Wellness 15 June 2021

Asymptomatic Bacteriuria

  1. What is asymptomatic bacteriuria?
  2. Treatment of asymptomatic bacteriuria
  3. Summary


Dear Reader,

bacteria can live in our bladder in large numbers.

They can remain silent without triggering any cystitis attacks.

This condition, better known as asymptomatic bacteriuria, is common in many healthy individuals and typically does not require special intervention.

Let’s discover together the particularities of this phenomenon.

What is Asymptomatic Bacteriuria?

The term “asymptomatic bacteriuria” refers to the presence of a colony of bacteria (>100,000 per mL of urine) in the urine, in the total absence of acute signs or symptoms actually perceptible.

Its presence depends on several factors such as age, sex, and other medical conditions. However, it is generally more frequent in pregnant women, children , and older people (especially those with diabetes) who have tumors in the urinary tract or use catheters.

The amount of bacteria involved can increase over time, leading the person’s immune system to eventually react and exhibit the typical symptoms of cystitis.
In other cases, the amount and type of bacteria remains constant over time, remaining harmless.

Why Are Bacteriuria Symptoms Absent?

The bacteria that colonize the urine, generating the so-called asymptomatic bacteriuria, often remain harmless for three possible reasons:

  1. They are not pathogens
    It could be a type of bacteria unable to adhere to the walls of the bladder, which excludes the possibility of inflammation of the same and the development of the infection that leads to the phenomenon of cystitis proper.
    Because they do not adhere to the bladder, these bacteria are expelled when you pee.
    Despite this, their quantity is maintained constant in the urine due to their reproductive capacity.
  2. Immune System Support
    A healthy immune system is able to deter pathogenic bacteria from attacking the bladder walls. This effectively rules out the development of the infection and subsequent symptoms.
  1. Nervous system problems
    Problems with nerve endings or receptors may cause the bladder not to send pain-related stimuli, even in the presence of inflammation caused by pathogenic bacteria.

The only way to learn about the presence of asymptomatic bacteriuria or pathogenic bacteria in the absence of symptoms is to perform a urine culture.

Treatment of Asymptomatic Bacteriuria

There are people who live months or years with asymptomatic bacteriuria without realizing it or facing any negative repercussions on their health.

Bacteriuria, in fact, is not a phenomenon on which it is necessary to intervene with antibiotic therapy, precisely because it is our own immune system, or the non-pathogenic nature of the bacteria, which guarantees its harmlessness.
Moreover, taking antibiotics in these specific cases will only lead to the development of bacterial resistance and alter the balance of both vaginal and intestinal bacterial flora.
It is these imbalances that facilitate the proliferation of real pathogenic bacteria and an increased risk of urinary tract infection.

According to the American Society of Infectious Diseases, treatment of asymptomatic bacteriuria is only necessary in the following cases:

  • Pregnancy.
  • In subjects who will undergo urological procedures.
  • In the 30 days following a kidney transplant.

If you’re still looking for a way to keep bacteria at bay or reduce their load,

taking Pure D-Mannose daily supports the maintenance of harmless of bacteriuria and expels the most aggressive bacteria.

Check out our Asymptomatic Bacteriuria Kit and download the free guide inside.

I’ll leave you with a thought!

A Zen saying goes, “Before you worry about the road, worry about your traveling companion.”

Symptomatic bacteriuria is not a dangerous “travelling companion”, but it is not to be underestimated! Always talk to your doctor and trust his or her knowledge and experience.
Are we sure that sometimes it’s not too much worry, instead, that damages our path?

See you soon,




In this article we have seen that asymptomatic bacteriuria:

  • Is a condition caused by the presence of colonies of bacteria in the bladder, in the total absence of symptoms.
  • Is more frequent in small, elderly or pregnant women.
  • Does not come with symptoms because the bacteria may not be pathogenic, the immune system is keeping the bacteria at bay, or the nervous system is not sending proper signals.
  • Generally, asymptomatic bacteriuria does not require treatment except in cases of pregnancy or invasive surgery involving the urogenital system.

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