Understanding different types of Pregnancy Urologic Problems
Pregnancy can lead to various urologic issues due to hormonal changes, increased blood volume, and pressure from the growing uterus. Common urologic problems include:
- Urinary Tract Infections (UTI’s)
Increased risk due to hormonal changes and urinary stasis. Symptoms of urinary tract would be frequent urination, burning sensation, urgency, and cloudy or foul-smelling urine. It can progress to pyelonephritis if untreated. UTI in pregnancy is common; females should consult a doctor before it’s too late.
- Kidney Infection
More common in pregnancy due to urinary stasis and vesicoureteral reflux. Symptoms like fever, flank pain, nausea, vomiting. It can lead to preterm labour if not managed promptly.
- Urinary Retention
It can occur due to uterine compression of the bladder or urethra. It may also be caused by severe constipation or pelvic organ prolapse. It may require catheterization in severe cases.
- Kidney Stones
Pregnancy increases calcium excretion and urinary stasis, raising the risk. Symptoms like flank pain and nausea. Ultrasound is the preferred diagnostic tool due to radiation concerns.
- Hydronephrosis of Pregnancy
Physiologic dilation of the ureters and renal pelvis due to progesterone and uterine compression. It will be more prominent on the right side due to anatomical factors, usually asymptomatic, but can cause flank discomfort.
Steps to prevent urinary care during pregnancy
Preventive urinary care during pregnancy is essential to reduce the risk of infections, kidney stones, and other urologic issues. Here are the key strategies:
- Hydration
Drink at least 8-10 glasses of water daily to flush bacteria and prevent kidney stones. Avoid excessive caffeine, which can irritate the bladder. It can also cause urinary bladder infections.
- Proper Hygiene
Wipe front to back after urination and bowel movements to prevent UTIs. Avoid harsh soaps, douches or scented feminine hygiene products that can disrupt the vaginal flora.
- Frequent voiding
Do not hold urine for long periods, and empty the bladder every 2-3 hours. Fully empty bladder each time to reduce urinary stasis.
- Preventing Urinary Tract Infection
Take prenatal vitamins with vitamin C and cranberry supplements(if approved by your doctor) to maintain urinary health. Wear breathable cotton underwear and avoid tight-fitting clothes to prevent bacterial growth.
When to see a doctor
Knowing when to seek medical advice during pregnancy is crucial for your health and your baby’s well-being. Here are some guidelines on when to see a doctor regarding urinary care during pregnancy.
- Pain or burning during urination
Frequent urge to urinate, even when a small amount is passed, cloudy, strong smelling or bloody urine, lower abdominal or pelvic pain. Other reasons, like high fever or chills, severe flank or back pain, nausea or vomiting, and feeling very unwell, are the symptoms of visiting a doctor.
- Complications related to the bladder
Suppose you are facing problems like difficulty completely emptying the bladder or noticeable changes in urinary habits that cause concern. Worsening leakage that impacts daily life, discomfort that doesn’t improve with basic interventions or any new worsening symptoms that you feel are unusual are the signs to go to the doctor.
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