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
June 24,2020

New Delhi, Jun 24: Expanding the testing criterion for coronavirus, the Indian Council of Medical Research has said it should be made widely available to all symptomatic individuals across the country.

"Since test, track and treat' is the only way to prevent spread of infection and save lives, it is imperative that testing should be made widely available to all symptomatic individuals in every part of the country and contact tracing mechanisms for containment of infection are further strengthened," it said in an advisory on 'Newer Additional Strategies for COVID-19 Testing' on Tuesday.

In its revised testing strategy for COVID-19 issued on May 18, the Indian Council of Medical Research (ICMR) had advised testing for all symptomatic Influenza-like illness (ILI) among returnees and migrants within seven days of illness.

All hospitalised patients who develop ILI symptoms, symptomatic individuals living within hotspots or containment zones and healthcare and frontline workers involved in containment and mitigation of coronavirus were also advised testing.

The apex health research body has also advised authorities to enable all government and private hospitals, offices and public sector units to perform antibody-based COVID-19 testing for surveillance to help allay fears and anxiety of healthcare workers and office employees.

The earlier advisories on rapid antibody testing advisories had focused on areas reporting clusters (containment zones), large migration gatherings/evacuees centers and testing of symptomatic ILI individuals at facility level.

Besides, the ICMR on Tuesday also recommended deployment of rapid antigen detection tests for COVID-19 in combination with RT-PCR tests in all containment zones, all central and state government medical colleges and government hospitals, all private hospitals approved by the National Accreditation Board for Hospitals and Healthcare (NABH), all NABL-accredited and ICMR approved private labs, for COVID-19 testing.

All hospitals, laboratories and state governments intending to perform the point-of-care antigen tests need to register with ICMR to obtain the login credentials for data entry.

"ICMR advises all state governments, public and private institutions concerned to take required steps to scale up testing for COVID-19 by deploying combination of various tests as advised," the advisory added.

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Agencies
June 28,2020

As the COVID-19 wave sweeps strongly across the country, including in Tamil Nadu, mental health experts say the pandemic has triggered panic attacks among those who tested positive for the virus, causing bouts of depression and even driving some to the brink of suicide.

According to experts, nervousness, fear of contamination, panic attacks, constant reassurance seeking behaviour, sleep disturbance, excessive worry, feelings of helplessness and probability of an economic slowdown are the major factors leading to depression and anxiety among the people.

Potential job losses, financial burden, uncertainty about the future and fears of running out of food and necessities add to the worries.

Online platforms too have seen a growing number of people seeking help for mental health issues, ranging from anxiety and loneliness to concerns over productivity and job loss since the outbreak of COVID-19.

Director of Institute of Mental Health here, Dr R Purna Chandrika said towards April end about 3,632 calls were received and psychiatric counselling was provided to 2,603 callers.

"We have dedicated services at our centres in the districts and the calls meant for government medical college hospitals are routed to the respective institutions," she said.

Due to heavy virus caseloads, making this city the major contributor to the state's tally, the Greater Chennai Corporation too started a free helpline to help residents cope up with stress during the pandemic.

"From the psychological perspective, we don't find a single human being who is not feeling some degree of stress or anxiety due to coronavirus. The intensity and impact varies from person to person," said Lt Col N T Rajan, director of Chennai-based Mastermind Foundation.

The organisation is involved in free counselling throughout India ever since the first case of the deadly virus was reported in the country.

The foundation's recommendation on not to deploy the vulnerable in the police force, especially those above 50 years and women personnel with children below five years for COVID-19 related duty, was accepted and implemented by the Punjab government.

Psychiatrists feel that further worsening situations could lead to severe mental health issues, even triggering suicidal tendencies.

"Further worsening depression may lead to severe mental health issues and suicidal tendencies," said Dr S Senthil Kumar, a psychiatrist.

However, not all of them require medicines, he added.

"The situation is serious. There should be counselling at three stages--on coping with the virus, how to face it if tested positive and how to face life once treated and discharged from the hospital," Rajan said.

Awareness was of paramount importance, he said and warned the pandemic could cause panic attacks while in hospital or drive them to the brink of suicide.

Tamil Nadu, one of the worst affected states with a virus count in excess of 74,000 as of Friday, has witnessed a few instances of suicides allegedly related to COVID-19.

Hari Singh, owner of popular 'Iruttu Kadai' halwa shop in Tirunelveli, allegedly died by committing suicide on Thursday after being tested positive for COVID-19. He was 80.

Earlier in May, two COVID-19 patients in their 50s allegedly committed suicide in separate instances, at the government hospitals they were admitted to for treatment.

In the city corporation limits, a three-member team comprising a psychiatrist, counsellor and a social worker work for the respective zones.

"We direct certain sections of people like those with withdrawal symptoms and people requiring pills, to visit the doctor at their corporation zonal at a specific time, for medicines," a health worker of the civic body said.

Health platform, Lybrate reported an increase of 180 per cent in online patient consultations related to mental health on its platform between March 1 and June 20 across the country.

The largest increase came from Mumbai and Delhi, followed by Pune, Ahmedabad, Chennai and Bengaluru.

The biggest jump was witnessed in the age group of 25 and 45 years.

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