Q: I keep getting urinary tract infections (UTIs), and antibiotics don’t seem to work like they used to. What’s going on?
A: That’s a common frustration. UTIs are on the rise, and they’re becoming tougher to treat because bacteria are changing. Many of the bacteria causing UTIs are now resistant to antibiotics — meaning the meds we’ve relied on aren’t always effective anymore.
Also, antibiotics can mess with the good bacteria in our gut, which normally help keep bad bacteria in check. When that balance is off with frequent antibiotic use, it can lower the immune system and disrupt the balance, therefore becoming easier for infections to come back.
Another tricky part is that some bacteria can hide inside the bladder walls, forming reservoirs that antibiotics can’t reach. That’s why some infections keep coming back even after treatment.
Plus, with our modern environment — spending most of our time indoors and around synthetic surfaces — means we’re exposed to fewer healthy microbes that help protect us, which might make us more prone to infections.
So, what can you do? It’s a good idea to talk to your doctor about testing to find out exactly which bacteria is causing your UTI. Sometimes, delaying antibiotics until your symptoms worsen can be helpful — just make sure to do this under your doctor’s guidance. Keeping up good habits like drinking plenty of water, peeing and showering after sex, and staying clean can also make a difference. And it’s worth staying informed about new treatments, like upcoming vaccines or antibiotics that are in the pipeline.
If UTIs are a frequent problem for you, work with your health care provider to develop a plan that suits your needs. Don’t hesitate to ask questions or get a second opinion — your health is worth it.
— Dr. Ben Meis is a family medicine specialist with CHI Memorial Family Medicine Associates – Harrison and is a member of the Chattanooga-Hamilton County Medical Society.