Burning, frequency and lower belly pain are common — especially in women. Most infections settle quickly with the right antibiotic. Infections that keep coming back need the cause to be found.

▶ How a urine infection happens — a 40-second animation with voice (subtitles are shown in the video). Download the video to share on WhatsApp.
Narration: synthetic voice (Piper text-to-speech, LibriTTS dataset, CC BY 4.0).
Bladder infections (cystitis) are the most common. When the infection reaches the kidney (pyelonephritis), it becomes more serious.
Pain or stinging, often the first sign.
Needing to go often, sometimes passing only small amounts.
Sometimes with blood or a pink tinge.
Pressure or pain above the pubic bone.
Suggests a kidney infection — needs prompt treatment.
Especially in elderly people — go to hospital.
A shorter urethra lets bacteria reach the bladder more easily. Risk rises with sexual activity, pregnancy and after menopause.
UTIs are less common in men, so an infection usually points to a cause — an enlarged prostate, stones or incomplete emptying — and should always be evaluated.
A UTI in a child, especially with fever, needs evaluation to check for problems in how the urinary tract drains. Constipation is a common contributor.
High blood sugar makes infections more frequent and more severe. Good sugar control helps.
Stones, a stent or a narrowed passage can hold bacteria and keep infections returning.
Urine left behind in the bladder lets bacteria multiply.
Ideally, a urine sample is sent before antibiotics are started — so the right medicine can be chosen.
Confirms infection and shows which antibiotics will work. Report usually in 2–3 days.
Kidneys and bladder in the same visit — checks for stones, blockage and urine left after voiding.
Sugar and kidney function, and blood counts when there is fever.
Uroflowmetry, CT scan or cystoscopy in selected patients, to find a cause.
A "midstream" sample. A contaminated sample is the commonest reason for a misleading culture report — and a repeat test.
With soap and water. Open the sterile container only when ready — don't touch the inside or the lid.
Wash the genital area with plain water (no antiseptic). Women: separate the labia and wipe front to back. Men: pull back the foreskin.
This washes away germs at the opening that would spoil the result.
Collect the middle of the stream (about half the container), finish in the toilet, and close the lid tightly.
A few days of an antibiotic suited to you, plenty of fluids and pain relief. Symptoms usually improve within 1–2 days.
A longer course, sometimes starting with injections in hospital if there is high fever or vomiting.
Culture-guided treatment plus correcting the cause — stones, prostate, emptying problems — and a prevention plan.
When a stone blocks the kidney and infection sets in, pus collects behind the blockage. Antibiotics alone cannot clear it — the kidney needs urgent drainage with a DJ stent or a PCN tube. The stone is treated later, once the infection has settled.
A rare but life-threatening kidney infection in which germs produce gas inside the kidney. It happens mostly in people with diabetes, especially when sugar is poorly controlled, and sometimes when the kidney is blocked by a stone. It needs emergency hospital treatment.
Doctors grade it from the CT scan (Huang–Tseng classes). The higher the class, the more serious it is — this helps decide whether drainage is enough or surgery is needed.
Gas in the urine-collecting part (pelvis) only
Gas inside the kidney tissue
Gas or pus spreading outside the kidney
Both kidneys affected — or a single kidney
Go to a hospital emergency the same day. Early CT, antibiotics and drainage save kidneys — and lives. Keeping your sugar under control is the best prevention.
Two or more infections in 6 months — or three or more in a year — is called recurrent UTI. It needs an evaluation, not just repeated antibiotics.
Drink enough water, pass urine regularly and fully, pass urine soon after intercourse, wipe front to back, and avoid constipation.
Ultrasound for stones and residual urine, sugar testing, and in some patients flow tests, CT or cystoscopy.
Low-dose vaginal oestrogen, prescribed after assessment, can reduce infections in some women.
For selected patients, a low-dose preventive antibiotic or other options may be advised for a limited period — only after culture and review.
Please don't. Leftover or over-the-counter antibiotics may be the wrong drug or the wrong dose, and they can make the infection resistant. A urine culture helps choose the right antibiotic.
It confirms the infection and shows which antibiotics the bacteria are sensitive to. This matters most for repeated or severe infections, where common antibiotics often don't work.
Common reasons include not emptying the bladder fully, stones, diabetes, changes after menopause, constipation and sexual activity. An evaluation looks for a cause that can be corrected.
A UTI is not a sexually transmitted infection, but sexual activity can push bacteria towards the bladder. Passing urine soon after intercourse helps.
Evidence is mixed. Cranberry products may help a little for some women, but they do not treat an infection and are not a substitute for proper evaluation.
Yes. UTIs are less common in men, so an infection usually has a cause — such as an enlarged prostate, a stone or incomplete emptying — that should be checked.
A simple bladder infection rarely does. A kidney infection, especially with a blockage such as a stone, can be serious and needs prompt treatment.
A rare, severe kidney infection in which germs produce gas inside the kidney. It occurs mostly in people with diabetes, especially with poor sugar control, or when the kidney is blocked. Symptoms are high fever, side pain, vomiting and feeling very unwell. It is diagnosed with a CT scan and treated urgently in hospital with IV antibiotics, sugar control and drainage of the kidney (DJ stent or PCN tube); occasionally the kidney has to be removed.
Wash your hands, clean the genital area with plain water, pass the first part of the urine into the toilet, and collect the middle part in a sterile container without touching the inside. Give it to the lab within 1–2 hours, or keep it in the fridge if there is a delay.
It needs prompt treatment because it can spread to the kidneys more easily in pregnancy. Urine is checked in early pregnancy and germs are treated even without symptoms, using only pregnancy-safe antibiotics.
Usually not. This is common in elderly people, diabetics and people with a catheter, and treating it does not help. It is treated mainly in pregnancy and before urological procedures.
No. It does not treat an infection. It may slightly reduce repeat infections in some women, but it is not a substitute for proper treatment.
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Medically reviewed by Dr. Nameirakpam Shantajit, M.Ch Urology (MMC Reg. No. MNP 150) · Last reviewed: 10 October 2026