Symptoms of Chronic Cystitis in Women

Written by Wang Shuai
Urology
Updated on November 10, 2024
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The main clinical manifestations of chronic cystitis in women are recurrent symptoms of frequent urination, urgency, and incomplete emptying, accompanied by pain in the lower abdomen, generally without the presence of blood in the urine. Chronic cystitis often develops from acute cystitis that has not been fully treated. For such cases, further urine culture and antibiotic sensitivity tests should be conducted. After identifying the causative bacteria, appropriate antibiotics should be used for regular treatment, typically exceeding three weeks. Additionally, there are special types of cystitis, such as glandular cystitis. In cases of this type of chronic cystitis, surgical bladder instillation and other treatments may be necessary.

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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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Does cystitis require surgery?

Patients with cystitis do not need surgery. Cystitis mainly occurs when the bladder's mucous membrane is infected by bacteria, causing inflammation inside the bladder. Patients often experience symptoms such as frequent urination, urgent urination, painful urination, and lower abdominal pain. Cystitis is primarily treated with medication, usually under a doctor’s guidance, either orally or through intravenous antibiotics. Additionally, patients are advised to drink more water and urinate frequently, which generally can cure cystitis.

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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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Can I eat lamb with cystitis?

Patients with cystitis should ensure a balanced diet and avoid eating spicy and irritating foods. Eat less lamb, if possible, avoid it entirely. It's beneficial to consume more fruits and vegetables, such as apples, pears, apricots, peaches, persimmons, rapeseed, spinach, and the like. Additionally, avoid eating leftover meals and pickled items, such as salted vegetables. It is best to abstain from alcohol, especially avoid drinking spirits. Do not smoke, it is best to quit smoking. The diet should be light, mainly focusing on light foods, with more steaming and slow stewing.

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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.