Is the ER Necessary for a Urinary Tract Infection?

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July 25, 2018 | Urology • Value-Based Care

Millions of patients visit the ER for a urinary tract infection (UTI) each year, but research shows that most of these emergency visits are unnecessary. According to the study, the average cost to treat a UTI at an urgent care facility was about $200. The cost to treat the same condition in the ER averaged $2,000.

Considering the 83 percent of people who were treated and released from the ER, researchers estimate $4 billion in annual savings if they had gone to an urgent care facility instead.

How an urgent care can help

Emergency rooms are for just that—emergencies. Although painful, UTIs are not life-threatening and can usually be treated safely and cost effectively at an urgent care center. Common symptoms of UTIs that can be taken care of at an urgent care include:

• Strong or frequent urges to urinate
• Passing small amounts of urine
• A burning feeling while urinating
• Cloudy, red, pink or brown urine
• Urine with a strong smell
• Pelvic pain (in women)

Most urgent care facilities will prescribe an antibiotic and give you information about how to manage your discomfort at home.

Are there appropriate times to go to the ER for a UTI?

Although most UTIs can be treated at an urgent care, some symptoms can be a sign of a serious health problem, such as kidney infections, that may warrant an ER visit. These symptoms include:

• High fever
• Shaking and chills
• Severe nausea
• Vomiting

Pregnant women, the elderly, young children, people with weakened immune systems and people with certain conditions like diabetes or kidney disease may need specialized treatment. Your doctor or nearest urgent care facility can direct you to the appropriate location.

Don’t let a UTI go untreated

Untreated urinary tract infections can lead to life-threatening health conditions if the infection spreads to other parts of the body, such as the kidneys. A kidney infection can lead to sepsis, a complication in which your body becomes overwhelmed while fighting an infection.

Sepsis caused by a urinary tract infection is called urosepsis. Go to the emergency room if you notice these signs of urosepsis:

• Abnormal heart function
• Difficulty breathing
• Inability to think clearly
• Extreme fatigue

If you suspect a urinary tract infection, contact your doctor. He or she can treat the infection without the need for a trip to the emergency room.

Revere Health Urology specializes in the diagnosis and treatment of urologic cancers, BPH, incontinence, and other pediatric and adult urinary problems.

Sources:

“ER Visits for UTIs Add Almost $4 Billion a Year in Unnecessary Healthcare Costs.” Infection Control Today. https://www.infectioncontroltoday.com/infectious-diseases-conditions/er-visits-utis-add-almost-4-billion-year-unnecessary-healthcare-costs

“Urinary Tract Infection (UTI).” Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/urinary-tract-infection/symptoms-causes/syc-20353447

“Slideshow: A Visual Guide to Urinary Tract Infections. ” WebMD. https://www.webmd.com/women/ss/slideshow-urinary-tract-infection-overview

“What is Urosepsis?” Healthline. https://www.healthline.com/health/urosepsis

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This information is not intended to replace the advice of a medical professional. You should always consult your doctor before making decisions about your health.

How to Know if You Have a Urinary Tract Infection

How to Tell if You Have a UTI

When you start to feel an urgent need to find a bathroom, and when it starts to burn when you do go, you could be experiencing the early stages of a urinary tract infection, or UTI as it is commonly called. According to the National Kidney Foundation, UTIs are responsible for nearly 10 million doctors’ office visits per year. One in five women will have at least one UTI, also called cystitis, during her lifetime. Men and children can also get UTIs. But what exactly is a UTI and why is it so common?

A UTI can be any infection in the urinary system including the urethra, bladder, ureters or kidneys. These painful infections generally start at the beginning of the system, or the urethra opening, and progress upward until medical treatment arrests the spread. Most UTIs are contained to the urethra and bladder.

Proper medical care is needed for this condition. At Advance ER in Dallas, TX, we know how to diagnose and to treat UTIs with our in-house laboratory and patient pharmacy. “A UTI can be extremely painful,” said Advance ER physician Dr. Ronnie Shalev. “It’s not something to try to tough out, it needs medical treatment.”

How to Know if I Have a UTI

It is very important to get immediate care if you suspect you have a UTI. The following symptoms could indicate that you have a urinary tract infection. Please note, you may not be experiencing all of the listed symptoms and still have an infection present. 

Symptoms of UTI:

• Frequent urge to urinate
• Pain or burning when urinating
• Little or no urine output
• Discolored urine – milky or cloudy, pink, red or brown
• Strong smelling urine
• Pain or pressure above pubic bone
• In young children, pain near the navel
• Achy all over,
• Shaky, run down, worn out

Advanced Symptoms:

• Pain in back or sides
• Fever
• Nausea and vomiting

Causes of UTI

The most common cause of a urinary tract infection is bacteria. Bacteria can be introduced into the opening of the urethra, possibly through contact of Escherichia (E. coli) bacteria commonly found in the colon, or through sexual intercourse, or other means.

But bacteria aren’t the only culprits when it comes to UTIs. A kidney stone or other blockage can also cause an infection. For men, an enlarged prostate can put pressure on the urethra and cause an infection.

A flatworm that infects the urinary system can cause UTIs. This could be more likely if you have done international travel recently.

Certain kinds of sexually transmitted infections, such as herpes, gonorrhea or chlamydia can cause UTIs. And finally, some birth control methods can increase the risk of a urinary tract infection.

I might have a UTI, what should I do now?

“If you are experiencing the symptoms of a urinary tract infection, it is important to receive prompt medical care,” said Dr. Shalev. “These infections do not go away on their own, and homeopathic remedies rarely are enough. You will need proper medical treatment to ensure the infection doesn’t travel up the system to reach the kidneys and become a full-blown kidney infection. Go to your nearest ER or come to Advance ER for fast, top quality care.”

Diagnosis of UTI

If your physician suspects you may have a urinary tract infection, you will be asked to give a “clean catch” sample of urine. You may be given a sanitary wipe to clean with and then instructed to gather a sample for testing. The tests, done in our in-house laboratory, may determine the type of bacteria involved which will help the physician determine the correct treatment.

Recurring UTIs may require specialized testing to determine the cause. Your physician may discuss the need for additional testing with you.

Treatments for UTI

It is important to go to a freestanding emergency clinic that can diagnose and treat a urinary tract infection before it becomes worse. Untreated UTIs can become serious very quickly. Treatment, however, is relatively straight-forward. Most UTIs will clear up after a course of antibiotics. If there is a kidney stone or other blockage, further treatment may be needed to address the specific cause.

Untreated UTIs have the potential of causing kidney damage and even UTIs that have traveled up to the kidneys and become kidney infections, or pyelonephritis, cause some damage. Since UTIs often accompany a high fever in young children, they are more susceptible to kidney damage, as well. Occasionally, these children may have additional kidney concerns and even high blood pressure later on in life.

When to go to the ER for UTI Symptoms

If your symptoms have progressed to the point of lethargy, pain, fever, chills, nausea, vomiting and/or blood in the urine, you need to get to the nearest Advance ER right away.

“If you are pregnant, have diabetes, use a catheter, have an enlarged prostate or are prone to kidney stones, it is especially important for you to see a physician right away when you first start to show symptoms of a UTI,” said Dr. Shalev. “Also, babies and children need prompt care.”

UTI Prevention

The good news is that there are several things you can do to prevent a urinary tract infection from occurring and maybe even derailing it from its very early stages of development. The first recommendation is proper hygiene. Teach yourself and your children to wipe from front to back to ensure no bacteria are introduced from the back.

Gaining in popularity is the European solution to hygiene, or the bidet. This specially-designed washing toilet might provide the cleanliness needed to suspend recurring UTIs.

Hydration is key to keeping your urinary system flushed out and to dilute any impurities. Urine is naturally sterile, but the system can still be infected by other causes. So make sure you are drinking 64 or more ounces of water a day.

Cranberry has been shown to be effective in fighting UTIs. If you are prone to them, consider drinking cranberry juice occasionally.

Get help fast

At our two convenient Advance ER locations, you can find some of the fastest emergency help available in North Dallas. Our exclusive No Wait service virtually guarantees you will be shown to a private room upon arrival and will promptly receive medical attention from a board-certified physician. When you’re suffering from a UTI, Advance ER offers top quality care 24/7 even on holidays.

Interjections in English – Wall Street English

What is the difference between the speech of a native speaker and someone who only learns this language? Correct grammar? Not always – sometimes native speakers make more mistakes than foreigners. Rich vocabulary – again, no, the vocabulary of someone who masters the language at the university may turn out to be greater than that of a native speaker without education. What exactly will be in the speech of the one for whom the native language is interjections.

Wow just look at his new Porsche! / Wow , just look at his new Porsche!

Hey 9 with my bags? / Hey , could you be careful with my suitcases?

Interjections are a rather interesting part of speech. They do not change by gender, number and tense, do not become members of a sentence and serve one single purpose – to express in a short word or phrase some emotion of the speaker, his attitude to what is happening or his opinion.

Yes, this part of speech is used mostly in conversations, and although there will be written examples, remember that in formal writing (work correspondence, reports, articles, exams, etc.) there can be no interjections. But they are often found in friendly correspondence, chats, SMS, etc., completely devoid of formalities. In such cases, the entire message may consist of one interjection.

There are quite a lot of interjections in the English language, and first of all they are called upon to express the emotions of the speaker .

Aah ! There is someone in that dark alley! / Aaa ! There’s someone out there in that dark alley! (Fear Expression )

Are you going to spend your holiday in Maldives? Awesome ! / Are you planning a holiday in the Maldives? Awesome ! (Expression of admiration, possibly approval)

Did you buy a new motorcycle? Cool ! / Have you bought yourself a new motorcycle? Cool ! (In this example, the interjection is a synonym for the previous one, but more slang, informal)

Aww ! Look, what a cute puppy, let’s get it? / uti -way ! Look, what a cute puppy, let’s take him? (Totally informal tenderness about something terribly cute)

Eww ! What a disgusting taste of this dish! Is it fresh? / Whoo ! What a disgusting taste this dish has! Is it fresh? (Obviously disgusted about something unpleasant here)

Hmph Put on something else. / Hmm , you know, this dress doesn’t suit you at all. Put on something else. (Showing dissatisfaction with something)

And that’ s all 9 this, eh ? / And that’s all you can say about it, and ? (Expression of doubt in relation to some words or actions of the interlocutor)

Bingo ! That’s what I’m telling you! Finally, you got it! / Exactly ! That’s what I’m talking about! Finally you understand! (Confirmation of the correctness of words or deeds)

O oh-la-la ! Look at her dress! It’s almost non-existent! / O – – ! Look at her dress! It’s almost gone! (This interjection came to English, and even to Russian, from French. In Russia, we pronounce it more in the French manner. It expresses greatly exaggerated surprise, including negative, or admiration)

Oh , I’ m 9 not know that this is your table! / Oh , I’m sorry, I didn’t know this was your table! (Everything is simple here, the interjection is consonant with Russian, and it is used in much the same way. This is such a universal option, suitable for most cases) 9 is so sharp, 9000 8 I cut myself! / Oh , the knife is so sharp, I cut myself! (Interjection which expresses pain )

Oops 90 008! I apologize! I am very sorry to have spilled coffee on you. / Oops ! I’m sorry! I’m sorry I spilled coffee on you. (Another interjection that does not require translation, because it also exists in Russian. Transmits 9. We are going on a picnic on the weekend! / Hooray ! We’re going on a picnic this weekend! (This interjection can be attributed to international words. It expresses great joy for some reason)

There are much fewer interjections aimed at drawing the attention of another person or inducing him to some action .

Boo !.. I hoped you would get scared! Is it really not scary? / Boo !.. I was hoping you’d get scared! Isn’t it scary at all? (Such a bit of a cinematic interjection. Maybe , who is and afraid of ?!)

Hey 90 009 ! Guy! I’m talking to you! You parked the car wrong. / Hey ! Boy! I’m talking to you! You parked your car incorrectly. (An informal way to get someone’s attention).

Hush ! You wake up a child if you make so much noise! / Hush ! You’ll wake the baby up if you make that noise! (Clear request for silence )

Shh ! If he hears us, he will kill! / Shh ! If he hears us, he will kill us! (Synonymous with the previous version)

Another group of interjections called fill in the gaps in the conversation , but such words do not carry any real meaning. This is all that in Russian sounds like mmm, nuuu and other similar options.

Wait, I think I know the answer to the question, uh ,.. no, I don’t remember. / Wait, I think I know the answer to the question… uh … no, I don’t remember.

Hmm , I’ m not sure we should do this now. / Hmm , I’m not sure we should be doing this now.

I’ m not sure 9 this … er … wait, I’ ll ask my husband. / I’m not sure we should buy this… uh … wait, I’ll ask my husband.

I know you never lie, but… um … are you sure he said that? / I know you never lie, but.. um .. are you sure he said that?

By the way, all words of greeting, farewell and apology are also interjections. They also include all curses – both serious and more polite. Yes, there are some in English. It must be admitted that many English interjections sound differently than Russian ones. The ability to fill a pause or express emotions in English is an indicator of a good level of the language, so it makes sense to learn them.

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