What to Do If You Experience Blood in Urine Due to a UTI While Breastfeeding
Urinary tract infections (UTIs) are relatively common during the postpartum and breastfeeding period, often causing uncomfortable symptoms such as frequent urination, urgency, and a burning sensation while urinating. In more severe cases, women may notice blood in their urine (hematuria), lower back pain, or even a mild fever. These signs should not be ignored, especially when nursing, as untreated UTIs can lead to more serious complications like kidney infections. Recognizing the symptoms early and taking appropriate action is crucial for both maternal health and safe breastfeeding.
Why Are UTIs More Common During Breastfeeding?
After childbirth, hormonal fluctuations, changes in the urinary tract, and weakened pelvic floor muscles can increase susceptibility to bacterial infections. Additionally, reduced fluid intake—often due to new mothers prioritizing baby care over self-care—can contribute to concentrated urine and a higher risk of infection. Holding urine for long periods due to fatigue or lack of time also creates an environment where bacteria like Escherichia coli can thrive in the bladder.
Immediate Steps to Manage a UTI While Nursing
1. Increase Fluid Intake to Flush Out Bacteria
One of the most effective natural remedies for a mild UTI is drinking plenty of water—aim for at least 8 to 10 glasses per day. Staying well-hydrated helps dilute your urine and encourages frequent urination, which flushes harmful bacteria out of the urinary tract. Don't avoid drinking fluids because you're experiencing pain or seeing blood; doing so will only worsen the infection. Herbal teas like cranberry (unsweetened) or dandelion root may also support urinary health, though cranberry supplements should be used cautiously and discussed with a healthcare provider if on medication.
2. Maintain Proper Personal Hygiene
Good hygiene plays a vital role in preventing and managing UTIs. Gently clean the genital area daily using a mild, pH-balanced feminine wash or warm water. Avoid harsh soaps or douches that can disrupt the natural flora and lead to further irritation. Change underwear daily—and more often if needed—opting for breathable cotton fabrics. Wash undergarments in hot water and consider adding a disinfectant to eliminate lingering bacteria. Always wipe from front to back after using the toilet to prevent the spread of intestinal bacteria to the urethra.
3. Consider Safe Medication Options
If symptoms persist or worsen—especially if fever, flank pain, or visible blood in the urine develops—it's important to seek medical advice promptly. Many antibiotics are considered safe during breastfeeding. For example, cephalosporins (like cefuroxime or cephalexin) and certain fluoroquinolones (such as levofloxacin) are commonly prescribed and have low transfer rates into breast milk, posing minimal risk to the infant. Your doctor may recommend oral antibiotics first, but if you develop a high fever or signs of pyelonephritis (kidney infection), intravenous antibiotics might be necessary.
In addition to prescription treatments, some herbal-based medications may support recovery and symptom relief. Products like Uganning Granules, Relinqing Capsules, or Longbishu Capsules are traditionally used in integrative medicine to clear heat, reduce inflammation, and promote urination. However, always consult your healthcare provider before starting any supplement, even if labeled "natural," to ensure compatibility with breastfeeding and avoid potential interactions.
Identify and Address Underlying Risk Factors
Recurrent UTIs during breastfeeding could indicate an underlying condition that needs evaluation. Conditions such as undiagnosed diabetes, kidney stones, urinary retention, or hydronephrosis (swelling of the kidney due to urine buildup) can predispose women to infections. A simple urine test, blood glucose screening, or ultrasound may be recommended by your physician to rule out these causes. Managing chronic conditions effectively not only reduces the frequency of UTIs but also supports overall postpartum wellness.
When to Seek Medical Attention
While mild UTIs can sometimes resolve with increased hydration and home care, certain red flags require immediate professional treatment: persistent high fever, chills, nausea, vomiting, or significant blood in the urine. Left untreated, a bladder infection can ascend to the kidneys, leading to a more serious illness that may require hospitalization. Early intervention ensures faster recovery and minimizes risks to both mother and baby.
Preventing Future UTIs During the Postpartum Period
To reduce the likelihood of future infections, adopt preventive habits such as urinating before and after intercourse, avoiding tight-fitting clothing, staying hydrated, and practicing consistent hygiene. Pelvic floor exercises (Kegels) can also improve bladder control and urinary function after delivery. Lastly, listen to your body—rest when possible, eat a balanced diet rich in probiotics and antioxidants, and don't hesitate to ask for help when overwhelmed. Maternal health is foundational to successful breastfeeding and family well-being.