How do I cure a white urine

Cystitis - "Have recurring inflammations clarified!"

Chat log

Why do you have more bladder infections in old age and can this be cured without antibiotics?

Eliane Pauli: There can be various reasons for this. While sexual activity is one of the main reasons for recurring urinary tract infections in young women, in old age it is often anatomical changes (pelvic floor weakness, lowering of the urinary bladder or the uterus) and a hormone deficiency. Micturition behavior is also not optimal in demented patients. Insufficient drinking can also promote bladder infections. A gynecological examination makes sense to rule out anatomical changes. Vaginal hormone treatment with estrogens is simple and has a beneficial effect on susceptibility to urinary tract infections. Although studies have not clearly shown an effect, the intake of cranberry products can also be effective in certain patients in order to prevent recurring urinary tract infections. In certain cases, immune treatment with inactivated bacteria can be attempted if the measures already mentioned do not bring relief. Overall, it must be emphasized that uncomplicated urinary tract infections (without anatomical changes) in particular often heal without antibiotic treatment. Recent studies show that the symptoms respond to nonsteroidal anti-inflammatory drugs as well as antibiotics.

+++ I don't have a question but a recommendation. Ceres goldenrod extract helped with my chronic cystitis. Since the treatment with this herbal extract, I have been free of cystitis. +++

My mother, 87 years old, was diagnosed with dementia in 2011. She has been incontinent since December 2013. She has been wearing TENA Pants ever since. Every 2-3 months she suffers from a bladder infection. What could be the cause? The inflammations are treated with antibiotics (Nopril). Is this right? What can we do to prevent cystitis? Thank you for your answer (s) and best regards

Annette Kuhn-Dörflinger: In dementia there are numerous reasons for incontinence and bladder infections. It certainly makes sense for the family doctor to check the remaining urine and possibly prescribe an ointment containing hormones. If your mother has no complaints from the inflammation, there is no need to treat the bacteria in the urine.

A friend developed blood poisoning as a result of a bladder infection, which luckily was discovered and treated in good time. Does this happen often and with which symptoms should it be better to see a doctor?

Eliane Pauli: Fortunately, so-called uncomplicated urinary tract infections rarely lead to bacterial spread or pelvic inflammation, even if a bladder infection is not treated with antibiotics. If there are known anatomical or functional changes in the lower urinary tract (e.g. double ureters, lowering of the genital organs / urinary bladder, kidney stones) or a restricted immune defense, the risk is higher. The doctor should be contacted if the following symptoms occur: fatigue, poor general condition, fever, chills. Recurring bladder infections (> 2 in 6 months or> 3 per year) should also be clarified.

+++ There is no question but it is the solution against 90% of bladder infections! For the inflammation of the bladder caused by E. Coli! Namely as mentioned D - Manose! After several years of suffering and pain, I got rid of a chronic bladder infection. +++

What anti-inflammatory drug do you suggest for cystitis?

Eliane Pauli: Ibuprofen (Brufen) was examined in comparison to antibiotics. A recent study examines the effectiveness of diclofenac (Ponstan). Both are very similarly effective.

Good evening ... maybe I'm not quite right with my question. But I would like to take the opportunity. My almost 5-year-old daughter is basically dry during the day. However, we have break-ins at regular longer intervals that last for several days. Is it possible that she has chronic bladder infection? The pediatrician says he doesn't want to do anything before the age of 6, oh

Annette Kuhn-Dörflinger: 10% of ten-year-old children are still bed wetting from time to time, which means that you don't have to worry yet. As the nervous system matures, bed-wetting has a high cure rate without you having to take any action, but it certainly makes sense for the pediatrician to rule out a bladder infection and discuss other treatment options.

What do you think of the uro vaxum capsules as a preventative measure after multiple bladder infections?

Eliane Pauli: The drug has been available for a long time. Uro Vaxom contains inactivated E. Coli bacteria, which are the most common cause of cystitis. The treatment is said to strengthen the immune system. The drug has only been compared with placebo and not with antibiotic therapy, but appears to be effective in preventing chronic bladder infections and is therefore a pillar in the prevention of recurring infections.

What is the difference between whether nitrite is detected in the urine or a very high number of leukocytes? Both times pain so cystitis.

Annette Kuhn-Dörflinger: Not all bacteria cause positive nitrite; the decision whether there is an inflammation must be made by the doctor. It is important that a midstream urine or catheter urine is examined in order to avoid contamination through the external genitals.

I often have to go to the toilet in the evening as soon as I'm in bed. Sometimes I also feel pain. This has been for several months ... is this just chronic?

Annette Kuhn-Dörflinger: You can say exactly that without examining the urine ncith, you should have this examined by your family doctor. Many women also feel an urge to urinate when they cannot sleep, which does not necessarily have to be related to a bladder infection.

Men can also get cystitis.

Annette Kuhn-Dörflinger: Men can also get bladder infections, but much less often and with a different background than women. All bladder infections in men must be clarified.

+++ A displaced third lumbar vertebra is sometimes responsible for recurring bladder infections. Consult a chiropractor. Years ago I had a bladder infection every other week, and then I went to the chiropractor wishing he should check my 3rd lumbar vertebra. It really was, and I've never had a cystitis since then. +++

Miss Dr. Annette Kuhn-Dörflinger recommended a sugar from the health food store for bladder infections. What is the name of this sugar? Can you take this regularly as a preventive measure? I am overweight. Can you take this sugar anyway? Kind regards, Alfa Hofmann

Annette Kuhn-Dörflinger: The sugar is called D-mannose and is a sugar that cannot be metabolized by humans and can also be taken if you are overweight or have diabetes.

Do you have more bladder infections with a NuvaRing because it is a foreign body?

Eliane Pauli: That is indeed the case. It is similar with the use of diaphragms, a mechanical contraceptive method frequently used in the USA. Spermicides, with which condoms are impregnated, have also been shown to favor urinary tract infections.

I had chronic bladder problems for years. When the inflammation started again, I happened to have a craniosacral appointment. The therapist offered me to use a device that was completely new to her, a zapper or something like that. The pain went away immediately and I remained completely symptom-free for 8 years. For half a year I have been plagued by more and more problems, and I've already had two antibiotic cures again. Do you know this "zapper"? Could this be of any use again?

Annette Kuhn-Dörflinger: I don't know this zapper, but maybe your family doctor should first see whether there is really an infection and then discuss the therapy options with you.

My gynecologist recommended the sugar D-mannose to me and told me to take this after each sexual intercourse in order to prevent any bladder infections directly. Does this make sense? At the first signs he also recommended that I take D-mannose, I assume that this works as well as antibiotics?

Annette Kuhn-Dörflinger: It may not be enough to take it after sexual intercourse, we recommend taking 1-2 tablespoons per day to achieve prevention. A new comparative study between D-mannose and antibiotics has shown that D-mannose is as effective as antibiotics.

The last time I went to the shop was to go to the bathroom every 30 minutes. On one stool it hurt terribly when urinating. Could it have been a bladder infection!

Annette Kuhn-Dörflinger: There are several possible causes for your pain; it is best to see your doctor for a urine test.

+++ Chat-Admin: Since the question was asked several times: The sugar mentioned by Ms. Kuhn is called "D-Mannose". +++

Which anti-inflammatory drugs and which hormone ointments are suitable for combating cystitis? Are there any other tips, possibly preventive, to prevent cystitis constantly after sexual intercourse other than going to the toilet afterwards?

Eliane Pauli: Anti-inflammatory drugs: Brufen, Ponstan. Hormone ointments: Estriol, Oestro-Gynaedron. Lactic acid bacteria: Gynoflor (inserted into the vagina). Intimate hygiene: wiping front to back. Avoiding the cold. Sufficient amount of water to drink. Lingonberry preparations (juice or capsules). In the case of repeated bladder infections, immune treatment (Uro Vaxom) or antibiotic prophylaxis (long-term treatment or after sexual intercourse), but the latter with the risk of developing resistance to the common, effective antibiotics.

I've also struggled with "post-sexual" bladder infections for 3 years. Since I have had this, I have to go to the toilet a lot more often. How can I reduce my urge to urinate? I am a type 1 diabetic and want to know whether I can use this sugar "dematosis" as a preventive measure? Thank you for a tip;)

Annette Kuhn-Dörflinger: You can also use D-mannose as a diabetic, as this sugar is not metabolized by our body. Further preventive measures are currently available vaccinations such as urovaxom, which is swallowed as a capsule, or cranberry juice (juice or tablets). During sexual intercourse, you should look for positions in which there is less rubbing of the urethra, e.g. with a pillow under the buttocks or other positions.

Miss Dr. Kuhn said earlier that the inflammation of the bladder would heal on its own after a few days. I've always had different experiences. I always try herbal remedies first, but after 5-10 days I can't take it anymore - antibiotics have to be used. :( I have also been taking anti-inflammatory painkillers for years (for rheumatism and back problems) That is, they are of no use to me against cystitis. What do you recommend?

Annette Kuhn-Dörflinger: Have you already tried preventive measures such as cranberry juice, D-mannose, bearberry leaf tea or a vaccination with urovaxoma?

Last year during a tour I had a cystitis with a very high fever and few symptoms, just a very slight burning sensation when urinating. There was no mention of a fever on the show, was there? Is this rarely the case?

Eliane Pauli: With a fever you had a complicated inflammation of the bladder or a kidney pelvis inflammation, where, starting from the inflammation of the kidneys, the bacteria spread through the blood. Fortunately, overall, kidney infections rarely occur, even if cystitis is not treated immediately with antibiotics and cystitis often heals without antibiotics.

Good evening. My question: As a man, I've already had several bladder infections. Do the same alternative treatments, e.g. D-mannose sugar, apply to me?

Annette Kuhn-Dörflinger: Bladder infections in men must be clarified, these are much rarer and have different causes than in women. Please consult your family doctor or urologist for further examinations and therapy.

I read about Uro-Vaxom. I would be interested in whether it is a kind of vaccination in powder form and whether it is an option for me if I suffer from an immune system disease (systematic lupus). They say you can't have live vaccines with lupus.

Eliane Pauli: Uro-Vaxom is an immunotherapy that uses inactivated E. Coli bacteria to strengthen the immune system and reduce the frequency of recurring bladder infections. Treatment is carried out over a period of 3 months (1 tablet per day) followed by a 3-month break; thereafter, 1 tablet is taken daily for the first 10 days of the month for 3 months. Correctly, this is not a live vaccine. I do not know whether treatment for lupus is possible. Please contact your family doctor / rheumatologist.

Good evening - due to osteoporosis, I am given a Prolia injection every 6 months. During the urine control a bladder infection was found, but no pain or discomfort was found. I refused a hormone cream. Do I have to do something? (I am currently abroad, so I write instead of telephoning). Many thanks and kind regards

Annette Kuhn-Dörflinger: It depends on whether you have other illnesses that require therapy. If this is not the case, you do not have to treat the bacteria. When you are past menopause, the hormone cream is a very effective way to prevent further inflammation.

Appreciated team of experts, what is the name of the sugar that has a similar effect to antibiotics and can you event. specify a hormone cream. Thanks! sm

Annette Kuhn-Dörflinger: The sugar is called D-Mannose and you would have to consult your doctor for a hormone cream because it requires a prescription, for example OestroGynaedron Neo is a variant or Vagifem tablets.

How is the mannose dosed / applied? Can this be used during therapy with Uro-Vaxom? What is the experience with acupuncture?

Annette Kuhn-Dörflinger: D Mannose is taken as a powder 2 tablespoons per day, I would take it AFTER the urovaxoma therapy (then you know better what helps). For some patients, acupuncture helps, but there are no published studies that Prove effectiveness.

I (69 years old) did a longer (8-10 days) bike tour every two years. Every time I got a cystitis towards the end of the tour. I never have a cystitis otherwise. Do you have an explanation for me? Many Thanks.

Eliane Pauli: The saddle may have caused mechanical irritation to the vaginal entrance and the urethra, making you more susceptible to cystitis. The most common cause of cystitis, E. coli, is an intestinal bacterium and also colonizes the perineum. You may also have drunk less or not been able to empty your bladder regularly when you were out and about.

When and in what amount do you take D-mannose sugar?

Annette Kuhn-Dörflinger: D Mannose is a powder of which 2 tablespoons per day are taken.

My sister is 14 months older than me. She got the bladder infection for the first time when she was 19 years old. I couldn't understand this because she kept having it. Almost exactly 1 year later I got it too. And I had it again and again every week or every second. We have complied with all of the suggested guidelines and also with a large number of medications. We have the problem that it is not a real bladder infection because it does not show in the urine test.

Annette Kuhn-Dörflinger: You should go to your doctor for advice, primarily your family doctor and, if necessary, a specialist, to see whether you really have inflammation of the bones or if it is another form of irritation.

I've also had a lot of bladder infections, especially after intercourse. I have been taking 1 tablet of Uvamin Retard 24 hours after the GV and have been doing so for years. I haven't had any inflammation since then. I was also resistant to uvamin, but it worked again after a few months. My question: Is this "method" very harmful to my body and if I have an inflammation again, is there another drug that works?

Annette Kuhn-Dörflinger: There are alternatives, such as D mannose or cranberry tablets. If you take uvamin regularly, you should have your liver values ​​checked by your doctor. If you are past the menopause, a local hormone cream can help.

I recently had epididymitis. Is this comparable to a cystitis, or what is the cause here?

Annette Kuhn-Dörflinger: The cause must be clarified with the family doctor or urologist, it is not the same as a simple cystitis in women.

What kind of hormone creams are useful for cystitis prohylaxis in climacteric? `Sincerely. E. H.

Eliane Pauli: Oestro-Gynaedron or Colpotrophine. Ointments and suppositories are available in stores.

I've been trying to get rid of a bladder infection without antibiotics for 4 weeks. The month before I had to swallow antibiotics four times because of recurring bladder infections. I didn't want that anymore. The test still shows nitrite. Sometimes there is no pain again. Can I simply trust that the urine will soon be nitrite-free again without antibiotics and that I will be pain-free? Or is nitrite in the urine harmful for weeks?

Annette Kuhn-Dörflinger: Nitrite does no harm, but the complaints are not pleasant in the long term, I assume. Perhaps your family doctor should see what kind of infection is present and prescribe you a specific antibiotic, which can also be a single dose if the agent is effective.

If I have fructose intolerance, can I take the sugar (name?) If I inflame it?

Annette Kuhn-Dörflinger: Yes, you can, it is a simple sugar that we humans do not metabolize.

Good evening, I heard that there is already vaccination against chronic inflammation, do you know what about it? I am also plagued ... (I have already tried a lot to get a grip on it, without success.

Eliane Pauli: A classic vaccination is not available in Switzerland. Maybe you mean Uro Vaxom. This is an immunotherapy in which inactivated E. Coli bacteria are taken as tablets for a long time and are able to increase the body's own resistance to cystitis.

Assuming that a cystitis is mainly caused by infection with one's own intestinal bacteria, the development of resistance would mean that the treatment would make one's own intestinal bacteria resistant. Is this assumption correct? And is it possible that such resistance could also arise from other continued antibiotic treatments?

Eliane Pauli: That's right.

Hello. I am 23 years old and have a boyfriend. I have had cystitis 4 times after intercourse within 4 months. I always take care to drink enough, wash myself, and even take cranberry capsules to prevent it. I've found that most of the time I have a bladder infection when I'm on my pill break (1 week). I have been taking the Yasminelle pill since I was 16 years old. Does that have a connection?

Annette Kuhn-Dörflinger: During the pill break, your levels of female hormones are very low, which makes you more susceptible to infections. Trying to change pills should be discussed with your gynecologist.

After 7 weeks of cystitis it was discovered that I have a dermoid cyst on my ovary. The cyst was removed in January 2014, including a cystoscopy. Unfortunately I still have bladder infections including blood in the urine. My gynecologist just said that everything was fine and that there were no malignant cells in the urine. I don't know what to do. I've already tried everything (cranberries / bearberries and and and). Could you help me?

Annette Kuhn-Dörflinger: If you are past the menopause, a local hormone ointment is recommended. I am sure that someone has already checked your urine? Further measures can be D-mannose, urovaxoma and a sufficient amount of drinking.

Good evening, I am 24 years old. 8 months ago I had a bladder infection for the first time. Since then I have had a bladder infection about every 8 weeks. However, my gynecologist told me that the bacterial culture does not grow in each case. But every time there are red and white blood cells in the urine and a fungus in the smear. I also have an unwanted weight loss (about 6kg in just under a year). Can it be that all of this has a connection?

Annette Kuhn-Dörflinger: Has a midstream urine or catheter urine been examined - if not, the red and white blood cells cannot be used. Fungi are only a problem with bladder infections in very special situations. In any case, you should have this problem clarified by a doctor.

I had vesica uretral reflux when I was two years old and had to take antibiotics for a year. I am now 16 years old and have had frequent bladder infections. Can this be related?

Eliane Pauli: It could well have a connection. Anatomical or functional changes (yours) can make bladder infections more likely. As a young and possibly already sexually active woman, you are prone to urinary tract infections anyway.

Can you gain weight from the "Oestro-Gynaedron" cream?

Annette Kuhn-Dörflinger: this is very unusual with a dose in the usual dosage, with an overdose this is occasionally described.

Does the term "interstitial cystitis" mean anything to you? If so, can you explain to me what kind of cystitis is it?

Annette Kuhn-Dörflinger: It is a non-bacterial inflammation of the urinary bladder that is usually associated with pain and frequent urination. In this disease, the bladder wall is inflamed, the protective layer is defective and has to be rebuilt.

When I hear hormone cream, I immediately think of side effects. Can you say something about that? Or does an external cream have no effects on the overall hormonal balance?

Eliane Pauli: A locally applied hormone therapy has hardly any side effects. In particular, the systemic uptake of hormones you fear is not zero, but it is very minimal. In other words, a hormone cream is not effective for menopausal symptoms (flushing, sleep disorders, mood swings). Nevertheless, Oestro-Gynaedron ointment should not be used in women who have had breast cancer, but should be switched to Colpotrophine.

A cystitis was found during a check-up. I was very astonished as I did not experience any burning or pain when urinating. Now I have noticed that I cannot always dissolve the same amount of water and just have a somewhat uncomfortable feeling about the vagina. I am 56 years old and I suspect that I have pain and inflammation every now and then. Can you also train the bladder?

Eliane Pauli: A cystitis at your age does not necessarily have to cause symptoms. Some postmenopausal estrogen deficiency can make you more prone to urinary tract infections; Regular use of a hormone ointment can help. The symptoms that you also describe can be an indication of a lowering of the pelvic floor with possibly incomplete bladder emptying. In this regard, I would advise you to have a pelvic examination. With a so-called micturition calendar, your gynecologist can assess your behavior (amount of water you drink, emptying your bladder, incontinence, watering at night) and give you practical tips for everyday life. Pelvic floor training makes sense as an initial treatment for incontinence symptoms, but it cannot prevent recurring urinary tract infections.

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