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Prevention

By Mayo Clinic staff

Cranberry juice or tablets containing proanthocyanidin are the only home remedies proven to reduce your risk of recurrent bladder infections. However, don't drink cranberry juice if you're taking the blood-thinning medication warfarin (Coumadin). Possible interactions between cranberry juice and warfarin can lead to bleeding.

Although other preventive self-care steps have not been well studied, doctors routinely recommend the following for women who've had repeated bladder infections:

  • Drink plenty of liquids, especially water. Drinking lots of fluids is especially important if you're undergoing chemotherapy or radiation therapy, particularly on treatment days.
  • Urinate frequently. If you feel the urge to urinate, don't delay using the toilet.
  • Wipe from front to back after a bowel movement. This prevents bacteria in the anal region from spreading to the vagina and urethra.
  • Take showers rather than tub baths. If you're susceptible to infections, showering rather than bathing may help prevent them.
  • Gently wash the skin around the vagina and anus. Do this daily, but don't use harsh soaps or wash too vigorously. The delicate skin around these areas can become irritated.
  • Empty your bladder as soon as possible after intercourse. Drink a full glass of water to help flush bacteria.
  • Avoid using deodorant sprays or feminine products in the genital area. These products can irritate the urethra and bladder.
References
  1. Eckert LO, et al. Infections of the lower genital tract: Vulva, vagina, cervix, toxic shock syndrome, HIV infections. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby; 2007. http://www.mdconsult.com/das/book/body/177168529-3/935265772/1524/147.html#4-u1.0-B978-0-323-02951-3..50025-X--cesec2_754. Accessed Jan. 5, 2010.
  2. Infectious disease. In: Rakel RE. Textbook of Family Medicine. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/177168529-3/935265772/1481/590.html#4-u1.0-B978-1-4160-2467-5..50054-3--cesec94_3599. Accessed Jan. 5, 2010.
  3. Hooton TM. Acute cystitis in women. http://www.uptodate.com/home/index.html. Accessed Jan. 5, 2010.
  4. Interstitial cystitis / Painful bladder syndrome. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/interstitialcystitis/. Accessed Jan. 5, 2010.
  5. French L, et al. Urinary problems in women. Primary Care: Clinics in Office Practice. 2009;36:53.
  6. Hooton TM, et al. Recurrent urinary tract infection in women. http://www.uptodate.com/home/index.html. Accessed Jan. 5, 2010.
  7. Ksycki MF, et al. Nosocomial urinary tract infection. Surgical Clinics of North America. 2009;89:475.
  8. Aliotta PJ, et al. Urinary tract infections. In: Ferri FF. Ferri's Clinical Advisor 2010. St. Louis, Mo.: Mosby; 2009. http://www.mdconsult.com/das/book/body/177168529-17/935347317/2088/688.html#4-u1.0-B978-0-323-05609-0..00030-7--s0250_14032. Accessed Jan. 5, 2010.
  9. Natural history of bacteriuria and pyelonephritis. In: Brenner BM, et al. Brenner and Rector's The Kidney. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-1-4160-3105-5..50036-0--cesec36&displayedEid=4-u1.0-B978-1-4160-3105-5..50036-0--cesec37&uniq=177168529&isbn=978-1-4160-3105-5&sid=935319858. Accessed Jan. 5, 2010.
  10. Hemorrhagic cystitis. Chemocare.com. http://www.chemocare.com/managing/hemorrhagic_cystitis.asp. Accessed Jan. 5, 2010.
  11. Shortliffe LMD. Infection and inflammation of the pediatric genitourinary tract. In: Wein AJ. Wein: Campbell-Walsh Urology. 9th ed. Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/177168529-16/935328560/1445/115.html#4-u1.0-B978-0-7216-0798-6..50114-X--cesec78_6964. Accessed Jan. 5, 2010.
  12. Urinary tract infections. American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp050.cfm. Accessed Jan. 5, 2010.
  13. Castle EP (expert opinion). Mayo Clinic, Scottsdale, Ariz. Jan. 10, 2010.
DS00285 March 6, 2010

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