bloody, or strong-smelling urine.

Urethritis

This type of UTI affects the urethra, the tube that carries urine from the bladder out of the body. Symptoms include burning with urination and discharge.

Kidney Infections (Pyelonephritis)

These are more serious and affect the kidneys. Symptoms might include severe back and side pain, high fever, chills, nausea, and vomiting. Kidney infections require immediate medical attention as they can lead to more severe complications.

Ureter Infections

Infections in the ureters, the tubes that transport urine from the kidneys to the bladder, are rare and often associated with conditions that cause urine to flow backward from the bladder to the kidneys.