Recurrent Urinary Infections

Urinary tract infections (UTIs) are common and usually get better with antibiotics. But some people get recurrent infections or don’t do well with antibiotics.

For these people there’s a good natural remedy that deserves to be better known. It’s called D Mannose. A study in 2014 showed it works as well as antibiotics. However it only helps UTIs caused by E Coli (about 90% of infections). E Coli normally locks on to the walls of the urinary canal causing pain and discomfort but D Mannose sticks to the E Coli so then slips straight through before it can cause problems.

The recommended dose of D Mannose is 2000mg (2 grams) four or five times daily and 1000mg for children. For prevention the dose is 500mg to 1000mg twice daily. Many health food shops stock this remedy).

Berberine (goldenseal) is also effective for similar reasons. The dose is 500-800mg three times daily. The herb Uva ursi (bearberry) is also useful.

Keeping the urine alkaline also helps. Potassium citrate is widely available as effervescent tablets (Effercitrate), liquid (Cymaclear) or sachets (Cystopurin). Taking two Alka-Seltzers in a glass of water at the onset of symptoms is another way of doing this. 

The antibacterial agent Hiprex, which can be bought over the counter, can help in the prevention of urinary infections. It can also help when combined with antibiotics during an infection. The dose is 1 gram twice daily.

The antibacterial agent Hiprex, which can be bought over the counter, can help in the prevention of urinary infections. It can also help when combined with antibiotics during an infection. The dose is 1 gram twice daily.

A related problem is interstitial cystitis, a poorly understood condition with symptoms of bladder pain, frequent urination, including urination at night.

This is most likely due to inflammation in the bladder. The cause is unknown but some people are intolerant to foods and drinks and some may be allergic to bacteria in their bladder. In one study 4 out of 6 had sulphites in their bladder. This is thought to be due to an inability to break down sulphites (found in many foods, especially fruit juices, wines and dried fruits). This is often helped by taking a molybdenum supplement and avoiding sulphites.