UTIs (Urinary Tract Infections) often show up suddenly — especially at night — with symptoms like burning while urinating, urgency, pelvic discomfort, or lower abdominal pain. Many women panic because clinics are closed and no doctor is immediately available.

As a practicing gynecologist for over two decades, I want women to know that a few safe, simple steps can help you manage the discomfort until proper medical care is available.

Here are 5 important things to do if you catch a UTI at night or during an emergency:

Hydrate Immediately — But Smartly

Drink 1–2 glasses of water right away.

Hydration helps dilute the urine and reduces burning.

Avoid:✘ carbonated drinks✘ very sugary juices✘ caffeine (coffee/tea)

These irritate the bladder and worsen symptoms.

If available, warm water works best.

Use Heat to Reduce Pain

A warm compress or hot-water bag placed on the lower abdomen can ease:

• cramping

• pelvic pressure

• lower back pain

Do NOT apply excessive heat on the skin. Mild warmth is enough to relax the bladder muscles temporarily.

Avoid Holding Urine — Empty Frequently

The more you hold urine, the more bacteria multiply. At night, many women avoid going to the washroom because it burns — but that worsens the infection.

Try to empty your bladder gently and frequently, even small amounts help flush bacteria.

Avoid Irritants — Keep the Area Clean & Dry

Night-time UTIs often worsen due to irritants. Avoid using:✘ scented wipes✘ harsh soaps✘ douches✘ tight underwear✘ synthetic fabrics

Instead, do this:✔ rinse ONLY the external area with lukewarm water✔ pat dry✔ change into cotton, loose underwear

Keeping the area dry reduces irritation.

Take a Pain-Relief Option if Necessary (Only if You’ve Used It Before)

If the pain is severe and you cannot sleep, you may take a previously prescribed pain reliever or antispasmodic — only if it is something you have taken safely before.

Never self-start antibiotics at night without a doctor’s advice.

Antibiotics must be accurately selected, otherwise the infection may not respond later.

Emergency Red Flags — Seek Urgent Medical Help if You Notice:

• Fever or chills

• Vomiting

• Blood in urine

• Severe back pain

• Inability to urinate

• Burning so intense you cannot sit or sleep

These signs may indicate a kidney infection, which requires immediate medical attention.

When You Should See a Gynecologist (Even After Night Relief)

Even if symptoms improve temporarily, a proper UTI diagnosis is essential within 24 hours. Your doctor may suggest:

• urine test

• targeted antibiotics

• hydration plan

• hygiene guidance

• follow-up for recurrent UTIs

Final Words by Dr. Chetna Jain

UTIs are extremely common and can be very uncomfortable, especially when they appear at night. But with the right steps, you can control symptoms safely until medical care is available.

Remember: Do not ignore UTIs. Do not self-medicate with random antibiotics. And never hesitate to seek help.

Your health and comfort always come first.