Cystitis

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Written by Zou De Bo
Urology
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How is cystitis diagnosed?

Chronic cystitis can be diagnosed through various methods. Firstly, urinary tract imaging can demonstrate reduced bladder capacity, rough or irregular bladder margins. Secondly, an ultrasound can show a reduction in bladder cavity and general thickening of the bladder wall. Additionally, a CT scan can reveal widespread irregular thickening of the bladder wall and a reduction in bladder size, with the inner and outer surfaces appearing rough. These diagnostic methods can all be used to check for cystitis, though specific situations should be evaluated on a case-by-case basis.

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Written by Wang Shuai
Urology
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Is cystitis easy to treat?

Cystitis refers to the congestion of the bladder mucosa caused by a bacterial infection, leading to symptoms such as frequent urination, urgency, painful urination, and blood in the urine. In this case, antibiotics can be used for treatment. If necessary, a urine culture and drug sensitivity test should be conducted, and sensitive antibiotics should be selected based on the results. Alternatively, empirical medication using levofloxacin or cephalosporin antibiotics can be employed. After anti-inflammatory treatment, recovery usually occurs within about a week. During treatment, it is important to maintain a light diet and avoid spicy and irritating foods. Drinking more water and urinating frequently can help flush out negative exudates and blood clots from the bladder.

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Written by Guan Hai Fang
Urology
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What is cystitis?

Cystitis, simply put, is inflammation of the bladder and can be divided into acute bacterial cystitis and chronic bacterial cystitis. Acute cystitis typically affects women more often due to the shorter female urethra. Infections can occur following sexual intercourse, catheterization, poor personal hygiene, or reduced resistance to bacteria, such as during a cold, which might lead to an ascending infection. Symptoms are generally most pronounced at the superficial bladder, particularly near the internal urethral orifice and the trigone of the bladder. Chronic cystitis often develops from an acute upper urinary tract infection or through chronic infection and may also be triggered or followed by certain lower urinary tract conditions, such as benign prostatic hyperplasia, chronic prostatitis, urethral stricture, bladder stones, hymenal fusion at the urethral opening, or paraurethral gland inflammation. It is generally characterized by persistent frequent urination, urgency, painful urination, and discomfort in the suprapubic bladder area.

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Written by Zeng Zhong
Urology
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What department to see for cystitis?

Cystitis is a disease of the urinary system, and patients can visit the urology department of their local hospital for examination and treatment. Patients with cystitis mainly experience symptoms such as frequent urination, urgency, and painful urination, and sometimes there may be discomfort and pain in the lower abdomen. When these symptoms occur, go to the urology department of the local hospital, where you can have an ultrasound of the urinary system and a routine urine test. If diagnosed with cystitis, treatment should be carried out with appropriate medications under the guidance of a doctor, which may include taking antibiotics orally or intravenously.

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Written by Zeng Zhong
Urology
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Will cystitis cause pain in the lower abdomen?

Patients with cystitis may experience symptoms of lower abdominal distention and discomfort, as well as frequent urination, urgent urination, and painful urination. Patients presenting these symptoms should first visit the urology department of a hospital to undergo routine urine analysis and urinary system ultrasound to confirm the diagnosis of cystitis. Once diagnosed, under the guidance of a consulting physician, treatment involves oral or intravenous antibiotics. Additionally, patients are advised to drink plenty of water and urinate frequently, which can assist in the treatment of cystitis.

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Written by Xu Chun Hua
Urology
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Treatment of cystitis

Treatment of cystitis includes drinking plenty of water and taking oral sodium bicarbonate to alkalize the urine, reducing irritation to the urinary tract. Atropine and diazepam may be used. Applying heat to the bladder area and taking hot water sitz baths can relieve bladder spasms. Antibacterial drugs such as cephalosporins and quinolones can be used. In recent years, for women with uncomplicated cystitis without complications, sensitive antibacterial drugs can be appropriately used for treatment. Postmenopausal women often experience urinary tract infections frequently. The lack of estrogen, leading to a decrease in lactobacillus in the vagina and an increase in pathogen proliferation, is often a factor in infections. Therefore, adopting estrogen replacement therapy can also maintain the normal vaginal environment and reduce the occurrence of urinary tract infections.

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Written by Xu Chun Hua
Urology
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Can cystitis cause blood in urine?

Patients with cystitis may experience hematuria, commonly terminal hematuria, which occurs towards the end of urination. Sometimes, blood is present throughout the entire urination process, even with blood clots being expelled. The onset is often quite sudden, and may be accompanied by frequent urination, urgency, and painful urination, with severe cases needing to urinate every few minutes, regardless of day or night. Therefore, when cystitis leads to hematuria, there is no need for concern. Timely treatment can fully resolve the issue, and it is important not to be overly stressed mentally.

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Written by Zeng Zhong
Urology
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How many days can cystitis get better?

Patients with cystitis can generally be cured within about one week if treated with standard medications. The main symptoms of cystitis include frequent urination, urgent urination, painful urination, and even visible blood in the urine and discomfort in the lower abdomen. Patients can visit the urology department of a local hospital for formal examination and treatment. Under the guidance of a consulting physician, treatment can be administered orally or via intravenous injection with broad-spectrum antibiotics. Additionally, patients should rest more, consume light and easily digestible foods, drink plenty of water, and urinate frequently.

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Written by Wang Jian
Urology
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How to treat cystitis

Bladder infections are most commonly seen in female patients, as the female urethra is very close to the vagina and anus, making it easy for bacteria to cause infection. Symptoms of bladder infection generally include frequent urination, urgent need to urinate, painful urination, discomfort in the bladder area and perineum, a burning sensation during urination, and sometimes visible blood in the urine at the end of urinating. Diagnosis of bladder infection mainly involves a routine urine test, where a large number of white blood cells can be seen in the urine. In terms of treatment, antibiotics are primarily used, with quinolones such as levofloxacin being common choices, administered over three days. Another option is cephalosporin antibiotics such as cefixime, which is also used for three days. It is important to drink plenty of water, urinate frequently, avoid spicy and irritating foods, and maintain cleanliness and hygiene of the perineal area. Generally, symptoms should improve significantly within about three days, and it is advisable to recheck the routine urine test after one week.

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Written by Zeng Zhong
Urology
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How many days can cystitis heal itself?

Patients with cystitis cannot heal on their own without formal treatment; instead, their symptoms will gradually worsen. The main symptoms of cystitis include frequent urination, urgency, painful urination, and discomfort or pain in the lower abdomen or perineum. After a confirmed diagnosis of cystitis, it is necessary to seek timely treatment at the local hospital's urology department. Treatment can be administered through intravenous antibiotics or by taking oral antibiotics. Additionally, patients should increase their water intake and urinate frequently, as these measures can effectively treat cystitis. Generally, patients can recover within about a week.