Winston Salem Health: Vomiting

1

Posted by Winston Salem | Posted in Winston Salem Health | Posted on 03-11-2008

What causes it?

Most of the time vomiting is caused by a viral infection of the stomach. In this case it is often associated with diarrhea, nausea, and stomach pain. Other conditions can also cause vomiting, including eating contaminated food, drinking too much alcohol, food allergies, and other more serious problems.

What should you do about it?

Preventing dehydration is the most important concern. Do not take anything by mouth for 4 hours after the vomiting starts—in other words, let your stomach rest. After 4 hours begin by taking frequent small amounts of clear liquids, about 1 ounce (2 tablespoons) every 15 minutes. Soft drinks (not diet), Gatorade, sweetened tea, and clear soup broth are good starters. Avoid plain water since it has no calories or needed salts. Double the amount of fluids you take every hour. If vomiting recurs, stop fluids for another hour, and then resume as above.

After holding down fluids for 6 hours, begin solid food. Start with foods such as crackers, cookies, plain toast, rice, and chicken soup. If all goes well, you may resume your regular foods the following day.

Remember…

There is no really effective medication for vomiting, and most medications won’t stay down anyway. Control of your fluid or food intake is the best treatment.

Winston Salem Health: Urinary Tract Infections

0

Posted by Winston Salem | Posted in Winston Salem Health | Posted on 01-11-2008

What causes urinary tract infections?

Most urinary tract infections are caused by bacteria. Any part of your urinary tract can become infected. The urinary tract includes the kidneys, ureters, bladder and urethra. Bladder infections are the most common.

How do I know if I have a urinary tract infection?

The box below lists possible signs of a bladder infection. Nausea, lower back pain and fever may be signs of a kidney infection. Call your doctor if you have any of these symptoms.

Possible signs of a bladder infection

  • A burning sensation when you urinate
  • Feeling like you need to urinate more often than usual
  • Feeling the urge to urinate but not being able to
  • Leaking a little urine
  • Urine that smells bad
  • Cloudy, dark or bloody urine

Why do women have urinary tract infections more often than men?

Women tend to have urinary tract infections more often than men because bacteria can reach the bladder more easily in women. The urethra is shorter in women than in men, so bacteria have a shorter distance to travel.

The urethra is also located near the rectum in women. Bacteria from the rectum can easily travel up the urethra and cause infections.

Having sex may also cause urinary tract infections in women because bacteria can be pushed into the urethra. Using a diaphragm can lead to infections because diaphragms push against the urethra and make it harder to completely empty the bladder. The urine that stays in the bladder is more likely to grow bacteria and cause infections.

How are urinary tract infections treated?

If your family doctor thinks you have a bladder infection, he or she will probably test a sample of your urine to find out if bacteria are in it. Your doctor will then prescribe an antibiotic for you if you have an infection. Usually, symptoms of the infection go away 1 to 2 days after you start taking the medicine.

Your doctor may also suggest a medicine to numb your urinary tract and make you feel better while the antibiotic starts to work. The medicine colors your urine bright orange, so don’t be alarmed by the color when you urinate.

What can I do if I have frequent infections?

If you have urinary tract infections often, you can try some of the suggestions in the box below. Talk with your family doctor about what changes would be helpful for you.

Your doctor also may give you a low dose of medicine for several months or longer to prevent infections from coming back.

If having sex seems to cause your infections, your doctor may suggest that you take a single antibiotic pill after you have sex to prevent urinary tract infections.

Tips on preventing urinary tract infections

  • Drink plenty of water to flush out bacteria. (Drinking cranberry juice may also help prevent urinary tract infections, though this hasn’t been proved.)
  • Don’t hold your urine. Urinate when you feel like you need to.
  • Wipe from front to back after bowel movements.
  • Urinate after having sex to help wash away bacteria.
  • Use enough lubrication during sex. Try using a small amount of lubricant (such as K-Y Jelly) before sex if you’re a little dry.
  • If you get urinary tract infections often, you may want to avoid using the diaphragm. Ask your doctor about other birth control choices.

How serious are urinary tract infections?

Bladder infections can be painful. But today’s medicines can keep them from becoming a serious threat to your health.

The kidneys can also be infected and this can be a more serious problem. Kidney infections usually require an antibiotic for a longer time and are sometimes treated in the hospital.