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The Kill List: Pseudomonas Edition

Posted in Infection Killing Protocol, and The Kill List Series

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I’ve only seen about a dozen cases of this one, so if you have it please contact me so I can add to the knowledge base on it.
While Pseudomonas doesn’t produce nitrites at the same rate as most other types of gram negative bacteria, like them it’s motile (it swims via flagellar propulsion, meaning it can travel to the kidneys and then to the bloodstream) and feeds on nitrates in an acidic environment. Bolded comments in parenthesis mine.

The bacterium is ubiquitous in soil and water, and on surfaces in contact with soil or water. Its metabolism is respiratory and never fermentative, but it will grow in the absence of O2 (oxygen) if NO3 (nitrate) is available as a respiratory electron acceptor. (In other words, it flourishes in the bladder)

The typical Pseudomonas bacterium in nature might be found in a biofilm, attached to some surface or substrate, or in a planktonic form, as a unicellular organism, actively swimming by means of its flagellum. Pseudomonas is one of the most vigorous, fast-swimming bacteria seen in hay infusions and pond water samples.

In its natural habitat Pseudomonas aeruginosa is not particularly distinctive as a pseudomonad, but it does have a combination of physiological traits that are noteworthy and may relate to its pathogenesis (how it develops from a harmless soil and water-borne bacteria into a disease in the human body).

• Pseudomonas aeruginosa has very simple nutritional requirements. It is often observed “growing in distilled water”, which is evidence of its minimal nutritional needs. In the laboratory, the simplest medium for growth of Pseudomonas aeruginosa consists of acetate as a source of carbon and ammonium sulfate as a source of nitrogen.

• P. aeruginosa possesses the metabolic versatility for which pseudomonads are so renowned. Organic growth factors are not required, and it can use more than seventy-five organic compounds for growth.

• Its optimum temperature for growth is 37 degrees C (Yes, my fellow Americans, that’s 98.6F), and it is able to grow at temperatures as high as 42 degrees (you’ll die of a fever before it will).

• It is tolerant to a wide variety of physical conditions, including temperature. It is resistant to high concentrations of salts and dyes, weak antiseptics, and many commonly used antibiotics.

• Pseudomonas aeruginosa has a predilection for growth in moist environments (like the bladder, kidneys, and lungs), which is probably a reflection of its natural existence in soil and water.

These natural properties of the bacterium undoubtedly contribute to its ecological success as an opportunistic pathogen. They also help explain the ubiquitous nature of the organism and its prominence as a nosocomial (hospital-acquired) pathogen.

While it causes a relatively low percentage of bladder infections compared to previous perps in the Kill List series, it’s disproportionately high up the list of antibiotic-proof infections. As outlined above, Pseudomonas is highly adaptable, opportunistic, adept at biofilm formation, and frequently introduced to the bladder via catheterization of a hospital patient who’s already immuno-compromised.

Pseudomonas aeruginosa is a common inhabitant of soil, water, and vegetation. It is found on the skin of some healthy persons and has been isolated from the throat (5 percent) and stool (3 percent) of nonhospitalized patients. In some studies, gastrointestinal carriage rates increased in hospitalized patients to 20 percent within 72 hours of admission.

Within the hospital, P. aeruginosa finds numerous reservoirs: disinfectants, respiratory equipment, food, sinks, taps, toilets, showers and mops. Furthermore, it is constantly reintroduced into the hospital environment on fruits, plants, vegetables, as well by visitors and patients transferred from other facilities. Spread occurs from patient to patient on the hands of hospital personnel, by direct patient contact with contaminated reservoirs, and by the ingestion of contaminated foods and water.

Pseudomonas aeruginosa is frequently resistant to many commonly used antibiotics. Although many strains are susceptible to gentamicin, tobramycin, colistin, and fluoroquinolins, resistant forms have developed

I’ve also seen this show up out of the blue in women who’d never been catheterized and had no other significant health issues.

The first thing you absolutely must do is get your urine pH up to 7.5-8. Please buy the 10 parameter test strips on Amazon so you can keep a close eye on your pH, testing it at least 3-4 times a day to make sure it’s staying up there in the right range.
Some bright young thing did a study on the influence of pH in Pseudomonas aeruginosa resistance to antibiotics: bolded emphasis below mine. Click here to see the whole thing.

Adaptive resistance was greater and more prolonged with higher initial aminoglycoside concentrations, and the bactericidal effects of the aminoglycosides were concentration dependent at pH 7.4. At pH 6.5, the killing rates of amikacin and netilmicin were far lower than those observed at pH 7.4. At pH 5.5, amikacin and netilmicin exerted practically no bactericidal effect on the P. aeruginosa strain used. However, with media at pH 5.5 and 6.5, adaptive resistance of P. aeruginosa preexposed to amikacin and netilmicin was also clearly exhibited,

I presume that if you found this website it’s because the antibiotics you’ve already tried didn’t work: you can try again while keeping your pH up in the necessary range by drinking lemon/bicarb water: 2 tablespoons lemon juice and a rounded 1/8 tsp sodium bicarbonate (baking soda) to 8 oz water: drink a glass every time you pee.

You can also use the same natural meds on this that work against other gram negative bacteria: I would highly recommend going straight for the Hippocrates Special. That will get your urine pH up into the desired range as well as cleaning out your gut and kidneys, attacking the bacteria, and improving absorption and stomach acid production, if those last two are an issue in your case.

If you haven’t done the Decision Tree test yet, go for it. It’s vital to know if you have low stomach acid, because if so you won’t be able to absorb meds, natural or prescription, as well as you should, severely hampering successful treatment. Please read through the Mother of All Problems post if the Decision Tree baking soda test indicates you have low stomach acid, and go through the Essential Tips and Tricks post no matter what. These things work, but there’s a certain way they work and you can’t just throw this stuff around like darts in the dark and hope you get lucky.

The following is a list of natural meds that kill Pseudomonas, and how to use them.

Pseudomonas aeruginosa pH 7.5-8
Use lemon juice/baking soda water, juiced celery/lemon

1. Freshly grated horseradish: 1/2-1 tsp grated root per meal and with a bedtime snack. Grate with a medium-fine grater, pinch it together, and take mid-meal with a mouthful of milk. Minimal interaction with Candida but it’ll cause wicked bacterial die-off (cramps, diarrhea) in the gut if you haven’t cleansed with charcoal.
Take only with food, 4x a day. Use no more than 1/2 tsp twice a day if pregnant. Safe for breastfeeding but may cause baby gas. When horseradish is not wholly effective, either:

A. It is not fresh enough. It should smell ferociously pungent. Cut the root in the middle and grate the freshly cut end.
B. If smelling it brings tears to the eyes but it’s making your bowels run and not helping your bladder, do a charcoal sweep (2-3 tsp (5-7 grams) doses until the runs stopand take a shot of lemon juice with every dose to improve absorption into the bloodstream.
C. If you have greasy yellow stools while taking this, don’t freak: you just got a gallbladder cleanse.
D. Those of you in Asia (Japan/China/India area) can take wasabi root the same way, since horseradish root is virtually impossible to get, there.

2. Juiced ginger root. 1.5-2 inch cube per dose, for about 2 tablespoons of juice.
Has some Candida-killing action but is absorbed into the blood too fast to cause severe die-off. You can take it by itself like a shot with a squeeze of lemon juice in it, and/or juice it with a head of organic celery and a lemon for an alkalizing anti-bacterial/anti-fungal combo. Drink that combination all day in place of lemon/baking soda water. If you don’t have a juicer, there’s a $30 model at Wal-Mart: you can get that and pick up 3-4 large ginger roots while you’re there. Trust me, it’s worth it.
Juiced ginger root can be taken with or without food, as often as desired. Safe for pregnancy and breastfeeding.

A.  The root should be firm and unwrinkled, with some visible juiciness when you slice it.
B. If you drink this juiced with celery and lemon in place of lemon/baking soda water, drink 8 oz every time you pee. You can juice a big batch every morning and bottle it to take with you to work/errands. Make sure you pee every 2 waking hours.
C. If the juice gives you the runs, you both need and are now prepared for a charcoal cleanse. Take 2 tsp (5 grams) doses with 12 oz water 1-3x a day until stools normalize.

4. Olive leaf extract. This inhibits the growth of Pseudomonas, can prevent an infection from starting, kills Candida like no other, has no toxicity and is excellent for general health, BUT when you already have an embedded UTI you need to combine it with other natural meds to administer the coup de grâce. It has the strongest Candida-killing action of any UTI med: you will have die-off unless your Candida has a biofilm. It can be taken with or without food, as often as desired. Safe for pregnancy and breastfeeding.

A. The most trustworthy brands are Vitacost and Swanson Super Strength. Most brands sold in hippy stores are weak, overpriced crap that will do you no good. You need about 300-350 mg of oleuropein (the active ingredient) per dose.
BCharcoal cleansing before you take full doses is imperative, or the Candida die-off will be hell.
C. If you ignore the warnings and take this without charcoal cleansing and feel nothing, your gut Candida has a biofilm and you need to be extremely thorough with charcoal cleansing to peel it all off the gut walls, or OLE will never reach the bladder. Extensive use of prescription antifungals or corticosteroids in the past is a predicator of Candida biofilm.
D. This will take the pain out of a Pseudomonas infection, but to stake the heart and burn the body you NEED to take it with at least two of the natural meds listed above.

5. Raw garlic. This will knock most types of UTI bacteria on their tails, but typically doesn’t finish them off by itself. Best used alongside other types of killers like OLE, ginger juice, and cayenne pepper. Take 1 large clove with food, 4x a day. Safe for pregnancy/breastfeeding, may cause baby gas.

AIf you have low stomach acid, you will not absorb it. Take alongside a shot of lemon juice to ensure absorption.
B. It needs to be freshly minced/crushed right before taking.
CDo not mix into hot food or you will destroy the medicinal qualities.
D. Get a firm head with lots of large cloves: do not store in the refrigerator: do not buy elephant garlic; it is a leek, not garlic.
E. If you bloat every time you take garlic, even though you’re taking lemon juice with it, you have a problem with fructans and you need a low FODMAP diet and some serious gut healing. Click here to read about it.

6. Oregano oil. This should be used as an adjunct to the other meds and will not be fully effective unless you’ve cleansed with charcoal first.  Look for the carvacrol content (active ingredient) and aim for around 150-200 mg of carvacrol per dose. Not total dosage of the capsulesthe carvacrol content per capsule is the active ingredient dosage. Study the label and do the math.

Take only with food, 4x a day. Use no more than twice a day if pregnant: safe for breastfeeding.

35 Comments

  1. Bon
    Bon

    Hi Rebekah! I know you mostly talk about UTIs on this blog but I was wondering if you had any experience with a pseudomonas infection on the skin? The doctor wants to prescribe cipro but I would rather not take it. Its a few small red bumps and only one of them has gotten to the point of producing puss. The other bumps have seemed to gotten smaller and smaller over time. I know you’re not a doctor and that you specialize in UTIs but any help or recommendations would be greatly appreciated.

    March 27, 2023
    |Reply
  2. Elynne Scott
    Elynne Scott

    Hi Rebekah, You said “The first thing you absolutely must do is get your urine pH up to 7.5-8.”

    A raging UTI hit me 3 afternoons ago very suddenly, even though I take the OLE faithfully (3 caps a day, twice a day) and garlic oil caps as a preventative. (I thought that I might be getting a UTI 2 weeks ago, was tested, and everything was negative.)

    To help the pain with this new UTI I’ve tried the baking soda in water, and I drink lemon water a lot all day long. I also drink bottled Hydrate water pH 9.5+.

    I am OCD about testing my urine. My concern is that I’ve tried to get my pH up ~~ baking soda in water, and now I’ve tried the lemon shots with meals, and my pH only goes up to 6.5 according to my strips. I upped my OLE to 4 capsules 4 times a day, more garlic oil caps, oregano oil caps, and the UTI got worse ~~ leukocytes dark purple, and blood in the urine (the darkest green on the strip) continuously. Usually the blood square on the strip is unaffected, or looks yellow-green and then goes back to yellow, but this time the blood square immediately continues to show the darkest green on the strip for over 2 days, and the pH shows yellow. And my back in the kidney area aches like crazy.

    So my concern is that I can’t get the pH high enough to alleviate the discomfort. And today when I took the lemon juice shot with breakfast toast (over an hour after the baking soda water) I became very dizzy and my heartbeat irregularities accelerated, so now I’m wondering if that’s safe for people with my kind of heart problems.

    There seems to be no end in sight this time unless I end up with a antibiotic ~~ which I am very reluctant to do. Any help that you can give me would be much appreciated.

    January 19, 2020
    |Reply
    • W
      W

      I know your comments were made 2 years ago, but this is the first time I’ve read them. Many people don’t know about oxalates and the damage they can do. I had a coworker who always got UTIs. She went for testing and it came back negative, so I told her it might be oxalate toxicity. She loooved black pepper (high oxalate), and I suggested she try white pepper instead, as well as taking a magnesium supplement. She was able to get relief. These suggestions may or may not work for you (if you’re still suffering with UTI symptoms but testing negative for infection). But it’s a potential direction to do more research on and possibly find a solution so you aren’t suffering anymore. Sally K. Norton has a lot of good info on the subject, including how to detox properly.

      March 27, 2023
      |Reply
      • Jane D
        Jane D

        people you wont get an answer from her. she disappeared and doesn’t seem to care about any of this anymore.

        July 30, 2023
        |Reply
  3. Matt M.
    Matt M.

    Hello Rebekah W.,
    Thank you so much for this amazing website and resource. I have a 22 year old spinal cord injury and have been dealing with chronic UTIs for over a decade. I have had reoccurring pseudomonas infections for the last 2 years (since getting a catheter put in at the hospital). Antibiotics have seemed to work in the past, but I know better now. After visits to urologists, natural healing doctors, herbalists, etc. I know feel like I have a bio-film protecting the pseudomonas. For the past 2 years the infection has been returning sooner and sooner (from 2 months between infections to 3 weeks). When i get a bad one I feel like I am going to die and am quite concerned at this point.
    My stomach acid seems ok after your test. I have done a charcoal cleanse and doing all my meds (organic) for the last 3 days, but still have luks and nitrites on strip. My urine PH has come up from 6.5 to 7.25. I do lemon shots before every meal and several others throughout the day to be safe. I take 1 tsp+ of horseradish 4 x day (including just before bed). I eat 1-3 cloves of fresh garlic 4 x day. I take OLE and Oregano Oil 4 x day. The only OLE I could find is 18% oleuropein, I have 50% on order. I juice celery, 3″+ ginger and 1 lemon 3 x times per day and drink every time I pee. I am more or less confined to my house with this vigorous meds schedule.

    Can you please advise me on any tips or things I could improve on? My life is so miserable with all this and the idea of 14 rounds of antibiotics per year like the urologist wants me to do is a horrific thought. I was looking into things like “bio-film defense” by Kirkman before I found your site.

    Thank you again and bless you for the help you give to so many 🙂

    December 8, 2019
    |Reply
    • Richard
      Richard

      Hi Matt

      I am a fellow sufferer of these types of infections. For 2 years I constantly got them every 3 weeks. I was getting on average 16 infections a year. I have a history of UTI’s but never experienced this sort of pain before, it could be quite crippling! After getting numerous tests done over the 2 year period, I decided to go to an acupuncturist. Just 1 session lasting an hour and it cured it… could not believe it. In the 1 year period post this, I only got 1 infection.

      I am now 1 year and 10 months on, I am back getting infections and even though the same bug is back, this time the pain isn’t there like before. They are so bearable I can happily go to work and go about my day. I am booking myself back into the acupuncturist so hopefully that twill clear them up.

      October 26, 2022
      |Reply
  4. El
    El

    Is there anyone that can add me to the facebook group?

    April 22, 2019
    |Reply
    • Yazmin Bratter
      Yazmin Bratter

      Can you add me to Facebook group?

      October 22, 2021
      |Reply
      • Mary
        Mary

        nope, seems the owner just up and left.

        October 26, 2021
        |Reply
  5. Linda
    Linda

    Hi tried the baking soda and water both days i had a burp within 2 min or less..what steps should i take next..im confused theres so much information on the site, i dont know what order to go from next?

    April 22, 2019
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    • Rebekah W.
      Rebekah W.

      What effect, if any, did the baking soda water have on your bladder?

      April 22, 2019
      |Reply
      • Linda
        Linda

        Within 2 minutes i burped. And for the bladder it gave me relief..

        April 22, 2019
        |Reply
        • Rebekah W.
          Rebekah W.

          Okay, then I would follow any of the protocols for a gram negative (E. coli) infection, and re-test in about 10 days.

          April 22, 2019
          |Reply
          • Linda
            Linda

            You mean retest my urine culture? Or retest with the methods??

            April 22, 2019
            |Reply
            • Rebekah W.
              Rebekah W.

              If your infection shows up on test strips (which E. coli does, in most cases), it’s easiest to monitor that way.

              You may be able to starve the Lactobacillus to death by keeping your urine alkaline, while killing the E. coli with the protocol outlined in the E. coli Kill List post.

              April 22, 2019
              |Reply
              • Linda
                Linda

                I see..what test strips you recommend i use?? Can you send me a link. And also should i be taking d mannose or anything else at the moment?? Lemom water?? Ole or charcoal cleanse??

                April 22, 2019
                |Reply
              • Linda
                Linda

                Also I haven’t had sex in a long time since I found out about my infection. Is it bad to masturbate. Sorry for the personal question 😣😳

                April 22, 2019
                |Reply
                • Rebekah W.
                  Rebekah W.

                  Awesome question…I laughed till I blushed. 😂😂😂

                  Um…a UTI *can* become inflamed from sexual activity, of any sort, but not in all cases. Your mileage may vary, basically. You won’t know till you try.

                  I’d implement the steps in the Kill List post I linked first, before thinking long, long thoughts about Dean Winches–I mean, whoever. *cough*

                  April 22, 2019
                  |Reply
                  • Linda
                    Linda

                    Thanks for the continued advise 🤭😳

                    April 22, 2019
                    |Reply
  6. Virve
    Virve

    Hello Rebekah!

    Could you please add me to your FB group Living Strong. I’ve been strugling with rUTIs and I could use some further advice and peer support on the matter. I sent you a message in FB.

    April 20, 2019
    |Reply
    • El
      El

      I would like to be added as well please. I have been waiting a long time.

      April 22, 2019
      |Reply
  7. Michon
    Michon

    Hi Rebekah! Thank you so much for this website. It’s an amazing resource. I’ve been struggling with re-occurring UTIs since childhood. Lately, I’ve been in so much pain and having re-occurring infections. My Dr ordered a Microgen Urine test to find out what bacteria’s are causing this. It came back with 90% Lactobacillus iners and 7% E-coli. I’ve been searching on your site to see what natural recommendations for this type of bacteria. I’ve done a round of antibiotics and still in pain. Pain in the urethra and bladder. Thank you!!!

    March 1, 2019
    |Reply
    • Rebekah W.
      Rebekah W.

      Oh dear…Lacto UTIs need a penicillin-based antibiotic: natural meds don’t kill (what is normally) beneficial bacteria!

      March 12, 2019
      |Reply
      • Linda
        Linda

        I have the same e coli and lactobacillus. And im new to this site. Please help me

        April 17, 2019
        |Reply
        • Rebekah W.
          Rebekah W.

          You should be able to get symptom relief using the Emergency Pain Relief measures, and the Phase I protocol, but to finish off lactobacillus in the bladder you’ll need a course of antibiotics in addition to that.
          I would implement any of the natural measures listed on the site as useful against E. coli alongside a course of penicillin-based antibiotics to kill the Lacto.

          April 17, 2019
          |Reply
          • Linda
            Linda

            I took a course of antiobiotic a few weeks ago. It was for 7 days for the infection. Called macrobid. But i still have the urge to pee and also some discomfort. Not sure if its due to pressure or if still infection. I also would like to take a good course of priobiotics since after taking so much meds disrupts the good bacteria. But im confused on why lactobacillus came up on my results as a bacteria. And i know priobiotics has lactobacillus?? Please help

            April 20, 2019
            |Reply
            • Rebekah W.
              Rebekah W.

              Sometimes Lacto can show up in a culture because of contamination (it was on the outside and contaminated the sample rather than being in your bladder).
              When in doubt, another culture can let you know what’s going on.
              What response do you get to a glass of baking soda water?

              April 20, 2019
              |Reply
              • Linda
                Linda

                Okay i see. I havent tried the glass of baking soda. Is it okay that i already drank water this morning before trying it?

                April 20, 2019
                |Reply
                  • Linda
                    Linda

                    I just tried it. The glass off baking soda and water..and i did burp after 2 minutes

                    April 20, 2019
                    |Reply
                    • Rebekah W.
                      Rebekah W.

                      Okay, you should feel an effect on your bladder within about 40 minutes if you have any vestige of a UTI.

                      April 20, 2019
                    • Linda
                      Linda

                      Okay..ill wait..what kind of symptoms should i feel or look out for??? Pain or urge to pee??

                      April 20, 2019
                    • Rebekah W.
                      Rebekah W.

                      Baking soda water makes both E. coli and Lacto feel better. They like acidic urine and baking soda water raises the urine PH, decreasing symptoms.
                      The Decision Tree post explains the different results you can get, what they indicate, and how to proceed from there.

                      April 20, 2019

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