Bladder & Bowel Archive

In 2024, the FDA approved the sale of pivmecillinam (Pivya), an antibiotic to treat urinary tract infections (UTIs) in women. When the drug becomes available in 2025, it will join the lineup of existing first-line antibiotic treatments for UTIs, such as trimethoprim/sulfamethoxazole (Bactrim) and nitrofurantoin (Macrobid). Doctors say having another treatment option on the same tier will be helpful, since some germs that cause UTIs have become resistant to existing antibiotics.

Traveling long or short distances can be tricky for people who have incontinence. Certain strategies can help: avoiding bladder irritants (such as caffeinated or carbonated drinks), practicing urge suppression techniques, speaking with a doctor about medications that can ease an overactive bladder, wearing clothes with easy-to-use fasteners, wearing "bladder leak" underwear, packing important supplies such as a change of clothes or a portable urinal, using bathroom locator apps, and scheduling bathroom breaks.

Frequent urination-defined as urinating more than eight times during the day or more than once at night-is believed to affect millions of Americans. Contributors can include drinking excessive amounts of liquid, substances that act as diuretics or bladder irritants, certain medications, pregnancy, aging, various medical conditions, and anxiety. People should consider seeing a doctor if lifestyle changes don't reduce the number of times they urinate each day.

It's a good idea to eat a certain diet before and after a colonoscopy. Eating a low-fiber diet a few days before the procedure helps move foods through the colon quickly, which can make colon prep easier. On the day before the procedure, it's important to consume only clear liquids (such as broth or bouillon, black coffee, plain tea, clear juices, clear soft drinks or sports drinks, Jell-O, and popsicles). After the procedure, it's safe to resume a normal diet. But eating too much fiber too quickly might cause gas, bloating, and discomfort. It might be wisest to restart a normal fiber-rich diet gradually.

A 2023 study suggests that taking low doses of amitriptyline, a tricyclic antidepressant also used to treat nerve pain, may be one of the best pharmacologic choices to help improve symptoms of irritable bowel syndrome.

Over time, everyone's digestive system works less efficiently and people can develop food intolerance or begin taking medications that can affect digestion. These changes can create problems like gas, bloating, cramps, and constipation. By identifying the reasons for the digestive issues, managing them becomes easier and can help keep the entire system running smoothly.

There are many ways one can try to avoid constipation. For example, lifestyle remedies may help—such as increasing dietary fiber, getting regular exercise, and drinking three to six cups of water per day. If those approaches don't work, doctors recommend using fiber supplements, such as psyllium husk (Metamucil), methylcellulose (Citrucel), or wheat dextrin (Benefiber). Another supplement that might help is magnesium. When all strategies fail, it may be time to try over-the-counter medication. One option is an osmotic laxative such as polyethylene glycol (Miralax).

Scientists are testing potential vaccines that aim to prevent urinary tract infections (UTIs). Until then, strategies that may help ward off UTIs include drinking lots of water each day, emptying the bladder after sexual intercourse, using vaginal estrogen creams (for women), wiping front to back after gong to the bathroom (for women), taking a daily long-term, low-dose antibiotic, taking a single dose of an antibiotic after sex (if recurrent UTIs often follow sexual intercourse), or taking cranberry supplements.