Can cystitis cause blood in urine?

Written by Xu Chun Hua
Urology
Updated on September 14, 2024
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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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Causes of glandular cystitis

The causes of glandular cystitis are still not very clear, and it may be related to chronic inflammation in the bladder, stones, obstruction in the bladder, neurogenic bladder, bladder eversion, and other diseases. Glandular cystitis is considered a transformative lesion of the bladder mucosal tissue. The origins of the bladder mucosal epithelium mainly include embryonic origin, degeneration, and epithelial transformation theories. The main clinical symptoms are frequent urination, urinary urgency, painful urination, macroscopic hematuria, and discomfort of heaviness in the lower abdomen.

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What department should I go to for cystitis?

Patients with cystitis need to go to the urology department of their local hospital for formal examination and treatment. Cystitis mainly causes frequent urination, urgency, and painful urination, and some patients may also experience discomfort and pain in the lower abdomen. In such cases, it is necessary to promptly visit the urology department for examination. The doctor will first conduct a routine urine test and a urinary system ultrasound for the patient. If diagnosed with cystitis, treatment should be carried out through formal medication.

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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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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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Bladder inflammation moxibustion site

Cystitis is primarily treated with antibiotics, so moxibustion can only serve as an auxiliary treatment method. Commonly chosen acupoints include Zhongji and Guanyuan. Moxibustion involves igniting a moxa stick, targeting the body's meridians and channels to achieve a therapeutic effect. Moxibustion can effectively unblock the body's meridians, and for certain symptoms of diseases like cystitis, it can have a significant effect. It is a treatment method in traditional Chinese medicine. From the perspective of Chinese medicine, the treatment of cystitis with moxibustion is considered a form of internal and external medicine, where blood and qi play a direct role.