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Do cranberry pills work like cranberry juice?

“PACs interfere with the bacteria's ability to bind to the wall of the bladder and create an infection.” Unfortunately, PACs aren't present in cranberry juice at all-only in cranberry capsules. “It takes an extremely large concentration of cranberry to prevent bacterial adhesion,” Boone adds.

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A urinary tract infection (UTI) is an infection in any part of the urinary system, kidneys, bladder or urethra. They are more common in women and affect more than 3 million Americans per year. Many in the population will turn to sipping on a cranberry juice cocktail to alleviate their symptoms, but, according to a Texas A&M Health Science Center urologist, drinking cranberry juice to treat a UTI is little more than an old wives’ tale. “Cranberry juice, especially the juice concentrates you find at the grocery store, will not treat a UTI or bladder infection,” says Timothy Boone, MD, PhD, vice dean of the Texas A&M Health Science Center College of Medicine Houston campus and chairman of the department of urology for Houston Methodist Hospital. “It can offer more hydration and possibly wash bacteria from your body more effectively, but the active ingredient in cranberry is long-gone by the time it reaches your bladder.” With that said, the active ingredient in cranberry (A-type proanthocyanidins or PACs) can block the adhesion of bacteria to the wall of the bladder. “For a UTI to occur, bacteria must adhere to and invade the lining of the bladder,” Boone says. “PACs interfere with the bacteria’s ability to bind to the wall of the bladder and create an infection.” Unfortunately, PACs aren’t present in cranberry juice at all-only in cranberry capsules. “It takes an extremely large concentration of cranberry to prevent bacterial adhesion,” Boone adds. “This amount of concentration is not found in the juices we drink. There’s a possibility it was stronger back in our grandparents’ day, but definitely not in modern times.” A study published in the American Journal of Obstetrics and Gynecology did conclude that taking cranberry capsules lowered the risk of UTIs by 50 percent in women who had a catheter in place while undergoing gynecological surgery. “In this study, they took the cranberry itself and put it in a capsule-the equivalence of drinking 28 ounces of cranberry juice. As you can see, it takes a large amount of pure cranberry to prevent an infection,” Boone says.

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What does that mean? A. A silent stroke refers to a stroke that doesn't cause any noticeable symptoms. Most strokes are caused by a clot that blocks a blood vessel in the brain. The blockage prevents blood and oxygen from reaching that area, causing nearby brain cells to die.

November 1, 2020

Ask the doctor

Q. My aunt, who is in her late 70s, recently had a brain scan after a minor fall. She seems fine now, but the doctor said the scan showed evidence of an unrelated silent stroke. What does that mean?

A. A silent stroke refers to a stroke that doesn't cause any noticeable symptoms. Most strokes are caused by a clot that blocks a blood vessel in the brain. The blockage prevents blood and oxygen from reaching that area, causing nearby brain cells to die. Depending on the location of the clot, this can cause symptoms such as weakness in an arm or leg (which could cause a fall) or trouble speaking or seeing. But sometimes, the area of damage is quite small and occurs in a part of the brain that doesn't control any vital functions, so the stroke remains undetected.

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