Less water intake accelerates urine infection

February 9, 2017

New Delhi, Feb 9: Winter problems are no longer restricted to cough, cold and flu. When the temperature drops and the cold winds begin to blow, the air becomes drier and our bodies get less moisture than they do in warmer months, leading to dehydration. And that is the first step towards a Urinary Tract Infection (UTI).

urinaryUTI refers to a bacterial infection anywhere in the urinary tract, such as the bladder, kidneys, ureters, or the urethra and one tends to be exposed to such infections in winters.

Dr. Anant Kumar, Chairman - Urology, Renal Transplant, Robotics, and Uro-Oncology Max Super Speciality Hospital, Saket said, " Our bodies suffer from UTI in winters as we stop drinking water. While we can invest in any warm beverage rather than icy water when it comes to wintertime, it's still critical to maintain the water intake. Consumption of less water, especially during winter is one of the main causes that worsen UTI."

Moreover, the main symptom of the infection which is burning sensation is usually considered a result of eating high calorie rich food during this season. This delays the patients from approaching the doctors on time. Also, women who make contact with the infections are so apprehensive of reporting it to the doctors that they prefer to self-medicate, which in turn makes the infection acute.

While most cases of bladder infection occur suddenly, others may recur over the long-term. Early treatment is keys to preventing the spread of the infection. Bacteria that enter through the urethra and travel into the bladder cause bladder infections. Normally, the body removes the bacteria by flushing them out during urination. This overwhelms the body's ability to destroy them, resulting in a bladder infection.

According to Dr. Kumar, for preventing bladder infections the following lifestyle changes may help reduce or eliminate the occurrence of bladder infections:

• Change underwear daily: Since women are more prone to infections, they should change their undergarments twice a day.

• Don't hold urine: Urinate as soon as you feel the need. Holding urine for long multiplies the bacteria, thus causes infection.

• Wear cotton underwear: Cotton underwear's are comfortable, especially for women as it helps keep the vagina dry. Synthetic underwear's cause excessive friction, thus leading to discharge of fluid which causes irritability

• Don't Use feminine hygiene sprays: The pH in the vagina regulates itself, and douching or spraying, changes the equilibrium.

• Urinate before and after sexual activity: Urinating right after sex can help prevent the spread of faecal bacteria to the bladder and thus reduce the risk of UTIs. Men should pass urine each time after the sexual intercourse.

Here are the five most effective bladder infection remedies:

• Drink more water: Have at least 2 litres of water every day. Water flushes out the bacteria in your bladder, helping to eliminate the infection faster. It also dilutes your urine, so urination may be less painful.

• Antibiotics: Antibiotics kill the bacteria causing the bladder infection. Antibiotics may not always be needed. In some cases, a minor bladder infection can resolve on its own. It might cause symptoms for a day or two, but with increased hydration and urination, it may pass.

• Heating pads: Putting low heat across your abdominal region or back may soothe the dull ache that sometimes occurs during bladder infections. This can be especially helpful if medications aren't enough to ease your discomfort.

• Appropriate dress: Bacteria thrive in warm and moist environments.

Tight jeans and other snugly fitting clothes can trap moisture in your most delicate areas, making them a breeding ground for bacteria. Wearing loose, casual clothing that allows your skin to breathe can keep the bacteria in your urinary tract at bay.

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Agencies
March 27,2020

New Delhi, Mar 27: The Centre has restricted sale and distribution of "hydroxychloroquine" declaring it as an essential drug to treat the COVID-19 patients and meet the requirements of emergency arising due to the pandemic.

The Ministry of Health and Family Welfare on Thursday made the announcement making it clear that the order "shall come into force on the date of its publication in the official Gazette".

In the order, the government declared that the Central government is "satisfied that the drug hydroxychloroquine is essential to meet the requirements of emergency arising due to pandemic COVID-19 and in the public interest, it is necessary and expedient to regulate and restrict the sale and distribution of the drug 'hydroxychloroquine' and preparation based thereon for preventing their misuse".

"Now, therefore, in exercise of the powers conferred by Section 26B of the Drugs and Cosmetics Act, 1940 (23 of 1940), the Central government hereby directs that sale by retail of any preparation containing the drug Hydroxychloroquine shall be in accordance with the conditions for sale of drugs specified in Schedule H1 to the Drugs and Cosmetics Rules, 1945."

The order came at a time when the novel coronavirus claimed 16 lives and infected over 600 people across India.

The announcement regarding ban of sale and distribution of the drug was made by the government earlier but it issued an official Gazette notification on Thursday signalling that hydroxychloroquine -- an anti-Malaria drug -- will work as a medicine for treating coronavirus infected patients as well.

Recently, the national task force for COVID-19 constituted by Indian Council for Medical Research (ICMR) has recommended hydroxy-chloroquine as a preventive medication.

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Agencies
June 21,2020

Lower neighbourhood socioeconomic status and greater household crowding increase the risk of becoming infected with SARS-CoV-2, the virus that causes COVID-19, warn researchers.

"Our study shows that neighbourhood socioeconomic status and household crowding are strongly associated with risk of infection," said study lead author Alexander Melamed from Columbia University in the US.

"This may explain why Black and Hispanic people living in these neighbourhoods are disproportionately at risk for contracting the virus," Melamed added.

For the findings, published in the journal JAMA, the researchers examined the relationships between COVID-19 infection and neighbourhood characteristics in 396 women who gave birth during the peak of the Covid-19 outbreak in New York City. Since March 22, all women admitted to the hospitals for delivery have been tested for the virus, which gave the researchers the opportunity to detect all infections -- including infections with no symptoms -- in a defined population

The strongest predictor of COVID-19 infection among these women was residence in a neighbourhood where households with many people are common.The findings showed that women who lived in a neighbourhood with high household membership were three times more likely to be infected with the virus. Neighbourhood poverty also appeared to be a factor, the researchers said.Women were twice as likely to get COVID-19 if they lived in neighbourhoods with a high poverty rate, although that relationship was not statistically significant due to the small sample size.

The study revealed that there was no association between infection and population density.

"New York City has the highest population density of any city in the US, but our study found that the risks are related more to density in people's domestic environments rather than density in the city or within neighbourhoods," says co-author Cynthia Gyamfi-Bannerman."

The knowledge that SARS-CoV-2 infection rates are higher in disadvantaged neighbourhoods and among people who live in crowded households could help public health officials target preventive measures," the authors wrote.

Recently, another study published in the Journal of the American Planning Association, showed that dense areas were associated with lower COVID-19 death rates.

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Agencies
July 4,2020

The Union health ministry on Friday revised the dosage of anti-viral drug remdesivir to be administered to coronavirus patients in the moderate stage of illness from the earlier six days to five days as it issued an updated 'Clinical Management Protocols for COVID-19'.

The drug, administered in the form of injection, should be given at a dose of 200 mg on day one followed by 100 mg daily for four days (total five days), the new treatment protocols stated.

The Health Ministry on June 13 had allowed the use of remdesivir for restricted emergency use in moderate cases under "investigational therapies".

"Under emergency use authorisation, remdesivir may be considered for patients in moderate stage requiring oxygen support," the document stated.

It is not recommended for those with severe renal impairment and high level of liver enzymes, pregnant and lactating women, and those below 12 years, it said.

The ministry also okayed off-label application of tocilizumab, a drug that modifies the immune system or its functioning, and convalescent plasma for treating COVID-19 patients in the moderate stage of illness as "investigational therapies".

It also recommended hydroxychloroquine for patients during the early course of the disease and not for critically-ill patients.

On June 27, the ministry had included an inexpensive, widely used steroid dexamethasone in treatment protocols for COVID-19 patients in the moderate to severe stages of their illness among other therapeutic measures.

The ministry advised use of dexamethasone, which is already used in a wide range of conditions for its anti-inflammatory and immunosuppressant effects, as an alternative choice to methylprednisolone for managing moderate to severe cases of coronavirus infection.

India's COVID-19 cases soared by over 20,000 in a day for the first time taking the country's total tally to 6,25,544 on Friday while the death toll climbed to 18,213 with 379 new fatalities, according to the Union Health Ministry data updated at 8 am.

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