When you’ve GOT TO GO!
If you’re feeling a burning sensation down there, get checked for a urinary tract infection – common in pregnancy – and totally treatable.
Imagine that every time you go to the loo, your urine burns like fire, and you struggle to squeeze out a few drops. You feel feverish, your lower back and sides ache, and your bladder feels like it’s bursting. Don’t actually need to imagine it? That isn’t surprising, as it’s estimated that up to 80 percent of women have had, or will have, at least one bladder infection in their lifetime. And having a baby on board increases the risk – and the discomfort. But why should this be? More importantly, what can you do about it?
UTI 101
A UTI (urinary tract infection) is a bacterial infection in the urinary tract: the system comprising the kidneys, ureters (tubes leading from kidneys to bladder), bladder and the urethra (tubes leading from the bladder outside). UTI-causing bacteria (usually Escherichia coli) are normally present in the body, but sometimes they go where they shouldn’t – in this case the bladder – and reproduce, causing infection (cystitis). If infection moves up to the kidneys, it’s called pyelonephritis. Because women have shorter urethras, bacteria travel to the bladder more easily, plus, close proximity to the anus increases cross-contamination risk. Durbanville GP Dr Elzahn Bovim explains that UTIs are most prevalent during the first trimester due to hormonal changes (particularly progesterone increase) causing swelling around your bladder and urethra, and softening of your bladder lining. Later on, the expanding uterus squeezes the bladder, causing irritation and decreased emptying. These provide ideal conditions for bacteria to thrive.
SYMPTOMS
Along with the above-mentioned symptoms, infection may be accompanied by nausea and even vomiting, unpleasantsmelling, cloudy and/or bloody urine, and, if severe, incontinence. However, Dr Bovim cautions that not everyone has these symptoms and recommends routine urine tests. “A common symptom is suddenonset nausea,” she says. “If you didn’t have morning sickness, and suddenly you feel extremely nauseous, see your doctor immediately.”
PREVENTION BEATS CURE
While hormonal changes aren’t negotiable, some simple guidelines can help you to prevent UTIs.
■ Never use bubble bath, perfumed oils and salts or soap on the genital area – water is sufficient. Scent your bath with three to four drops of lavender (after the first trimester), neroli or mandarin essential oils, which are safe during pregnancy, and are relaxing, antibacterial and healing.
■ Limit acid-causing food and drinks (such as citrus fruit and caffeine) and sugar.
■ Don’t wear tight, synthetic leggings, tights or underwear.
■ Sex can cause irritation – always use enough lubricant, and empty your bladder afterwards.
■ Long, hot baths disturb pH balance and cause skin irritation, as do extended periods of swimming and wearing wet clothes. If you decide to swim or bathe, make it quick, and dry off immediately.
UTI DIY
What if, despite these precautions, you still get a dreaded UTI? If you already have an infection, visiting your doctor is essential, as antibiotics may be needed. The good news is that even if you do need antibiotics, there’s still much you can do to speed up recovery and ease symptoms safely. One thing cannot be over-emphasised: time. If you think something’s starting, begin home treatment immediately. Start by drinking enough water (at least two litres daily) to flush out bacteria. And never hold in urine – go as soon as you need to. Get plenty of rest, and use a warm water bottle with a soft, comfy cover to ease an aching lower back – if you’re really uncomfortable, paracetamol is considered safe during pregnancy.
SUPPLEMENT-SAVVY
Take vitamin C for a strong immune system and to combat bacteria – just stay under 1 500mg daily. Stock up on omega-3 fatty acids. You’re probably aware that they’re crucial for Baby’s brain development, but did you know that they’re also anti-inflammatory and immune-supportive? Take 1 000 to 2 000mg daily. Eat vitamin-C-rich foods such as peppers, broccoli and guavas; diuretic foods such as celery, asparagus and watermelon; immune boosters such as garlic; foods with probiotics such as natural yoghurt; and high-fibre foods, such as whole grains and beans.
COMPLEMENTARY COMFORT
TISSUE SALTS Tiny amounts of homoeopathic mineral salts can be taken hourly for acute infections. Try ferr phos to relieve burning, and nat mur for pH balance. ACUPRESSURE stimulates specific nerve centres to support healing – and it’s easy to do yourself. The “bladder point” is on the joint between the thumb and wrist. Firmly press and roll this point with your thumb tip for one to two minutes to ease pain and encourage bladder emptying. HERBS Stellenbosch-based phytotherapist Dr Caren Hauptfleisch prescribes the diuretic and antibacterial herbs goldenrod (Solidago virgaurea) and nettle (Urtica dioica) as safe preventative treatment. Two to three cups a day combats bacteria and eases symptoms. HYDRATE During acute infection, take as many measures as possible. In the long run, daily cranberry juice or supplements, enough water and simple preventative measures can help prevent infections safely and naturally.
IF LEFT UNTREATED, A UTI COULD CAUSE MISCARRIAGE OR EARLY LABOUR.