- May 31, 2020
- Posted by: Prof Dr Coşkun Şahin
- Category: Bladder Diseases
Cystitis, Acute – Chronic Cystitis What is Cystitis?
Cystitis is an infection of the bladder (bladder). It is usually seen as an infection agent multiplying in the urine and infecting the bladder wall. it is the most common disease of the urinary tract. If left untreated, the infection can spread and also affect the kidneys, leading to pyelonephritis. It may cause permanent damage to the kidneys.
Cystitis is a state of bladder infestation and inﬂammation of the bladder.
The appearance of cystoscopic cystitis. Bleeding increases and all urine comes into blood and we call this condition hemorrhagic cystitis. Patients are very afraid of this situation and run to the doctor.
What are the symptoms of cystitis disease?
Patients have frequent urination (pollacuria), burning when urinating (dysuria), and urge to urinate (strangui) (urgency), urination at night (nocturia). Sometimes it happens after you urinate and a few drops of blood can be seen. Urine can also be bloody (hematuria). Patients often say that their urine smells blurry and foul. Again, many patients have painful sexual intercourse (dyspareunia). Abdominal tenderness and even abdominal pain, nausea and vomiting in young children may accompany the picture. Fever is usually absent.
These clinical signs of cystitis are almost typical and an experienced urologist considers the diagnosis of cystitis from the patient’s complaints.
These symptoms in cystitis can also be seen in non-microbial cystitis (non bacterial cystitis), bladder tumors, bladder and ureter stones, female external genital organs called vulvovaginitis, and prostatitis and BPH (benign prostate enlargement). Therefore, a careful differential diagnosis should be made.
What are the causes of cystitis disease?
The urinary tract of women is rather short compared to men. The microbial agents that make up the cystitis are coli bacilli (Escherichia coli), usually located between the appendage and easily reach the bladder from the short urinary canal in women. Sexual intercourse also contributes to this contamination. There are some risk factors for cystitis. Women with these factors are prone to cystitis.
What are the Risk Factors of Cystitis Disease?
Genital hygiene is not good, genital pH is above 4.5, vaginal infections, using diaphragm to prevent pregnancy, pregnancy, diabetes, constipation, wearing tight and synthetic underwear, postponing menopause and urine are risk factors for cystitis. .
What are the complications of cystitis disease?
Fever, serious kidney inﬂammation called pyelonephritis. Chronicity.
What should be done before the doctor’s appointment?
If the individual in question has symptoms of the disease or has one of the causes of the disease, it comes with ready-made examinations. Full urine speeds up processes.
What are the Methods of Testing Cystitis Disease?
Complete urine analysis, urine culture is sufﬁcient when necessary. In some cases, ultrasound and further examinations or even cystoscopy may be required.
What are the Treatment Methods of Cystitis Disease?
Although antibiotics are not always required in the treatment of cystitis, they are usually treated with antibiotics. If cystitis is repeated frequently or if there is chronic cystitis, urine is taken in clean conditions for urine culture and antibiogram before starting treatment and antibiotics are used until the bacteria and effective antibiotics are produced as a result of culture, and if the antibiotic used as a result of culture is ineffective, it is replaced with effective antibiotics. In addition, anticholinergics, hot baths, urinary analgesics can be added to the treatment. Hot application is good for patients with chronic cystitis.
Hot application is good for patients with chronic cystitis.
Life Style Advice:
Water should be taken, cold sea, dirty pools should not be entered, if vaginal infection should be treated.