Urinary tract infections (UTIs) are the most common type of infection among elderly people worldwide, as well as the most common cause of hospitalisation due to bacterial infections (1).
UTIs account for around 25% of all infections among elderly persons each year (1).
Dr. Prem NN, a Chief Consultant of Geriatric Medicine at JASLOK HOSPITAL & RESEARCH CENTRE, in a conversation with Healthy Wrinkles, explains Urinary Infection in older adults.
This enlightening conversation covers a range of topics, from identifying symptoms to the psychological impact on seniors. Watch our YouTube playlist on care for seniors to know more.
Signs and Symptoms of Urinary Tract Infections:
Dr. Prem begins by outlining the common signs and symptoms of UTIs in older adults. He stresses that increased frequency of urination, coupled with hesitant consistency, can be particularly bothersome for seniors. The feeling of incomplete bladder evacuation adds to the discomfort, leading to frustration. Dr. Prem highlights the importance of proximity to bathrooms for older adults, considering the urgency and frequency issues they may face. Watch our YouTube playlist on Urinary Problems for a better understanding.
According to the Centers for Disease Control and Prevention (CDC), symptoms of a bladder infection include;
- Burning or pain when urinating
- Recurring urination
- Having an empty bladder, still feeling the desire to urinate
- Pee stained with blood
- Lower abdominal or groin pressure or cramps
The CDC states that symptoms of a kidney infection include;
- High temperature
- Feeling cold
- Discomfort in the side or lower regions of your back
- Vomiting or feeling nauseous
Contributing Factors and Drug Interactions:
Beyond the physical aspects, Dr. Prem delves into the contributing factors that amplify urinary problems in seniors. He mentions that certain drugs, especially diuretics taken at night, can significantly impact urinary function. Fluid intake, a critical factor, is discussed, with Dr. Prem emphasizing the delicate balance needed. Dehydration, common in older adults due to decreased thirst sensation, can exacerbate urinary issues.
Psychological Impact and Stigma:
Dr. Prem brings attention to the psychological impact of urinary problems on older adults. He notes that embarrassment and the fear of public accidents often lead seniors to withdraw from social activities. This self-imposed isolation can detrimentally affect their mental well-being. The doctor emphasizes that addressing urinary problems is not a natural consequence of ageing, dispelling the misconception that it is an inevitable part of getting older.
Chronic Conditions and Acute Urinary Retention:
Connecting the dots between urinary problems and chronic conditions, Dr. Prem discusses how immobility, dementia, surgery, or a stroke can contribute to challenges in bladder control. He underscores the severity of acute urinary retention, a sudden and potentially dangerous condition where the bladder becomes full, leading to delirium and agitation in older adults.
Preventive Measures and Seeking Advice:
The importance of preventive measures comes to the forefront as Dr Prem suggests seeking advice for those at risk, such as diabetics prone to polyuria. Regular testing of urine routine is recommended, especially for those with a history of urinary tract infections. The doctor encourages seniors not to perceive urinary issues as a taboo subject, stressing the need for open communication with healthcare providers. Speaking with your doctor could guide you about the different urinary tract infection treatments. Read more about the role of geriatricians in managing chronic health conditions.
Quality of Life and Practical Solutions:
Addressing quality of life concerns, Dr. Prem shares insights from a study on urinary incontinence, where seniors expressed a willingness to use diapers if it improved their quality of life. He discusses practical solutions, including specialized pants and pads, allowing seniors to lead a normal life without constant worry about urinary issues.
Tips for Managing Urinary Problems:
Dr. Prem concludes with actionable tips for managing urinary problems in older adults. He highlights the importance of appropriate fluid intake, avoiding constipation, and undergoing regular drug reviews. He encourages breaking the taboo surrounding urinary issues, urging individuals not to shy away from seeking advice and support. UTI treatment should be sought without hesitation.
In conclusion, Dr. NN Prem's comprehensive discussion provides a valuable resource for understanding and managing urinary tract infections in older adults. From recognizing symptoms to addressing psychological impacts, this insightful conversation empowers both seniors and caregivers to navigate this often-overlooked aspect of ageing with knowledge and confidence.
Whether you are searching for informative articles, or looking for healthcare providers, Healthy Wrinkles is an excellent resource for all your senior care needs. We also have a great compilation of all the medical expert talks for healthy ageing on the Healthy Wrinkle YouTube channel.
(1) - Akhtar A, Ahmad Hassali MA, Zainal H, Khan AH. A cross-sectional assessment of urinary tract infections among geriatric patients: prevalence, medication regimen complexity, and factors associated with treatment outcomes. Frontiers in public health. 2021 Oct 18;9:657199.
Disclaimer: Healthy Wrinkles does not recommend or offer any medical diagnosis, treatment, or advice. The information provided here is only for the awareness of disease or ailment among individuals, caregivers, and the public. The advice of doctors, licensed professionals, or therapists who are knowledgeable about your particular situation should always be sought before using the information provided here. It should also not be used in the event of a medical emergency or for the diagnosis or treatment of any medical condition. If you want urgent assistance, contact a qualified medical professional. Additionally, the information represents the author's views and not those of Healthy Wrinkles.
