Causes and classification of blue waffle disease and infections
When having UTI, bacteria through the urethra enter the bladder, after which they can continue to make progress towards the kidneys.
The causes of blue waffle infections are bacteria that the physiological flora of the bowl is made of. Most common cause is the bacteria Escherichia coli, and less commonly are bacteria Proteus, Klebsiella, Enterobacter, Pseudomonas and others. Bacteria through the urethra enter the bladder, after which they can continue to make progress towards the kidneys.
Blue waffles disease can be divided into acute inflammation of the bladder (cystitis), acute inflammation of the kidneys (pyelonephritis), infection without symptoms (asymptomatic bacteriuria), recurrent infections and complicated infections.
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Blue Waffle Disease[/caption]
Problems that occur in blue waffle are painful and frequent urination, burning sensation while urinating and a strong urge to urinate.
Acute inflammation of the blue waffles std is extremely common disease that usually occurs in women. Women are more affected because of the anatomical reasons (short and wide urethra), while in men blue waffles is rare and typically requires additional urological treatment. Problems that occur are painful urination, burning sensation while urinating, frequent urination of small amounts of urine, as well as a strong urge to urinate. Sometimes there is blood in the urine. The urine is often dark, thick, smelly, and a fever does not occur.
The diagnosis of blue waffle is confirmed by analysis of the urine. Urine is analyzed by test-strip, by looking at the sediment and by microbiological treatment called urine culture. Urine sample for this analysis is taken from the first morning urine or after the patient for at least three hours has not been urinating, usually using MSU. Midstream urine is taken after the usual hygiene of genitals. The first stream of urine "washes" the urethra, followed by midstream urine which is representative of urine from the bladder. Urine should be, as soon as possible, cultured in the laboratory, and if this is not possible then the sample can be stored at +4 degrees Celsius up to 24 hours.
Finding bacteria in urine suggests urinary tract infection (so called Bacteriuria) and also leukocytes (immune cells) in the urine (so called Leucocituria). Urine is normally sterile (without bacteria) except in the final part of the urethra. Since during urination, urine can have some of these bacteria, it is considered that only the finding of bacteria in excess of 100 000 per 1 milliliter of urine in midstream speaks in favor of infection, while a smaller number of bacteria usually presents a contamination. The treatment is carried out with antibiotics for 3-7 days, depending on the cause and its sensitivity to antibiotics. Although the problem can be severely reduced (or even disappear) for a day or two of starting the treatment, the bacteria may be present and will continue to proliferate again. That is the reason why antibiotic therapy should be carried out until the end, and with medication, it is important to drink plenty of fluids and avoid the cold.
Blue waffle problems
Treatment of blue waffle consists of sleep, good hydration, decreased body temperature, and antibiotic therapy.
Blue waffle disease usually begins as inflammation of the bladder which expands to the kidney. In addition to characteristic of cystitis, also occurs back pain and fever. Therefore, you should definitely make a urine analysis, and also blood test to assess renal function (urea, creatinine) and see the parameters of inflammation (leukocytes, erythrocyte sedimentation rate). The treatment consists of rest, good hydration, decreased body temperature, and antibiotic therapy. Patients with less severe clinical picture can be treated at home while others are treated in hospital. Antibiotic treatment lasts for 10-14 days, and the control of urine culture should be carried out for 14 days after the end of therapy.
Asymptomatic bacteriuria
Asymptomatic bacteriuria is treated only in pregnant women and patients who have some sort of urological surgery.
Asymptomatic bacteriuria is when the urine contains bacteria, but the person does not have any interference or clinically expressed problems. Condition like that is not necessary to treat except in special cases; it is treated only in pregnant women and patients who have some sort of urological surgery. It is not necessary to treat other people with asymtomatic bacteria, such as persons with urinary catheter that is regularly changed every 3-6 weeks. Specifically, catheter in these people represents the object that permanently transfers bacteria in the bladder, so it is not necessary to introduce antibiotics (except in the case of certain problems). Thus, the presence of bacteria in urine is not immediately sign of disease.
Repeated urinary tract infections
For recurring infections it is necessary to rule out other diseases or abnormalities that may be the real cause of the problem.
Infections that occur repeatedly (2 or more times in six months, or three or more times in a year) are called recurring urinary tract infections. They typically occur in women, usually in the form of cystitis. Given that this is a recurrent infection, it is necessary to exclude any other disease or abnormalities that may be the real cause of urinary tract infections. Treatment consists of a medicament parts and by applying the rules of a healthy lifestyle (hygiene measures). Medical treatment is carried out in consultation with the family doctor, and consists in taking antibiotics - usually one tablet in the evening for a longer period of time (6-12 months). Adequate diagnostic methods should eliminate existence of pathological conditions (urolithiasis, tumors, narrowing of the urethra). It is important to emphasize that these are infections that can be repeated until the end of life. Although they may partially reduce the quality of life, do not represent a serious threat to the health of the affected persons.
Complicated blue waffles infections occur in people who have underlying disease or condition which facilitates the development of infection, but at the same time hinder the healing. Factors that complicate urinary tract infections are male gender, pregnancy, urinary tract infections acquired in the hospital, the presence of urinary catheters, the presence of urologic abnormalities, presence of stones or urinary tract tumors, transplants, weakened kidney function and diabetes. In these patients, treatment with antibiotics is carried out by controlling the factors that complicate urinary infection. Such patients, except seeing a family doctor, require review and examination by a specialist urologist or nephrologist and are often treated in the hospital.
Blue waffles disease occur in approximately 10% of pregnant women. If left untreated they can lead to the development of kidney inflammation, which results in an increased risk of premature birth, a higher perinatal mortality, and increases the risk of fetal growth restriction. This is why pregnant woman should be treated if having asymptomatic bacteriuria emphasizing that in pregnancy they should take antibiotics that do not adversely affect the unborn child.
Hygiene measures and prevention
To prevent the occurrence of blue waffle, it is recommended to drink more liquids, urinate frequently and not to hold urine and to urinate after intercourse. Furthermore, it is necessary to properly wash genitals (in women from front to back), take a shower instead of soaking in the tub and avoid tight clothing. Daily fluid intake should be such that 2 liters of urine is excreted. If despite all the above measures urinary tract infections are frequently repeated, then it is best to seek medical advice.