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Mary's Stellar Health Blog

Why do I keep getting UTIs?

9/3/2022

1 Comment

 
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You keep getting urinary tract infections (UTIs) and your GP has tried you on antibiotics several times already.

Taking advice from anyone who’ll listen to how much pain you’re in means you’ve tried alternatives...

Drinking cranberry juice hasn’t helped and dodging alcohol and caffeine hasn’t either. What next?
​

I’m going to share some of the main causes of repeated and chronic urinary tract infections, as well as interstitial cystitis (IC) and how you can support your body. 

What are UTIs?


​Urinary tract infections (UTIs) affect your urinary tract, including your bladder (cystitis), urethra (urethritis) or kidneys (kidney infection). They are one of the most common infections affecting older adults, particularly in women. They can be mildly irritating or they can be brutally painful. 
​

Your symptoms might include: a burning sensation when peeing (dysuria), needing to pee more often than normal at night (nocturia), cloudy looking urine, an urgent need to pee, needing to pee all. the. damned. time, tummy or back pain, and sometimes even blood in your pee. It's vital to consult your GP as a first point of contact as - left untreated - things can get much worse.

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​“Killing” the pathogen with antimicrobials over and over, however, doesn’t repair the damage the original urinary infection has caused. And people get stuck in the same pattern and you can be susceptible to getting infections back again which makes the inflammation and irritation in the bladder worse. 


None of these symptoms are pleasant, and antibiotics can’t fix a non-existent infection if you have interstitial cystitis (IC). 
​

How do I know?

I understand the agony and frustration of IC and UTIs
​

In my twenties, I had repeated UTIs. They were so painful and debilitating that I stopped living my normal life. No more socialising or parties, embarrassment from always  needing to take sick days from work, even struggling to walk home with my shopping. UTIs were quite literally ruining my life. (You can read more about my bladder and IC journey here).

The support from my GP and consultants was minimal, some were even dismissive and made me feel like it was all in my head and I was a nuisance. The tests they gave me were inconclusive, and instead of asking more questions they pretty much shrugged their shoulders, labelled me with "interstitial cystitis" or "IC", and told me I’d have to live with my pain. 

Life changed when I saw a nutritionist in Sydney and we worked on optimising my nutrition. They also referred me to a female health physiotherapist. So I get where you’re at. I really do. And I’m here to tell you that you DON’T have to live like this. 

So what’s causing the UTIs?


​When you peel back the layers and investigate chronic UTIs there can be several factors and underlying causes of them recurring. It’s not as simple as forgetting to pee after sex. 
​

Embedded urinary tract infections


​One theory is the possibility of biofilms and embedded UTIs. Biofilms are when bacteria “hide” in the lining of the bladder under a sticky surface. These are not picked up on testing and antibiotics fail to kill them because the bacteria are embedded in the lining of the bladder. Incorporating natural antimicrobials and biofilm disruptors is a potential way to reduce risk of biofilms while also helping to reduce risk of future UTIs.
​

Low secretory IgA


​Another cause can be Low Secretory IgA which indicates a poor gut-immune response. Immunoglobulin A (IgA) is an antibody that plays a crucial role in the immune function of mucous membranes.

​If secretory IgA is low it suggests there is low mucosal immunity which is part of our innate immune system (our first line defence) and this makes us more susceptible to infections. This can be detected on a comprehensive stool test. Certain vitamins are helpful to support healthy secretory IgA levels, including vitamin A, vitamin D and colostrum, along with lifestyle changes to address stress. 
​

Chronic stress 


​Stress is also a big factor. Stress depletes secretory IgA. Stress also depletes our gut bacteria. And a huge chunk of our immune system resides in the gut (approx 70%).

A vicious cycle persists: stress - deplete gut microbes - depletes secretory IgA (part of our gut-immune response). Evidence shows that 
prolonged stress can alter gut microbes and make your immune system less effective. 


When our body is chronically stressed, our body's nutrient demands increase. Add to this:
  • Alcohol
  • Antibiotic use
  • A diet based around refined carbs and sugars
  • Poor quality sleep
  • Eating on the run 

and our nutrient depletion further increases, rapidly increasing our bodies need for essential nutrients.

The result is poor immune response and an increased risk of recurring infections, such as urinary tract infection.

Working with a nutritionist, it's important to put in place steps to support our:
  • Secretory IgA
  • Gut bacteria
  • Immune system
  • Micronutrient needs such as vitamin and minerals 
until such time our stress levels return to more manageable levels. 
​

Histamine intolerance


​Mast Cell Activation and histamine intolerance might be contributing to your bladder symptoms. The high mast cells in our gut affect the mucosal barrier in our intestines leading us  to 'leaky gut' syndrome and an increased risk of food sensitivities.

People with interstitial cystitis (IC) for instance, often report multiple food sensitivities and are sometimes prescribed antihistamines by their urologist. So we need to take a closer look at what's happening in the gut to understand why our mast cells are activated in the first place instead of simply masking over symptoms with anti-histamines. 

It  may have been recommended to you by your doctor to follow a restrictive anti-histamine diet to help your bladder. Instead of cutting out high histamine foods and histamine releasing foods (of which there are sooo many and it’s completely unrealistic to avoid all of them) the answer is temporarily avoid the very high histamine foods, lighten the histamine “bucket” and follow steps to support a healthy gut lining and heal leaky gut (because this is where the mast cells are).
​

Working with a nutritional therapist will help


​I’ve spent years helping women who’ve been struggling with recurring UTIs
and symptoms of interstitial cystitis (IC). It's why I've created my 90-day 1-1 programme, Heal your Bladder.

Removing common bladder irritants while supporting the immune system and incorporating anti-inflammatory foods is the first thing we’ll do. Sometimes it’s a simple change in diet and nutrition to ensure we are supporting the whole body (immune, bladder, stress response) while also using the right supplements that are tailored to your needs.

​Other times we need to investigate further, look at mucosal support, and reintroduce healthy bacteria back into the gut, bladder and/or vagina. Comprehensive stool and/or vaginal testing is available. 


So many other solutions out there focus solely on the bladder. 
​
I take a whole-body approach. The gut, bladder, nervous system, pelvic floor - it’s all interconnected. And to return balance, although it might feel tempting to fixate only on the bladder, we absolutely need to support your body as a whole. 
 
My 90-day Heal your Bladder programme will focus on providing support for:
  • A healthy bladder lining 
  • Calming the nervous system 
  • Repopulating the bladder with the right bladder probiotics
  • Addressing any intimate health issues (such as thrush or bacterial vaginosis)
  • Introducing anti-inflammatory foods while avoiding common bladder irritants 
  • Strengthening your natural immune defences 
Contact me now​ to find out more about how I can help you with finally stopping those pesky UTIs. I offer 1:1 support as part of my Heal your Bladder programme so that you can start living and loving life again! 
​
Prefer to chat to me first? Book a free call here. 
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How I became a Nutritional Therapist: The life-changing magic of a UTI

1/2/2022

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I founded Stellar Health quite a while ago now, and I don’t think I’ve ever written about how I became a nutritional therapist.

I didn’t wake up one morning as a child and decide this was my destiny; instead it happened as part of a journey I never quite expected. But I’m so glad it did! 

Read on to find out what led me here!

Work hard, play hard

Back in 2007, I was a fun-loving 23 year old design grad, living a typical free and easy life, hanging out in the Irish bars in Edinburgh. I worked hard all week as a commercial interior designer - which I hated - just so I could party hard all weekend with my housemates. I even jetted off to Ibiza with the girls when we fancied it! I was having a great time! I had grand plans for saving up and traveling the world. I met an amazing guy (who’s now my husband!) and we began making plans together.

And then I got hit with something that many women go through. It’s almost a right of passage. But this time it literally stopped me in my tracks. So much pain and no amount of cranberry juice helped. That meant no more partying. No more weekend trips. Essentially no more fun. I was in agony. Needing to pee all the time urgently and it burned.
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Trying to get help

I went to the GP, who diagnosed a urinary tract infection (UTI) and prescribed me standard antibiotics. When these didn’t do the trick, they gave me another round with a different kind of antibiotic. And then another. 

Tests were showing that there was no infection present, yet I still had all the symptoms - burning sensation, urgency, and needing to go every 20 minutes, pelvic pain, bladder pain...it was debilitating. And they couldn’t explain why. It was such severe pain, essentially a UTI without the actual infection part. 

Stumped by my case, they made various referrals: gynae, urology, uro-gynae, STI specialists…

Testing, testing

They thought it was fairly simple, and ran tests for pelvic inflammatory disease so they could prescribe me various drugs, but those came back negative, and all their other tests were inconclusive. More dead ends.

I was told by one specialist doctor, “oh it’s just thrush”. Absolutely no way! I knew what that felt like and this wasn’t it. I couldn’t leave the house or even carry my own shopping. It seemed he’d rather fob me off than actually refer me to someone who could help. 

Eventually I got a diagnosis...

My GP finally decided I had something called “interstitial cystitis” (IC) - even though the urologist had told me this was impossible because I was “too young”. She rang me to break this news and told me over the phone that I’d “just have to learn how to live with it”.

I was absolutely devastated. It demonstrated that she had no idea of the pain I was in, or what I was going through. She showed no empathy whatsoever. 


I changed doctors but, despite them having tonnes of understanding and sympathy for my condition, they still had no idea how to help. I was in a new relationship and I had zero sex life, I constantly worried and was unable to leave the house and I had to put travel plans with him on hold.

My life had done a complete 180 from the carefree existence I had before. And I just kept getting told, “there’s nothing else we can do for you. You’ll just have to manage it.” 


I didn’t know what to do. Keep putting my life on hold or bite the bullet and head to Australia as originally planned?
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We headed Down Under

After much deliberation and worrying about how on earth I'd cope on a long-haul flight with my pain and discomfort, we packed our backpacks and headed for Australia.

It turned out to be the best decision ever.
​

Getting the support I needed

I made an appointment with a naturopathic nutritionist, Daniella, who’d worked with IC before. And she suggested I get further urology tests, as well as referring me to a female health physio.

​
At first, I was wondering what on earth a female health physio could do for my chronic IC, but she diagnosed me with pudendal neuralgia, and treated my tight pelvic floor, helping me to relieve the painful pressure on my bladder. 

After my awful UK experience, I had my doubts about the urologists in Sydney. However, I was given tests that had never even been mentioned in the UK, including a cystoscopy to see what was going on in my bladder. 

They diagnosed me with trigonitis - inflammation of the trigone (base of the bladder). The bladder lining was irritated and inflamed, and stemming from the initial UTI. They gave me diathermy (where they apply heat to the cells in the hope that it stimulates new ones) but it didn’t seem to work. 


It was such a relief to be listened to - and heard - by health professionals.
​

​

Living in a state of food-fear

While all this was going on, I got caught up in trying to figure things out myself by scouring forums for an answer. They were toxic places with unqualified people giving out inappropriate advice.

And there were (and still are!) people in there trying to sell dodgy "supplements" and creepy pyramid schemes with "proof" they worked. All they were actually doing is preying on vulnerable people who were desperate for help. 

Reading conflicting and unscientific advice, I became terrified of food. I cut out everything — gluten, dairy, sugar, alcohol… 


I cut out so many different foods that my diet pretty much became rice, porridge, plain veg and meat. I was scared of putting anything in me that might make me feel worse. 

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Food is friend, not foe!

Then Daniella, my nutritionist, came along and helped me realise that food wasn’t the problem. She helped me see food as medicine. 

She told me how I needed vitamins and minerals and phytonutrients. How I needed good quality foods, to balance my blood sugars and energy levels. She explained how my nervous system needed nutritional support. After worrying for so long my adrenal glands were exhausted and I was chronically stressed. My body needed support with its immunity. 

Thank god! Finally! Some guidance! I now had permission to eat. An expert to say that food isn’t the problem. “Your bladder is in chronic inflammation and chronically stressed. It’s not recovered from infection well.” 

Daniella took me on an anti-inflammatory journey with a whole foods approach. I started to eat again! She tailored supplement and herbal recommendations that were right for me. And - to my utter surprise - I didn’t get worse. In fact, my symptoms gradually got better. 

Working with the female health physiotherapist alongside the nutritional support really helped. The combination of the two was brilliant.

​I was feeling empowered and gradually needed to see them less and less. And I was much better equipped to deal with any flair-ups because they’d taught me what to do. 


A change in my thinking

Mindset became really important for me. I knew from my experience of forums that it’s very easy to get trapped in a negative mindset. So I began to focus on positivity.

Eating better made me feel better, which meant I had the energy to move more, meaning I felt even better! I was doing guided meditations and visualisations and became a real believer in “Where your mind goes, your body follows”. Because if you truly believe you’re going to get better, your chances of recovery are bound to be better. 

Facebook groups and Google searches help people spiral into negativity, because consuming poor information slows progress to recovery. Once I stopped doing that, and got the help I so desperately needed, I had hope. 

You need to find someone you trust to support you nutritionally to get back to a better balanced life. It is entirely possible.

​You don’t have to “manage” things. Some doctors and urologists out there don’t seem to want to explain, they just do “their bit”, the way they were trained, with no joined-up thinking. I recommend finding a nutritionist who’ll help you on your way to recovery.


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I'd found my calling

When my partner got offered a job in the UK, we headed back to Edinburgh and I decided I wanted to retrain as a nutritionist.

My experience in Sydney made me want to help others. My life was truly transformed by food. I wanted to help people in pain who weren’t getting the help they needed. I wanted to bring hope to everyone who was suffering like I had. 


I'd had such a shit experience beforehand - as a woman being fobbed off by medical practitioners - I wanted to make a difference. To ensure that women are heard.

And when I had support from these incredible women in Sydney, who offered me guidance and empathy and who actually listened to my worries and to how bad the pain was, something lit up inside me. I wanted to be able to do this too. 


​

So my next journey began...

3 years of training for my post graduate Diploma in Naturopathic Nutritional Therapy.  Which led me to starting my own business, Stellar Health, and I specialised in gut health.

I wasn’t immediately ready to talk about my own transformational journey. But now I am, and I want you to know that for me, this business has never been a job. It’s my way of making a difference
 to the lives of people who are suffering and to help more of you to feel better more of the time. Sharing my story is one way I can do that.

I know the transformation that comes from treating food as a friend rather than foe. 

And nowadays, I am in such a good place that I only occasionally have to check in with my female health physio (every few years) for peace of mind and to make sure everything is still okay. 

That's how a UTI changed my life!

​If any of this rings a bell with you, and you'd like to talk with a nutrition practitioner who "gets it", then please get in touch. I would love to see if, working together, we can help you feel better again.  You can send me an email here.

And you can follow me for nutritional information and inspiration over on  
Instagram! 

Want to find out more?
Head here to book Heal your Bladder

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