Chronic cystitis in children

Chronic cystitis occurs more often after untreated acute cystitis.

In chronic cystitis, the pathological process can be limited and diffuse in its prevalence. All layers of the bladder wall are affected, elasticity is lost, the capacity of the bladder decreases, and its walls may shrink. Chronic cystitis can be low-symptom and recurrent. In low-symptom chronic cystitis, the manifestations are scanty, mainly from the urinary system. Relapses often occur with acute respiratory viral infections, hypothermia, and exacerbation of chronic foci of infection. In young children, the clinical picture of exacerbation, as with acute cystitis, is scanty. In older children, the clinical picture of exacerbation corresponds to the clinical picture of acute cystitis, while the pain symptom is expressed somewhat less strongly.

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Diagnosis of chronic cystitis

In the diagnosis of chronic cystitis, pathology in urine examination, cystoscopy and ultrasound results are important. The danger lies in the occurrence of functional insufficiency of the closing mechanism of the vesicoureteral segment, which leads to the occurrence of vesicorenal reflux and the development of secondary pyelonephritis.

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Treatment of chronic cystitis

During periods of exacerbation, antibacterial and uroseptic agents are prescribed for 5-6 weeks or more, taking into account the pathogenic flora and urine sanitation and normalization. Of great importance is the therapy aimed at increasing the body's immunological reactivity.