Where There Is No Doctor - Boekje Pienter
Where There Is No Doctor - Boekje Pienter Where There Is No Doctor - Boekje Pienter
234PROBLEMS OF THE URINARY TRACTThere are many different disorders of the urinary tract. They are not always easy totell apart. And the same illness can show itself differently in men and women. Someof these disorders are not serious, while others can be very dangerous. A dangerousillness may begin with only mild symptoms. It is often difficult to identify these disorderscorrectly by simply using a book like this one. Special knowledge and tests may beneeded. When possible, seek advice from a health worker.Common problems with urinating include:1. Urinary tract infections. These are most common in women. (Sometimes they startafter sexual contact, but may come at other times, especially during pregnancy.)2. Kidney stones, or bladder stones.3. Prostate trouble (difficulty passing urine caused by an enlarged prostate gland;most common in older men).4. Gonorrhea or chlamydia (infectious diseases spread by sexual contact that oftencause difficulty or pain in passing urine).5. In some parts of the world schistosomiasis is the most common cause of blood inthe urine. This is discussed with other worm infections. See page 146.Urinary Tract InfectionsSigns:• Sometimes fever and chillsor headache.• Sometimes it feelsas though thebladder does notempty completely.• Sometimes painin the side.• Painful urinationand need to urinatevery often.• Unable to hold in urine(especially true forchildren).• Urine may becloudy or reddish(bloody).• Sometimes thereis pain in the lowerback (kidneys).• Sometimes the painseems to go downthe legs.• In serious cases(kindey disease) thefeet and face mayswell.
Many women suffer from urinary infections. In men they are much less common.Sometimes the only symptoms are painful urination and the need to urinate often.Other common signs are blood in the urine and pain in the lower belly. Pain inthe mid or lower back, often spreading around the sides below the ribs, with fever,indicates a more serious problem.Treatment:♦ Drink a lot of water. Many minor urinaryinfections can be cured by simply drinking a lotof water, without the need for medicine. Drink atleast 1 glass every 30 minutes for 3 to 4 hours,and get into the habit of drinking lots of water.(But if the person cannot urinate or has swellingof the hands and face, she should not drinkmuch water.)♦ If the person does not get better by drinking a lot of water, or if she has a fever, sheshould take cotrimoxazole (p. 358), amoxicillin (p. 353), or tetracycline (p. 356).Pay careful attention to dosage and precautions. To completely control the infectionit may be necessary to take the medicine for 10 days or more. It is important todrink a lot of water while taking these medicines, especially the sulfonamides.♦ If the person does not get better quickly, seek medical advice.♦ Some new medicines take away the pain but do not cure urinary tract infections.Do not use them for more than 2 days.Kidney or Bladder Stones:Signs:• The first sign is often sharp or severe pain in the lower back, the side, or thelower belly, or in the base of the penis in men.• Sometimes the urinary tube is blocked so the person has difficulty passingurine—or cannot pass any. Or drops of blood may come out when the personbegins to urinate.• There may be a urinary infection at the same time.Treatment:♦ The same as for the urinary infections described above.♦ Also give aspirin or another painkiller and an antispasmodic (see p. 381).♦ If you cannot pass urine, try to do it lying down. This sometimes allows a stone inthe bladder to roll back and free the opening to the urinary tube.♦ In severe cases, get medical help. Sometimes surgery is needed.Enlarged Prostate Gland:This condition is most common in men over 40 years old. It is caused by aswelling of the prostate gland, which is between the bladder and the urinary tube(urethra).• The person has difficulty in passing urine and sometimes in having a bowelmovement. The urine may only dribble or drip or become blocked completely.Sometimes the man is not able to urinate for days.• If he has a fever, this is a sign that infection is also present.235
- Page 235 and 236: 183Signs of tetanus:• An infected
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Many women suffer from urinary infections. In men they are much less common.Sometimes the only symptoms are painful urination and the need to urinate often.Other common signs are blood in the urine and pain in the lower belly. Pain inthe mid or lower back, often spreading around the sides below the ribs, with fever,indicates a more serious problem.Treatment:♦ Drink a lot of water. Many minor urinaryinfections can be cured by simply drinking a lotof water, without the need for medicine. Drink atleast 1 glass every 30 minutes for 3 to 4 hours,and get into the habit of drinking lots of water.(But if the person cannot urinate or has swellingof the hands and face, she should not drinkmuch water.)♦ If the person does not get better by drinking a lot of water, or if she has a fever, sheshould take cotrimoxazole (p. 358), amoxicillin (p. 353), or tetracycline (p. 356).Pay careful attention to dosage and precautions. To completely control the infectionit may be necessary to take the medicine for 10 days or more. It is important todrink a lot of water while taking these medicines, especially the sulfonamides.♦ If the person does not get better quickly, seek medical advice.♦ Some new medicines take away the pain but do not cure urinary tract infections.Do not use them for more than 2 days.Kidney or Bladder Stones:Signs:• The first sign is often sharp or severe pain in the lower back, the side, or thelower belly, or in the base of the penis in men.• Sometimes the urinary tube is blocked so the person has difficulty passingurine—or cannot pass any. Or drops of blood may come out when the personbegins to urinate.• <strong>There</strong> may be a urinary infection at the same time.Treatment:♦ The same as for the urinary infections described above.♦ Also give aspirin or another painkiller and an antispasmodic (see p. 381).♦ If you cannot pass urine, try to do it lying down. This sometimes allows a stone inthe bladder to roll back and free the opening to the urinary tube.♦ In severe cases, get medical help. Sometimes surgery is needed.Enlarged Prostate Gland:This condition is most common in men over 40 years old. It is caused by aswelling of the prostate gland, which is between the bladder and the urinary tube(urethra).• The person has difficulty in passing urine and sometimes in having a bowelmovement. The urine may only dribble or drip or become blocked completely.Sometimes the man is not able to urinate for days.• If he has a fever, this is a sign that infection is also present.235