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Bladder Infections (Cystitis)

What is Cystitis?

  • Inflammation of the bladder
  • Most commonly caused by a bacterial infection
  • A type of urinary tract infection (UTI)
  • More common in women than men
  • Can be acute or chronic

What causes Cystitis?

  • Bacteria entering the urethra and reaching the bladder
  • Most common bacteria is Escherichia coli (E coli)
  • Sexual activity
  • Poor hygiene or wiping back to front
  • Use of catheters
  • Menopause and hormonal changes
  • Blockages in the urinary tract
  • Use of irritating feminine hygiene products

What are the symptoms of Cystitis?

  • Frequent urge to urinate
  • Burning sensation during urination
  • Passing small amounts of urine often
  • Cloudy or strong-smelling urine
  • Blood in the urine
  • Lower abdominal pressure or cramping
  • Feeling tired or unwell
  • Low-grade fever in some cases

How is Cystitis diagnosed?

  • Urine sample for urinalysis and urine culture
  • Physical exam and discussion of symptoms
  • Imaging tests like ultrasound if infections are recurrent
  • Cystoscopy if other causes are suspected

How is Cystitis treated?

Antibiotics

  • Most bladder infections treated with oral antibiotics
  • Duration depends on severity and frequency
  • Follow full course even if symptoms improve early

Pain relief

  • Over-the-counter medications like ibuprofen or acetaminophen
  • Phenazopyridine for urinary pain relief (short-term use only)
  • Warm compress on the lower abdomen

Lifestyle and self-care

  • Drink plenty of water to flush bacteria
  • Urinate frequently and completely
  • Avoid caffeine, alcohol, and spicy foods during infection
  • Wear cotton underwear and loose-fitting clothes

What are the complications of untreated Cystitis?

  • Kidney infection (pyelonephritis)
  • Blood in urine
  • Chronic bladder infections
  • Urethral narrowing in men
  • Sepsis in severe untreated cases

How can Cystitis be prevented?

  • Wipe front to back after using the toilet
  • Urinate after sexual activity
  • Drink adequate fluids daily
  • Avoid irritating hygiene sprays or douches
  • Do not hold urine for long periods
  • Take showers instead of bubble baths
  • Use proper catheter hygiene if needed

When to see a doctor?

  • Symptoms lasting more than a day or two
  • Blood in urine
  • Fever, chills, or back pain
  • Frequent or recurring bladder infections
  • Symptoms during pregnancy or if you have a medical condition
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