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When the urinary tract is healthy, the urine contains waste matter, along with fluid and salt. It does not contain bacteria, fungi or viruses. So it is actually considered to be sterile.
Urinary tract infections (UTI) occur when microorganisms set up shop in any of the four parts of the urinary tract. (See picture.) The most common culprit is bacteria from the colon, called E. coli. The unseen organisms typically cling to the opening of the urethra, then multiply. From there, they can move up the urinary tract.
Fortunately, the system is designed to prevent this from happening. Urine flows one way, with no back flow toward the kidneys. Plus, the flow is normally strong enough to wash out any bacteria before it can get a toehold. In addition, the immune system fights off the bacteria. Yet, even with these defenses, infections still occur.
Urinary tract infections are very common, ranking second to respiratory infections and responsible for 9+ million doctor visits per year. Poor urinary flow, personal hygiene issues, suppressed immune systems and nervous system problems create good growing environments for these infections. That is why seniors are so often victims.
Below are conditions and situations that are common among seniors and increase their risk of urinary tract infections.
Most people with a lower urinary tract infection suffer from some of the following symptoms.
Some people do not get any warning signs at all. And with some elderly, the only symptoms that may be noticeable are changes in their mental state or increased confusion.