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Cystitis

Cystitis is inflammation of the bladder, causing heat, swelling, and pain. Cystitis is often caused by an infection in the lower part of the urinary tract. The lower urinary tract contains the bladder and the urethra, the tube that empties the bladder. It can have other causes, but most commonly occurs due to a bacterial infection.

Cystitis can be uncomplicated, meaning it resolves quickly and is easily treated, or it can be complicated. Complicated cystitis is associated with risk factors such as pregnancy and may mean that the infection is resistant to treatment. If untreated, cystitis can lead to serious infection in the kidneys.

Symptoms

Symptoms of cystitis include:

  • Urge to urine
  • Pain or burning when urinating
  • Constantly urinating, and not very much
  • Cloudy urine
  • Blood in the urine
  • A mild fever
  • Feelings of pain or pressure below the belly button
  • Generally feeling bad

Causes & Risk Factors

The main cause of cystitis is a bacterial infection. Bacterial infections are known as urinary tract infections (UTIs) and occur mostly in women. The main bacteria that causes infection is Eschericia coli, but other bacteria can also cause infection.

Other causes of cystitis are:

  • Chronic cystitis – long-term inflammation of the bladder that occurs mostly in women. The cause is unknown and it can be hard to treat.
  • Certain medications – very specific drugs, such as chemotherapy medication, can inflame the bladder as urine leaves the body.
  • Radiation – radiation therapy used to treat cancer can irritate the bladder tissue and cause cystitis.
  • Chemicals – Some people are very sensitive to certain products that their bladder comes in contact with. Specific examples are chemicals in a bath bomb or deodorising hygiene spray. In this case, a person may experience a kind of allergic reaction in their bladder.
  • Use of a catheter – if someone has a catheter in their bladder – a tube to help them urine- for a long period of time, it can cause irritation and hurt the tissues of the bladder, leading to cystitis.
  • Secondary cystitis – cystitis can be an effect of a condition that is already present. Common examples are kidney stones, diabetes, or a swollen prostate.

Risk factors for cystitis include:

  • Sexual activity- females get cystitis almost exclusively. Healthy males rarely get it.
  • Spermicide or a diaphragm (a cup in the vagina that helps stop sperm from reaching the eggs) as a birth control method
  • Pregnancy
  • Post-menopause

Diagnosis & Complications

Your doctor will be able to diagnose cystitis based on your medical history and symptoms. However, they will want to take a sample of your urine to see if they can detect bacteria in it. This allows them to confirm a diagnosis of bacterial cystitis. If they don’t find any bacteria, they may order an ultrasound to see if they can discover any other causes of cystitis. When seeing a doctor about cystitis, it’s important to provide as much medical history as possible so that they know if you’ve been exposed to anything that could cause cystitis.

Complications with cystitis include:

  • Bloody urine – this is abnormal if it continues after treatment is done
  • Kidney infection – this can happen if cystitis is not treated

Treatment & Prevention

The treatment for bacterial cystitis is antibiotics. Other types of cystitis are treated based on the cause. Chronic cystitis is treated in a variety of ways, including pain medication, nerve stimulation, and surgery. Cystitis that occurs due to chemical sensitivity involves avoiding the product that inflamed the bladder. Cystitis due to radiation and chemotherapy drugs is often managed with a focus on treating the pain.

Bacterial cystitis can’t always be prevented, but there are some ways to try and get ahead of it. To minimise the risk of bacterial cystitis, urinate before and after sex, wipe front to back instead of back to front, don’t use sprays or hygiene products in the genital area, and drink a lot of water.

 
 
 

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