Uncomplicated urinary tract infection; UTI - acute; Acute bladder infection; Acute bacterial cystitis
Antibiotics taken by mouth are usually recommended because there is a risk that the infection can spread to the kidneys.
Commonly used antibiotics include trimethoprim-sulfamethoxazole, amoxicillin, Augmentin, doxycycline, and fluoroquinolones. Your doctor will also want to know whether you are pregnant.
Your doctor may also recommend drugs to relieve the burning pain and urgent need to urinate. Phenazopyridine hydrochloride (Pyridium) is the most common of this type of drug. You will still need to take antibiotics.
Everyone with a bladder or kidney infection should drink plenty of water.
Some women have repeat or recurrent bladder infections. Your doctor may suggest several different ways of treating these.
Over-the-counter products that increase acid in the urine, such as ascorbic acid or cranberry juice, may be recommended to decrease the concentration of bacteria in the urine.
Follow-up may include urine cultures to make sure the bacterial infection is gone.
See also: Catheter-associated UTI
Most cases of cystitis are uncomfortable, but go away without complications after treatment.
Call your health care provider if:
Little P, Moore MV, Turner S, et al. Effectiveness of five different approaches in management of urinary tract infection: randomised controlled trial. BMJ. 2010.340:c199. doi:10.1136/bmj.c199.
Norrby SR. Approach to the patient with urinary tract infection. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap.306.
Foster RT Sr. Uncomplicated urinary tract infections in women. Obstet Gynecol Clin North Am. 2008;35(2):235-248.
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