Kidneys and urinary health

UTI symptoms: signs of a urinary tract infection and when to see a doctor

Last updated October 31, 2026

Information:

Based on PhilHealth, NHS, Cleveland Clinic and other trusted sources listed below. Not yet reviewed by a clinician. See the sources

Read this guide inFilipinoBisayaIlokanoHiligaynon

In short

A urinary tract infection (UTI) happens when bacteria get into the bladder or the tubes that carry urine. Common UTI symptoms are burning or pain when you pee, needing to pee often, and cloudy or bloody urine. Fever, chills and pain in the back or side can mean the infection has reached the kidneys, which needs a doctor quickly. A urine test confirms a UTI, and antibiotics need a doctor's prescription.

When to get help now

Call 911 or go to the nearest emergency room straight away if:

  • High fever with shaking chills, pain in the back or side, and vomiting so you cannot keep fluids down
  • New confusion, drowsiness or difficulty speaking, especially in an older person
  • Fast breathing, a fast heartbeat, cold or clammy skin, or feeling extremely unwell
  • Not being able to pee at all, or peeing very little, with pain
  • You are pregnant and have fever, chills or back pain

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On this page

Common UTI symptoms

A UTI most often affects the bladder. You may notice:

  • burning or pain when you pee
  • needing to pee often or suddenly, but passing only a little each time (in Tagalog this is often called balisawsaw)
  • urine that is cloudy, dark, bloody or strong-smelling
  • pain or pressure low in the belly

Sometimes a urine test finds bacteria in someone with no symptoms. This usually does not need antibiotics, except in pregnancy or before some urinary procedures.

Signs that the infection may have reached the kidneys need a doctor quickly:

  • fever, chills or shaking
  • pain in the back or side, below the ribs
  • nausea or vomiting

A kidney infection can lead to sepsis, a life-threatening reaction of the body to an infection. Sepsis is an emergency. See when to get help now.

UTI in women, men, older people, pregnancy and children

Women get UTIs much more often than men. The tube that carries urine out of the body (the urethra) is short in women, so bacteria have a shorter way to travel to the bladder.

Men get UTIs less often, so a UTI in a man is more likely to be linked to another problem, such as an enlarged prostate, kidney stones or diabetes. Men with UTI symptoms should always see a doctor.

Older people may not have the usual burning. New confusion or agitation, sudden changes in toilet habits, or simply seeming unwell can be the first signs.

Pregnant women should always see a doctor for UTI symptoms. Even a UTI without symptoms can lead to a kidney infection or an early birth if it is not treated, which is why urine is tested during prenatal check-ups.

Babies and young children often show only a fever, poor feeding, vomiting or unusual sleepiness. A baby under 3 months with a temperature of 38°C or higher needs a doctor straight away. Our guide on fever in babies and children explains what to watch for.

What causes a UTI

Most UTIs are caused by bacteria from the bowel that reach the urethra and move up into the bladder. You are more likely to get a UTI if you:

  • hold your urine for a long time
  • drink too little water, so you pee less often and bacteria are not flushed out
  • are sexually active (sex does not cause UTIs, but it can push bacteria toward the urethra)
  • use a diaphragm or spermicide for birth control
  • have gone through menopause
  • have diabetes or a weak immune system
  • have something that blocks the flow of urine, such as a kidney stone or an enlarged prostate
  • have a urinary catheter

A UTI is not a sexually transmitted infection.

Tests for a UTI: urinalysis and urine culture

A doctor may know it is a UTI from your symptoms alone, especially if you are a woman who is not pregnant. Often a urine test is done to be sure:

  • Urinalysis checks your urine for white blood cells (pus cells) and blood, which are signs of infection.
  • Urine culture grows the bacteria in a lab to show which germ it is and which antibiotics will work. Results take a few days. Your doctor may order it if the infection is severe, keeps coming back, or does not get better with treatment.

To give a clean sample:

  1. Wash your hands with soap and water.
  2. Clean the area around the urethra as the clinic tells you.
  3. Start peeing into the toilet first, then catch the middle part of the stream in the clean cup.
  4. Close the cup and give it to the clinic quickly.

A urinalysis is one of the lab tests covered by PhilHealth YAKAP when your YAKAP doctor orders it. You can also find a health center or laboratory near you.

Treatment: antibiotics need a prescription

Most UTIs are treated with antibiotics. The doctor chooses the right one for you based on your symptoms, whether you are pregnant, your past infections and your test results.

  • Don't buy antibiotics without a prescription, and don't use leftover antibiotics or someone else's. In the Philippines, antibiotics need a doctor's prescription. Using the wrong antibiotic can make the infection harder to treat and helps germs become resistant.
  • Take it exactly as prescribed, for as long as your doctor says, even when you start to feel better.
  • Go back to the doctor if you are not better after 2 days of antibiotics, or if you feel worse at any time.
  • Ask for the free YAKAP medicines. Several antibiotics used for UTIs are among the free medicines at YAKAP clinics, prescribed by your YAKAP doctor.

While you recover, drink enough water, rest, and use paracetamol for pain or fever, exactly as the label says.

A kidney infection may need stronger treatment, and sometimes a hospital stay. Pregnant women with a kidney infection are usually treated in hospital.

Not sure if your symptoms need a doctor today? Ask our free AI symptom guide or book a call with a nurse.

Buko juice, cranberry and other home remedies

Buko juice (coconut water) is a common home remedy in the Philippines. It counts as a drink and can help you take in more fluids, but it has not been shown to cure a UTI and cannot replace antibiotics when they are needed. If you have kidney disease, ask your doctor first, because coconut water is high in potassium.

Cranberry juice or capsules may lower the chance of getting UTIs again in some women who get them often, and in some children. They have not been shown to cure an infection that has already started. If you take warfarin, ask your doctor before using cranberry products.

Drinking more water helps flush out bacteria. It is good for everyone with a UTI, but it does not replace treatment.

Never wait at home with fever, chills or back pain. These can be signs of a kidney infection.

How to prevent UTIs

These steps lower your chance of getting a UTI:

  • Drink enough water during the day. In a study of women who got UTIs often and drank little, drinking more water every day cut their UTIs by about half.
  • Don't hold your urine. Go when you feel the urge, and help children use the toilet regularly.
  • Pee soon after sex.
  • Wipe from front to back after using the toilet.
  • Avoid douches, scented feminine washes, powders and sprays in the genital area.
  • If you use a diaphragm or spermicide and keep getting UTIs, ask about other birth control.

Some of these habits have not been well studied, but they are simple and safe to try.

If you get UTIs again and again (2 in 6 months, or 3 in a year), see a doctor. You may need tests to look for a cause, and a plan to prevent them.

When to see a doctor

Within 24 hours

See a doctor or go to a health centre today if:

  • You are a man with UTI symptoms
  • You are pregnant and have UTI symptoms
  • A child has UTI symptoms or a fever with no clear cause
  • You have a fever, or pain in your back or side, but none of the emergency signs above
  • You see blood in your urine
  • You are not better after 2 days of antibiotics, or you feel worse
  • You have diabetes or a weak immune system and have UTI symptoms

Book a visit

Make an appointment at your health centre or YAKAP clinic if:

  • You have mild burning or need to pee often, with no fever or back pain, and you are not pregnant
  • You get UTIs again and again (2 in 6 months, or 3 in a year)

Questions about your own situation?

Joy, our Symptom guide, answers in your language, free, any time. Joy is an AI agent, not a person: in an emergency, call 911.

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Common questions

Can a UTI go away on its own?

Some mild bladder infections in women get better without treatment, but you cannot tell which ones will. An untreated UTI can spread to the kidneys. See a doctor if your symptoms last more than a day or two, and see one straight away if you are a man, pregnant, a child or older adult, or have fever or back pain.

Is buko juice good for a UTI?

Buko juice is a drink, so it helps you take in fluids, but it has not been shown to cure a UTI. If you have kidney disease, ask your doctor first because it is high in potassium. Use it alongside, not instead of, the treatment your doctor gives you.

Can men get a UTI?

Yes, but less often than women. In men a UTI is more often linked to another problem, such as an enlarged prostate, kidney stones or diabetes. A man with UTI symptoms should always see a doctor and usually needs a urine test.

Is a UTI a sexually transmitted infection?

No. A UTI is usually caused by bacteria from your own bowel. Sex can push bacteria toward the urethra, which is why peeing soon after sex helps. Some STIs cause burning when you pee too, so tell your doctor if you could have been exposed.

How long does a UTI take to get better with treatment?

Most people start to feel better within a few days of starting the right antibiotic. If you are not better after 2 days, or you feel worse, go back to your doctor. Take every dose your doctor prescribed, even if you feel well.

Does cranberry juice cure a UTI?

No. Cranberry products may help prevent repeat UTIs in some women and children, but they have not been shown to cure an infection that has already started. They are not safe for everyone, so ask your doctor if you take warfarin.

Can I use leftover antibiotics for a UTI?

No. Leftover antibiotics may be the wrong medicine for this infection or not enough to clear it, and using them helps germs become resistant. See a doctor for the right antibiotic. Ask your health center how to throw away old medicines safely.

Sources

  1. NHS (UK) Urinary tract infections (UTIs) (opens in a new tab) (checked October 31, 2026)
  2. NHS (UK) Kidney infection (opens in a new tab) (checked October 31, 2026)
  3. US National Institute of Diabetes and Digestive and Kidney Diseases Diagnosis of bladder infection (UTI) in adults (opens in a new tab) (checked October 31, 2026)
  4. MedlinePlus, US National Library of Medicine Urine culture (clean-catch sample) (opens in a new tab) (checked October 31, 2026)
  5. American College of Obstetricians and Gynecologists Urinary tract infections (UTIs): frequently asked questions (opens in a new tab) (checked October 31, 2026)
  6. Cleveland Clinic Urinary tract infection (UTI): causes, symptoms and treatment (opens in a new tab) (checked October 31, 2026)
  7. Philippine Society for Microbiology and Infectious Diseases CPG for UTI in Adults 2015 Update: Part 2 (asymptomatic bacteriuria, recurrent and complicated UTI) (opens in a new tab) (checked October 31, 2026)
  8. PhilHealth PhilHealth: 21 essential medicines under YAKAP remain available (opens in a new tab) (checked October 31, 2026)
  9. PhilHealth Frequently asked questions on PhilHealth YAKAP (as of July 31, 2025) (opens in a new tab) (checked October 31, 2026)
  10. Cleveland Clinic Cranberry juice for UTIs: does it actually work? (opens in a new tab) (checked October 31, 2026)
  11. National Kidney Foundation Caribbean kidney-friendly diet: food and nutrition guide (coconut water and potassium) (opens in a new tab) (checked October 31, 2026)
  12. NHS (UK) Sepsis (opens in a new tab) (checked October 31, 2026)
  13. NHS (UK) Chlamydia (opens in a new tab) (checked October 31, 2026)
  14. Cochrane Database of Systematic Reviews (via PubMed) Cranberries for preventing urinary tract infections (Cochrane review, 2023): abstract (opens in a new tab) (checked October 31, 2026)
  15. JAMA Internal Medicine (via PubMed) Effect of increased daily water intake in premenopausal women with recurrent urinary tract infections: a randomized clinical trial (JAMA Internal Medicine, 2018): abstract (opens in a new tab) (checked October 31, 2026)
  16. Inter-Agency Committee on Antimicrobial Resistance (DOH and DA), published by the World Health Organization Philippine National Action Plan on Antimicrobial Resistance 2019-2023 (RA 10918: prescription required to dispense antibiotics) (opens in a new tab) (checked October 31, 2026)
  17. PhilHealth PhilHealth Circular 2024-0013: Enhancement of the PhilHealth Konsulta benefit package (Annex B: covered laboratory tests and medicines) (opens in a new tab) (checked October 31, 2026)
Information:

Based on PhilHealth, NHS, Cleveland Clinic and other trusted sources listed below. Not yet reviewed by a clinician. See the sources

Last updated October 31, 2026

Information:

General information, not a diagnosis

This guide does not replace a check-up, diagnosis or treatment by a nurse or doctor who can examine you. Don't start, stop or change a medicine without asking your doctor or pharmacist. In an emergency, call 911.
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