UTI Specialist
Urinary tract infections (UTIs) are more than just painful — they can be damaging if left untreated. That's why seeing an experienced urologist, such as Ms. Borohov at New York Medicine Doctors, is so important — and even more so if you are an older adult or have an immune deficiency. Older patients are more likely to develop sepsis from UTIs left untreated.


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What causes UTIs?

UTIs typically start when pathogenic microbes enter your body through your urethra and move up into your bladder. If not treated at this stage, the infection may travel through your ureters — the ducts that channel urine from your kidneys into your bladder — and develop into a serious kidney infection. While bacteria cause the vast majority of UTIs, the condition may involve other infectious agents, such as fungi and viruses.

What are common UTI symptoms?

You may have a bladder infection — or lower UTI — if you experience:

  • A painful or burning sensation when urinating
  • Cloudy, bloody, and/or foul-smelling urine
  • Lower abdominal cramping or pressure
  • Frequent urinary urgency
  • Low-grade fever

Additional symptoms that indicate a possible kidney infection — or upper UTI — include:

  • Chills, shaking, and/or night sweats
  • Confusion or other mental changes
  • Severe abdominal pain
  • Flushed skin
  • High fever
  • Nausea and vomiting
  • Fatigue

How do doctors treat UTIs?

The main therapy for UTIs is simple: Treat the cause of infection. This usually means antibiotics. A course of oral antibiotics is standard for mild UTIs, while severe or complicated cases may require hospitalization and intravenous antibiotics.

If necessary, Ms. Borohov may also give you other medications to manage UTI symptoms, such as:

  • Analgesics (painkillers)
  • Anti-inflammatories
  • Antipyretics (drugs that reduce fever)

It's also important to keep well hydrated, especially when dealing with a kidney infection.

Why do some patients experience frequent UTIs?

If you've had a UTI on several occasions, you're dealing with recurrent UTIs: These can be the result of an underlying problem that may be managed through the right medical interventions and/or lifestyle changes. Risk factors for UTIs include:

  • Urinary blockages
  • Diabetes
  • Immune disorders
  • Urinary catheterization
  • Certain types of birth control
  • Sexual activity
  • Menopause
  • Neurological conditions
  • Urinary tract abnormalities

If you suffer from frequent UTIs, Ms. Borohov may work with you to identify and address these issues. If the root cause is manageable, you will likely experience fewer and less severe UTIs in the future by following her recommendations.

Remember that an untreated UTI can lead to serious, permanent complications and even death, especially in older patients. If you suspect you have a UTI, make an appointment with an experienced urologist as soon as possible.

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