Many women are frustrated that they can’t get relief from ongoing urinary tract infection symptoms. Getting to the root cause of the symptoms is the first step.
A research study conducted in May 2020 among over 800 women showed that almost half (46%) had a UTI in the past year. What’s worse, over 30% of them had three or more UTIs, which is the official definition of a chronic UTI.
This research also revealed that there are actually two categories of chronic UTI sufferers:
1. Women with a diagnosed UTI: Bacteria was found in their urine sample
2. Women with UTI symptoms, but no UTI: Bacteria was NOT found in their urine sample
Here’s a brief overview of these two groups of chronic UTI sufferers and the possible causes of their UTI symptoms.
1. Women With A Diagnosed UTI
There are several reasons why you are getting a UTI over and over again. Some of the causes may be easily addressed, but many others are impossible to diagnose and treat accurately.
1) Lack of hydration
A urologist will explain that the bladder should be constantly replenished with water in order to remain healthy and that if old urine remains in the bladder too long, it can develop bacteria and a UTI sets in. The rule of thumb is to drink 6-8 glasses of water each day. Many women just don’t like drinking water, especially as they age, because it requires more frequent urination.
2) Inaccurate testing
The testing done at an OB/GYN office has been shown to be highly inaccurate, as the equipment that they use to diagnose your UTI in the office is very basic. The urine cultures done at a urologist’s office will be more sophisticated, but remain limited to looking for the standard types of bacteria. New tests are now available which use genetic sequencing (DNA) to analyze not only bacteria but fungi, parasites, and viruses which may be affecting your health both within and outside of the urinary tract.
3) The wrong antibiotic
As we all know, the typical response to discovering that you have a UTI (again) is to prescribe an antibiotic. First, it’s really important to ask your doctor whether the new infection is caused by the same bacteria as the old one, or whether it’s a different type of bacteria. Second, find out the name of the bacteria. It’s possible that the antibiotic that is being prescribed is not the correct one. Recent medical research shows that only certain antibiotics will destroy specific types of bacteria.
4) Antibiotic resistance
This is the most common cause of chronic UTI’s. Over the years, many women have probably taken the most popular antibiotics. This over-prescribing has led to “antibiotic resistance”, which means that the bacteria have learned how to hide and mutate in your system. So as soon as the course of antibiotics has been completed, they begin to grow all over again.
This problem has caused scientists to work on new types of antibiotics, but they’re having a hard time getting the funding they need. The medical community is already sending out warning signals that this may be the next worldwide health crisis.
The data shows that simple infections have begun to turn into life-threatening illnesses. In fact, over 23,000 people have died from UTIs in the past year.
5) ESBL’s
The two bacteria which are most often the cause of UTIs are Escherichia coli (E. coli) and Klebsiella pneumoniae. Both are part of a family of germs known as Enterobacteriaceae. These germs can produce enzymes called extended-spectrum beta-lactamases (ESBLs). ESBL enzymes break down and destroy some commonly used antibiotics and make these drugs ineffective for treating infections.
6) Biofilms
These are slimy “sacs” that the bacteria surround themselves with after burrowing into the lining of the bladder. This protects them against the threat of antibiotics. It is very difficult to diagnose the presence of biofilms today, but researchers are working on this aggressively because they have identified that this is a significant cause of recurring UTIs.
2. Women With UTI Symptoms, But No UTI
The women with ongoing symptoms but bacteria in their urine is the group that baffles gynecologists and urologists most. This is in part due to the fact that women have a difficult time explaining exactly what they are experiencing; most will start by saying that they have pain “down there”. This then requires a series of investigations and tests to find out exactly what’s causing these symptoms.
1) Vaginal Infection
In addition to the typical yeast infection, other types of bacteria may cause a more serious and difficult to treat vaginal infection known as bacterial vaginosis (BV). This is typically seen in older women who are experiencing menopause. The lack of hormones leaves the vaginal canal open to an infection that can cause a similar burning sensation to that of a UTI.
2) Vulvodynia
This is defined as chronic, unexplained pain in the area around the opening of the vagina. It is usually described as a sensation of burning, stinging, itching, or rawness. It is also defined as pain that lasts more than three months and doesn’t have a clearly identifiable cause.
3) Interstitial cystitis (IC)
Is a chronic bladder health issue. It is a feeling of pain and pressure in the bladder area. Along with this pain are lower urinary tract symptoms which have lasted for more than 6 weeks, without having an infection or other clear causes.
4) Bladder Cancer
The symptoms of bladder cancer are almost exactly the same as those of a UTI, as shown below. But the one which should cause you concern is blood in the urine. If you have this symptom, make an appointment with a urologist right away so that you can quickly eliminate this condition from your list of possible problems.
- Presence of blood in the urine
- Pain or burning sensation during urination
- Frequent urination
- Feeling the need to urinate many times throughout the night
- Feeling the need to urinate, but not being able to pass urine
- Lower back pain on 1 side of the body
Chronic UTI Treatment Tip
It’s pretty apparent that many of the possible causes of chronic UTI’s are related to antibiotics that are not working. Fortunately, there’s an alternative.
Over the past decade, medical doctors have been recommending that their chronic patients try a natural supplement known as D-Mannose for symptom relief.
It’s a well-kept secret, though, because the research shows that only about 6% of women are even aware of D-Mannose. Here are the features to look for when purchasing this supplement:
- Only buy 100% pure D-Mannose. You don’t want to dilute the effectiveness of this product with additives such as cranberry or hibiscus.
- Buy it in powder form. When mixed with water, the powder dissolves completely and has no taste. But most important, it goes right to the bladder where it is needed, unlike capsules that need to first be digested in your stomach.
- Buy it from a trusted source. Many D-Mannose products are produced outside the US by companies that are not certified here, so the quality may not be up to our standards.
I’ve had several uti.s this year. Some of the antibiotic cause severe dirrahers and they are explosive and enbarrasing. I have been drinking lots of cranberry juice and some comfort. However I don’t think it’s healthy to drink as much as I do. What do you think I should do?
Hi Loretta: if antibiotics are making you sick and you still have symptoms of a UTI, you should try taking the Goodbye UTI D-Mannose powder. It is a natural supplement extracted from fruits. It cannot hurt your digestive system, because it goes directly to your badder where it washes out the UTI bacteria. If you have an E Coli bacterial infection (which represents 80% of all UTIs) it’s worth a try to get immediate relief for $22.00, right?
Can you take this mannose while pregnant?
Yes you can, but we advise our customers to check with their doctor first.
Hi, Loretta! If antibiotics give you diarrhea, try taking a probiotic with every dose even if it’s more than once a day. About a year ago, I was prescribed an antibiotic for a uti and it gave me diarrhea so I called the dr to see if they could give me something different and she said to take a probiotic before each dose…it worked!! Good luck!????
You should ask your doctor to do a urine culture, that’s how they found out I had 2 bacterias that were causing a lot of UTI’s
Hi Savannah: we agree that the best way to begin the fight against UTIs is to start with a urine test that confirms the presence and type of bacteria that may be causing the infection.
I have way too many UTIs throughout the year over and over again I’m willing to try anything
Hi Gayla: try the 100% pure D-Mannose powder at http://www.goodbye-uti.com for $22. It will provide relief of symptoms for an active UTI within hours. Then just 1 scoop a day to prevent recurrences.
I’m looking for help. I will try your product and pray it works. Then I will comment again.
This is a terrible thing to go through all the time with no help. I will try D-Mannose powder. Thank you.
Great, Roberta, glad this article was helpful.
Looking for more information
Hi Jeanne: if you are seeking relief from a chronic UTI, we would recommend that you first watch the 1 minute video at the Goodbye UTI website here: https://goodbye-uti.com/pages/contact-us
Then take some time to read abut our products on the Home page
I am currently in the middle of a uti. The antibiotics are giving me awful diarrhea. I am going to talk this over with my Doctor.
Hi Susan: yes, we agree that antibiotics are often too strong and negatively affect the digestive system. Ask your doctor about D-Mannose powder, a natural supplement which when mxed with water goes directly to the bladder and causes the bacteria to flow out with your urine.
I have had UTI”s over and over again. I”m at my wits end so I”m going to try D-Mandose powder aomething has got to help.
Hi I have tried these I believe work but it also had some issues with my blood pressure when I was taking them
Hi Dawn: thank you for this feedback about D-Mannose. We have reviewed all available scientific and medical information on the side effects of D-Mannose and have found nothing to indicate that it has any effect on blood pressure. The fact is that this supplement, when taken with water, goes directly to your bladder and only remains in your system for about 30 minutes, then it is flushed out with your urine.
I have chronic UTI’s (over several years duration). DIABETES CAD, HTN,, PAD, NEUROPATHIES, ARTHRITIS , POST- CABG (4vessels) MITRAL VALVE CLIP, WATCHMAN PLACEMENT, CARDIAC STENTS, PERIPHERAL STENT. Where can I purchase D-MANNOSE LOCALLY??
Hi Myrtle: in consideration of your current medical conditions, we would recommend that you consult with your urologist or Primary Care Doctor before buying D-Mannose. Some customers with diabetes and/or SIBO (a digestive condition) have had issues with this supplement.
I have taken about a fourth of a cup
Of dried cranberries every morning for over 5 years and do not get UTI’s. Before that I got about 2 a year.
Yes, Beverly, a strong dose of cranberry daily has recently been proven to ward off UTIs by preventing the bacteria from sticking to the bladder wall. Keep it up!
I have UC and tried D-Mannose for my UTIs. It cleared the UTI but had diarrhea.
Hi Grace: did you use D-Mannose powder or capsules? Because the capsules need to pass through your digestive system, they tend to cause more stomach issues than the powder. The powder, when mixed with water, goes directly to the bladder and within 30 minutes is flushed out of your system, leaving it virtually no time to enter the bloodstream and cause side effects.
I was just diagnosed with a UTI. Positive urine test. Just started antibiotics today. Can I take this powder while continuing the antibiotics?
Hi Carla: yes, you can start taking our D-Mannose powder while on antibiotics. It is an all-natural product that, when mixed with water, goes directly to your bladder and flushes out the bacteria within 30 minutes. We recommend that you continue taking 1 scoop a day after you’ve completed the course of antibiotics to continue flushing any residual bacteria out of your bladder.
I would like to try the D-Mannose Powder…where can I purchase it..
Thank you so much..
Hi Mary: you can purchase Goodbye UTI powder at http://www.goodbye-uti.com or call us at 617-284-0097 between 9am and 5pm Mon-Fri.
I’ve had UTIs since May…Went to at ER with abdominal symptoms thought to be Diverticulitis. Told I had UTI (no symptoms. And I KNOW what UTIs feel like!) and had IBS, which I’d never been diagnosed with before. Was given Amoxicillin & another anti-B for stomach (2 wks). In June I was retested & it sent to Lab by Primary Dr. It was Pseudomonous Aeruginosa, very difficult to get rid of and was given Levaquin. The side effects were bad shakes after eating. Took for entire week! Retested again in August by Primary and was ok by Lab; no bacteria. Had already scheduled appt with Urologist, who got all records. Looked ok in ofc, but sent to Lab, and told to start Cipro for 10 days. The side effects were the worst ever! And I’d taken it and Macrobid before for 9 months with stones without incident. Symptoms were nausea, constant neuro symptoms and temporal headaches. I stopped after a week.it took several days to get out of my system. I dont want anymore antibiotics!! The only thing different is I have lots of sinus allergies now, have taken the Vaccine and am older (79). Will the D-Mannose help? My Primary is the BEST around and have trusted her completely for 20 yrs. Have known Urologist over 15 yrs; is excellent but I dont have the same rapport with him. Feel I’m being over-medicated w Antibiotics. He now wants to try another low-dose antibiotic. I’m scared!
Hi Linda: Goodbye UTI powder will only work if you have an E Coli infection, so before your urologist puts you on another antibiotic, you should have his office confirm that your current UTI is an E Coli bacterial infection. If yes, you will be able to get fast and lasting symptom relief by taking the powder.
I have multiple myleoma, and in 2015 was treated with radiation in my acitibulim. I’ve been having uti infections ever since. Every time I think I’m over it it comes back. Sometimes blood in urine. Sometimes comes up negetive and times it come up E. coli have been tested by urologist several times , have been put on several meds all types. Still on my treatment even after I’ve been told I’m in remission with daratumabub and dex. Sometimes blood turns up in urine tests and sometimes ecoli but most time just a trace of blood. White blood in urine low. I’m at my wits end don’t know if I have bladder cancer or what. Can someone help with what to do next. Oncologist keeps sending me to a urologist outside my cancer hospital. Please help. Linda
Hi Linda: there is only one way to figure out if a natural product like D-Mannose will help relieve your UTI symptoms and clear the infection and that’s to try it. Given the fact that most of your infections have been diagnosed as E Coli, our products should be effective. And given your delicate multiple myeloma condition, a natural product should be better than an antibiotic. So if you are willing to risk $22.00 for a jar of Goodbye UTI D-Mannose powder, click here: http://www.goodbye-uti.com. And if it doesn’t work, you’ll get a full refund.
I’m a type 2 Diabetic and have Interstitial Cystitis and I’m on a very restricted diet. I manage my glucose levels really well with Metformin and watching my carb intake. My A1C is within normal range at 5.6. I do everything I’m supposed to and still get chronic UTI’S. I’m currently taking Macrobid and AZO for a UTI and have drank nothing but water for the past week. I just don’t understand why I still continue to get them so frequently. My Urologist just says it’s my diabetes and my Interstitial Cystitis. I think there’s something more going on. I just want answers.
Hi Rebecca: Once you have completed the Macrobid treatment and have no UTI symptoms you could look into taking a new, stronger cranberry supplement to prevent bacteria from taking hold in your bladder and causing another infection. Cranberry is 100% safe for diabetics. Here’s one that you could consider: https://goodbye-uti.com/products/goodbye-uti-cranberry-plus-capsules
First time customer.
Spoke with staff member, Beth who was very informative.
Praying and hoping products work.
I keep getting UTIs and what keeps coming up is that the culture tests positive for group b strep, why is this? My UTIs have been an issue since my last pregnancy which was last year. In labor I found out I had a kidney infection and my body also went into sepsis. Any recommendations?
What causes Ecoli to give you a UTI ?
E Coli bacteria, normally found in the intestines, enters the urethra and migrates up into the bladder. There the bacteria take hold with “fimbrae” (little hooks) and embed into the bladder lining causing an infection.