Infecção urinária: cistite ou pielonefrite?

#uti, #urinaryinfection, #cystitis, #pyelonephritis If you don't speak Portuguese, you can select English SUBTITLES. Have you ever had a urinary tract infection? Was it cystitis or pyelonephritis? UTI = urinary tract infection. UTI can be of 2 types: High (when it affects the kidneys .. called pyelonephritis) or low (when it affects the bladder .. called cystitis). Cystitis is much more common than pyelonephritis. Pyelonephritis can be severe and cause kidney failure .. cystitis not! What are the symptoms of UTI? Cystitis leads to burning when urinating, frequent urge to urinate, sudden urge to urinate, blood in the urine, pain in the belly. Pyelonephritis can develop symptoms of cystitis, but it usually leads to fever or chills, low back pain, nausea or vomiting. The risk is greater in those who have some blockage to the passage of urine (such as urinary reflux and obstructive stones). What causes UTI? Bacteria! That's right. Bacteria live in the digestive tract .. and not in the urinary tract. They are present in feces .. and not in urine. And the most famous of them is the species Escherichia coli. The shorter the distance between the urethra and the anus, the greater the chance that the bacteria, normally present in the anus, will contaminate the urethra. That is why women have a lot more urinary tract infection than men. But be careful ... uncircumcised men are more likely to have a urinary tract infection than circumcised men, but I am not recommending circumcision .. only that children and adults who are male and uncircumcised should pay more attention to hygiene! But the fact that the bacteria contaminate the urethra is not enough to trigger UTI. There needs to be some kind of trigger .. to allow the bacteria to travel through the urinary tract .. it can travel and reach the bladder causing cystitis .. or then continue traveling and reach the kidneys causing pyelonephritis. Triggers are: sexual activity, anal sex, use of spermicides, drinking little water, postponing trips to the bathroom, inadequate hygiene, emotional instability, children with constipation, malformation of the urinary tract, pregnancy, menopause, inadequate emptying of the bladder, kidney struvite calculus and obstructive calculus, poorly controlled diabetes. Do I need to take exams? No! In most cases, the doctor can diagnose UTI by its symptoms. Treatment is with antibiotics!