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Uncomplicated UTI - Cystitis
Urinary Tract infections are fairly common infections that affect the bladder (cystitis), the kidneys and the tubes that connect these organs.

Urinary tract infections can be painful and very uncomfortable, but they are treatable and don’t usually last more than a few days. Lower UTIs affect the bladder or urethra (the tube that carries urine out of the body). Upper UTIs are infections of the kidneys or ureters (tubes connecting the kidneys to the bladder). Both are treatable. UTI’s occur most frequently in women, but men and children can also suffer from UTIs.
Symptoms

An uncomplicated lower urinary tract infection (often called cystitis) usually causes symptoms that come on suddenly. The most common symptoms include a burning or stinging sensation when passing urine, needing to pass urine more often than usual,  and a strong or urgent need to urinate, even when little urine comes out. Some people experience lower stomach discomfort or pressure just above the pubic bone.

Urine may appear cloudy or have a strong smell. A small amount of blood in the urine can occur and visible blood should always be checked by a GP. 

Importantly, symptoms of cystitis do not usually include vaginal discharge, fever, back pain, or feeling generally unwell — these symptoms may suggest a different condition and need medical review.

Treatment

Under the Common Conditions Service, our pharmacists can assess and treat non-pregnant females aged 16 to 64 years, where symptoms are consistent with an uncomplicated lower UTI.  

Our Pharmacists may be able to prescribe an antibiotic where:

  • Your symptoms include burning on urination, urgency or frequency 
  • You have no fever, side or back pain 
  • You have no visible blood in the urine 
  • You have no vaginal discharge or change in discharge 
  • This is not a recurrent UTI 

Some mild infections may improve with pain relief and fluids alone. Where antibiotic treatment is needed, our pharmacists can supply a short 3-day course of an appropriate antibiotic, selected in line with national guidance. The choice of treatment depends on symptoms, medical history and suitability.

People who are pregnant, aged 65 or over, male, Immunocompromised, have diabetes, kidney disease, recurrent UTIs, or symptoms suggesting a more serious infection will be referred to a GP for assessment.

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Self Care for Treatment or Prevention

Alongside any treatment advised by our pharmacists, the following self-care steps can help relieve symptoms and support recovery:

  • Drink plenty of fluids to stay hydrated and help flush bacteria from the urinary tract.  
  • Use paracetamol or ibuprofen for pain relief – ask our pharmacists if suitable with your medicines. 
  • A hot water bottle may help ease lower tummy discomfort
  • Rest as needed
  • Avoid sexual intercourse while symptoms are present, as this can make discomfort worse

Seek medical advice urgently if you become unwell, develop fever, pain in the back or sides, visible blood in the urine, or if symptoms do not improve within 48 hours.  

Prevention

The following steps may help reduce the risk of urinary tract infections:

  • Drink enough fluids to keep urine pale in colour
  • Empty your bladder fully and as soon as you feel the urge 
  • Always wipe from front to back after using the toilet
  • Urinate after sexual intercourse
  • Avoid perfumed soaps, bubble baths, wipes or sprays around the genital area
  • Wash using plain warm water or an emollient-based cleanser 
  • Shower rather than bathe if irritation is an issue
  • Wear breathable cotton underwear and avoid tight clothing

Cranberry products may help some people, but evidence of benefit is limited. If UTIs are frequent or keep returning, further medical assessment is recommended.

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