Most urinary tract infections -- or UTIs -- are simple and usually easy to treat. When they're treated right away, they rarely lead to serious problems. But in some cases, a UTI can lead to major issues. If a
UTI gets "complicated," it means that regular treatment isn't enough to cure it. Usually there's some other factor -- maybe an underlying health condition -- that has caused it to get worse. So the usual treatment of 2 to 3 days of
antibiotics may not be enough to help you get better and you may need a course of antibiotics designed specifically for treating a complicated UTI. Here's a look at some of the most common ways that a UTI can get complicated and how they might be treated: Women who have repeated
infections. When you get UTIs over and over, your doctor may suggest a different treatment plan. This might mean taking daily medications for six months or longer, taking a single dose after sex, or taking them for 2 to 3 days when symptoms show up. Another option is an IV of antibiotic every 24 hours for 4 to 7 days. You might also consider drinking plenty of
water, switching birth control methods, and peeing more often, especially right after sex. Permanent
kidney damage. If you don't treat a UTI, a long-lasting kidney infection can hurt your kidneys forever. It can
affect the way your kidneys function and lead to kidney scars, high blood pressure, and other issues. Sometimes it can even be life-threatening. You'll take antibiotics to treat a kidney infection. If your symptoms include a high fever and severe
pain or you can't keep down fluids, you might also be put in the hospital until your infection has cleared up. UTIs and diabetes. Women with this condition have a higher risk of complications when they get a UTI than those without
diabetes. The key is to diagnose and treat UTIs right away to avoid problems such as kidney infections. UTIs and pregnancy. These infections are very common during pregnancy. If they’re not treated, they could lead to problems for both mom and
baby. This could include a greater risk of delivering a low birthweight or premature baby. Your risk for
high blood pressure and anemia also go up. Life-threatening infection complication. If a UTI isn't treated, there’s a chance it could spread to the kidneys. In some cases, this can trigger sepsis. This happens when your body becomes overwhelmed trying to fight infection. It can be deadly. Symptoms include extreme pain and issues with body temperature, heart rate, respiratory rate, and white blood cell count. UTIs in men. These infections are less common in men than women. They usually happen because of some kind of blockage. This may be due to an enlarged prostate, a urinary stone, or a problem from a catheter used for a procedure. These UTIs are treated with antibiotics. It's often harder to cure prostate-based infections. Treatment usually consists of long-term antibiotics, alpha blockers, and anti-inflammatories. This condition may be life-threatening. Other structural or functional issues. Like blockages that men might have, there can be other issues with the way the urinary system works. Things like cysts, stones and tumors can trigger more serious problems. If you've had a kidney transplant or kidney failure, that can lead to complications with a UTI. Although antibiotics are first-line therapy for a culture proven UTI, structural abnormalities of the urinary tract may require a surgical fix to eradicate UTIs. Your doctor will still use antibiotics, but will monitor your underlying condition such as bladder or kidney stones, bladder diverticulum, or blockages of urinary tract. 
July 29, 2022 | by Amit Patel, MD
It’s no surprise that women are prone to urinary tract infections (UTIs). It’s just how the female anatomy is made. Since women have a shorter urethra, bacteria have a shorter distance to travel compared to men. Even though UTIs are more common in women, men can get them too. A UTI can infect any part of your urinary system — kidneys, ureters, bladder and urethra. They are one of the most common types of infections and account for around 8.1 million visits to a doctor every year. The most common symptoms of a UTI include:
Your doctor can test your urine, determine if you have a urinary tract infection, and prescribe you an antibiotic to fight it. If you continue to notice blood in your urine or if your symptoms persist after a course of antibiotics for a UTI, it may be a sign of something more, like bladder cancer. While UTIs are very common, blood in your urine is never normal. It is often the first sign of bladder cancer and for women, it can be easily misdiagnosed as menstruation or menopause. Just like a UTI, bladder cancer symptoms include:
Smoking is the greatest risk factor for bladder cancer, and causes about half of all bladder cancers in both men and women. Smokers are 4 to 7 times more likely to develop bladder cancer than nonsmokers. Although screening tests are usually not recommended for people at average risk, bladder cancer can often be found early because it causes blood in the urine or other persistent symptoms. What’s important to remember is that if something doesn’t look or feel right, it probably isn’t. If you notice blood in your urine or have any symptoms of a UTI, have your symptoms checked by your doctor. Cancer is treated most effectively when it is found early. Related blogs: Detect cancer early with regular checkups and screenings Learn more about cancer support services at Edward-Elmhurst Health.
You may be interested inWhat happens if UTI doesn't respond to antibiotics?If a UTI isn't treated, there's a chance it could spread to the kidneys. In some cases, this can trigger sepsis. This happens when your body becomes overwhelmed trying to fight infection. It can be deadly.
Should a UTI still hurt after 3 days of antibiotics?You should also call your doctor if, after taking medicine for 3 days, you still have a burning feeling when you urinate. If you are pregnant, you should also call your doctor if you have any contractions.
How long after taking antibiotics for a UTI will the pain stop?When do symptoms of a UTI go away with antibiotic treatment? Once you start taking antibiotics, symptoms of a lower urinary tract infection typically resolve within 24 to 48 hours. With a kidney infection, you can expect to begin feeling better in 3 to 7 days.
Why is my UTI pain not going away?Underlying conditions. In some cases, antibiotic medication will fail to resolve your symptoms because the underlying cause isn't a UTI, but another condition which can cause similar symptoms. Conditions that can cause UTI-like symptoms include: Cystitis, or bladder infection.
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Uti pain not going away with antibiotics
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