Chronic cystitis - symptoms and treatment in women

Chronic cystitis is diagnosed when the symptoms of the disease in women last for more than two weeks, and the relapses recur several times a year. Because of the anatomical features of cystitis, women are more likely to occur because their short urethra facilitates the path of bacterial infections.

Chronic cystitis can occur latently, with alternating exacerbations and remissions or with constant symptoms. Diagnosis is carried out according to the results of urine, vaginal microflora in women, tests for STDs, ultrasound of the urinary organs, cystography, cystoscopy, endovesical biopsy.

In women with chronic cystitis, antibacterial treatment, correction of hormonal and immune status, microcirculation processes, local therapy and prevention of exacerbations, according to indications, surgical interventions are carried out.

The reasons

What it is? Chronic cystitis occurs in the presence of diseases of the urogenital tract or other pathologies that are present in a patient, leading to infection and inflammation of the cystic wall.

In this case, factors contributing to the development of the disease are:

  • the deterioration of the protective properties of the epithelium of the cystic wall, triggered by the presence in the patient's body of foci of chronic infection;
  • incomplete emptying of the bladder cavity during micci;
  • the presence of tumor tumors, stones, polypous growths and diverticulum in the cystic cavity;
  • prolonged violation of urine outflow;
  • violation of hygiene requirements.

The most common cause of chronic cystitis is the lack of timely and professional treatment of acute inflammation of the cystic wall.

Symptoms of chronic cystitis

When a woman suffers from chronic cystitis, she can only have one of the symptoms, because the disease is in a latent state.

We list the main symptoms of chronic cystitis:

  • pain when urinating (dysuria), which may be accompanied by a burning sensation in the urethra;
  • frequent urination in small portions;
  • pain in the suprapubic region;
  • urinary incontinence (usually in people of mature age);
  • unpleasant smell of urine.

A woman should be attentive to the above symptoms. If she found one or more of them, she needs to consult a specialist. After all, diseases of the urinary system often provoke diseases of the reproductive system. And this is very undesirable for all women, especially those who have not given birth.

Chronic cystitis and pregnancy

If the patient had chronic cystitis before pregnancy, then during the pregnancy itself, the probability of exacerbation of the disease is high. This is because during pregnancy, the body's defenses are reduced and pressure on the bladder from the fetus appears.

When treating this condition, it is necessary to select such drugs for chronic cystitis that do not have a teratogenic effect.


For the prevention of chronic cystitis, first of all, it is necessary to thoroughly treat an acute disease, without interrupting the course of antibacterial agents. In the presence of concomitant diseases of both the pelvic organs and the body as a whole, they should be treated in a timely manner and in full.

It is imperative to dress according to the season, eat a balanced diet, lead a healthy lifestyle and not be in the habit of holding back the urge to urinate at the urge.

Treatment of chronic cystitis

In each case of chronic cystitis, treatment in women should be selected taking into account the symptoms and the clinical picture of the disease. The very therapeutic process for this disease includes:

  1. Etiological (aimed at eliminating the cause of the disease);
  2. Pathogenetic (elimination of manifestations);
  3. Preventive treatment.

The first involves the use of medical drugs in the treatment of chronic cystitis in women. The main role in this is given to antibiotics, the selection of which is carried out on the basis of the bacteriological study carried out with the establishment of the pathogen.

The drugs of the fluoroquinolone group (Ciprofloxacin, Gatifloxacin) have the highest sensitivity against urogenital infections. Nitrofurans (Furomag, Bactrim) are indispensable in the treatment of urogenital infection.

Pathogenetic treatment is aimed at normalizing immune and hormonal disorders, improving the blood supply to the bladder, correcting hygienic skills and sexual contacts.

Proper drinking regime, perhaps no less important component, without which treatment of cystitis is impossible. A sick person should take as much fluid as possible. In the day you need to drink at least three to four liters of fluid.

To get rid of chronic cystitis during the period of exacerbation, besides all the listed measures, it is necessary:

  • bed rest;
  • sufficient amount of fluid consumed;
  • salt free diet;
  • ozone therapy;
  • acupuncture.

Chronic cystitis occurs on the background of reduced immunity, so a woman needs to strengthen it in various ways.

Folk remedies

There are several very effective recipes for traditional medicine that also very effectively fight chronic cystitis. However, remember that all these recipes can only serve as a supplement to the basic treatment prescribed by the doctor.

  1. Cornflower flowers, licorice root and bearberry leaves in a ratio of 1: 1: 3 will help relieve pain. Grind all ingredients and pour 0.2 l of boiling water, let it brew for half an hour. After that, strain and drink a tablespoon 5 times a day before meals. You can make an infusion of the following herbs: chamomile, flax seeds, eucalyptus, yarrow, clover, lovage.
  2. You can take the leaves of the lingonberry leaf for six months or more, because no side effects. One Art. brew a spoonful of leaves with boiling water (200 ml) and drink after cooling down 0.5 st. before meals 3-4 times a day.
  3. To make a calendula infusion, place three tablespoons of broth in a thermos and pour one glass of boiling water over it. Insist for a day. Then strain the infusion with gauze. A sick person should drink this broth every morning, on an empty stomach, in half a glass. The duration of this treatment is 2 weeks. At the time of treatment it is necessary to abandon the use of black tea, even in small quantities.
  4. Roots and parsley - 1 tsp. finely chopped roots and stems placed in a thermos, pour a glass of boiling water, stand for 2-3 hours; take the broth in small sips an hour before each meal;

Each recipe must be approached wisely, assessing its potential benefits and contraindications for women.

Watch the video: What is interstitial cystitis IC? - Jean McDonald (December 2019).


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