Health Essentials
Urinary tract infection is common, do not take it home!
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Have you ever experienced a burning sensation while urinating? Did your urine have a strong smell? Were you also experiencing frequent urination at the time?
Then you may have had a Urinary Tract Infection. The above symptoms are but a few of the symptoms if it presents any.
Urinary tract infections (UTIs) can occur in any part of your urinary tract – kidneys, ureters, bladder, or urethra. Infections of the lower urinary tract – the bladder and urethra – are most common.
Women are more likely to experience UTIs than men. Infections of the bladder can be uncomfortable and unpleasant, but if a UTI spreads to your kidneys, serious consequences can occur.
There are not always symptoms associated with urinary tract infections, but when they do occur they may include:
- A strong, persistent urge to urinate
- Burning sensations when urinating
- Routinely passing small amounts of urine
- Cloudy urine
- Blood in the urine may appear red, bright pink, or cola-coloured
- Strong-smelling urine
- A woman may experience pelvic pain, especially in the area of the pubis
Elderly adults are more likely to overlook UTIs or confuse them with other conditions.
Infections can occur in different parts of the urinary tract, and they are called by different names depending on where they happen.
- Cystitis of the bladder can cause you to pee excessively or to feel pain when you do. It can also cause you to have cloudy urine or blood in your urine.
- Pyelonephritis (kidneys) can result in fever, chills, nausea, vomiting, and upper back pain and discomfort.
- Urethritis may cause a discharge and pain when you urinate.
Bacteria entering the urinary tract through the urethra and multiplying in the bladder often cause urinary tract infections. Even though the urinary system is designed to protect against such bacteria, these defences sometimes fail. If that occurs, bacteria could take hold and grow into a full-blown infection in the urinary tract.
- Infection of the bladder (cystitis). In this type of UTI, Escherichia coli (E. coli), a type of bacteria commonly found in the gastrointestinal tract (GI), is responsible for the infection. However, other bacteria can also cause infection. Sexual intercourse may lead to cystitis, but you don’t have to be sexually active to develop it. A woman’s anatomy makes her vulnerable to cystitis, especially the short distance between the urethra and anus and the opening along the urethral wall that leads to the bladder.
- Infection of the urethra (urethritis). In this type of UTI, GI bacteria spread from the anus to the urethra. Additionally, because the female urethra is located close to the vagina, infections such as herpes, gonorrhoea, chlamydia, and mycoplasma may cause urethritis.
Women are prone to urinary tract infections, and many experience more than one infection in their lifetime. Specific risk factors for women include:
- Female anatomy. Women have a shorter urethra than men, which makes it easier for bacteria to reach the bladder.
- Sexual activity. Women who are sexually active tend to have more UTIs than those who aren’t. Switching partners also increases your risk.
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- Birth control methods. Women who use diaphragms for birth control, as well as those who use spermicidal agents, may be at higher risk.
- Menopause. As estrogen levels decline during menopause, you become more susceptible to infections in the urinary tract.
- Abnormalities of the urinary tract. The risk of UTIs is higher in babies born with abnormalities of the urinary tract that prevent urine from leaving the body normally or cause urine to back up in the urethra.
- Urinary tract obstructions. UTIs can be caused by kidney stones or an enlarged prostate that trap urine in the bladder.
- A suppressed immune system. The risk of UTIs increases with diabetes and other diseases that impair the immune system.
- Catheter use. An increased risk of UTIs exists for people who can’t urinate on their own and use a tube (catheter). The category may include people who are hospitalised, people with neurological problems that make it hard for them to control their bladder function, and people who are paralysed.
- Recent urological surgery. An exam of your urinary tract with medical instruments or a surgery on your urinary tract can both place you at risk for urinary tract infections.
Infections of the lower urinary tract rarely result in complications when they are treated promptly and properly. An untreated urinary tract infection, however, can cause serious complications.
Complications of a UTI may include:
- Recurring infections, especially in women who experience more than two UTIs in a six-month period or four or more within a year.
- Acute or chronic kidney infection (pyelonephritis) caused by an untreated UTI that permanently damages the kidneys.
- Pregnant women are more likely to deliver low birth weight or premature babies.
- Men with recurrent urethritis have narrowing (stricture) of the urethra, a condition previously seen with gonococcal urethritis.
- Infections can lead to sepsis, which is a potentially life-threatening complication, especially if the infection goes into your urinary tract or kidneys.
Here are some steps you can take to reduce your risk of urinary tract infections:
- Drink plenty of liquids, especially water. Drinking water helps dilute your urine and ensures that you’ll urinate more frequently — allowing bacteria to be flushed from your urinary tract before an infection can begin.
- Drink cranberry juice. Although studies are not conclusive that cranberry juice prevents UTIs, it is likely not harmful.
- Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra.
- Empty your bladder soon after intercourse. Also, drink a full glass of water to help flush bacteria.
- Avoid potentially irritating feminine products. Using deodorant sprays or other feminine products, such as douches and powders, in the genital area can irritate the urethra.
- Change your birth control method. Diaphragms, or unlubricated or spermicide-treated condoms, can all contribute to bacterial growth.
Source:
Maureen Masopeh and Tina Amarh
Content Creators
Health Essentials Ghana Limited
References:
- Mayoclinic.org
- Webmd.com
I have over the past two decades looked beyond mainstream medicine to assess other options that lead to holistic health, and I must say it’s been exciting and revealing but it’s not an easy path.
As I matured and my knowledge expanded, I have changed my opinion on some aspects of wellness and many findings have been humbling. We all continue to learn each day.
I will share some of the life-changing skills that we take for granted. In our quest for wellness there appears to be more questions than answers, but moderation still remains key in our daily lives.
The power of prayer, praise and worship of God cannot be taken out of the equation.
Ready. Set. Let us do this together.
- Strength training is a must for ALL of us
- Yes, we all need to dig into the various aspects of exercise; strength training, cardiovascular training, stretches or flexibility training and balance training. If you asked me about a decade ago to pick the king of all exercises, I would naively have answered cardiovascular such as walking, cycling etc. but I am certain now that strength training trumps all and we need to incorporate at least a bit of that in our exercise programme.
- Take a short walk after each meal
- Many of us (your truly included) after dinner barely get to wash our hands before the miracle of the Lotus Eaters sends us to dreamland. Our fingers will be signaling to rats and cockroaches to come out and party.
- Walking a few minutes after eating may hold the key to helping control our blood sugar levels and reduce the spikes in insulin that come with a myriad of issues. At the very least the short walks after eating will add up to increase the energy you expend daily.
- Eating your vegetables and proteins before your carbohydrates may be helpful
- Well, how true may this be? I suggest it is worth trying. I am not saying clear your plate of all protein before you even take a spoonful of carbohydrate. The fibre will slow the absorption of the sugar for hours and even better, you may feel full after the vegetables and protein and not be able to gobble down the mounds of carbohydrates you had planned to dismantle.
- Eat slowly but do not get your boss angry
- Eating slowly does not mean spending hours at lunch and courting the displeasure of your superiors. It takes about 20 minutes for your brain to realise you are full so dear friend, take your time to chew and enjoy your food. A meal “downed” in less than 20 minutes may cause you to virtually suffocate when you top up with water. This is a message to myself and all those who like me eat so quickly that Usain Bolt will envy our speed.
- Eat from small, colourful plates
- Small colourful plates make an impression on our brains. Since the little food appears loaded on a small plate our brains tend to “believe” it’s a lot of food and we feel full for a strange reason. Put the same amount in a large plate and you are likely to be asking for second servings.
- By all means make friends
- The power of social wellness and its role in longevity and an enviable health span is no longer in doubt. By all means make a few good friends and enjoy life! Thank me later.
- Sleep!
- Yes, I do agree there are at least seven forms of rest, and they are all equally important BUT start off with sleep and we will gradually rope in all others.
- Keep your eyes on your numbers
- I have written and spoken about the miracle of knowing our numbers and keeping them in check; blood pressure, blood sugar, lipids and BMI. Today I suggest you look at your heart rate closely. A low heart rate may be an indicator for staying here on planet earth for a long time. Also keeping glycated haemoglobin (long term blood sugar) low is another feather in the cap of longevity.
- Appropriate supplementation
- The golden rule is to get all your nutrients from your food but for many of us that may not be possible hence the need to supplement ( note that supplement overdose does exist)
- It is ideal to discuss supplementation with your healthcare professional and your discussion should look at probiotics, magnesium glycinate, Vit D3 + K2, a good multivitamin and in some instances creatine or whey Protein. I am in no way suggesting you take all these, each individual is unique and that is why it is crucial to discuss your options with a professional.
- Make a conscious effort to be HAPPY
- Happiness affects our entire being in positive ways; smile, say a kind word to someone, be grateful, surround yourself with people who make you happy and not ones who sap your energy, volunteer to support people and by all means get a hobby eg gardening, playing a game etc and the best get news yet; you don’t even have to be good at your hobby to benefit.
We are not waiting for a magical or ideal day to start working on our Health and Wellness, we start today bearing in mind that “the most efficient way to reach our realistic health and wellness goals is to make small healthy choices daily.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/ Medics Clinic
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – “WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO
Very often we leave the doctor’s office only to remember that we left out a major complaint. Some patients immediately rush back to the consulting room totally oblivious of the privacy that the next patient is entitled to.
They expect that as they walk in, the doctor should ignore the seated or positioned patient and attend to them. That is totally outrageous. Others go home and continue to live with the condition hoping to be healed miraculously.
Most of us will be extremely lucky to spend 15 minutes with our doctor and this time is often much shorter in countries/communities where the doctor-patient ratio is so low that at best it can be described as criminal.
We are now in the second half of 2026, and I highly recommend that you see a doctor not only when you are unwell but as a means to assess your state of wellbeing and take the needed precautions. It is critical that you find a good primary care doctor who is knowledgeable and proactive and will also be able to coordinate specialist care that you may require.
To make the most out of our time with the doctor we need to PREPARE. If your condition is an emergency, then you do not have the benefit of time to prepare.
A must do!
Kindly ensure your personal hygiene is excellent.
- Take a good bath and brush your teeth
- Wear clean clothes that also make undressing easy, especially if you need to expose some areas for inspection/examination.
This may sound ridiculous, but the opposite does happen in real life.
Remember that doctors are human and when you are unkempt you may not get adequate contact with your doctor.
Research on the symptoms
If you have access to the internet or a book worth its salt you may read about your symptoms or wait to read after your doctor tells you your diagnosis.
Remember that if you need to research on the internet, it is essential that you use a reputable site.
In tune with your complaints
- Write down your complaints/symptoms if you think you may forget.
- If you have had a similar problem and have the results of any investigations e.g. Laboratory tests, x-rays, CT scans etc kindly carry them along
- Let your doctor know if you react to any drugs.
- Be truthful about any medications you have taken for the condition, if you do not remember the names make sure you go with the containers.
- If you have any other medical conditions (and medication) make the doctor aware.
- Remember to make a note of the following
- When did the symptoms/complaint begin?
- How long have you had these symptoms?
- Is it getting worse?
- Does anything make the condition worse?
- What makes you feel better?
- Is anything related to their onset?
- How often does it occur?
- How long does it last e.g. in pain conditions as well as rash, allergies etc.
- Does anyone else in your family have them?
- How do they affect your daily life?
- Is it related to work or home?
You may need to modify these slightly when you have skin lesions, swellings etc. This list is by no means exhaustive, and you may not need to find answers to all of them before getting help, but they will definitely help you ace the visit to your doctor.
If your doctor books you for surgery, do not leave his presence without finding out the following:
- Will you go home on the same day of the surgery?
- Will you need assistance to go home or can you drive unsupervised for instance
- What form of anaesthesia will you be given?
Then, if your visit is for a medical examination, do remember that also being aware of disease conditions in your family will help your doctor select the appropriate tests and make the whole experience and time useful.
Finally do not leave your doctor without finding out:
- How much physical activity/exercise you require; the Almighty “FITT” prescription
- What you need to eat or avoid.
- Some basic information regarding SLEEP.
See you in the consulting room soon.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)/Medics Clinic
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – “The next big thing in Healthcare in Ghana is the Medics Clinic. Visit https://medicsgroupgh.com/ for more information.”
References:
