IBS and UTIs

Living with irritable bowel syndrome (IBS) can be tough. Adding urinary tract infections (UTIs) to the mix makes it even harder. These two conditions often go hand in hand. Understanding their connection can help you manage your health better.

IBS affects the large intestine. It causes symptoms like cramping, abdominal pain, bloating, gas, and changes in bowel habits.¹

A UTI is an infection in the urinary system. This includes the kidneys, bladder, and urethra. Symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, and cloudy or strong-smelling urine. Pelvic pain is also common. UTIs are usually caused by bacteria.¹

My IBS and UTIs go hand-in-hand

I have IBS and have experienced multiple UTIs. The frequent doctor visits, discomfort, and constant worry about another infection are challenging. Through these experiences and confirmation by my GP, I've realized there is a connection between IBS and UTIs.

The first time I faced a UTI in the Netherlands is one of my worst memories. At the time, I did not have a GP in the country. I was forced to bike (yes, you read that correctly, I BIKED WITH A UTI) to the closest expat clinic to get my urine tested and receive treatment. It was one of the worst days of my life!

Many possible causes

At first, IBS and UTIs might seemed unrelated. However, there are several reasons why they often occur together. Both can be linked to an imbalance in the body's natural bacteria. The doctor explained to me that in IBS, an imbalance in the gut microbiome leads to symptoms. Similarly, a disruption in the bacterial flora of the urinary tract can cause UTIs.²

Chronic inflammation is another common factor. Inflammation in the intestines due to IBS can spread, causing inflammation in other parts of the body, including the urinary tract. This makes the bladder more prone to infections.²

The gut and bladder share neural pathways. So, irritation in the gut can impact the bladder and vice versa. This connection can worsen symptoms in both areas, making management more challenging.²

Certain lifestyle and behavioral factors linked to IBS can increase the risk of UTIs. For instance, people with IBS might change their fluid intake to manage symptoms. Drinking less water to avoid frequent bathroom trips can concentrate the urine, making it easier for bacteria to grow and cause a UTI.³

Dietary habits also play a role. People with IBS often follow specific diets, such as low FODMAP or gluten-free. While these diets can help manage IBS, they might also impact the urinary system. Some foods restricted on a low FODMAP diet are useful for urinary health.³

Steps I've taken to avoid UTIs and IBS triggers

If you’re dealing with both IBS and UTIs, there are steps you can take to manage your symptoms and improve your health. Stay well-hydrated. Drinking plenty of water helps flush out bacteria from the urinary tract, reducing the risk of UTIs.³

I found cranberry juice really helpful. It needs to be 100 percent pure and organic. I usually dilute a couple of teaspoons in a glass of water every morning. When I do it, I do not experience any UTIs. Apparently, it creates an acidic environment in the bladder, which is not friendly for bacteria that cause the infection. However, always ask your GP if you can safely consume cranberries or cranberry juice, as it might not be ideal for everybody.

A balanced diet that supports gut and urinary health is essential. This might involve some trial and error. Many people find that a diet rich in fiber, probiotics, and plenty of fruits and vegetables helps manage both conditions. Avoid trigger foods that worsen IBS symptoms while including foods that promote urinary health.³

Stress management is also key. Stress can worsen both IBS and UTI symptoms. Finding ways to relax and de-stress can have a significant positive impact. Activities like yoga, meditation, or simple breathing exercises can help.⁴

Lastly, work closely with your healthcare provider. They can offer personalized advice and treatment plans tailored to your needs. This can help you manage both IBS and UTIs more effectively.

Understanding the link between IBS and UTIs can make a big difference in managing your symptoms.
With the right approach, you can find relief and improve your well-being. Through my own experiences, I’ve learned that recognizing the connection between these conditions is a crucial step toward better health.