Three bladder infection in the 7 months on spiriva along with voice changes. It is begining to really bother me. My breathing is better but I can not deal with having bladder infections all the time. HELP
Spiriva has an anticholinergic effect and therefore dries you out. Be sure you are staying well hydrated. Drink plenty of water and juices. Try to avoid tea (black not herbal-most herbal is ok to drink) and coffee. These have a diuretic action and will dehydrate you further so they are not good for fluid replacement. Because this med dries you out you can have a tendency to get UTI's and UTI is a side effect of the drug. If you stay well hydrated it will keep the bladder flushed out and may help with the voice changes as well. You need to shoot for about 64 oz of fluid a day. When you are dehydrated you dont urinate as often and this allows bacteria to build up in the bladder. Be sure you do not hold your urine for long periods of time and be sure when you go you are emptying the bladder all the way. If you dont empty all the way urine can backflow and drag bacteria along and then the bacteria will colonize causing an infection. Be sure you wipe from front to back as to not drag bacteria from around the rectal area to the bladder opening. Many women's UTI's are caused by E. Coli. E. Coli lives normally in the digestive tract and tends to collect in the rectal area from bowel movements. Due to the close proximetry of the bladder opening and the rectum in women, this bacteria tends to migrate to the bladder opening (urinary meatus) and travels up the urethra (the passage from the opening to the bladder) then colonizes in the bladder. I recommend using the disposable moist wipes to clean the rectal area after a bowel movement to reduce the amount of bacteria in the perianal area. Be sure you always urinate after intercourse because the action of intercourse can drive bacteria into the bladder and by urinating afterwards you flush the urethra out and reduce the chance that the bacteria will have time to colonize. It is advised that women who get frequent UTI's not take tub baths and be sure you are using a mild soap when showering to avoid irritation of the urethra.A lot of people tout the use of cranberry juice, but most commercial juices contain so much sugar that it negates any good cranberry will do. Most people cant drink unsweetened cranberry juice. Cranberry pills are a better bet but it is the Vitamin C in cranberry that helps, so any Vitamin C supplement works. Vitamin C helps prevent the adherance of bacteria to the bladder wall making it easier to flush out when you urinate. Follow these recommendations and you will reduce the frequency of bladder infections and still be able to take your Spiriva.
- Spiriva Information for Consumers
- Spiriva Information for Healthcare Professionals (includes dosage details)
- Side Effects of Spiriva (detailed)
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