Your Questions About UTI

Hi there,

If I sent you a link to your question, scroll to find it here. I update this post regularly, starting with the most recent questions.

Remeber, I’m just a UTI-nerd, not a doctor so take it with a grain of salt and always consult with your physician first before trying any new things to treat or prevent UTI.

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Best wishes!


Q: …I’ve had UTI symptoms for a month now. They found Strep B in my culture, but after treatment frequent urges to urine continued. All of the symptoms subsided (pain etc.) I got tested again and my urine was clear. Then tried another antibiotic, but seem to be again left with urinary frequency. Have you heard of other women having a lingering frequent need to urinate after a UTI is cleared? Did this resolve by itself? Thank you!

Actually, I wrote about this in detail, so I’m going to just give you a link to the post: Lingering symptoms after UTI treatment with an antibiotic.

Q: … My daughter is 8 and has suffered from recurrent (monthly) UTI’s since she was 4. She has been treated with a radical amount of antibiotics (was on an adult dose, a full course for 6 months) and numerous single courses at each new infection. The GP and pediatrician are at all loss. ( we live in a small town in New Zealand so access to specialists is tricky)She is now resistant to most of the routine antibiotics for UTI’s which terrifies me. We have paid to see a private pediatric urologist who focused mainly on constipation. This hasn’t been a problem now for 18months but the UTI’s persist. They don’t cause her pain or discomfort but do cause daytime wetting when she has an infection. Whilst she is on the antibiotics she is dry. She takes Clinicians D mannose (has done for about 2 years) and I alternate between a Clinician Flora Restore and a Clinician Multiflora digest probiotic daily. I feel we are not winning and am very keen to try some pre and different probiotics. There are so many on your site I don’t know where to start. Any specific recommendations would be wonderful ( also need to check that an 8-year-old can take them). 

My non-medical answer:

Hi there. So sorry to hear, poor girl 🙁 Well, She has consumed a lot of antibiotics in the age critical for developing a healthy microbiome. Especially if she was delivered via C-section she might be lacking essential bacteria that she would otherwise inherit from you that she needs to stay healthy. I’m very happy that your physician suggested focusing on fixing constipation. Does your strategy include stool softeners or have you been enriching her diet with veggies and leafy greens, limiting sugar and simple carbohydrates? Did the physician consider taking a sample for vaginal culture? If her vaginal cavity is colonized with pathogens perhaps your physician can prescribe a topical medicine for that. The probiotic products you mentioned seem to have useful strains, I do not think you need to switch but you need to make sure her diet has a variety of fiber so the good bacteria have more chances to survive. Ask your MD if 10 billion CFUs is the right dose for her (it is for adults) because if you are giving her one capsule per day it is 1/2 of the dose. Something you can ask your physician (and research if you have any trial with this treatment approach) is fecal microbiome transplant (here is another study).

Q: …I have just started to take D-Mannose. After reading your articles I understood that probiotics, NAC, and hyaluronic acid + chondroitin sulfate are also important in order to support the immune system and prevent UTI. Could you tell me please is it ok to take all these supplements at the same time? Or should I take it one after another course? How long should I take this supplements? Is one package enough? Should I also use suppository with lactobacteria in order to reinforce the effect? 

My non-medical answer:

Unfortunately, whether if it’s ok to take a combo or any one of the listed supplements would depend on so many things: your medical history (allergies, chronic problems etc..), prescription meds and even, sometimes, diet. As much as I wish I could give you a straightforward answer, I can’t. As a rule of thumb, it’s always a good idea to consult with a doctor and introduce supplements one by one, so in case if you have an adverse reaction, you know what’s causes it. In terms of how long, I honestly don’t know. Bladder GAG layer takes time to regenerate and your progress will depend on other things you do (smoking, exercise, diet included). Probiotics are always among my favorite supplements (but again, I’m not a physician and clinical studies arrived at conflicting conclusions when testing probiotics for UTI prevention) and if tolerate them well, it’s good to keep them as a part of your routine supplementation (see a reply below to a similar question). Sorry, I can’t be any more precise 🙁

Q: …I find myself a bit confused with so many posts, so I wanted to check if there is anything that summarises everything. I haven’t tried probiotics yet and I think it’s what I should do next. In a nutshell, what is the winning combination that kept yourself away from UTIs? Do you have any post summarising that? I really want UTIs to disappear from my life forever. Many thanks for your help and the great blog you have! You can’t imagine how helpful it is. P.d. if there is any product specific to Europe, I would appreciate if you can point at it as I am writing from this side of the Atlantic.

My non-medical answer:

Yep, here is the post that summarizes my thoughts on UTI prevention strategies. As to my personal experience, I describe it here. Here are probiotic recommendations (links lead to Amazon and if you do not see a specific product, it will suggest a closest similar option). And here are general guidelines on how to choose a probiotic. Hope this helps!

Q: Does, d Mannose help with yeast infections? I’ve tried the recommended probiotics and they helped for a while but not any longer. Thank you!

My non-medical answer:

Oh no, unfortunately, D-Mannose is not meant for UTI infections. There are plenty of natural options some find useful for a yeast infection. As to the probiotics comment, I’d suggest approaching the issue of UTI holistically, you might need more than just probiotics, especially if you keep having a yeast infection.

Q: Hi For the first time ever, I’ve had a UTI, to be exact a Staph UTI. And I never ever want to experience it again so I’m trying to come up with some answers as to why it happened in the first place and how I can start a prevention plan. First off, I do have sex (oral, vaginal). But this isn’t new for me, for the last year or so my partner and l have been active. So I don’t understand why it’s all of a sudden a problem now. It’s the same person and not much has changed in our routine. The only thing that might have contributed to it was that right before I got my UTI we had vaginal sex a lot more than usual in a short span of time. And we weren’t too good about making sure there wasn’t friction and we used a lube that maybe wasn’t vagina friendly? Secondly, all my life I’ve had BAD constipation, bad. I have IBS and I’ve dealt with it all my life. Thirdly, I also don’t drink as much water as I should. That’s changed now that I have a UTI lol. I’m confused and upset, I hate taking antibiotics and the antibiotics I took for my UTI gave me pretty bad side effects. Any ideas?

My non-medical answer:

Hello! There is a lag time between how soon changes in one part or system of your body affect other organs or systems, but at the end of the day, everything is connected (a very, very slo-mo dominos effect). If you are constipated, then it’s known culprit for UTIs, you probably read why. I’d suggest talking to a naturopathic doctor who could address IBS and UTI together. If you have no access to one, start with asking your OBGYN to perform a vaginal culture test, see what it shows. Here is an overview of the main areas where you can look (25 main UTI causes) and a review of a holistic approach to UTI prevention. Hope this helps!

Q: I have had my UTI for 3 months and it will not go away I got treated at a minute clinic they said it was a small number of bacteria the gave me medication and it just came right back please help what can I do to get rid of this fast.

My non-medical answer:

What you really need is to see a urologist or, at least, a family doctor. Unfortunately, minute clinics and emergency rooms are ill-equipped to deal with recurrent chronic problems.  A primary care physician or a specialist will be able to analyze your symptoms as well as previous medical history to make a conclusion about the appropriate course of actions. I find that folks often think about acute UTI symptoms as a one-off problem, which could be true if, indeed, the infection doesn’t come back. However, if you are dealing with recurrent UTIs or symptoms that won’t go away, you have to dig deeper and think about in a more systemic way.

I’d suggest looking for a urologist or naturopathic doctor, or even scheduling an appointment with your primary care or OBGYN if you can’t afford specialists.

Here are my thoughts on why UTI is often a systemic problem.

Q: Can you take Ellura and d-mannose together or should you take one or the other?

My non-medical answer:

Ellura is a pretty strong cranberry supplement, the active ingredient is PAC (36 mg per tablet). D-Mannose is a naturally occurring sugar, that is sourced in high concentration to create D-Mannose supplements. While the method of action against pathogenic E.coli could be similar (both are focused on decreasing the ability of bacteria to stick to the bladder walls) these are still two different supplements. When thinking about starting or combining supplements it’s always better to chat with a doctor who could consider your overall health and knows about how supplements are metabolized by a body and if they could produce an undesired effect if combined. Since both supplements have their own side-effects, I’d also consider that if you combine them, it’ll be harder to tell what’s causing side-effects if they appear. My vote always goes for a gradual introduction of supplements to see how your body reacts to them. All these being said, I have not seen any contradictions but I also don’t think this combo has been clinically tested as of yet.

Q: I have suffered for a week now with a painful bacterial UTI. Amoxicillin isn’t working and I’m allergic to all the rest. They just called in Trimethoprim, hope it works! My question is if I start a probiotic, how long do I take them?

Ouch 🙁 Sorry to hear!

Well, probiotics are still a new area for the health practitioners to learn about. There is a lot of research on what is an optimal microbiome. The things are even more complex when you consider that everybody has a unique combination of bacteria. Here is an excerpt from my interview with Dr. Mike Hsieh on this topic:

“Most oral probiotics don’t colonize the long term which I think is fine. … FDA grants probiotics the GRAS status (generally recognized as safe)… But you know sometimes people do have adverse reactions to probiotics and if you happened to be in that unfortunate category I think the last thing you want is a probiotic that stays in your system after a single dose…I think there are some studies suggesting that particular probiotic strains only stay for a matter of days or two weeks at most so your body washes it out,” he adds “I don’t think these probiotics necessarily exert an immediate effect”.

In fact, if patients tolerate probiotics well, Dr. Mike Hsieh suggests that they take it long-term as a preventive measure.


2 thoughts on “Your Questions About UTI”

  1. Hello,
    I am dealing with a uti that I know was caused by having a ct skan. I had not had any bladder problems until this was done. I took Macrobid which worked for awhile, but now all the symptoms with the bladder have returned. I just injested 2 crushed garlic cloves in water and need to get serious about the probiotics. How long should you take the probiotics and is drinking plain kefir sufficient for this condition. Thank you for your reply.

    1. Anastasia Visotsky

      Hi Sandra, if you scroll up, one of the questions on this page was about probiotics. Kefir is beneficial but it has different strains, you can read about it here. Best wishes,

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