What is cystitis?

Written by Guan Hai Fang
Urology
Updated on September 17, 2024
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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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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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What is tested for cystitis?

After suffering from cystitis, a definitive diagnosis can be made through routine urine tests, ultrasonography, urine culture, and antibiotic sensitivity tests. Typically, the routine urine test will show a significant increase in white blood cells, possibly accompanied by pus cells, and often an increase in red blood cells as well. Ultrasonography may reveal inflammatory changes such as thickening and roughness of the bladder wall. Combined with the patient's clinical symptoms, such as frequent urination, urgency, painful urination, or even blood in urine, a clear diagnosis can be established. Once the diagnosis is confirmed, it is advisable to promptly treat with antibiotics. Oral antibiotics, such as levofloxacin tablets or cephalosporins like cefuroxime axetil capsules, are commonly used. During treatment, it is recommended to eat a light diet, avoid spicy and irritating foods, drink plenty of water, and urinate frequently.

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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 should I do about cystitis?

After discovering cystitis, do not be too stressed mentally, actively treat it, drink more water, and orally take sodium bicarbonate to alkalinize the urine. This can reduce irritation to the urinary tract. Additionally, medicines like atropine and diazepam can be used, and appropriate heat application to the bladder area, as well as hot water sitz baths, can alleviate bladder spasms. Antibiotics such as cephalosporins and quinolones can be appropriately used. For simple cystitis, you can choose antibiotics that are more sensitive, using a three-day treatment method, which is similar to a seven-day course, with fewer side effects and lower costs. (Please use medications under the guidance of a doctor.)

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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.