People with Parkinson's, especially women, have a higher risk of Urinary Tract Infections (UTIs). UTIs can impact your PD symptoms, lead to cognitive changes, increase your fall risk, and lead to hospitalizations. Let's review what you need to know about UTIs to lower your risk of developing a UTI.
What is a UTI?
A UTI is an infection in any part of your urinary system. Your urinary system is made up of your kidneys, ureters, bladder, and urethra. The bladder and urethra are most commonly involved in UTIs. UTIs occur when bacteria enter the urinary tract. Women are more likely to get a UTI because the distance from the urethra to the anus and the distance from the urethral opening to the bladder is shorter compared to men.
Common Causes
Improper wiping: Wiping from front to back will help reduce the spread of bacteria
Sexual activity: A new sexual partner or sexual position can increase your risk
Menopause: Menopause leads to less estrogen which makes the urinary tract in women more vulnerable
Even though women are more at risk, it can happen in men too. For those that are dehydrated or those that hold their urine for long periods of time are at a higher risk. Kidney stones and enlarged prostates can also increase your risk of a UTI.
Symptoms
Passing frequent but small amounts of urine
Pain and/or burning with urinating
Urgency
Pelvic pain
Cloudy looking urine
Fever
Low back pain
Pressure in the lower pelvis
Confusion/mental changes
Strong-smelling urine
Nausea
Chills
How does PD influence UTIs
PD motor symptoms can impact your ability to urinate at frequently as needed. If you are experiencing slowness and stiffness, it can be challenging to go to the bathroom.
Constipation is a common experience with PD. Constipation can lead to UTIs by putting pressure on the urinary tract.
People with PD can experience difficulty with fully emptying their bladder which can increase your risk of a UTI
Prevention
Drink water. Half of your body weight in ounces is what we need to stay hydrated. Staying hydrated will dilute the urine and will help flush out bacteria in your urinary system.
Visit a pelvic floor therapist. They can help examine any muscle tightness/weakness that can contribute to any urinary changes/impairments.
Urinate soon after intercourse.
Talk with your provider about your medications. Medications for high blood pressure and other vascular conditions can increase your risk of a UTI
As always, speak with your provider if you are experiencing symptoms.
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