Among all diseases, chronic cystitis in urological practice is the most common. Pathology is eliminated in a conservative way-without the use of surgery. Before the visit to the doctor, it is contraindicated to use a hot water bottle, taking any types of medications.
- What is cystitis?
- Acute or chronic cystitis
- Diagnosis and treatment of cystitis
- Which doctor should I contact?
What is cystitis?
This is an inflammation of the mucous membrane of the bladder caused by bacterial, viral, fungal microflora or protozoan pathogens. The reasons for the development of pathology:
- Regular hypothermia – General or local.
- Lack of proper hygiene (including after using the toilet, before and after intimacy, during critical days).
- Transferred poisoning. Toxins irritate the bladder.
- Unprotected intimacy with an unscrupulous partner.
- Allergy to latex, from which condoms are made.
- Vaginal candidiasis. Secretions enter the bladder, causing inflammation of its walls.
People of different ages are subject to the disease. But in women, the pathology is more common, which is associated with the features of the structure of the urogenital system.
Chronic cystitis is manifested by specific signs. These include pain in the suprapubic region, a feeling of incomplete emptying of the bladder, frequent urge to release urine.
Against the background of inflammation, the body temperature increases, there is insomnia, weakness, weakening of appetite. During the exacerbation of chronic cystitis, the patient feels irritability. Due to the need for frequent urination and General deterioration of health reduced ability to work.
In cystitis, the patient may have a small amount of blood in the urine. Urina takes an unpleasant pungent smell.
Acute or chronic cystitis
The defeat of the bladder can take a chronic course in the absence of timely, adequate treatment. Chronic cystitis is an inflammation of the bladder that worsens at least once every six months.
Diagnosis and treatment of cystitis
A patient who is suspected of having an inflammation of the bladder needs to undergo laboratory, hardware, and sometimes instrumental diagnostics.
To establish the presence of chronic cystitis, the patient is interviewed, examined, then directed to the passage of the most informative types of examination:
- Biochemical, clinical blood analysis.
- General, bacteriological examination of urine.
- Ultrasound of the bladder. The procedure helps to get basic information about the state of the urinary system, confirm the presence of inflammation and determine its stage.
- Cystoscopy-a method of endoscopic examination of the bladder tissue.
During laboratory research in chronic cystitis, an increased content of white blood cells in the blood and urine, an increase in ESR. In aggregate, this indicates the presence of inflammation, indicates the need for its relief. Urine culture allows you to identify a specific pathogen that caused the pathology, and taking into account the detected microorganism, prescribe an antibiotic.
The specialist can also refer to additional types of diagnostics, if this is required to obtain more accurate information about the patient’s health.
The standard treatment regimen for chronic cystitis is shown in the table
|Pharmacological group of drugs||Purpose of appointment|
|Antibiotics (Ceftriaxone, Ceftazidim).||Suppression of vital activity of the pathogen of pathology, its subsequent removal from the urogenital tract.|
|Antispasmodic agents (No-Shpa, Papaverine).||Elimination of unpleasant sensations accompanying the process of urination. Improving the overall health of the patient.|
|Uroseptic drugs (Furazolidone, Furagin).||Relief of pathogenic microflora activity, restoration of bladder function.|
|Immunomodulators and vitamins.||Restoration of protective properties of the patient’s body.|
In the presence of cystitis the patient should follow a diet:
- Refuse to eat sour, spicy, salty food.
- Exclude coffee from the diet.
- Stop drinking alcohol.
During the exacerbation of chronic cystitis, the patient must adhere to bed rest. It is recommended to increase the water balance to 1.5 liters per day.
During treatment for chronic cystitis, sexual activity is contraindicated. You should also avoid hypothermia.
Features of treatment of cystitis during pregnancy
During gestation, the use of 98% of drugs is contraindicated, because they have a toxic effect. The components of medicines overcome the placental barrier, disrupt the intrauterine development of the fetus. Therefore, drugs that are used to treat chronic cystitis that occurs in pregnant women should have a sparing type of impact.
During the period of gestation, the use of the drug Kanefron is prescribed. It has an antiseptic effect, is made of vegetable raw materials, is safe for the fetus. Kanefron eliminates the infectious and inflammatory process that progresses in the urogenital tract, fights the main symptoms of cystitis. To relieve pain, the patient is prescribed No-Shpa. This is a drug that has an antispasmodic type of action (the drug is safe for the child).
Antibiotics are not used during gestation.
Which doctor should I see
Detection and elimination of inflammation of the bladder is engaged in a urologist. But first you should visit a therapist. A General practitioner will conduct a survey, examination, and write a referral to a urologist. If inflammation of the bladder occurred in pregnant women-you should contact a gynecologist who is watching.
Chronic cystitis is an inflammatory-infectious disease, the elimination of which requires a comprehensive approach. Treatment consists of medication, diet, maintaining sexual peace.