Uncomplicated urinary tract infections are very common and often recur. Cystitis is a common bacterial disease that usually affects women (they are about 8 times more likely to have it than men).
What is bacterial cystitis?
Cystitis of a bacterial nature is characterized by an inflammatory process of the walls of the bladder. It responds well to treatment and usually does not require hospitalization.
Due to the peculiarities of the structure of the genitourinary system, most complaints about this problem come from women, but sometimes men also experience it.
Reasons for development
Bacterial cystitis always occurs for one reason: as a result of pathogens entering the bladder.
The following factors can provoke the disease:
- non-compliance with hygiene rules;
- the presence of chronic infections;
- postponed installation of a urinary catheter;
- use of spermicidal contraceptives;
- frequent change of sexual partners;
- atrophic vaginitis in history.
In men, the most common factor in the development of the disease is STIs. The appearance of cystitis can be influenced by prolonged exposure to cold, frequent stressful situations and the taking of certain medications, but all these factors are considered concomitant. Affecting the general immunity of the body, they increase the probability of reproduction of pathogenic microorganisms.
Pathogenic microorganisms can enter the bladder via ascending, lymphogenic, and hematogenous routes. A necessary condition for the development of the disease is the invasion of bacteria into the walls of the bladder.
Symptoms
Bacterial cystitis in patients of both sexes begins with an acute phase.
It can be recognized by several specific characteristics:
- the appearance of frequent urge to go to the toilet;
- pain, burning and discomfort when urinating;
- excretion of a small amount of blood in the urine;
- false urge to go to the toilet, a decrease in the amount of urine excreted.
In addition to the specific symptoms, the patient may experience the following signs of cystitis:
- pain during and after intercourse;
- discomfort in the perineum and pelvis;
- increased body temperature;
- pulling pains in lower back.
A progressive disease causes cloudy urine and the appearance of a specific odor. Urinary incontinence can also occur with sneezing or coughing. The chronic form of cystitis is characterized by the same symptoms as the acute one, but they become less pronounced and intense.
Distinctive features compared to other forms.
Cystitis is a disease that presents a large number of forms and manifestations. The most common bacterial, fungal and viral cystitis of an infectious nature. In some cases, the disease is caused by a "descended" kidney infection.
In addition to those listed, there is an extensive group of non-infectious cystitis. They can develop as a result of non-biological mucosal damage.
There are types of cystitis:
- Traumatic or foreign body cystitis. It develops with prolonged use of a urinary catheter, which leads to tissue damage.
- Interstitial or autoimmune.A chronic form of the disease, which is difficult to diagnose and treat, since specialists have not yet established the exact causes of development. In most cases, this form of cystitis can be recognized by severe pain when filling the bladder, as well as a very frequent need to urinate; in some cases, their number can reach up to 100 times a day.
- Ray.It occurs in cancer patients undergoing radiotherapy. Irradiation negatively affects the mucous membrane of the bladder, causing pain, frequent urination, blood in the urine.
- Allergic.It occurs as a reaction to allergens that have entered the body.
- chemical-toxic. This form of the disease can occur when using spermicidal gels, hygiene sprays, or chlorine that enters the urethra when visiting the pool.
Diagnosis
Even in the presence of specific symptoms, cystitis can only be diagnosed with the help of a laboratory urine test. The analysis allows you to identify the presence of protein in it, an excessive percentage of leukocytes, and hematuria (the presence of red blood cells). In addition, a bacterial culture is carried out, thanks to which the doctor can identify the causative agent of the disease and select the most effective drugs.
In men, the prostate is also examined and tests are done to rule out a number of genital infections that may be hidden and asymptomatic. Women should be examined by a gynecologist and take a smear to assess the microflora.
Methods for the treatment of bacterial cystitis.
Bacterial cystitis requires drug treatment with antibacterial drugs. The doctor selects the appropriate means after studying the results of laboratory tests. The disease in the chronic stage requires therapy for 7-10 days. In many cases, an integrated approach to the treatment of cystitis is effective.
Etiological treatment
Since the cause of the inflammatory process in the bladder is most often an infection, most often patients are prescribed antibacterial drugs. The most common causative agent of cystitis is Escherichia coli, this uropathogenic microorganism is detected in 75-90% of cases.
In 5-10% of patients, the disease is caused by Staphylococcus saprophyticus, other Enterobacteriaceae are less common.
Pathogenetic treatment
Antibacterial therapy in women can kill bacteria in the bladder, but it does not affect bacteria in the intestines. They fall again on the surface of the perineum, into the urethra, and then into the bladder. The bladder membrane, designed to protect it from the penetration of bacteria, ruptures during cystitis, which causes a high probability of recurrence of the disease.
In world practice, the treatment of the chronic form of cystitis by introducing sodium hyaluron into the bladder is widespread. There are oral agents, but more often the most effective is their combination.
Such drugs allow:
- protect the walls of the bladder from the penetration of bacteria;
- restore the damaged protective layer of the mucous membrane;
- protect the urothelium from the influence of toxic components contained in the urine;
- significantly reduce the intensity of the inflammatory process occurring in the bladder.
This technique is effective in case of relapses, resistance to antibacterial drugs and lack of results from other types of therapy. Another of its advantages is the reduction of the probability of relapses and the possibility of getting rid of cystitis for a long time, even in advanced cases.
Symptomatic treatment that reduces the manifestations of the disease
Bacterial cystitis in women causes discomfort and pain, which can be quite intense. Symptomatic treatment allows to cope with this, the main purpose of which is to alleviate the general condition of the patient.
In most cases, doctors prescribe non-steroidal anti-inflammatory drugs, recommend giving up tea, coffee and alcoholic beverages. To ease the pain, you can take lukewarm baths and use a heating pad. During the treatment of cystitis, it is important to drink enough water.
Remedies for the treatment of bacterial cystitis in women
Therapy for cystitis in women involves oral medication. Coping with the disease in a short time allows an integrated approach that takes into account the individual characteristics of the patient's body.
antibiotics
The basis of the treatment of cystitis is the use of drugs that can selectively inhibit or destroy pathogens. For the treatment of inflammatory processes that occur in the urogenital system of the body, uroseptics are used, which are excreted through the kidneys and thus provide an effective concentration of the drug in the inflamed area.
| Antibiotic | Description |
|---|---|
| Derivative of phosphonic acid | Water soluble powder with citrus aroma. This drug is considered one of the most widely used antibiotics in the treatment of cystitis. It acts for about 2 hours, is completely excreted from the body after 2 days. |
| Semi-synthetic antibiotic of the group of macrolides II generation | White tablets. It is prescribed for patients who have experienced cystitis as a result of a sexual infection. |
| Second generation fluoroquinolone antibiotic | Orange tablets. 1 tablet is enough for 12 hours, the drug is completely excreted from the body in 1 day. |
| 1st generation quinolone antibiotic | It affects a wide range of viruses. Available in the form of hard capsules, the active substance is nalidixic acid. |
| 1st generation quinolone antibiotic | Available in capsule form, the active ingredient is pipemidic acid. Starts working within the first 1. 5 hours after ingestion. Up to 85% of the active substance is excreted in 1 day. |
| Semi-synthetic antibiotic of the group of III generation cephalosporins. | Berry-scented orange tablets. The action of the drug is to suppress the synthesis of pathological microorganisms. |
Analgesics
For cystitis, doctors often prescribe nonsteroidal anti-inflammatory drugs in the form of tablets or rectal suppositories.
Patients who experience a relapse of the disease often have to take medications as the main ones. The same approach is used in cases where the use of antibiotics for one reason or another is not possible. As a complex therapy, a specialist can prescribe antispasmodic drugs that block painful spasms of the bladder wall.
In the acute phase of the disease, the bladder can shrink, preventing normal emptying. Muscle relaxation solves this problem and has an analgesic effect, improves blood circulation and restores normal organ function.
It is important to consider that antispasmodics affect systemic blood flow and the functioning of internal organs, so they are not used for hematopoiesis problems, kidney and liver failure, acute diseases of the gastrointestinal tract and some other health problems. Therefore, its intake and dosage must be agreed with the doctor.
diuretics
Diuretics are prescribed to restore normal urination, which is an important factor in the treatment of cystitis. The most moderate are herbal diuretics or herbal remedies, which are intended for adjunctive therapy.
Among them are:
- A preparation in the form of a paste, consisting of essential herbs and extracts. A small amount of this remedy is diluted with water and taken orally.
- Herbal tablets or solution containing centaury herb, lovage root, and rosemary leaf. It has a diuretic and antimicrobial effect on the body.
- Herb collections. The composition of such herbal remedies includes herbs that stimulate urine production and have anti-inflammatory, antispasmodic and relaxing effects. As part of the fees, you can find oak bark, St. John's wort, chamomile, and flax. Such remedies are effective in various forms of cystitis and are used even in advanced cases.
drink mode
Drinking a sufficient amount of fluid can reduce the concentration of urine and irritation of the walls of the inflamed bladder, as well as increase the urge to urinate and speed up the elimination of pathogenic bacteria. Doctors recommend drinking at least 2-3 liters of water per day, depending on the patient's body weight. With cystitis, bed rest is necessary, which allows you to speed up the process of treatment and recovery.
Prevention
The bacterial form of cystitis lends itself well to prevention, thus you can avoid this disease and protect yourself from possible relapses after treatment.
Most experts recommend taking preventative measures:
- Hygiene. It is necessary to wash at least 1 time a day, while the direction should be from front to back. Thus, it is possible to prevent the ingress of pathogens from the anus into the vagina and urethra (this is the mechanism that most often leads to the development of cystitis in women).
- Drink enough liquid.
- Use of barrier contraceptives.
- Protection against hypothermia and long stay in a wet swimsuit.
- Rejection of synthetic underwear in favor of underwear made from natural fabrics.
It is also recommended that women urinate after each intercourse to get rid of any bacteria that may have entered the urethra. It is equally important to empty the bladder regularly, as stagnant urine is a beneficial environment for the reproduction of pathogens.
If symptoms return within 14 days after completion of therapy, urination for bacterial culture is necessary. Treatment failure may be due to the low susceptibility of the microorganism to the selected drug.
Possible complications and chronicity of the disease.
Untreated cystitis can turn into a chronic form, which becomes much more difficult to eliminate and the treatment of which is more expensive. You can avoid this consequence if you go to a specialist in time when the first signs of the disease appear. A fairly common complication is vesicoureteral reflux. It occurs when urine enters the ureter from the bladder, that is, in the opposite direction.
This process, if not given due attention, can lead to inflammation of the uterus, peritonitis, or inflammation of the peritoneum. The inflammatory process in the bladder walls sometimes leads to abscesses and scarring, resulting in a reduction in the amount of urine it can hold. In this case, the patient is faced with frequent and painful urination.
In men, prolonged cystitis can lead to leakage of urine from the prostate gland, an inflammatory process in the prostate, and epididymitis. Women can experience reproductive problems. Cystitis, which is bacterial in nature, in acute form can lead to miscarriage in pregnant women. Therefore, the treatment, which in most cases lasts about a week, cannot be delayed.