As a rule, 60-70% of women experience such unpleasant manifestations as frequent urge to urinate, accompanied by painful sensations. These symptoms are typical for cystitis. We will talk about it in this article.
Cystitis is not an infection, but a disease characterized by inflammation of the bladder. It is one of the most common problems with which patients go to the doctor.
The fact that women are more likely to suffer from cystitis is primarily due to the anatomical features of the structure of the body (short urethra, proximity of the vagina and anus) and hormonal features.
How to cure cystitis?
In its course, cystitis can be acute and chronic.
In acute cystitis, which often affects young women, the manifestations of the disease are pronounced and occur suddenly. – severe pain, frequent urge to urinate, discomfort in the lower abdomen.
In chronic cystitis, the symptoms of the disease are less pronounced, they occur against the background of existing problems.
Distinguish cystitis of infectious and non-infectious nature.
Cystitis of non-infectious origin can occur when the mucous membrane of the bladder is irritated by substances excreted in the urine (for example, drugs), when the mucous membrane is damaged by a foreign body (stone, during medical procedures), during radiation therapy for tumors of the female genital organs, rectum, bladder (radiation cystitis).
In many cases, an infection is added to the initially non-infectious process. Infectious cystitis are the most common.
In infectious cystitis, pathogens are more often opportunistic microorganisms: E. coli, staphylococci, streptococci, enterococci, as well as fungi and sexually transmitted infections.
Very important in the event of cystitis, especially prone to frequent recurrence, be examined for the presence of other foci of infection: angina, tonsillitis, carious teeth, pyelonephritis, furunculosis and even vaginal and intestinal dysbacteriosis.
Despite the fact that at first glance these problems are in no way connected with the state of the bladder, they can be a provocateur of the occurrence of cystitis.
cystitis and pregnancy
What to do if you notice symptoms of bladder inflammation? Primarily, do not self-medicate, but consult a doctor. The doctor will conduct the necessary examination, the results of which will prescribe treatment.
Since not all cystitis is infectious, antibiotics are not necessary in all cases.
Of the mandatory manipulations for suspected cystitis, it should be noted: examinations for sexually transmitted infections, a general urinalysis, urine culture with the determination of sensitivity to antibacterial drugs.
unreasonable self-administration of antibiotics can provoke the development of chronic cystitis, which is much more difficult to treat than acute manifestations.
It is very important to note that All tests must be taken before taking any medications.
In addition to antibacterial drugs, treatment may include immunostimulating drugs, microflora normalizing agents, antifungal agents, drugs that reduce toxic effects on the liver, medicinal herbs, etc.
Particular attention should be paid to the use of biologically active additives (BAA), which have recently been actively represented in pharmacy chains.
They should be used only on the advice of a doctor, since these drugs do not undergo clinical trials and their effect on the body is sometimes impossible to predict.
Of particular attention are the cystitis that occurs after sexual contact, the so-called postcoital or coitus dependent cystitis.
With postcoital cystitis, exacerbations of the disease occur either immediately or 1-2 days after sexual contact.
Of course, in the first place in such a situation, it is necessary to be tested for sexually transmitted infections. If they are excluded, it is necessary to consult a urologist.
Highly often the cause of postcoital cystitis is the anatomical location of the urethra during sexual intercourse (hypermobility=hypermobility of the urethra).
During sexual intercourse, the urethra is captured and secretions flow through the urethra into the bladder – and, as a result, infection.
All this is due to the weakening or congenital low position of the urethra; and to get rid of the disease, not only the appointment of drugs, but also surgical intervention is necessary.
Postcoital cystitis can develop both from the moment of the onset of sexual activity, and with age.
Another important question is cystitis during pregnancy. During pregnancy, the body’s immune defenses are weakened, as a result of which various health problems can occur during pregnancy, and cystitis is one of these problems.
The issue of treating cystitis in pregnant women is complicated by the fact that the use of drugs is limited, as a rule, up to 12 weeks.
However, there are many herbal medicines, which do not have a negative effect on the fetus and the body of the expectant mother and help fight cystitis.
Treatment should also be prescribed by a doctor and applied strictly according to the recommended regimens.
When the first signs of inflammation of the bladder appear do not put off a visit to the doctor and don’t self-medicate.
Do not take any medications before visiting the doctor and taking tests This can make diagnosis difficult.
Even with full confidence in one’s own health, in the presence of symptoms of cystitis get tested for sexually transmitted infections.
If you have a regular sexual partner, it is recommended to undergo the examination together (especially if there is a suspicion of coitus-dependent cystitis).
Avoid factors that trigger the development of cystitis (especially in the presence of an episode of acute cystitis in the past): hypothermia, overheating, drinking alcohol, too spicy, salty, fatty and any other unusual food.
Stop using tampons during your period and replace them with pads. Do not wear tight synthetic underwear, especially thongs. Don’t use panty liners every day.
Drink as much water as possible, but avoid carbonated drinks and coffee.
Avoid sexual intercourse during treatment (vaginal, oral, anal sex) and provoking factors.