Urinary Tract Infections
In The Elderly
Urinary tract infections are very common among the elderly.
In fact, people of all ages, especially women, get urinary infections. While they can be easily treated, if they
are left untreated, serious complications can arise. However, the symptoms of urinary tract infections are not as
clear cut in the elderly as they are in younger people.
Typically, urinary tract infections cause symptoms such
as painful urination, frequent urination, cloudy or bloody urine, strong smelling urine, and pelvic or rectal
pain. The elderly may display different symptoms such as sudden incontinence, confusion, agitation, and loss of
balance. Overall health may decline and there could be nausea and vomiting.
Urinary tract infections occur in any portion of the urinary tract; they are most
serious when the kidneys are involved. The kidneys could become infected, or the infection may attack the
bladder. Commonly, only the urethra is involved. Urinary tract infections should be promptly treated so they
don't spread up to the kidneys where more serious damage can occur.
Urinary tract infections can be easily diagnosed with a simple blood test. If an
elderly person suddenly has a change in behavior or their health declines, even if no other symptoms are
present, an infection should be considered. When a diagnosis is confirmed, the condition can easily be treated
with antibiotics.
Some people are more prone to urinary tract infections than others. Those who
have frequent infections may want to consider taking preventative steps. Drinking plenty of water on a daily
basis can help so the urinary tract stays flushed out. Cranberry juice is also recommended. It is also
important to wipe from the front to the back as not to spread bacteria from bowel movements. In addition, the
area should be kept clean and dry.
Those wearing adult diapers should change diapers frequently to lessen the risk
of bacterial growth that spreads to the skin and urinary opening. Also, it is important to urinate when the
urge arises and not hold urine for prolonged times. It may also be beneficial to take showers rather than tub
baths and to avoid the use of feminine hygiene sprays.
Most urinary tract infections do not lead to serious complications and are
cleared up within a day or two once medical treatment is undertaken. The elderly may be more susceptible to
complications, especially if the infection is not recognized and treated early enough. In some cases,
hospitalization and aggressive treatment of the infection may be necessary. When drugs are prescribed for a
urinary tract infection, it is important to take them for the full duration of time prescribed and not stop
them when symptoms go away. This can lead to recurrent infections that get progressively more difficult to
treat.
It often relies upon caregivers to suspect urinary tract infections in the
elderly, especially in the case of people with Alzheimer's disease or dementia. Prevention also lies in the
hands of caregivers since proper hygiene goes a long way towards preventing these infections.
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