5 Basic Principles of an Alternative Treatment for Chronic UTI

“When it’s your 20th UTI, you start to look for an alternative treatment for chronic UTI rather than another round of antibiotics”, says Dr. Claire Graser. Her clinic often becomes “the last resort” for women who have been suffering from urinary tract infections for a long time.

Dr. Graser practices naturopathic medicine with expertise in women’s health, hormone balancing, holistic detoxification, weight loss, anxiety and stress management at the San Francisco Natural Medicine clinic. I was thrilled to discuss UTI treatment strategies she uses with her clients.   

Alternative treatment for chronic UTI

Did your primary care doctor sit down with you to discuss your diet, stress level, and everyday health challenges? Have your physician ordered anything besides a urine culture test? Perhaps, that’s why you are stuck in a recurrent UTI cycle. Or maybe you keep getting UTIs because your treatment plan is yet another round of antibiotics, that depletes your natural microbiome and leaves you even more vulnerable for the next infection?

According to Dr. Graser, too often primary care physicians keep prescribing antibiotics without verifying an active infection is present. Unfortunately for chronic UTI sufferers, their symptoms are not always a sign of bacterial overgrowth. In some cases, UTI-like symptoms are caused by chronic pelvic pain and painful bladder syndrome due to nerve damage and chronic inflammation.

“Chronic UTIs may eventually lead to chronic pelvic pain”, says Dr. Graser.

Natural treatment for the whole body

#1 Wholistic diagnosis

Dr. Graser’s fascination with natural medicine started at a young age: “My grandparents were involved in an international seed exchange and would often take me on the field trips to look for the seeds. I was excited to find wildflowers, berries, learn their names and properties and this was my first introduction to botany. I learned to appreciate plants and their practical use”.

Besides being well skilled with Eastern and Western herbs, Dr. Claire shares the naturopathic medicine philosophy to look at the whole person instead of an isolated organ or a symptom. Therefore, if you present with chronic urinary tract infection symptoms, these are tests that she might order for you:

    • A urine culture test to confirm the infection,
    • A blood panel test (including vitamin D3 levels, Thyroid panel, and Hemoglobin A1c
    • A stool test to evaluate gastrointestinal health since your gut microbiome influences the vaginal flora,
    • An adrenal fatigue test to understand if current levels of stress are impacting your immune system.

After performing a thorough examination and looking at your test results, Dr. Graser will discuss your diet,  sleep habits and stress management to complete your health assessment and decide on a course for an alternative treatment for chronic UTI.

Natural UTI treatment options

#2 Herbs and supplements

If the tests confirm that an acute infection is present, patients may be advised to drink diluted unsweetened cranberry juice, D-Mannose, and take the herbal formula for UTI that consists of soothing herbs like corn silk, antimicrobials like buchu, juniper, uva-ursi, and kava for pain relief.

Once acute symptoms subside, it will be important to take measures to support the immune system, improve daily hydration, promote healthy vaginal and gut flora with potent probiotics and better diet, as well as implement some lifestyle changes (no thongs, loose-fitting cloth, better hygiene etc.).

#3 Stress reduction

Since stress causes hormonal imbalance and negatively affects human microbiome (the beneficial bacteria that inhibit your body and help prevent infections), it’ll be important to manage stress (plants like schizandra, lavender, chamomile, and lemon balm can be prescribed) on a daily basis.

#4 Healing your bladder

In addition, Dr. Graser also recommends adding aloe juice (2-3 times a day) to heal the bladder and to balance your immune system, especially after an acute infection. In a similar fashion, drinking a cold infusion of marshmallow root (at least a cup or two per day) can help heal the bladder lining.

#5 Combating bacterial biofilms

“When it comes to persistent, chronic infections it is important to destroy bacterial biofilms in order to eradicate the infection”, says Dr. Graser.

A “biofilm” is a complex ecosystem that allows bacteria to survive. Moreover, antibiotics are often ineffective because of their slow or incomplete penetration into the deepest layers of biofilms. The biofilm, due to its complex structure, constitutes an effective barrier to the antibiotics used in the treatment of urinary tract infections and therefore renders antibiotic treatment ineffective.

Read more about bacterial biofilms here.

Dr. Graser in her practice uses N-acetylcysteine (NAC), to aid the eradication of mature biofilms and to inhibit new biofilm production.

Health tips for holistic health from Dr. Claire

“Auto-immune problems, chronic pain, and allergies seem more common nowadays than they were a century ago. Stress and environmental toxic burden are probably the biggest contributors to modern illness & diseases. They impact the microbiome that is essential to optimal health and one of the most important factors that modify your immune system response”, says Dr. Graser.

Here are some tips that you can implement today to live a healthier life:

  • It’s really helpful to go to bed early (10:30 pm) and get 8 hours of sleep. Don’t take pride in your sleep deprivation, it affects your cardiovascular health and leads to hormonal imbalances.
  • For 30 min before bed allow yourself no screen time to quiet down your adrenaline system. Cortisol should be dropping at night and melatonin should increase gradually to allow for a restful night.
  • Establish a “sleepy time” routine: make some herbal tea, read a relaxing book. Winding down is important for the quality of sleep!
  • Use blackout curtains, noise-canceling earplugs. 
  • Make sure to eat 20 grams of protein three times a day. Why? Protein-rich breakfast helps to stabilize your blood sugar. In turn, it helps you to decrease your anxiety and stress level throughout the day.
  • Choose healthy drinks. Coffee dehydrates you and depletes minerals that your body requires to function well. Get 64 ounces of water daily. Fatigue and constipation are two problems that frequently stem from simple dehydration. Constipation is a known factor that contributes to chronic UTIs.

If you find yourself in a cycle of recurrent urinary tract infections, perhaps it’s time to try an alternative treatment for chronic UTI. Instead of spending five minutes with your primary care doctor to obtain a prescription for antibiotics, see if a holistic approach can work better.

It’s okay if you have never thought about how the aspects of your stressful life could be contributing to your chronic disease; as many naturopathic professionals, Dr. Graser believes that a doctor is, first of all, a teacher. She loves to educate her patients and will spend the time to help you connect the dots and to find the way to your optimal health.

30 thoughts on “5 Basic Principles of an Alternative Treatment for Chronic UTI”

  1. Do you know of any products on the market to heal bladder and/or urethra and their linings? I currently take d mannose daily, take a women’s health probiotic, and drink marshmallow root powder about once a day. I know that UTIs and antibiotics hurt those linings and I know I need to repair mine. Thanks!

  2. Hi Anastasia,
    Thank you so much for all of your information you do not realise how within three months of your suggestions I am already uti free and SO happy. I have one question, how long do you suggest one should take NAC tablets for? I take them daily with obtibac probiotics and of course my daily hit of aloe vera juice. Is there a time frame, can you take it daily or should you take a break, or in your own personal experience of taking NAC – what way do you find works best – as in can you continue taking it daily? Thank you ever so much ♥

    1. Anastasia Visotsky

      Hi Amy, I’m so very happy to hear! Keep it up!
      I take NAC regularly (if I do not forget) and double the dose when I get a cold, for example. I also added Lactoferrin into the rotation recently and was giving it to my husband for his persistent sinus infection together with NAC, so that’s what I currently have in my cupboard. Probiotics, unfortunately, are known to be transient and will wash out from your system within a week if you stop taking them. I’d suggest to keep it up since it sounds you tolerate them well. In terms of NAC, you can reserve it for situations when you need a boost for an antimicrobial treatment but taking it daily could have some other great benefits (lower anxiety, for example). As for aloe vera, I would continue for at least half a year as long as you can tolerate it well. Best wishes 🙂

  3. Hi Anastasia,
    Thank you so much for your article! I’ve had almost one year of continuous UTIs and it’s taken a big toll not only on my body but also my mental and emotional health. I’ve tried D-mannose and it doesn’t seem to work properly, my body is starting to react really badly to antibiotics (I’m developing allergies to antibiotics that I once tolerated well), and my luck seems to be running out with allopathic medicine. If I don’t take NAC with antibiotics, will it still be effective in breaking up a bladder biofilm? Have you found that it is most effective in certain ways?

    Thanks again!

    1. Hi Amara, so sorry to hear about your emotional state, it must be very taxing to deal with this constantly. Well, most naturopaths would prescribe biofilm-busting enzymes together with one or two antimicrobials, not necessary antibiotics, they could be natural alternatives. The reason is to kill off any bacteria that could become active in the process. If you haven’t seen a naturopathic doctor, maybe look into that. It’s better if you are working with somebody who had experience dealing with this issue and can put together a protocol for you. I can’t do this, unfortunately, since I’m not a doctor myself.

  4. Christine Cairns

    Hello Anastasia
    I live in Australia and I’m 62 years young and very fit but unfortunately have been cursed with recurrent UTIs for approx 20 years. My mother suffered the same and I believe it attributed to her death in 2001. She suffered badly from depression and her GP prescribed her long term use of Macrodantin which is an older type of antibiotic. After six months taking this medication she developed a cough and shortness of breath. Within 1 day of being admitted to hospital she was on life support but sadly after 1 month she lost her battle. The specialists could not determine her cause of death only that her lungs were badly affected and rock hard. My research found other cases where Macrodantin caused this type of lung failure. I’m am doing all I possibly can to try and find a cure once and for all as I no sooner stop antibiotics then it returns. I take cranberry and probiotics capsule at night and have just started taking D Mannose. Pathology always shows E. coli with last one being 2 different strains in one infection. Can you please offer any suggestions as to what else I can do. Can I possibly get the treatment that rebuilds the system DAC?? I sympathise with all who have contacted you regarding this as UTI’s ruin your wellbeing in every sense but I’ll never give up hope. With Thanks Christine

    1. Hi Christine, so sorry about your mom, it’s unbelievable that these symptoms were not recognized early.

      Here something you could read up on estrogen, see if this makes sense and talk to your doctor if there are topical options available.
      Best wishes,

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