By Latha Raja Shankar, M.D., Chief Medical Officer and VP of Health Care Delivery, Blue Cross and Blue Shield of New Mexico,
Ask a Health Care Professional: The Importance of Urinary Tract Health as We Age
As we grow older, our bodies change in many ways, and that includes our urinary systems. Urinary tract infections (UTIs) become more common after age 50, and their effects can be far more serious for older adults than for younger people. Raising awareness about urinary tract health is vital for protecting your well-being.
Why UTIs Matter More with Age
UTIs happen when bacteria enter the urinary tract, leading to infection. While they may seem like a minor inconvenience, especially for younger people, UTIs in older adults can quickly become dangerous. The infection can travel to the kidneys and even enter the bloodstream, causing a condition called sepsis. Sepsis is a life-threatening emergency that can lead to hospitalization and, in severe cases, death.
Recognizing the Signs, Even When They’re Subtle
Classic UTI symptoms include burning during urination, frequent or urgent urination, and lower abdominal pain. However, as we age, UTIs don’t always announce themselves with these clear signs, especially in women. Sometimes, the only symptoms may be confusion, sudden incontinence, fatigue or even a fall. Men may have trouble urinating or a weak urine stream. If you or a loved one develops sudden changes in behavior, it’s worth asking a health care professional if a UTI could be the cause.
Tips for Prevention and Early Treatment
- Stay Hydrated: Drinking plenty of water helps flush out bacteria from your urinary tract.
- Good Hygiene: For women, always wipe from front to back. Men should ensure proper cleaning of the genital area.
- Don’t Hold It: Go to the bathroom when you feel the urge. Holding urine increases risk of infection.
- Manage Chronic Conditions: Conditions like diabetes can increase risk for UTIs. Keep blood sugar under control and follow your doctor’s advice.
- Urinate After Sex: This helps flush out bacteria that could enter the urinary tract.
- Avoid Irritants: Stay away from harsh soaps or feminine hygiene sprays that can irritate the urethra.
- Consider Probiotics and Other Supplements: Some evidence suggests that probiotics and cranberry supplements may help maintain a healthy balance of bacteria in the urinary tract.
When to Seek Help
Don’t ignore subtle changes. If you or someone you care for experience confusion, weakness, new incontinence, or unexplained falls, contact a health care professional. Early diagnosis and treatment are key to preventing complications.
The Bottom Line
UTIs are more than just an inconvenience for older adults—they can be a serious health threat. Paying attention to urinary tract health and acting quickly at the first sign of trouble can help you or your loved ones stay healthy and independent for years to come. Learn more about staying healthy as you age at connect.bcbsnm.com.
If you have a health question that you would like to be considered in Ask a Health Care Professional, please email [email protected]. BCBSNM will select questions that may appear. Questions will not be personally answered. The opinions expressed in this column are solely those of the author and not necessarily those of BCBSNM. This column is not intended to be a substitute for professional medical care.
