Bladder infection beer: The request could not be satisfied

09.10.197513.10.2021 by alexxlab

Содержание

Beer for Your Bladder? – New Mobility

Q: A friend of mine says that drinking a beer at bedtime keeps his bladder quiet through the night. Have you heard anything about drinking beer as a way to quiet a spastic bladder?
— Dave

A: Dave, I love the question! I searched far and wide hoping to find a journal article saying that beer is good for the bladder! Alas, after many search engine explorations, the closest match I came up with after typing in “neurogenic bladder and beer” was a reference to a urologist from 1915 named Dr. Beer. Other than that was a post on Healthline.com and a couple of lines in the Merck Manual, both of which say alcohol is a natural diuretic, increases urine output and is a bladder irritant—none of which sound very helpful in terms quieting the bladder.

Undeterred, I emailed the question to a urologist who is well versed in physical medicine and rehab. Although he hadn’t heard of any scientific research on beer and its effects on the bladder compromised by SCI, he did say that the hops in beer can be anti-inflammatory. And while alcohol irritates the bladder, it is also a central nervous system depressant and would probably quiet some of the spinal cord nerves, which may, in turn, quiet the bladder. Anti-inflammatory hops and quieter CNS nerves—now I was getting somewhere.

Next I turned to a New Mobility reader. Paul Knott, 55, of Davis, Calif., is in his 24th year as a C7 complete quad. Knott is a systems analyst for California Department of Forestry and spends his days in front of a computer screen. “I had horrible problems with lower body spasticity, including a very spastic bladder — the spasms were the worst after a long day of sitting at work,” he says. “My urologist started me on Ditropan, and it wasn’t enough. Then upped the ante to Oxybutynin, which worked but wiped me out and made me dizzy and very temperature sensitive. Then I noticed if I drank one or two 12-ounce beers during the evening my bladder quieted down for the night.” Knott shared this with his urologist at Santa Clara Valley Medical Center in San Jose, Calif. The urologist said he hadn’t read any official data but anecdotally, beer seemed to help some of his other patients. He told Knott, “If it works for you keep doing it — in moderation.”

The bottom line is, so far there is no scientific evidence that beer can quiet the bladder; however there is anecdotal evidence that it has helped some people. The key word here is moderation. Alcohol is high in calories and can add unwanted weight. In addition, while moderate consumption alcohol may be of some benefit, heavy drinking can be addictive, harmful and even fatal. According to the USDA Dietary Guidelines for Americans 2005 moderate drinking means no more than one 12-ounce beer per day for women and two 12-ounce beers for men.

Q: I became a C4-5 quad in October 1971. I have been on an indwelling catheter ever since. I get occasional bladder infections and resolve them with antibiotics. I see my doctor on a regular basis, but I could be more diligent about getting ultrasounds and X-rays. I live an active lifestyle and am generally in excellent health except for a few bladder infections a year. Am I playing Russian roulette by not being more conscientious about my urinary tract system?
— Jim

A: Jim, it wasn’t long ago that urinary tract related complications were the leading cause of death among people with SCI. Over the years research has led to better monitoring and better options for managing a neurogenic bladder, which, combined with better antibiotics, have improved the morality rate, but it still ranks in the top five.

To answer your question, I asked several urologists versed in physical medicine and rehab, “How frequently should somebody with SCI see a urologist, and what tests would you suggest?” While some urologists were more aggressive than others in their suggestions of which tests should be performed and how often, there was a consensus on the basics: A yearly visit to a urologist versed in PM&R. A yearly renal/bladder ultrasound—a quick, painless and relatively inexpensive test that gives a good view of the kidneys and bladder and will point out any changes in shape, size, or upper tract obstruction, without any exposure to radiation. A urine culture to check for any unwanted colonization. And a blood draw for a chem panel to check the function of the kidneys, specifically looking at creatinine levels — elevated creatinine levels in the blood indicate that the kidneys are not working at 100 percent. They also said that these are just general guidelines, and monitoring should be customized for each person.

In terms of the urinary tract system, an ounce of prevention is worth a pound of cure. Significant damage can occur in the bladder and kidneys without any noticeable symptoms. And kidney cells are similar to brain cells in that they don’t regenerate—if your kidneys get damaged, they stay damaged. In addition, medical journal articles state that the incidence of bladder cancer among people with SCI is higher than the general population—higher still with long-term use of indwelling catheters. At best, regular urology check-ups will show a healthy bladder and kidneys, verifying that your management system is on track. If there is a problem, regular check-ups give you the best chance of catching it early when it is (hopefully) easily correctable.

UTI remedies I recommend

It first happened on the side of the road outside a little town in southwestern France. My then boyfriend and I were road tripping from Frankfurt to St. Jean-de-Luz for a wedding and spent the night in the car on the side of the road (so romantic!). When I woke up in the early morning with an extreme urge to pee followed by a sharp pain, I was pretty concerned. What was it?

After waiting it out for a bit with no improvement, we decided to head to the closest town for a doctor. I got antibiotics and tips to avoid urinary tract infections (UTIs) in the future. I was reminded to pee immediately after sex and drink plenty of water.

Female urinary tracts are more susceptible to infection because the urethra is much shorter than the male version, and bacteria can reach the bladder more easily. The opening of the urethra is also closer to the anus and its bacteria. Some people may be more prone to UTIs if their bladder doesn’t empty completely when they pee, which can happen for different reasons. Other factors that may make someone more UTI-prone include having a sexually transmitted infection (STI), having given birth to several children, using spermicide or a diaphragm as contraception or being post-menopausal, obese or diabetic.

While my doctor’s suggestions work for most people, they weren’t cutting it for me. After experiencing multiple UTIs each year for the past nine years, I’ve figured out what works best for me, which will hopefully help you too.

1. I drink at least 2 liters (8 cups) of water every day.

Tip: I keep a liter bottle on my desk, so I don’t have to get up every time I finish a glass.

2. Before or after sex (especially if it’s been a while), I take cranberry capsules.*

Tip: Because cranberry juice is often sweetened and bacteria feeds on sugar, I take cranberry capsules, which are concentrated and not sweetened.

3. I ALWAYS pee immediately after sex.

Tip: The longer you wait, the more time bacteria has to build up in your urethra and start causing problems. And always wipe front to back!

4. I monitor my alcohol intake, as alcohol can push me over the edge from initial symptoms to a full-blown UTI.

Tip: Stop drinking or have a glass of water between each alcoholic beverage.

5. When I know I have a UTI and decide to go to the doctor for antibiotics, I advocate for myself.

Sometimes physicians will be hesitant to give you medicine or try to get you to wait a bit longer before the symptoms are more prominent. This is why it’s REALLY important to know your body and stand up for yourself.

Track UTIs in Clue using custom tags—to find out what might be causing your UTIs, or if they are correlated with your cycle.

* Disclaimer: There isn’t much evidence to support this. Research has found little evidence that cranberry products are effective in preventing recurrent UTIs, but more high-quality studies are needed.

Can Alcohol Cause a Urinary Tract Infection (UTI)

Alcohol is a commonly used substance in adults and teenagers. Almost 75% of teenagers have used alcohol before they graduate from high school. Alcohol use is associated with many short-term and long-term health issues.

Alcohol use may be associated with the development of urinary tract infections (UTI) in some people, although it’s usually not a direct cause of UTIs. It may increase the risk of UTIs due to problems with blood sugar regulation and impairment of the immune system.

What is a Urinary Tract Infection?

A UTI occurs when any part of the urinary tract is infected with a bacterial organism. The urinary tract consists of the kidneys, bladder, ureters (which connect the kidney to the bladder) and the urethra (which allows the bladder to eliminate urine from the body). Usually, bacterial organisms cause UTIs, but certain fungi or viruses can also cause UTI symptoms.

Symptoms of UTIs include:

Burning, tingling or pain while urinating
Frequent urge to urinate, even if the bladder is empty
Cloudy urine
Bloody urine
Foul-smelling urine
Frequent urination, often just small amounts
Lower abdominal pain, especially in women

Causes of Urinary Tract Infections

Bacteria commonly causes UTIs when they enter the urinary tract and start to multiply. UTIs are more common in women, since they have shorter urethras and because the urethral opening is closer to the anus compared with men. UTIs usually affect the bladder or urethra and often are caused by gastrointestinal bacteria, such as E. coli.

Several factors may increase the risk of UTIs, including:

Female anatomy
Sexual intercourse, especially with new partners
Certain birth control methods, including spermicides, unlubricated condoms and diaphragms
Menopausal state
Structural abnormalities in the urinary tract
Kidney stones or other obstructions in the urinary tract
Impaired immunity
Use of urinary catheters
Urinary medical procedures
High blood sugar, which often leads to high amounts of sugar in the urine

Can Drinking Alcohol Cause a UTI?

Drinking alcohol does not directly cause urinary tract infections, but it may increase the risk of a UTI occurring for several reasons.

Alcohol can cause the function of the immune system to decrease, which makes it more difficult to fight UTI-causing bacteria if they are introduced to the urinary tract. Infections, in general, are more frequent in people who use alcohol compared with those who do not.

Frequent sexual activity and increased number of sexual partners increases the risk of UTI development. One study showed that alcohol use was correlated with both of these factors in college-aged women.

Alcohol and Bladder Pain

Alcohol use can cause bladder pain even without the presence of a true UTI. This pain seems to occur because of the high acidity of alcohol. The acidity can irritate the lining of the bladder. This bladder irritation may feel similar to symptoms of a UTI, so it may be mistaken for a bladder infection. According to one study, decreasing the intake of acidic substances, such as alcohol, may improve urinary irritation.

Drinking Alcohol With a UTI

Some important aspects of UTI treatment are good hydration, good nutrition, antibiotics and rest. Since alcohol is a mild diuretic, it can cause dehydration. Avoiding alcohol during UTI treatment can help avoid dehydration and improve the healing process. Resting and eating properly can help with recovery as well, and avoiding alcohol can also help with adequate sleep and food intake.

Alcohol and Antibiotic Interactions

It is generally best to avoid alcohol use while taking antibiotics for the treatment of a UTI. Many drugs, including antibiotics, can interact with alcohol. Although not considered serious in most cases, many antibiotics can cause stomach upset, which can be heightened by concomitant alcohol use. Alcohol can sometimes reduce how well the antibiotic works, can cause certain unpleasant effects, along with many other symptoms, ranging from mild to severe.

A common medication for UTI treatment is called Bactrim, which is the brand name for sulfamethoxazole/trimethoprim. Bactrim can interact with alcohol by causing problems with how the body metabolizes folic acid, which can have an effect on blood cell production.

Another antibiotic called linezolid, which is less commonly used to treat UTIs, can also interact with alcohol. This is usually due to a component of some beers and wines, called tyramine, not the alcohol itself. This interaction is not common but can cause elevated heart rate and blood pressure, muscle problems, seizures and fever.

Some antibiotics, called fluoroquinolones, can increase the risk of mental problems or seizures in some patients, which can be compounded by concomitant alcohol use. These antibiotics include Cipro (ciprofloxacin) and Levoquin (levofloxacin).

An antibiotic that has a very common interaction with alcohol is called metronidazole. It is not usually used for UTI treatment, but it’s important to know that mixing it with alcohol is not advisable. Mixing alcohol and metronidazole can cause severe nausea, vomiting, cramping and headaches. Alcohol use should be stopped while taking metronidazole and for three days after the last dose of metronidazole.

Key Points About Alcohol and UTIs

Here are some important points to remember about alcohol and UTIs:

Alcohol does not directly cause UTIs
Alcohol can decrease the function of the immune system, which can increase the risk of a UTI
Sexual activity can increase the risk of UTI development
Alcohol irritates the bladder, which can make UTI symptoms feel more uncomfortable
Certain UTI antibiotics should not be taken with alcohol
Always ask a doctor or pharmacist if it is safe to drink while being treated with antibiotics for a UTI

Next Generation Village takes a holistic approach to treating alcoholism in teens. Contact Next Generation Village today to learn about how individualized treatment plans can help teens achieve long-term sobriety.

Medical Disclaimer: Next Generation Village aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.

What Makes a UTI Worse?

Many of us have experienced it: a burning sensation while peeing along with pelvic pain. You may have a urinary tract infection, commonly referred to as a UTI.

A Brief Intro to UTIs

A UTI is an infection in the bladder or other areas of the urinary tract, like the urethra or kidneys, according to the National Institute of Diabetes and Digestive and Kidney Diseases. The infection is caused by bacteria.

Bacteria can enter the body, but the body usually has its own natural prevention. Urine flows through and flushes out bacteria, but sometimes the bacteria hasn’t been fully flushed.

While UTIs can be uncomfortable and painful, they are easily treated with antibiotics. It is important to see your doctor if you have any of the following UTI symptoms.

Pain or discomfort during urination
A persistent need to urinate after having just gone
Cloudy urine
Red- or cola-colored urine
Urine with a strong odor
Pelvic pain or pressure

If the infection has worsened and travels to the kidneys, symptoms can include the following:

Pain in the upper back and sides
Fever
Chills
Nausea
Vomiting

If you experience any of these symptoms, contact a specialist immediately.

How Different Factors Affect UTIs

Many myths and truths have cropped up around this illness, probably because UTIs are very common: 50 to 60 percent of women will develop one in their lifetime.

So, what causes UTIs to get worse?

Can sex make a UTI worse?

If you already have a UTI, having sex can make the infection feel worse, exacerbating the symptoms. Using spermicides can increase discomfort because it can cause irritation. Using non-lubricated latex condoms can also increase friction leading to irritation. Using a water-based lubricant or lubricated condoms will help avoid making your UTI feel more irritated. After and before sex, be sure to urinate immediately to flush out the bacteria.

Do baths make a UTI worse?

If a woman already has a UTI, taking a bath or sitting in a hot tub can increase irritation. Harsh soaps for baths and abrasive chemicals used to keep hot tubs clean can also lead to irritation. Taking baths or sitting in hot tubs won’t cause UTIs, but it can irritate the skin in the groin and disrupt the pH balance. This makes it easier for the infection to occur. Fans of hot tubs should avoid staying in wet bathing suits for extended periods of time, and fans of baths should be sure to pick out a pH-balanced soap.

Will my period make my UTI worse?

Not changing your pad or tampon frequently enough can promote bacterial growth, which can lead to UTIs. Make sure to change your pad or tampon frequently. Be sure to buy absorbent feminine care products that are free of dyes, parabens or scents.

Does the cranberry juice cure work?

Most people have heard that cranberry juice will cure a UTI. Unfortunately, that is not accurate, but it can help alleviate some of the symptoms. Also, unsweetened cranberry juice may have a chance of helping to prevent UTIs, specifically from E. coli.

Does water make a UTI better?

There is some evidence to suggest that it helps: Research published in the journal BMJ indicated drinking at least 50 oz of water helped to reduce the occurrence of UTIs by up to 50 percent.

Does alcohol make a UTI worse?

Alcohol can make a UTI feel worse. Alcohol increases the acidity of urine; this can cause the symptoms to worsen. This is true for other drinks as well, including coffee, soda and anything with caffeine.

Why are UTI symptoms worse at night?

Many women experience worsened symptoms at night or early morning because urine output is at its lowest. Reduced urination allows the urine to increase the risk of discomfort and pain in the bladder.

What to Expect During Your Recovery

As you’re recuperating, the Centers for Disease Control and Prevention recommends drinking six to eight glasses of water daily, urinating before and after sex, avoiding “holding it,” and not using douches or powders in the genital area.

How long does a UTI last?

UTIs can last up to 14 days, especially if you wait to see a doctor and the bacteria moves to the kidneys.

Can a UTI go away on its own?

A UTI will not go away on its own. If you’ve begun experiencing symptoms, the problem is past the point where the body can handle it on its own and you will need medical care.

Does a UTI get worse before it gets better?

Sometimes, it will feel like it is getting worse. It can take several days for the antibiotics to take effect and help relieve symptoms.

While you shouldn’t treat a UTI yourself, you can help prevent it or reduce the symptoms. As you take the medications your doctor recommends, drink a lot of water and use the bathroom frequently. Connect with your doctor with worsening symptoms and any questions.

Bladder-Irritating Foods: Symptoms, Diet, Relief

What is the bladder?

The bladder is a balloon-like organ that is tucked away behind in the pelvic bone. It is made of muscle and is part of the urinary system. Urine forms as the kidneys filter waste from your blood. Urine then travels into the bladder, where it collects until you urinate (pee).

What is bladder irritation?

Most people pee between six and eight times a day (maybe more if you drink plenty of water). But the bladder is just like any other organ in your body. When it becomes irritated, you can feel uncomfortable and may become embarrassed by changes to urination (peeing).

What are the symptoms of bladder irritation?

Bladder irritation causes physical symptoms related to urination:

A strong urge to pee (urgency).
The need to pee more often (frequency).
Pain in the lower abdomen.

Could bladder irritation be a sign of disease?

Sometimes, problems in the urinary tract cause bladder irritation. A urinary tract infection (UTI) can cause short-term (temporary) discomfort and urgency. People with chronic problems like interstitial cystitis (IC) can experience ongoing bladder pain. IC is an inflammation (swelling) in the wall of the bladder.

Bladder irritation by itself is not usually an emergency. But if you are running a fever and have chills or pain in your lower back or side, visit your health care provider.

Do certain foods irritate the bladder?

The bladder collects waste, including remainders of foods and drinks. If you have a bladder condition, such as IC, a variety of foods can irritate your bladder. Both common and unusual foods may cause irritation:

All alcoholic beverages, including champagne.
Apples.
Apple juice.
Bananas.
Beer.
Brewer’s yeast.
Canned figs.
Cantaloupes.
Carbonated drinks.
Cheese.
Chicken livers.
Chilies/spicy foods.
Chocolate.
Citrus fruits.
Coffee.
Corned beef.
Cranberries.
Fava beans.
Grapes.
Guava.
Lemon juice.
Lima beans.
Nuts — hazelnuts (also called filberts), pecans and pistachios
Mayonnaise.
NutraSweet.™
Onions (raw).
Peaches.
Pickled herring.
Pineapple.
Plums.
Prunes.
Raisins.
Rye bread.
Saccharin.
Sour cream.
Soy sauce.
Strawberries.
Tea — black or green, regular or decaffeinated, and herbal blends that contain black or green tea.
Tomatoes.
Vinegar.
Vitamins buffered with aspartame.
Yogurt.

How are bladder-irritating foods identified?

Determining if a food irritates your bladder is a process of elimination. Not all people sensitive to bladder irritants are affected by the same foods. Your healthcare provider can help you identify bladder-irritating foods.

To test bladder discomfort by eliminating foods, you can:

Keep a food diary to track foods that are and aren’t irritating.
Remove the foods listed above from your diet for a few days.
Once your symptoms are gone, you can begin to add foods in. Start with a small amount of one food, increasing the portion size over several days. If irritation returns after reintroducing a food, stop eating it completely. Repeat food reintroduction slowly to identify your bladder-irritating foods.

Lab tests cannot diagnose foods that cause bladder irritation. But a urologist (healthcare specialist who treats urinary system problems) may examine your bladder to diagnose or rule out IC.

How can I manage bladder irritation?

You can manage discomfort by avoiding foods you have identified as bladder irritants. But removing foods from your diet doesn’t mean you can never have them again. You might be able to enjoy them in moderation (once in a while). Drinking plenty of water will help reduce pain from any bladder-irritating foods you might ingest, in moderation or accidentally.

Can I prevent bladder irritation from foods?

You cannot always avoid bladder discomfort. But identifying foods that cause bladder pain can go a long way to helping you feel better. Through a process of elimination and careful diet, you can find and avoid bothersome foods and drinks.

What is the outlook for people sensitive to bladder irritation?

If foods irritate your bladder, you may worry about finding enough to eat. SOME people with IC are able to eat and drink these foods:

Alcohol or wines (only as flavoring).
Almonds.
Apple juice.
Blueberries.
Coffee (acid-free kava) or highly roasted.
Extracts (brandy, rum, etc.).
Imitation sour cream.
Lentils.
Nuts — almonds, cashews and peanuts.
Onions (cooked).
Orange juice (reduced acid).
Pears.
Processed cheese (non-aged).
Shallots.
Spring water.
Strawberries (1/2 cup).
Sun tea (herbal, but no blends made with black or green tea).
Tomatoes (low acid).
White chocolate.
Wines (late harvest).
Zest of orange or limes.
Other foods not listed. (It is best to check with your provider.)

What can I do if I have bladder pain from foods?

Living with bladder irritation can be uncomfortable. But you can take steps to remove irritants from your diet and reduce pain. Avoid foods that irritate your bladder, and remember that water is important. Drinking enough water helps you feel more comfortable after you eat foods that irritate your bladder.

A note from Cleveland Clinic

Bladder discomfort can be frustrating and even embarrassing. Conditions like IC can make you feel like you need to pee even after you’ve already gone to the bathroom, and your bladder can hurt a lot. But you can get help to reduce irritation. Talk to your healthcare provider about your bladder irritation and possible food and drink causes.

Urinary and Bladder Problems and Cancer Treatment – Side Effects

For urinary and bladder problems caused by cancer treatments, drink plenty of water. Ask your doctor what symptoms to call about—such as fever or pain, for example.

Credit: iStock

Some cancer treatments, such as those listed below, may cause urinary and bladder problems:

Symptoms of a Urinary Problem

Talk with your doctor or nurse to learn what symptoms you may experience and ask which ones to call about. Some urinary or bladder changes may be normal, such as changes to the color or smell of your urine caused by some types of chemotherapy. Your health care team will determine what is causing your symptoms and will advise on steps to take to feel better.

Irritation of the bladder lining (radiation cystitis):

pain or a burning feeling when you urinate
blood in your urine (hematuria)
trouble starting to urinate
trouble emptying your bladder completely (urinary retention)
feeling that you need to urinate urgently or frequently
leaking a little urine when you sneeze or cough
bladder spasms, cramps, or discomfort in the pelvic area

Urinary tract infection (UTI):

pain or a burning feeling when you urinate
urine that is cloudy or red
a fever of 100.5 °F (38 °C) or higher, chills, and fatigue
pain in your back or abdomen
difficulty urinating or not being able to urinate

In people being treated for cancer, a UTI can turn into a serious condition that needs immediate medical care. Antibiotics will be prescribed if you have a bacterial infection.

Symptoms that may occur after surgery:

Ways to Prevent or Manage

Here are some steps you may be advised to take to feel better and to prevent problems:

Drink plenty of liquids. Most people need to drink at least 8 cups of fluid each day, so that urine is light yellow or clear. You’ll want to stay away from things that can make bladder problems worse. These include caffeine, drinks with alcohol, spicy foods, and tobacco products.
Prevent urinary tract infections. Your doctor or nurse will talk with you about ways to lower your chances of getting a urinary tract infection. These may include going to the bathroom often, wearing cotton underwear and loose fitting pants, learning about safe and sanitary practices for catheterization, taking showers instead of baths, and checking with your nurse before using products such as creams or lotions near your genital area.

Talking With Your Health Care Team

Prepare for your visit by making a list of questions to ask. Consider adding these questions to your list:

What symptoms or problems should I call you about?
What steps can I take to feel better?
How much should I drink each day? What liquids are best for me?
Are there certain drinks or foods that I should avoid?

Listen to tips on how to manage changes when you urinate caused by cancer treatments such as radiation therapy.
(Type: MP3 | Time: 3:04 | Size: 2.9MB)
View Transcript

Women who get frequent UTIs may reduce risk by drinking plenty of water — ScienceDaily

Drinking an additional three pints of water a day may keep the urinary tract infection (UTI) away — at least for women who are prone — suggests a study being presented at IDWeek 2017™.

The study found women at risk of UTIs who increased their water intake by about that much water every day were nearly half as likely to get UTIs as women who did not.

“While doctors have long assumed this is the case and often recommended that women at risk for UTIs increase their fluid intake, it’s never really undergone a prospective trial before,” said Thomas M. Hooton, MD, lead author of the study and clinical director of the Division of Infectious Diseases, University of Miami School of Medicine. “It’s good to know the recommendation is valid, and that drinking water is an easy and safe way to prevent an uncomfortable and annoying infection.”

Women are more likely to get UTIs than men in part because the urethra is shorter, meaning it is easier for bacteria to travel from the rectum and vagina to the bladder. Drinking more fluids increases the rate of flushing of bacteria from the bladder and also likely reduces the concentration of bacteria that enter the bladder from the vagina. This reduces the opportunities for bacteria to attach to cells that line the urinary tract, which is necessary to cause an infection, Dr. Hooton said.

The study included 140 healthy premenopausal women who had at least three UTIs in the last year and reported low daily fluid intake. Half of the women (70) who served as the control group continued their usual daily fluid intake, while the remainder were told to drink 1.5 liters of water a day (about three 16-ounce glasses) in addition to their usual daily fluid intake. After one year, women in the control group had 3.1 UTIs on average, whereas those in the water group had 1.6 UTIs on average, a 48 percent reduction. As a result, the water group averaged fewer regimens of antibiotics (1.8) than the limited-water group (3.5), a reduction of 47 percent. Reducing the use of antibiotics helps decrease the risk of antibiotic resistance.

Researchers followed the women throughout the year using visits and telephone calls. They documented that over the course of the study, on average women in the water group increased their daily water intake by 1.15 liters (about 2-1/2 pints) for a total daily fluid intake (including water and other beverages) of 2.8 liters, whereas women in the control group did not increase the amount of water they drank and had a total daily fluid intake of 1.2 liters.

“If a woman has recurrent UTIs and is looking for a way to reduce her risk, the evidence suggests that if she increases the amount of water she drinks and stays with it, she’ll likely benefit,” Dr. Hooton said.

Forty to 60 percent of women will develop a UTI during their lifetimes and one in four have a repeat infection, according to the National Institute of Diabetes and Digestive and Kidney Diseases. UTIs lead to more than 10 million doctor visits a year, according to the National Kidney Foundation.

Story Source:

Materials provided by Infectious Diseases Society of America. Note: Content may be edited for style and length.

90,000 Can alcohol be used for cystitis? Symptoms of alcoholic cystitis

Alcohol and cystitis

Can alcohol be used for cystitis? Let’s try to figure it out:

The composition of alcoholic beverages includes ethyl alcohol, which is excreted from the body along with urine. Unfortunately, ethyl alcohol also accumulates in the bladder. This leads to the destruction of the mucous membrane, which is precisely the object of the “attack” for the infection.

Hence, as you know, even the smallest amount of alcohol can lead to “alcoholic” cystitis.

⠀
Symptoms of the manifestation of “alcoholic” cystitis:

– unpleasant burning sensation when using the toilet;
– frequent urge to urinate, and after it a feeling of incomplete emptying;
– painful sensations and spasms in the bladder;
– change in the color and smell of urine, may be streaked with blood;
– discomfort, swelling, redness of the genitals.

However, the symptoms will not appear all at once, so it will be difficult to identify cystitis on your own. It is much easier to do this by passing the necessary tests and visiting a urologist who will accurately diagnose and prescribe treatment.

IMPORTANT!
Drink as much regular water as possible. Due to this, the concentration of urine decreases, which irritates the inflamed walls of the bladder and bacteria are “washed out” from their surface.

In addition to water, you should drink the right drinks, which, of course, does not include alcohol.These include fruit drink based on cranberry and fortified drink “Urolife Forte” , which includes:

✔ hyaluronic acid restores the protective layer of the bladder;
✔ magnesium and glycine as NMDA receptor antagonists for pain relief.

Read full information about the drug here.

Useful video about cystitis diet:

Cystitis in popular questions and answers

Zavyalova Ekaterina Sergeevna

Urologist

April 26, 2021

Almost every woman faces cystitis during her lifetime.More often these are single attacks, but sometimes the symptoms of the disease recur again and again. The problem of cystitis, although it seems trivial, has many features and “pitfalls”. This article contains answers to the most common questions from patients about cystitis.

Do I have cystitis?

Any violations of urination and pain during it are perceived by women as cystitis. Indeed, the frequency and soreness of urination is most often caused by inflammation.But not always. There are other reasons, for example: the passage of salts and small stones with urine may be accompanied by similar symptoms. Increased urination without pain in general can be the result of many conditions: emotional lability, endocrine pathology, neurogenic causes (associated with the sensitivity of nerve fibers), gynecological diseases, urinary tract pathologies of a non-inflammatory nature.

Why is this happening?

In women, the anatomical structure predisposes to inflammatory diseases of the urinary system.This is the proximity of the urethra to the natural reservoirs of infection – the rectum and vagina. And also the features of its structure: it is wide and short in comparison with the male. It is much easier for pathogenic bacteria to reach the bladder. The immediate causes of cystitis can be inflammatory diseases of the genital tract, hemorrhoids, stool disorders, hygienic errors.

In young women, cystitis is often associated with the onset of sexual activity. If the urethra and vagina are very close to each other, trauma, inflammation and symptoms of cystitis can occur even without infection.In this case, after examination by a gynecologist, uroseptic drugs are prescribed prophylactically before and after intercourse. In older women, cystitis can occur against the background of developing atrophic processes caused by hormonal changes.

What to do if symptoms of cystitis appear?

Do not try to take on your own antibacterial drugs , but consult a doctor who will select the correct treatment and monitor its effectiveness.There are many drugs to combat cystitis, different actions with their indications and contraindications. The choice of a drug depends on many factors: the frequency of attacks, which drugs have already been used, concomitant diseases, age, and so on. As a first measure, before visiting a doctor, you can take a urological fee, exclude spicy food and alcohol, and take No-shpa to reduce pain.

Warming up is best used after a visit to the doctor, in combination with antibiotics and only if there is no temperature or blood in the urine.At the first appointment with a urologist, in an acute condition, antibiotics are immediately prescribed to relieve inflammation and pain, in addition, plant uroseptics can be prescribed. After the course of treatment, a general urinalysis and urine culture should be done in order to determine if the infection remains, and ultrasound of the bladder to exclude structural changes (thickening of the walls).

What is the cause of chronic cystitis?

If acute cystitis is not adequately treated, the infection will remain in the bladder and will periodically cause flare-ups.Also, other diseases of the urinary system, anatomical abnormalities of the urinary tract, diseases of neighboring organs, in particular, gynecological, can be the cause of the transition of the inflammatory process into chronic forms. In addition, changes in the mucous membrane of the bladder itself can support the inflammatory process. Cystitis is considered chronic if attacks have followed a woman for more than two years, and more than three exacerbations occur per year. Or there is a large number of seizures during the year.

Can chronic cystitis be cured?

You can, but you need to be patient. An in-depth examination is usually required: bacteriological analysis of urine, with determination of sensitivity to antibiotics, ultrasound of the kidneys and bladder, in some cases – cystoscopy (examination of the bladder mucosa from the inside with an instrument). You can read more about cystoscopy on the blog of the Department of Urology.

Cystoscopy is not done during an exacerbation of cystitis.This study is performed if the tests are good, the ultrasound scan does not reveal any abnormalities, and the symptoms recur. In this case, it is necessary to look at the state of the mucous membrane from the inside in order to exclude processes that are not visible on ultrasound, for example, leukoplakia (this is a change from one type of mucous membrane to another, not typical for the bladder, causes frequent urination).

Upon confirmation of the diagnosis – leukoplakia, surgical treatment is required to remove these foci.Basically, such operations are performed using a laser.

In the treatment of chronic cystitis, a course of enhanced antibiotic therapy is usually carried out, the introduction of anti-inflammatory drugs into the bladder. physiotherapeutic procedures are effective: medicinal electrophoresis, laser therapy. Treatment of diseases of other pelvic organs should be carried out by specialists in related specialties. It is recommended to consult a gynecologist for the diagnosis and treatment of infections of the genital tract and a gastroenterologist, since dysbiosis (an increased content of opportunistic flora) can also provoke chronic cystitis.

What can be done to prevent cystitis attacks?

In case of chronic cystitis, do not consume alcohol, spicy, salty food. Loved by many, coffee has an irritating effect on the mucous membrane of the bladder, therefore, with cystitis, it must be excluded. It is important to drink at least two litas of water a day. Hypothermia and overheating can provoke an attack of cystitis, and although inflammation directly occurs due to the multiplication of bacteria, overheating of the pelvic region creates favorable conditions for this, and hypothermia reduces the body’s defenses and reduces resistance to infections.

“Cranberries won’t help!” Urologist on cystitis, hormones and the dangers of beer | PRESS CENTER

Can a prolapsed kidney be returned to its normal state? She worries me: the pressure rises, the lower back hurts. And how to get rid of a cyst on the kidney? I’m 52 years old.

V. Vorobyova

Excretory urography is performed with kidney prolapse. Based on these images, the degree of nephroptosis is determined. The operation at your age is most often done with the second and third degrees of kidney prolapse, in the presence of complications of the disease.Kidney cysts up to 5 cm are subject to dynamic observation using ultrasound. Kidney cysts larger than 5 cm, accompanied by clinical symptoms and significant hemodynamic disorders, are removed using laparoscopic excision.

About cystitis

– I have cystitis. I run to the toilet every ten minutes. I can’t imagine how I managed to get cystitis at the beginning of summer! It seems that I did not sit on a cold one …

O. Smetanina

Cystitis is an infectious and inflammatory process in the bladder wall, localized mainly in the mucous membrane.Cystitis mainly affects women, which is associated with the anatomical, physiological and hormonal characteristics of their body. In 85-90% of cases, the causative agent of the disease is E. coli, less often other gram-negative bacteria. Inflammatory processes in the vagina, hormonal disorders, fatigue, hypothermia, etc. are important. But the main cause of cystitis is bacteria. If it is not there, and you are overcooled, there will be no cystitis.

– I tried using a heating pad – it doesn’t help.

– Women suffering from pain and constant urge to urinate tend to make two main mistakes – to warm up and self-medicate with antibiotics. A bath, a hot bath or a hot water bottle on the bladder area – all this is strictly prohibited in case of cystitis. The heat spreads the infection into the middle muscle layer, where the blood vessels are located and therefore blood can appear in the urine. Cystitis becomes hemorrhagic!

Cranberries and kidney herbs are used for the prevention of cystitis, but in the treatment they are of secondary importance.As for antibiotics, bacteria acquire resistance to them over time. Medicines for the treatment of cystitis, with which our mothers and grandmothers were treated, have lost their relevance today. They are no longer effective. Now doctors use modern drugs for the treatment of cystitis, which are selected individually for the patient, taking into account the characteristics of his body and other existing diseases. Therefore, at the first symptoms of cystitis – painful urination, burning and cramps in the lower abdomen, urinary incontinence – it is best to consult a urologist as soon as possible.

– I understood you. Can I infect my husband with cystitis?

– E. coli is not a sexually transmitted microorganism. But sex life matters. Women have a short and wide urethra, which is close to the natural reservoirs of infection – the anus and vagina. Therefore, the frequency of sexual intercourse (the presence of STIs), the frequent change of sexual partners and the nature of the contraceptives used are among the risk factors for cystitis. If you suffer from cystitis often (three times a year or more), then it would not hurt your sexual partner to get tested for infectious diseases.Which ones – the urologist will tell you at the appointment.

About pain and blood in urine

– For two days it hurts me to go to the toilet “in a small way.” But not cystitis like: I don’t go often. Why could it be?

V. Senokosov, Magnitogorsk

– Pain during urination may indicate the presence of stones in the bladder and urethra, tumors in the bladder, prostate or urethra, inflammation of the urethra. It is necessary to pass a general urine test, blood for PSA if you are over 50 years old, perform an ultrasound of the bladder, prostate and consult a urologist.

– I suspect that the problem is precisely with the problems with the prostate … Excuse me, but what alcoholic beverages are allowed to be consumed with them?

– Alcohol abuse promotes blood flow to the pelvic organs, including the prostate gland, inhibits the natural urge to urinate, aggravates the possible phenomena of venous and secretory stasis in the prostate, leads to a decrease in testosterone levels in the blood plasma, has an immunosuppressive effect and is harmful to diseases of the prostate gland.Therefore, you can 100-150 ml of forty-degree drinks, only on holidays.

– I have adenoma and chronic prostatitis. Sometimes, with exacerbations, blood appears in the urine. How to be?

V. Borovkov

– If stones, tumors in the kidneys and bladder, inflammation in the genitourinary system are excluded, there is no suspicion of prostate cancer, then bleeding can be triggered by the pressure of the adenomatous nodes on the bladder neck. You need special medications that your urologist will prescribe.If the latter are ineffective, surgical treatment is possible.

About inguinal lymph nodes

– My lymph nodes in my groin often become inflamed. Then they pass by themselves. With what it can be connected?

O. Gribanov, Uysky district

– Lymph nodes act as a natural filter of the body. The infection that gets on the legs, feet, buttocks, external genitals is excreted through the inguinal lymph nodes. Therefore, first of all, you need to exclude the presence of wounds on the legs, feet, buttocks and external genitals.It is very important that there were no animal bites in these places.

Which doctor should I go to?

We go to the infectious disease specialist (with obvious signs of any infection). If there are wounds or abscesses in the above localizations – then to the surgeon. If there are signs of a sexually transmitted disease, see a urologist or gynecologist. When there are pronounced changes in the blood test, then to the oncologist.

For urinary incontinence

– Can nocturnal enuresis be treated?I have incontinence both at night and during the day, I barely have time to run to the toilet. But I am many years old – 90.

G. Usatov, Kartala district

– It is necessary to undergo a comprehensive examination by a urologist and start taking medications. From the general recommendations, it is necessary to exclude the intake of fluids after 18 hours, the abuse of alcohol and spicy foods. Reduce or cancel your intake of coffee, tea and Coca-Cola. Pee at night before bed, whether you feel like it or not.

– The grandson constantly runs to the toilet in a small way.At the same time, sometimes two or three drops fall. He says nothing hurts. The urologist at the children’s clinic said that it was a neurosis that we formed ourselves: we constantly asked my grandson if he wanted to go to the toilet …

I. Ogarkova

– It is difficult to say whether it is a neurosis or not. Urination is a conditioned reflex caused by the connection of the bladder with the spinal cord and brain. If a child has this conditioned reflex formed, then he urinates normally, not often (normally about 8 times a day) and at the same time he does not have incontinence.In this case, you do not need to constantly check with the child whether he wants to go to the toilet or not.

– But at night he is peeing!

– Nocturnal urinary incontinence in children is an interdisciplinary problem that must be addressed jointly by a pediatric neurologist and a urologist. It is necessary to undergo a comprehensive examination by a pediatric urologist and exclude diseases such as phimosis, inflammation of the bladder, kidneys, vesicoureteral reflux, bladder outlet obstruction, etc. If the urologist does not identify the cause of nocturnal enuresis, then it is necessary to be treated by a neurologist.He will give recommendations and prescribe medications that will eliminate or reduce bedwetting. I want to note that with the onset of 16 years of age, nocturnal enuresis persists only in 1-2% of patients with severe disorders.

BTW

Modern men are increasingly turning to urologists. Many complain about sexual dysfunction. Basically, there are three problems – decreased libido (attraction to a woman), erectile dysfunction and premature ejaculation.

– Libido depends on the male sex hormone testosterone, explains Ivan Korenev.- If the desire is reduced, it is necessary to check the hormonal status of the man. In case of deviations, carry out correction with officially recommended drugs.

If an erection suffers, then the matter is in the vessels of the penis. It has now been proven that erectile dysfunction is not associated with prostate disease. And the vessels suffer from smoking (nicotine narrows them), stress, high cholesterol or sugar. There are drugs and devices for correcting this condition.

In case of premature ejaculation, it is necessary to examine and treat the prostate gland.

Urethritis in men. The author of the article: urologist Iskandarov Aydar Raushanovich.

03 December 2019

Family Health Magazine

Urethritis in men is one of the
the most common diseases.
More than half of patients seeking help from a urologist are men with symptoms of urethritis. Urethritis is
infectious disease affecting
urethra, its appearance
always associated with an infectious agent
– bacteria, viruses, fungi, etc.etc.
There are also ray and other types
urethritis, but rarely enough. The main
forms of urethritis are those caused by bacteria, viruses and fungi – here
it is them that should be given close
Attention. Depending on what kind of infection caused the development of urethritis, this disease is divided into two types – specific and non-specific urethritis.
Specific urethritis is always caused by a genital infection – gonococcus,
chlamydia, trichomonas, mycoplasma,
ureaplasma, rarely gardnerella.These
there may be several infections, they can
be present along with other bacteria, viruses, fungi, but if they are, then
urethritis is considered specific.
Nonspecific urethritis is caused by
opportunistic microflora – streptococci, staphylococci, intestinal
sticks, proteus, fungi, etc. The fundamental difference in the manifestations, development of the disease and its treatment between
there is no specific and nonspecific urethritis. The difference between them is
only one thing – the need to examine and treat all partners of the patient,
if a genital infection is found.

Development of the disease.
Specific urethritis most often appears after sexual intercourse. But if
infection occurred a long time ago, and there was a carrier of the infection, then the disease
can appear at any moment, that is, the infection “slept” in the body and waited for it to manifest itself. Nonspecific urethritis
can also develop as a result of intercourse. Most often this happens when
anal sex without a condom or
classic vaginal sex with a partner suffering from “female diseases”, such as thrush.Often patients have a question –
which can serve as an impetus for the onset of the disease. Some examples:
– Hypothermia – both single and
and permanent.
– Injury to the penis.
– Urolithiasis – stone or
sand, passing through the urethra, can injure its walls and cause the development of urethritis.
– Heavy physical activity.
– Irregular sex life, large
the number of sexual partners and increased sexual activity.- Errors in diet – use in
food spicy, sour, salty, pickled, etc. in large quantities, alcohol. All these substances end up in the urine,
and, passing through the urinary tract, cause
irritation of their walls. This can lead to inflammation or its progression.
– Insufficient water intake, irregular urination. At
flushing occurs when urinating
bacteria from the bladder wall, it is
one of the body’s defense mechanisms against
urethritis.If the interval between urination is several hours, the risk
the development of the disease increases.
– Chronic inflammatory diseases of the body.
– Medical operations and manipulations
– taking a smear, bladder catheterization, etc.
There are a lot of factors predisposing to the appearance of urethritis, they are often found. Get urethritis can
anyone.
Symptoms.
Urethritis manifests itself in the first place
pain, cutting, burning, itching and any
other discomfort when urinating.Sensations may be in the head area, in
the penis itself or in the perineum,
but they are necessarily associated with urination. The second main symptom of urethritis
Is a discharge from the urethra
channel. The nature of the discharge from the penis can be different: urine (constant leakage), semen, mucus,
pus, etc.
How to diagnose
urethritis.
First priority if you suspect
on urethritis – this is the identification of the pathogen,
causing the disease.To do this, a patient with urethritis needs to do
tests for an infectious agent
urethritis (bacteria, viruses, fungi, as well as opportunistic flora). In addition, it is necessary to conduct a survey for
subject of complications of urethritis, to which
include prostatitis, cystitis, orchitis, epididymitis and vesiculitis, about which
in the event of urethritis, you immediately need to think and check for exclusion
diseases. After passing the examination and receiving the results of all tests, you can start treatment.
Treatment of urethritis.
In the treatment of urethritis, two main tasks must be solved – elimination
infections from the urethra
and restoration of its wall. The first task is most often solved by conducting antibiotic therapy. Preparations for her
conducting must be selected not “blindly”, but on the basis of the results of the survey.
In many clinics, including clinics of the Family Health network, during treatment
urethritis, the patient must undergo a course of urethra instillations.This is a simple procedure, the essence
which consists in the introduction of the drug directly into the urethra. The procedure is simple and the patient can perform it himself. This allows, on the one hand,
kill up to 80% of pathogens, and thus
significantly improve the effectiveness of antibiotic therapy. On the other side,
for instillations, drugs are used,
repairing the wall of the urethra, as a result of which the symptoms of the disease go away much faster. Application
instillation of the urethra
absolutely necessary in the treatment of genital infections, when the task is set
destroy every single pathogen.In addition, instillation of the urethra is
the only way to treat urethritis when antibiotics are not possible
for one reason or another (allergic
reaction, immunity of the pathogen).
Prevention
diseases.
To prevent urethritis from developing, you need to try to avoid predisposing to it
factors that were listed at the beginning of the article.
It is clear that it is impossible to avoid all these factors, even if you only think
about it. Therefore, for your own peace of mind, you need to periodically check
at the urologist, if necessary, pass
preventive treatment.This will allow
avoid many problems. Health to you!

Share on social networks

90,000 Top 5 foods that trigger kidney stones

Urolithiasis is one of the leading urological diseases. According to statistics, up to 15% of the population face the primary problem of kidney stones. And after a year, recurrent stones occur in 18% of patients, after 5 years – in 30% of people, and after 10 years – in 50%.On the air of the TV channel “Russia 1” Alexander Myasnikov understands what risk factors exist and what products contribute to the formation of kidney stones.

In the new issue of the program “On the Most Important”, Myasnikov named the reasons why stones can form in the kidneys. Among the most common factors that increase the risk of urolithiasis, he noted obesity, diabetes mellitus, heredity, urinary tract infections, excess uric acid, parathyroid disease and lack of fluid.But as it turned out, a lot depends on what a person eats and drinks. Excessive amounts of salt, meat, sucrose and fructose, as well as vitamins C and D, are key factors in the formation of kidney stones.

Salty food

Excessive salt craze dramatically increases stone formation. By retaining fluid in the body, it provokes a violation of the normal excretion of urine and the deposition of salts. “The more sodium in food, the more calcium is excreted. As a result, stones are formed.Let me remind you that calcium stones are 80% of all stones “, – said Alexander Myasnikov. The restriction applies to salt, as an independent substance, and foods with its high content. Ideally, you should reduce the consumption of salt to a minimum, to 3 grams per day.

Meat

WHO has officially recognized red meat as one of the main causes of kidney stones. The fact is that a high content of animal protein leads to an increase in uric acid and calcium in the urine, which are difficult to excrete from the body and often cause urolithiasis.Alexander Myasnikov assures that this product should be consumed in a minimum amount 1-2 times a week. Try replacing red meat with white: chicken, turkey, rabbit, and quail.

Spinach and sorrel

And healthy products can be harmful there, says Alexander Myasnikov. Spinach, sorrel, celery and parsley, popular among healthy lifestyle fans, are fraught with danger: these products are sources of oxalates, oxalic acid, which disrupts the normal excretion of salts from the body and contributes to an increase in kidney and bladder stone formation.The expert also included vitamin C here, which, in case of an excess, can turn into oxalates.

Alcohol and carbonated drinks

Sugary carbonated drinks are one of the main threats to health. They contain phosphoric acid, which causes changes in the urinary tract, thus contributing to the onset of chronic kidney disease and the formation of stones. Dr. Myasnikov recommends relying on cranberry juice and natural orange juice. He also noted that, according to recent studies, tea and coffee, long considered harmful for urolithiasis, on the contrary, reduce the risk of kidney stones.Alexander Myasnikov did not forget about alcohol: “The fact that this is our inveterate enemy is not news. Alcohol disrupts the functioning of the kidneys, and what happens next, everyone knows. At the same time, moderate doses of dry red wine reduce the risk of stone formation. Did you know why? Do the doctors recommend beer for kidney stones? I found out! It turns out that beer has no sodium, which retains water in the body.

90,000 Unusual uses of beer

Beer owes its properties to yeast, protein, sugars and minerals.As it turns out, it can be used in a variety of ways! What to use beer for? Check it out!

Beer for hair care

Beer is an excellent product for dull and shine-free hair. To improve their condition, it is enough to rinse your hair with beer after shampooing.

Beer as a side dish for dishes

Beer has long served as a side dish for dishes. It goes well with meats, soups and sauces. Today it is most often added to meat marinating.

Beer as fertilizer

Beer can be an excellent fertilizer for plants! Be sure to water them with beer.Home brew conditioner will fight fungi and pests and boost plant growth.

Beer cleans and polishes wooden furniture

By wiping wooden furniture with a cloth soaked in beer, we can get rid of greasy stains and also polish them. Attention! Dark furniture can discolor.

Beer for jewelry

Gold and silver jewelry wiped with a cloth dipped in beer will shine like new! If the decorations are extremely messy, indulge them in a 12-hour beer bath.

Attention! Beer is not suitable for cleaning gemstones – it can discolor them.

Beer Bath

After a long, stressful day, make yourself a beer spa. It consists of a beer bath that relieves stress, relaxes and improves the appearance of the skin.

Beer removes rust

If you need to clean a rusty screw or you are looking for a way to get rid of rust from an object – get a beer! Just pour over the rusty surface and wait a few minutes.

Beer refreshes the color of clothes

Do you have trousers, blouse or sweater in your closet that has lost its intense color? Prepare beer, warm boiled water, and clothes. Pour the mixture over them for a few hours and then wash as usual.

Beer removes kidney stones

Beer has diuretic properties. It flushes out your bladder and kidneys, and it can have a positive effect on your body if you are suffering from a bladder infection or kidney stones.Be sure not to combine alcohol with medications.

Beer cleans silver cutlery and crockery

Soiled cutlery and crockery should be immersed in a container with beer for several hours, rinsed with clean water and wiped to make them shiny again.

Beer Trap for Wasps

If you fight wasps in the summer, prepare a beer trap for them.

Beer takes care of your lawn

Looking for a way to improve the appearance of your grass? Pour beer into the watering can! By doing this systematically, you can expect a healthy, strong, and thick herb.If you want to enjoy online slot games, of course, through an online website that is officially available in Indonesia, you can easily get benefits and various casino slot bonuses provided.