Women and elderly at high risk for silent UTI progression

BY AHMET TAŞ | WISE NEWS PRESS

ISTANBUL, TURKEY —  Urology specialist Dr. Cem Kezer warned that urinary tract infections often progress silently, potentially leading to severe kidney complications if high-risk groups like women and the elderly ignore early symptoms.

Urinary tract infections (UTIs) are among the most prevalent conditions globally, yet many dismiss them as minor discomforts. However, Dr. Kezer emphasizes that these infections significantly impair quality of life and sleep patterns, often serving as a precursor to chronic renal issues if left untreated. Early intervention is crucial to prevent the bacteria from spreading to the kidneys, where they can cause permanent damage.

Impact on daily life and sleep quality

The physical discomfort associated with UTIs often extends beyond localized pain, according to Dr. Kezer. Constant urges to urinate and the accompanying burning sensation can lead to social withdrawal and psychological unrest.

“Nocturia, or frequent urination at night, is one of the most overlooked symptoms,” stated Dr. Kezer. He noted that this condition disrupts sleep cycles and reduces overall daily productivity, yet patients frequently fail to recognize it as a sign of an active infection. For many, the inability to spend long periods outside or maintain a standard schedule becomes a significant burden on their kidney health.

Five key symptoms to monitor

Dr. Kezer highlighted 5 specific warning signs that should never be ignored, as they indicate the body’s early response to an invading pathogen:

• Increased frequency: A persistent need to urinate even when fluid intake has not changed.

• Burning sensations: Sharp pain, stinging, or burning during or immediately after urination.

• Cloudy or dark urine: Changes in urine clarity, including sediment or unusual coloration.

• Foul odor: A noticeably strong, heavy, or unusual smell coming from the urine.

• Pelvic pressure: Feelings of fullness, pressure, or tenderness in the lower abdomen and groin area.

Dangers for high-risk populations

While anyone can contract a UTI, children, the elderly, and pregnant women face much higher risks of rapid progression. In these groups, the infection can move more swiftly into the bloodstream or the kidneys.

Pregnant women require particularly close monitoring, as UTIs can impact both maternal and fetal health. Conversely, symptoms in elderly patients may be "silent" or subtle, leading to delayed diagnoses and increased complication risks. Dr. Kezer, practicing at Güneşli Erdem Hospital, reiterated that while UTIs are easily treatable in their early stages, ignoring the signs allows the condition to worsen undetected.

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