Is hematuria in cystitis severe?

Written by Wang Shuai
Urology
Updated on September 26, 2024
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Cystitis refers to the congestion and edema of the bladder mucosa caused by infections from bacteria, viruses, etc., leading to symptoms such as frequent urination, urgent urination, and painful urination. The presence of blood in the urine indicates that the bladder mucosa has been compromised, possibly involving mucosal rupture, ulceration, or even invasion of blood vessels, resulting in bleeding. This suggests that the cystitis has progressed to a more severe stage and requires timely anti-inflammatory treatment. Treatments might include oral administration of levofloxacin tablets or cephalosporin antibiotics, and if necessary, intravenous antibiotics may be used. During treatment, it is advisable to consume a light diet, avoid spicy and irritating foods, drink plenty of water, and urinate frequently to help flush out negative exudates and blood clots from the bladder.

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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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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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Written by Wang Shuai
Urology
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Causes of cystitis

Cystitis refers to symptoms such as frequent urination, urgent urination, painful urination, hematuria, and even lower abdominal pain caused by infections from bacteria, viruses, mycoplasma, chlamydia, etc. The most common cause is bacteria entering the urethra through the urethral opening and spreading to the bladder. Additionally, kidney diseases such as pyelonephritis can also cause cystitis. Bacteria from the remaining infected urine produced by pyelonephritis travel down the ureters into the bladder, thus causing cystitis. After contracting cystitis, it is necessary to receive timely anti-inflammatory treatment, and generally, the condition can be healed with about a week of medication.

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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.