Tips to Guard Against One Common Infection: UTIs in Older Women

As warm weather rolls in, it brings an increase in one of the most common—and uncomfortable—infections for older women: urinary tract infections (UTIs). About one in 10 women over age 65 reports experiencing at least one UTI each year, according to health data.

UTIs are more than just a nuisance. While most people associate them with burning or pain during urination, symptoms can be much more severe—especially in older adults.

Recognize the Symptoms

According to Johns Hopkins, a UTI can cause:

• A burning sensation when urinating
• Frequent urge to urinate
• Fever or chills
• Nausea or fatigue
• Pressure or cramping below the belly button

But one of the more alarming symptoms, especially in older adults, is confusion or sudden changes in behavior. In some cases, a UTI can trigger delirium, hallucinations, or difficulty recognizing familiar places. These symptoms can be mistaken for dementia or other neurological conditions, leading to unnecessary distress.

One woman described the sudden onset of disorientation and seeing everyday objects appear unusually large. She lost her way on familiar streets and feared she was “losing her mind.” A trip to the doctor confirmed a simple UTI, which was quickly treated—with a full return to normal function within a day.

Why Treatment Matters

UTIs are easy to diagnose with a simple urine test and often respond well to antibiotics. But left untreated, the infection can spread to the kidneys or even enter the bloodstream, where it becomes much more dangerous and potentially life-threatening.

That’s why early detection and treatment are essential—especially for older adults, who may not experience “typical” UTI symptoms.

Easy Prevention Tips

If you’ve experienced a UTI before or are at higher risk, these steps can help reduce the chances of it happening again:

1. Stay hydrated.
   Drinking plenty of water helps flush bacteria from the urinary tract before they can cause infection.
2. Focus on probiotics.
   Foods that support a healthy microbiome may help balance bacteria in the urinary system. Good choices include:

• Pickles
• Sourdough bread
• Cottage cheese
• Peas
• Sauerkraut
• Kimchi

3. Avoid baths.
   Showers are generally better for UTI prevention, as sitting in bathwater can increase bacterial exposure.
4. Wear breathable underwear.
   Choose cotton fabrics to reduce moisture and discourage bacterial growth.

When to Call a Doctor

If you or a loved one begins to show symptoms of a UTI—especially confusion, fever, or changes in urination—don’t wait. A simple test and short course of antibiotics can restore health and peace of mind.