Urinary Tract Infection in adolescent girls A common yet underestimated concern

Dr Ashwini Anil Kumar Sirapanasetty
Contd from previous issue
A simple urine test, such as a urine dipstick or culture, can confirm the presence of bacteria. In recurrent cases, other imaging tests like ultrasound may be needed to rule out structural abnormalities. Treatment typically involves a short course of oral antibiotics. It is important to complete the full course even if symptoms subside early. Pain relievers and increased fluid intake can also help alleviate symptoms.
Preventive Measures
Prevention is always better than cure, especially in cases of recurring UTIs. The following strategies can significantly reduce the risk:
Encourage Proper Hydration: Drinking plenty of water helps flush bac-teria from the urinary tract.
Promote Hygiene: Girls should be taught to wipe from front to back after urination and bowel move- ments to prevent bacterial transfer from the anus to the urethra.
Menstrual Hygiene: Regular changing of sanitary pads or tampons, using unscented products, and keeping the genital area clean is essential.
Post-Intercourse Urination: For sexually active teens, urinating soon after intercourse can help flush out bacteria.
Avoid Irritants: Bubble baths, feminine sprays, and harsh soaps can irritate the urethra and should be avoided.
Wear Breathable Clothing: Cotton underwear and loose-fitting clothes allow airflow and reduce moisture accumulation.
When to Worry About Recurrent UTIs
If a girl has more than three UTIs in a year, it is considered recurrent. This might point to an underlying issue such as anatomical abnormalities, urinary reflux, or behavioural patterns like habitual urine holding. Recurrent UTIs warrant a thorough evaluation by a paediatrician or gynaecologist.
Emotional and Social Impact
Beyond physical discomfort, UTIs can also affect an adolescent’s emotional and social life. Frequent pain, repeated doctor visits, and absences from school can lead to stress and embarrassment. Open communication between parents and their daughters is essential. Re- assuring the child that UTIs are common and treatable can ease anxiety and promote timely medical attention.
Conclusion
Urinary Tract Infections in adolescent girls are common but need not be a recurring or debilitating issue. Awareness, education, and preventive measures can drastically reduce the incidence and impact of UTIs.
As a gynaecologist, I often find that simple lifestyle changes coupled with prompt treatment can restore both health and confidence in young girls. Let’s break the silence around urinary health and empower our adolescents with the knowledge they need to take control of their well-being. The writer is an Obstetrics & Gynaecologist Surgeo,  Adolescent’s Se-xual & Reproductive Health Counsellor, Expert Yoga Trainer & Senior Counsellor of AWWA