A Hidden Risk for Older Women

Urinary tract infections can be serious

If you’re caring for an older relative and she suddenly seems confused and lethargic, don’t jump to conclusions. Surprisingly, one cause might be a urinary tract infection (UTI), says urogynecologist F. Stephen Tugbiyele, M.D., of Lehigh Valley Health Network.

More familiar symptoms of a common UTI include painful and frequent urination, urinary urgency or blood in the urine. Symptoms such as fever, back or side pain, nausea or vomiting may be evidence of a more complicated upper UTI. In the elderly, confusion may be a symptom of these infections. Lethargy also may be a symptom in older people, and fever may not always be present.

“The infection, often caused by e coli bacteria, can migrate from the bladder to the kidneys and into the bloodstream, so it’s very important to get prompt medical attention,” Tugbiyele says.

Both men and women are more susceptible to UTIs as they age, but women are the more common victims. Partly this is because the female urinary tract is located closer to the anus and its bacteria. Also, the vaginal area becomes thinner and more vulnerable with the decrease in estrogen after menopause. Women with a history of UTIs in their younger years are at higher risk for recurrence.

Early diagnosis is critical. A quick urine test in the doctor’s office may not give an accurate reading; get a more definitive result by asking the doctor to perform a urinalysis or culture the urine sample. Treatment involves a course of antibiotics, the length depending on whether or not the infection keeps coming back.
To prevent UTIs or keep them from recurring:

• Stay well hydrated by drinking at least six glasses of non-caffeinated fluids daily. Urine should be pale yellow in color.
• When using the toilet, always wipe from front to back.
• After menopause, consider using a vaginal estrogen cream, pill or ring.
• Keep health conditions (especially diabetes) under control.
• Drink cranberry juice or take cranberry supplements daily to acidify
  the urine.

Published from Healthy You Magazine, September October 2010

This page last updated 8/30/10 08:07 AM