Cystitis refers to urinary infections that tend to become chronic. This is due to the ineffectiveness of the therapy. There are many reasons for this situation to arise. To completely cure the disease, it is necessary to eliminate the true factor in the development of cystitis..

Main reasons for treatment failure

Therapy for an infectious-inflammatory process in the bladder involves a multicomponent nature.

The main role in it is given to antibacterial drugs. Their action is aimed at pathogenic microflora. Accordingly, if there is a substrate for the activity of the drug, then it should be effective. However, medicine knows a number of reasons that impair the recovery of patients. They can be divided into 5 large groups:

Thus, if cystitis does not go away after a course of therapy, then the doctor excludes all of the above reasons.

Features of resistant forms of the disease

Interstitial cystitis– a chronic nonspecific inflammatory process of the bladder wall, accompanied by scar degeneration with the gradual formation of a small capacity structure (microcystis).

This variant of the disease is characterized by sterile urine cultures and lack of effect from antibiotic therapy. Diagnosis is carried out using ultrasound, when there is already pronounced thickening of the walls and a small volume of the bladder.

For tuberculous cystitis the clinical picture is nonspecific. A distinctive feature is the acidic reaction of urine and the absence of growth of pathogenic pathogens on nutrient media. However, the disease can only be suspected if the treatment results are negative. In such cases, all patients are required to undergo repeated microscopy of the sediment for Mycobacterium tuberculosis, followed by its inoculation on media.

If cystitis was a consequence of a malignant tumor of the bladder, then this is accompanied by its chronic course. The complaints are similar to those of a common illness. This is characterized by the alternation of an active process that has almost passed with a new exacerbation. Despite the ongoing antibacterial therapy, painless total gross hematuria remains in the urine.

Considering the listed options, when visiting a doctor about persistent cystitis, an additional examination is prescribed:

• smears for sexually transmitted infections;
• repeat ultrasound;
• triple culture of urine for flora with determination of resistance and sensitivity to antimicrobial drugs;
• Mantoux and Diaskintest test;
• urine culture for Mycobacterium tuberculosis;
• sonography;
• computed tomography;
• cystoscopy with biopsy of the bladder wall;

Ways to overcome the problem

If cystitis does not go away after antibiotics, then you need to eliminate the true cause of the disease, or select a more effective medication.

Treatment of interstitial bladder disease does not involve the use of antimicrobial agents. For therapy use:

This type of cystitis tends to be a slowly progressive disease, so surgery is considered the only effective treatment. Surgical tactics are also used when the disease is cancerous.

To treat tuberculous cystitis, several chemotherapy drugs are prescribed simultaneously, the action of which is aimed at the main causative agent of the pathological process. Such patients are observed in specialized dispensaries.

If cystitis is detected against the background of sexually transmitted infections, antibiotics are prescribed for at least 3 weeks. Effective in the following cases:

• Latest generation cephalosporins:

• Suprax.

Immunomodulators are prescribed simultaneously with them:

• Lycopid;
• Kipferon;
• Polyoxidonium.

If an antibacterial drug is ineffective for cystitis, the causative agent of which is a specific microbe, the drug is replaced with another or a combination of 2 drugs is used. The most effective combinations are considered to be:

1. Aminopenicillins and macrolides: Flemoxin with Klacid.
2. Aminopenicillins and cephalosporins: Amoxiclav with Zinnat.
3. Cephalosporins and aminoglycosides are prescribed in the hospital in the form of intramuscular injections: Ceftriaxone together with Amikacin.

Important! If cystitis is viral, antibiotics are contraindicated! The exception is the addition of secondary pathogenic microflora against the background of the underlying disease.

Such patients, after an “unjustified” course of antimicrobial drugs, are prescribed intensive immunomodulatory therapy. It involves long-term use (up to six months) of the following medications:

It is also worth remembering that an antibiotic is only part of a multicomponent therapy. Their intake must necessarily be accompanied by the prescription of anti-inflammatory, restorative and other drugs.

If the “stability” of the disease is due to the lack of taking the main medication, then an introductory conversation is held with the patient. Its meaning is to explain the need for such a massive therapeutic effect.

There are many reasons why cystitis does not recover after antibiotic therapy. When prescribing several medications at the same time, the specialist explains the need for such measures. Awareness about your disease, possible complications and consequences helps to prevent non-compliance with all doctor’s prescriptions. Self-medication and delaying a visit to the doctor for untreated cystitis only aggravates the situation.

Few people do not know about the existence of cystitis. After all, every mother in childhood warned about this extremely unpleasant illness if the child did not want to dress for the weather or sat on the cold floor. The female sex is more predisposed to its occurrence than the disease manifests itself in men. This is due to the anatomical features of the genitourinary system. It happens that after completing a course of treatment, cystitis does not want to go away and patients, perplexed, go back to see their doctor. Today we will talk about why cystitis does not go away and how to deal with it.

Why does cystitis not want to go away?

There are several reasons why cystitis does not go away. The first is considered to be improper treatment of the disease. This happens because the patient does not go to the doctor in a timely manner for some reason, but tries to treat the disease on his own. But his choice is already doomed to failure. This is because he does not know what causes the disease and what kind of bacteria or virus caused its appearance. In addition, there are several forms of the disease, which cannot be determined by eye without the necessary knowledge. There are two forms:

• Spicy;
• Chronic.

Also, based on its origin, cystitis is divided into:

• Primary – pathology appears in the bladder;
• Secondary – the disease “spread over” from other organs, in most cases they were the kidneys. This disease can be cured only after the organ from which the disease came is brought back to normal.

Inflammation that occurred for a specific reason is divided into:

Important! Any of the above forms of cystitis has a special type of treatment.

An equally important feature is that the disease is easily confused with other diseases, namely:

• Bladder tumor;
• Trauma to the urethra and bladder;
• Diseases of the pelvic organs;
• Urethral cyst;
• A stone has passed from the kidney or bladder;
• Urethritis.

The next reason why inflammation does not want to leave a person is the anatomical features of the bladder and urethra. There is such a thing as vaginalization of the urinary canal in women. It means that the urethra is located in the vagina itself or too close to it. At the time of sexual intercourse, the urethra moves towards the vagina and the inseminating fluid enters it. Regular entry of foreign microorganisms leads to the appearance of cystitis. The chronic form of cystitis is typical for such representatives of the fair sex. But vaginalization is not the only pathology that is widespread. In some cases, men and women experience a pathology called meatostenosis. It refers to a narrowing of the urethra. Meatostenosis is characterized by disruption of the bladder, which contributes to the appearance of harmful microorganisms, which often happens with cystitis. It is easy to get rid of the disease by correcting the defect.

The next factor why cystitis does not want to “go away” is considered to be chronic infection, especially in the kidneys. Acute or chronic form of pyelonephritis contributes to the transmission of infection downwards, namely to the bladder. In the event that a person’s immune system has been significantly reduced, then cystitis will not take long to occur. Accordingly, in order to get rid of inflammation, you should first begin to treat the infection in the kidneys.

Another reason is considered to be a decrease in the human body’s reactivity to infections. Poor nutrition, hypothermia, lack of vitamins, illness - all this contributes to a decrease in immune strength. Your own strength cannot properly resist infections, so cystitis does not want to retreat.

The next factor in “long-term” cystitis is considered to be improper genital hygiene. Many people know that cystitis in the fair half of humanity occurs due to the anatomical structure of the genitourinary system. If a woman rarely or incorrectly washes herself and changes her underwear, then harmful microorganisms begin to accumulate and enter the bladder area, which contributes to the appearance of cystitis.

And the last reason that can be identified is a change in the microflora of a woman’s genital organ. As you know, the urethra is located very close to the vagina. And as soon as changes occur in the microflora, they immediately make themselves felt in the bladder.

We should also not forget about the psychological factor. If the cause of the disease is problems in the family, chronic stress at work and other psychogenic factors, then it is worth solving this particular problem. Perhaps the use of antibiotics in this case was pointless - it was necessary to treat the nerves first.

Repeated diagnosis of the disease

If cystitis does not want to go away, patients who have undergone treatment are again sent to see their doctor. This is especially true in cases where blood has become noticeable in the urine. The doctor will again give a referral for tests and, what is extremely important for the patient, is to remain in the inpatient department of the hospital until the end of treatment. In mandatory cases, a bacteriological culture will be done to determine the infection or bacteria in the urethra and vagina. After it, an antibacterial agent is selected that perfectly fights the causative agent of the disease.

Important! When treated with the “wrong” antimicrobial agents, a transition from the acute form of cystitis to the chronic form is possible. It will appear constantly, even with slight hypothermia.

The analysis is carried out at least three times to finally verify the disappearance of the pathogen from the urethra. A rapid test may be used during the examination. It is necessary for the determination of nitrites in urine. In addition, the test easily determines how many red and white blood cells are present in the urine.

If in doubt, the doctor gives a referral for testing for sexually transmitted diseases. Many cases indicate that sexually transmitted infections were detected with cystitis. For inflammation of the bladder, standard medications are used - for other infections they do not make sense. Sexually transmitted diseases completely disappear with properly selected treatment.

So, to understand why cystitis does not want to leave the patient alone, you need to:

• Find out if he has hepatitis through tests;
• Check whether the patient who has undergone treatment has chlamydia, trichomonas, herpes and syphilis;
• Eliminate the presence of herpes viruses;
• Find out whether the patient is developing mycoplasmosis, genitalia and toxoplasmosis.

How to treat prolonged cystitis

After the tests, the doctor prescribes re-treatment. It depends on the causative agent of the disease and can be used as antimicrobial agents, uroseptic drugs, diuretics, medications against spasms and drugs to enhance the functioning of the immune system. All this is assigned purely individually.

Important! The most important thing at this stage is that the patient follows all the advice and takes medications in the indicated dosage prescribed by the doctor.

Diet

Only by giving up several food groups can patients undergoing treatment for cystitis achieve complete recovery in a short period of time. These include:

• Salty food;
• Spicy dishes;
• Alcohol;
• Smoked products;
• Drinks containing gas;
• Animal protein – it is recommended to consume it in moderation.

Nutritionists advise eating vegetables, fruits, greens and dairy products every day. It is important that the diet is varied and contains fats, carbohydrates and proteins in moderation.

Drinking regime is also considered no less important. You must drink at least two liters of water per day. Due to this, the blood will move faster and transport nutrients to the location of the disease. In addition, water helps urine accumulate, which in turn “expels” germs, white blood cells and mucus from the bladder.

A minimum of stressful situations, the absence of bad habits, playing sports and a good mood will help you quickly say goodbye to the disease and increase the body’s immune strength.

Prevention

To prevent cystitis from “appearing” again, you should adhere to preventive measures. To do this you need:

• Do body exercises every morning;
• Dress according to the weather;
• Use contraception;
• Go to the restroom at the first urge;
• Do not wear synthetic clothing;
• Wash the genitals after sexual intercourse;
• Don't forget about the rules of personal hygiene.

The above preventive measures will help both with the primary form of cystitis and with repeated ones. To prevent bladder inflammation from appearing again, you need to take your own health seriously, starting from childhood.

Conclusion

If cystitis is left unattended, it will inevitably become chronic and then “rise” to the kidneys. Untreated pyelonephritis (inflammation of the kidneys) can easily lead to complete kidney failure and disability.

So, if cystitis does not go away after treatment with antibiotics for ten days, it is worth thinking about the predisposing pathology.

The main point. Cystitis does not want to leave a person due to the wrong method of treatment. There may be an infection in the kidneys. Sometimes inflammation of the bladder does not go away due to existing congenital pathologies. To determine the reason why cystitis does not go away, it is necessary to take a bacterial culture test. Treatment for persistent cystitis should only be prescribed by a doctor based on test results. It is important to stick to your diet during treatment.

Many patients who were treated in the urology department would like to know why cystitis does not go away for a long time or periodically recurs. This happens quite often. When choosing the wrong therapy or in its absence, the inflammatory process becomes chronic, which is difficult to get rid of. This should not be forgotten when ignoring the first symptoms of the disease or using folk remedies.

Inflammation of the bladder is a painful pathology that occurs under the influence of various irritating factors. In most cases, infections are the cause.

Many girls believe that therapy is not always necessary and the illness will go away quickly, but after several weeks the untreated process becomes chronic.

Depending on the type of lesion and the cause of the disease, the patient may experience a variety of symptoms.

Most often, the disease of an infectious nature affects women. This is due to some features of the anatomical structure, which make it easier for pathogens to penetrate their body.

1. Severe cutting pain in the pubic area radiating to the lower back, pubis, and perineum.
2. Frequent urge to void due to irritation of the nerve roots of the bladder, which sends signals to the brain.
3. Changes in the color and odor of urine, often becoming cloudy.
4. Rising temperature.
5. Fever.
6. Nausea, vomiting.

There is a popular belief that the main cause of the disease is hypothermia. This statement is not entirely true.

Many pathogens of infectious diseases are opportunistic, that is, permanently living in the body. Their growth and reproduction are controlled by the immune system. Against the background of hypothermia, the latter falls, ceasing to fully cope with its work.

Based on this, you should not apply warm compresses or take hot baths to painful areas at the first symptoms of the disease. This leads to the spread of pathogens to other organs of the genitourinary system, after which patients begin to ask additional questions to the doctor on the topic: “Why does cystitis not go away for a long time?”

The acute form of the disease with properly selected therapy is eliminated quite quickly. If a long time has passed and the patient has not cured it, we are talking about a transition to a chronic form.

Many patients suffering from bladder inflammation are interested in knowing why cystitis does not go away.

• incorrect diagnosis;
• incorrect selection of therapy;
• late contact with a specialist;
• the presence of other chronic pathologies;
• various immunodeficiency conditions;
• independent treatment.

Patients faced with such a problem often ask what to do in this case and how long the disease will last. They need to be prepared to conduct a more thorough examination that was not necessary in the first place. Perhaps the primary cause was incorrectly identified or other organs were involved.

Sometimes urinary inflammation is not an independent pathology, so you can get rid of it only after eliminating the underlying disease, for example, pyelonephritis. It is extremely important to tell your doctor about all your medical conditions and medications you are taking.

Many women who have undergone treatment say: “No matter what I do, I cannot get rid of the disease, and more than a week has passed.”

A common mistake they make is to discontinue medications on their own after eliminating complaints or reducing the dosage. The disappearance of the latter does not indicate a complete cure, but only indicates positive dynamics.

Reckless actions of patients lead to increased resistance of pathogens. Doctors have to prescribe other, stronger drugs that have a number of side effects. In order for the illness to go away within a week, you need to consult a doctor when the first symptoms appear.

If cystitis does not go away, the doctor must decide to review the prescribed treatment and continue the examination.

At the first stage, the patient will need to undergo a general urine and blood test to determine the general condition.

1. Urethral and vaginal smear (for women). For subsequent analysis of flora. The procedure is quite lengthy and can be carried out over 7 days.
2. Ultrasound of the bladder and other organs of the genitourinary system. To assess the performance of the entire department and the presence of complications.
3. MRI. For layer-by-layer diagnostics of organs, it is usually carried out in controversial cases or if the cause has not been established.
4. Biopsy. Taking a biomaterial (tissue sample) to study its structure is prescribed if cancer is suspected.
5. Cystoscopy. To examine the walls of the urethra and bladder from the inside, it allows you to assess the degree of inflammation, the structure of the membranes, the presence of stones and other mechanical factors.

• eliminating the cause;
• relieving inflammation;
• strengthening the immune system.

In order for treatment to proceed faster, the patient must strictly follow all the doctor’s recommendations without taking any independent actions. A month after treatment, general urine and blood tests will need to be retaken.

In order to cure cystitis completely, it is necessary, in addition to basic therapy, to lead a special lifestyle that promotes a speedy recovery and prevents relapses.

If months have passed and there are no results, you will need to follow a special diet. All foods that irritate the walls of the urethra and bladder are excluded from the diet.

• spicy;
• salty;
• smoked;
• pickled;
• sour;
• vinegar;
• alcohol;
• spices;
• tomatoes.

For chronic cystitis you will additionally need:

• provide the body with sufficient fluid supply;
• give up all bad habits;
• go in for sports, exercise;
• temper yourself, for example, with a contrast morning shower;
• avoid hypothermia;
• eliminate stress;
• rest more;
• ensure proper sleep;
• do not practice unprotected sex;
• observe the rules of personal hygiene;
• wash, starting from the front and towards the anus (for girls);
• consult a doctor in a timely manner if any health complaints occur;
• do not treat yourself.

Most patients who regularly follow the doctor’s recommendations experience complete recovery from chronic cystitis after a few months. Persons with rare forms of radiation and chemical inflammation are not taken into account; as a rule, relapses in them can be observed for a long time.

If the pathological process lasts more than a month, then the treatment or lifestyle of the patient should be reconsidered. Regular implementation of preventive measures will allow you to recover from chronic inflammation of the bladder and bring your overall health in order, protecting yourself from many problems in the future. Patients who do not listen to recommendations often treat the disease for a long time and without success.

Disappointing statistics show that 80% of modern women experience manifestations of cystitis, and often manifestations of the disease arise again and again, changing plans and forcing one to decide the question: is it possible to recover from bladder inflammation forever. The key to recovery remains an integrated approach to the problem and strict adherence to the doctor’s recommendations.

Urologists say: Cystitis does not go away on its own; you need to be attentive to your health and begin therapy when the first unpleasant symptoms appear.

Each relapse of the disease requires large material costs and takes more time, and attempts not to pay attention to the manifestations of the disease can provoke the development of severe complications.

Correctly identifying the cause of cystitis is half the success in treatment

The causes of cystitis in women are considered to be:

• Anatomical features of the female body - a wide and short urethra facilitates easy penetration of infectious agents into the bladder cavity;
• Hormonal fluctuations inherent in the fair sex directly affect the condition of the mucous membrane of the urogenital tract;
• Insufficiently effective treatment of previous episodes of the disease - unjustifiably earlier cessation of a course of antibiotics, non-compliance with bed rest during an exacerbation provokes the transition of acute inflammation to chronic;
• The presence of foci of chronic infection in the body;
• Diseases transmitted through sexual contact;
• Neglect of personal hygiene rules;
• Unprotected sex - during sexual contacts, sexual partners exchange microflora, and often pathogens that are inactive in the male body cause cystitis in women (read: “”;
• Inattention to your own body - restraining the urge to urinate creates the preconditions for the development of infection, because urine is an ideal breeding ground for microorganisms;
• Hypothermia of the body.

How does the disease manifest?

The most common manifestations of cystitis remain:

• Frequent urge to urinate;
• Pain in the suprapubic region, which intensifies when trying to empty the bladder;
• Excretion of urine in small portions;
• Complaints of a feeling of fullness, which causes the need to visit the toilet again and again;
• Increased body temperature to 37.5 - 37.7 0C;
• Cloudy and unpleasant odor of urine; there may be an admixture of blood in it.

These symptoms cannot be ignored and hope that the inflammation will go away on its own - untimely treatment contributes to the development of a chronic form of the disease.

In some cases, the development of interstitial cystitis is possible - a constant focus of inflammation in the bladder causes the formation of specific changes in the mucous membrane and wall of the organ, and even successful cure of the microbial infection does not relieve the patient of the symptoms of the disease.

Signs of the disease include chronic pelvic pain syndrome, frequent urination at night, pain in the bladder or vagina, which increases when the organ is full and decreases after urination.

What research is needed?

Cystitis is treated by urologists, and rarely by urogynecologists. At the first consultation, the doctor recommends to the patient a list of tests, the results of which help to make an accurate diagnosis and select a set of effective treatment measures.

Before starting treatment you need to pass:

General blood test.

An increase in ESR (erythrocyte sedimentation rate) and an increase in the number of leukocytes are possible.

General urine analysis.

It is possible to detect protein, leukocytes and erythrocytes in urine sediment.

Urinalysis according to Nechiporenko.

The study helps determine the presence of inflammation when the clinical picture of the disease is blurred.

Urine culture.

The sterility and sensitivity of the identified microorganisms to antibiotics and other antimicrobial agents - without the results of the analysis it is impossible to determine which microorganism caused the disease and which drugs the pathogen is sensitive to.

The main disadvantage of the method is the need to wait up to 10 days for results. Before receiving the test results, broad-spectrum antibiotics are recommended for the first episode of cystitis; in case of a recurrent course, they are guided by the results of previously performed studies; after receiving a response from the laboratory, the prescriptions are adjusted.

Urogenital scraping.

Material for research is obtained from the urethra, vagina, cervix; research is necessary if the presence of sexually transmitted infections is suspected.

Ultrasound of the bladder.

Helps clarify the diagnosis (identify) and exclude other diseases with similar manifestations (urine salt diathesis, neoplasms).

In case of recurrent course of the disease or chronic cystitis, the urologist may recommend studies of the hormonal system (reproductive hormones).

After a course of antibacterial therapy, laboratory tests are also necessary - their results will show the effectiveness of the therapy and will help ensure the patient’s recovery.

Important: Based on the results of treatment, urine culture is recommended to be carried out at least three times, and one of the studies should be recommended after menstruation, which is a natural provoking factor for cystitis.

If cystitis has not gone away, and the results of clinical tests do not reveal signs of an inflammatory process in the bladder and urine culture does not reveal the causative agent of the disease, then the urologist can make a diagnosis of "".

MRI of the pelvic organs, urethrocystography, and a comprehensive study of the urinary system help confirm the diagnosis.

Features of the treatment of recurrent cystitis

Antimicrobial therapy remains a mandatory component of the treatment of cystitis - for this purpose, antibiotics or other antimicrobial agents are prescribed to which the causative agent of the disease is sensitive. The course of treatment is usually 6-10 days, in some cases it may need to be extended.

Drinking regime.

Symptomatic treatment.

Prescribing antispasmodics and anti-inflammatory drugs can stop the unpleasant manifestations of cystitis, but improvement of the condition should not cause early withdrawal of antibiotics.

Anesthesia.

Thermal procedures (warm heating pad, bath at night) help reduce pain; in some cases, the doctor may recommend.

In case of chronic cystitis, the set of measures is practically no different from the treatment of acute forms of the disease, but the course of antibacterial therapy is increased, carrying out treatment under constant laboratory monitoring. In case of particular exacerbations of the disease, it is recommended to inject antiseptics into the bladder.

If interstitial cystitis is suspected, it is recommended to carry out diagnosis and treatment in the urology department - prescribe drugs that stimulate the healing of the mucous membrane, anti-inflammatory and antihistamines, and inject antiseptic solutions into the bladder cavity. If complaints persist, the urologist may recommend surgical treatment of the disease.

Answer to the question: Why cystitis does not go away is individual in each specific case. The examination recommended by the urologist helps to identify all provoking factors. The results of tests and instrumental studies make it possible to select the optimal treatment tactics for bladder inflammation.

Many women experience cystitis in various forms. In men, this disease is registered only in 5%. Why? This is due to differences in the anatomical structure of organisms. The female organs are designed in such a way that infection can pass through the urinary canal much more easily. Cystitis must be treated to avoid a chronic course of the disease, which will need to be treated for many months.

Why does recurrent cystitis occur? And what can you do to avoid this? This may be influenced by external factors and the general health of the patient.

The quality of treatment depends on the patient’s timely visit to the hospital when the following sensations occur:

• Pain in the lower abdomen.
• Frequent urge to urinate.
• When visiting the toilet there is pain, stinging and itching.
• The bladder will not empty completely.
• When you urinate, only a small amount of urine will be released.
• Urine becomes cloudy, dark, and acquires an unpleasant odor.

For diagnosis, you need to contact a urologist. You may need to consult a gynecologist. The choice of treatment must be determined by the nature of the disease. This may be an inflammatory process in the genital area, or it may be an overly active sex life. During menstruation, there is a high possibility of infection entering the body, which will provoke inflammation in the bladder.

This disease belongs to the urological field, but treatment can also be prescribed by a gynecologist. You may encounter a situation in which it will be the same doctor. The main thing is to contact the clinic in a timely manner. In the case of a protracted course of any disease, complications arise. Then the treatment process will be lengthy, and the possibility of curing a chronic disease is reduced.

In the case of cystitis, an interstitial form of the disease may develop. With this form of the disease, the patient can visit the toilet about 120 times a day. This occurs due to changes in the walls of the bladder. It is quite difficult to cure this phenomenon.

The occurrence of bladder inflammation becomes a common disease in women after 50–55 years. This is influenced by changes in hormonal levels, which are caused by menopause. During this period of life, the internal genital organs descend slightly, and infections can more easily enter the body.

Many patients complain of cystitis even after a course of medication. The antibiotics used must act specifically on the microorganisms that caused the disease. In order to determine the type of bacteria, you need to get tested and only then use specific treatment.

When treated at random, especially with urethritis and chlamydia, the disease will heal, and the possibility of its exacerbation is very high. If the patient suffers from diabetes, and cystitis is caused by E. coli. It can be assumed that he has chronic diseases in the form of caries or tonsillitis. Therefore, for a full course of treatment, you need to visit a dentist or ENT doctor.

You must be careful when using medications. Do not self-medicate or diagnose. Medicines can irritate the lining of the bladder.

Acute cystitis is accompanied by pain. Therefore, the doctor recommends bed rest. But women very rarely can observe it for the entire required period. The way out of this situation is this: when cystitis is diagnosed, the patient is admitted to a hospital.

Any disease requires a full course of treatment. If cystitis begins due to an infection, you will need to get tested to make sure that the body is completely healthy.

If cystitis is detected at the initial stage of development, the possibility of curing it within a week increases significantly. In the chronic stage, treatment can last about one and a half years.

Bladder inflammation will be easier to treat if you follow a diet. During the treatment period, you need to limit the consumption of salt, spicy seasonings, and canned foods. It is necessary to give preference to fruits, vegetables, lean meat and fish. You need to give up soda, because carbon dioxide irritates the mucous membranes of the bladder, stomach and pancreas.

Cystitis may appear due to:

• Sexually transmitted infections.
• Treatment that did not affect microorganisms or was interrupted prematurely.
• Weak immunity, which contributes to the occurrence of another type of infection for which no treatment has been carried out.
• Changes in hormonal levels, metabolism, disruption of the endocrine system.
• Disorders in the functioning of the central nervous system.
• Premature termination of pregnancy.
• Malfunction of the genital organs.
• Diagnosis of cystalgia.
• Any malfunction of the bladder.

Medicines should not be taken haphazardly. This especially applies to antibiotics and uroseptics. Different groups of microbes require the selection of special drugs. Indiscriminate use can provoke the development of immunity in bacteria to drugs. This will make treatment useless, and the disease will become chronic.

It is not always recommended to administer medications by drip. Even the use of herbal medicine for baths and douching can be harmful if its use is not agreed with a doctor. Using nutritional supplements as medicine is a big mistake. Their effects on diseases and the human body have not yet been fully studied.

After the course of treatment, the symptoms of cystitis may begin to recur. In this case, you need to consult a doctor without delaying the visit. If blood appears in your urine, you should urgently visit a medical facility.

The specialist should prescribe tests and at this time it is better to remain in the hospital under the supervision of a doctor. Be sure to do a bacterial culture to identify the presence of infection in the vagina or urethra. After the results obtained, you can choose an antibiotic that is able to resist microorganisms of this particular nature.

This procedure should be carried out by everyone who has already been diagnosed with cystitis, which developed on an infectious basis. During the first examination, a medical error could have occurred and the causative agents of cystitis were incorrectly identified. Some bacteria have learned to resist the effects of drugs.

The analysis must be repeated at least 3 times to obtain the most reliable information. A rapid test may be used during the examination. It helps detect the presence of nitrites that may be present in the urine. It is also able to determine the number of white blood cells and red blood cells in the urine. When bacteria are identified, a repeat course of treatment is prescribed. Antibiotics and uroseptics can be prescribed for simultaneous use. It is very important that the patient follows the doctor's recommendations to adhere to bed rest and drink plenty of fluids. Give preference to compotes, green tea, you can make herbal infusions. From herbal medicine you can use aspen and birch buds, elderberry, and bearberry. But only in consultation with the attending physician.

The doctor may decide to conduct a complete examination of the patient. This decision is made at the appointment and after passing the generally accepted tests.

To identify the cause that provokes recurrent cystitis, you need to do the following:

• Conduct tests for the presence of herpes viruses.
• It is imperative to exclude the presence of infection in the form of chlamydia, syphilis, trichomonas, herpes.
• Check for the possibility of developing hepatitis of any kind.
• Check the body for the possibility of developing toxoplasmosis, milkaplasma, genitalia.

It is necessary to exclude the presence of any other infectious disease and conduct an examination until pathogens that can provoke cystitis are found.

During the treatment period and after, it is necessary to observe the rules of personal hygiene. They should not be forgotten even after recovery. In the absence of proper hygiene, cystitis will have a chronic form. Pay special attention to this point during the menstrual cycle. It is necessary to change pads more often; it is better to take a shower than a bath. Avoid visiting the pool and sauna. Make sure you don't get your feet wet and dress appropriately for the weather.

If you work in an office and sit at a desk almost the entire working day, you should do a warm-up every half hour, or maybe more often. Underwear should be comfortable. You also can’t stand it if you want to go to the toilet.

If a diagnosis has been made of infectious cystitis, your sexual partner also needs to undergo treatment. Especially when a relapse occurs. In parallel with taking antibiotics, it is necessary to use drugs that restore flora and immunity. During the entire period of treatment for cystitis, sex should only be performed using a condom. Even if the treatment lasts from a month to six months. If it is determined that cystitis is due to an infection in the oral cavity, it is necessary to abstain from oral sex until the course of treatment is completed and be sure to cure caries. Special attention should be paid to oral hygiene.

If a repeated attack of cystitis occurs, it is imperative to pay special attention to prevention. After treatment, visit a urologist and gynecologist at regular intervals.

In case of chronic cystitis, the usual course of antibiotics and uroseptics will not be enough.

For personal hygiene, buy special wet wipes. Avoid using scented gels and shampoos.

Cystitis is a disease that can be completely cured. But for this you need to consult a doctor in a timely manner and follow all his recommendations after identifying the disease. If it reappears, a full examination and a long course of treatment are required, the success of which depends on many factors. The patient must pay increased attention to personal hygiene, follow a diet and take proper treatment.