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One in five women will develop a UTI during her life. But what are UTIs? and what causes this type of infection?...
Why are women more at risk of developing UTI than men? Read here for more on what causes urinary tract infections and what puts you at risk of UTI....
A UTI can affect the bladder, kidney, ureters and/or the urethra. Learn which symptoms indicate urinary tract infection, complications and when to seek help....
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Q: Pathology of UTIs
asked by: DoctorQuestion on August 25th, 2009
When I was little, I had kidney reflux quite badly. I was constantly sick, feverish, and on antibiotics. I had frequent infections and was finally told that surgery was required. Oddly enough a few months before the surgery was scheduled, a few tests confirmed that my kidney reflux had corrected itself and would no longer be a problem. And it wasn't.

Now, however, I am worried that it may have returned. I am having frequent bladder infections and often find myself needing to go to the bathroom very badly and am unable to. When this happens my lower sides/back hurt horribly and nearly make me sick. I often feel that I cannot empty my bladder completely, though I've never experienced any burning or fevers as of late. At first, I figured that perhaps having sex for the first few times was the cause. Could my kidney reflux could have come back? Or are these just symptoms of your average bladder infection caused by sex, or something of the sort? I need a doctor's opinion...


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Dr. Goce Aleksovski , MD
replied on August 31st, 2009
Urinary and Bladder Disorders Answer A7163


According to the symptoms you reported (frequent urge to urinate while lower side/back aches are present, feeling of bladder not emptied completely after urination), it seems possible that you might be experiencing a urinary tract infection. Urinary tract infections might affect any part of the urinary tract, most frequently the urinary bladder or the kidneys.


The regular urine flow decreases the chances for bacteria to multiply. When the urine flow is reversed or insufficient for different reasons, a good environment for multiplying bacteria is created. The urine flow might be insufficient because of strictures in the urinary tract (in prostate hypertrophy or cancer, for example). One of the possible causes for reverse urine flow might be kidney reflux where the urine returns to the kidneys because of insufficient valves located where the ureters enter the urinary bladder.


You might want to visit nephrologists or a urologist for an ultrasound scan of the kidneys and/or voiding cystourethrogram (VCUG) which is a method in which an x-ray examines the urine flow when liquid dye is inserted in the urethra.


As for the urine infection, you might want to have a urine culture in order to detect the exact bacteria and the most effective antibiotic. Please keep in mind that repetitive urinary infections might be caused by bacteria that are already resistant to various antibiotics and the urine culture with antibiogram is needed to avoid taking ineffective antibiotics.




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