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Most typical urinary infections in pregnancy. Cystitis and renal colic

Most typical urinary infections in pregnancy. Cystitis and renal colic


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The pregnancy it is a physiological state in which a woman's body undergoes many changes. Some of these affect the urinary system, both in its anatomy and in its functioning, which makes women prone to suffer urinary infections in pregnancy such as the cystitis and renal colic.

Urine is considered sterile, as it does not contain bacteria; however these can easily get into the urine due to different factors such as sexual intercourse or one improper hygiene (when we clean in the direction of the anus to the vagina), which can facilitate the passage of bacteria that are in the anal or perineal area towards the urethra.

The hormones they also make the pregnancy It is a particularly vulnerable situation, since they relax the muscles of the bladder and ureters, and make the transit of urine slower. In the last trimester, the uterus becomes larger and traps the bladder, complicating and sometimes preventing its complete emptying.

In addition, it must be taken into account that urine pH it is less acidic in pregnancy, and may contain more glucose, making the environment more conducive for bacteria to grow and proliferate.

Almost 1 in 10 pregnant women has a urine infection during the 9 months of gestation. In fact, it is quite common outside of pregnancy as well. Just because we are a woman, from girls we are more likely than boys to suffer from an infection of this type.

Outside of pregnancy, the typical thing is to feel itching when urinating, the need to go to the bathroom frequently, urinate many times but not much, constant suprapubic discomfort, etc.

However, in pregnancy many times cystitis or urinary infections go unnoticed, without causing much discomfort, and then complications such as renal colic or pyelonephritis (We explain what it consists of below).

In the event that you feel any pain in the pelvic area, It is recommended that you go to your gynecologist for a blood test to determine whether or not it is cystitis and establish the protocol to follow.

Among the most common recommendations for women suffering from cystitis in pregnancy, It highlights the continuous intake of water, carry out an exhaustive hygiene in the part of the vagina, use soap with neutral pH and follow a diet rich in fruits and vegetables and with foods that are difficult to purify (low-fat foods).

The cause of renal colic is the formation of a stone or stone in the kidney or ureter. These stones are made up of crystals, mainly calcium oxalate, which is excreted in the urine.

It is characterized by the sudden onset of pain on one side of the abdomen or lumbar region, which appears and disappears cyclically, and which may be referred to by the woman as a burning or pricking sensation. It usually radiates to the genitals and lower back.

Sometimes the pain is accompanied by urinary symptoms such as itching or discomfort when urinating (dysuria), a strong urge to go to the bathroom (frequency and / or tenesmus), although there is usually no deterioration of the general condition (fever, nausea or vomiting).

Although this condition is not very frequent in pregnancy, it is a reason for admission of the pregnant woman due to intense pain and the need for intravenous treatment. Despite the scandalous symptoms, there is usually no risk to the fetus.

Multiple pregnancies are a risk factor for renal colic. Women with a history of kidney colic before pregnancy, they also develop this condition more frequently during pregnancy.

The ultrasound it is the safest and most reliable test for the fetus and the mother. However, other tests such as nuclear magnetic resonance or low-rate tomography can be performed depending on the severity of the clinical picture and the trimester of pregnancy when the renal colic happens.

Treatment is analgesia, spamolytic drugs, and rest. The spontaneous expulsion rate of lithiasis (stones) during pregnancy is high, so the initial treatment is usually conservative with oral analgesics and evolution control with ultrasound.

In case of complication of the clinical picture, such as acute pyelonephritis and / or urinary tract obstruction, the urologist and gynecologist must act urgently as the risk of a threat of preterm labor increases.

You can read more articles similar to Most typical urinary infections in pregnancy. Cystitis and renal colic, in the category of Diseases - annoyances on site.


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