Ifyour urine is cloudyandsmellsfishy, it is most likely a urinarytractinfection. A urinarytractinfection is whenmicro-organisms enter theurinarytract, wheretheymultiplyandcauseinflammation. Bacteria are the most commoncausativeorganisms, whilefungi, virusesandparasites are lesscommon. Urinarytractinfections are the most commoninfections in peopleofallgenerations, alongwithrespiratoryinfections.
Theycan be broadlydividedintolowerurinarytractinfections (urethritis, cystitis, prostatitis) andupperurinarytractinfections (acutepyelonephritis, renaloradrenalabscess), depending on thelocalisationoftheinflammation. Urethralandbladderinfections are non-invasive, whilekidneyand prostate infections are invasivetissueinfections. Infectionsmayalso be asymptomatic.
Thedefinitionofurinarytractinfection as uncomplicatedorcomplicated is veryimportant, as it determinesthepre- and post-treatmentinvestigations, thechoiceofchemotherapeutic agent, thedurationoftreatmentandtheneedforurinarytractmorphologicalexaminations.
At theonsetofsymptomsandsignsofinfection, wecannotyetpredict how theinfectionwillprogress. Therefore, a historyofpreviousdiseases is veryimportant.
Uncomplicatedinfections are most oftencontractedbyotherwisehealthywomenofchildbearing age who are not pregnant.
Complicatedurinarytractinfections are most oftenthoughtofwhentreatment is not effective. Complicatedurinarytractinfectionoccurs in groupsofpeople at higherriskofurinarytractinfectionsdue to thepresenceofaninflammatoryfocusorotherfactors, which are characterisedbyaninfectionthat is more difficult to treatandcanlead to severe complicationssuch as kidneyloss, acuterenalfailure, sepsisandevendeath.
Acuteinflammationofthebladder (acutecystitis) is manifestedby a suddenfrequentandburningdischargeofsmallamountsof urine (dysuria), which is cloudyandfoul-smelling, bloodmayalso be present; pain in the area ofthebladderabovethesymphysismayoccur. To confirmacutebacterialurinarytractinfection, thediagnosticfinding is pyuriaandbacteriuria. Themidstreamofthe urine sample is examinedduringcontinuousmicturition. A youngerwomanwho is not pregnant is treatedempiricallywith oral nitrofurantoinfor 5 days; trimethoprim-sulfamethoxazole is prescribedfor 3 days. Acuteuncomplicatedurinarytractinfections do not usuallycausechronicrenalimpairmentorarterialhypertension. Asymptomaticbacteriuriadoes not causesequelae, except in pregnantwomen, in whom it is activelysought. Recurrentacuteuncomplicatedcystitis is defined as a womanwhohashadacutecystitis at leastthreetimesduringherchildbearing period in the last year. Recurrentlowerurinarytractinfections (reinfections) are verycommon in youngwomen. A complicatedurinarytractinfection in a renalordiabeticpatient, anunresolvedobstructionor a neurogenicbladdercanacceleratethedevelopmentofchronicrenalfailure in a patientwithchronickidneydisease.
BioapigynVaginalOintment is aneffectivemethod to preventvaginalinflammationandother vulvo-vaginaldisorders. It is also used to treaturinaryincontinenceorleakageof urine. Theointmentcontainsnaturalactiveingredientsof bee andplantorigin. Bioapigyn® VaginalOintmentcreatesanacidicandviscousenvironmentwith a lowwatercontentthatpreventsthegrowth, adhesionandreproductionofpathogenicmicro-organisms, whileloweringthe pH ofthe vagina to optimallevels. A protectivelayer is created on thedamagedvaginalmucosa, moisturisingthe vagina andallowing it to recover more quicklyandpreventingfurtherirritation. Thecombinationofessentialoilsandherbalmaceratealsoeliminatesunpleasantodours, oftenmanifestedby a 'fishysmell'.
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