Effective treatment of chronic cystitis in women, men, children

The problem is that the true cause of long-term bladder inflammation often remains unclear, which complicates the treatment of chronic cystitis. But in most cases, the same medications are used as in its acute form: antibiotics, vitamins (the usual complex), if necessary - antispasmodics and analgesics.

Is it possible to cure chronic cystitis and how?

In case of bacterial etiology of the disease, treatment of chronic cystitis with antibiotics is prescribed. The most appropriate is the use of fluoroquinolone antibiotics (Norfloxacin or Ofloxacin), quinolone antibiotics (Palina), and cephalosporins (Cefalexin, Ceforal, etc.).

An antibiotic with a strong uroseptic effect Norfloxacin, Norbactin or Nolitsin for chronic cystitis (these are synonymous drugs) is taken orally twice a day at 0.4 g (before or after meals). The course of treatment lasts two weeks, but can be extended by reducing the daily dose to 0.2 g. The drug is not used in pediatrics and the treatment of pregnant and lactating women. Side effects in the form of intestinal disorders, headaches and convulsions are possible.

Third generation fluoroquinolones are used – Levofloxacin (other trade names – Leflobact, Flexid, Eleflox) – orally at 250 mg once or twice a day (also for two weeks).

The antibiotic Fosfomycin and its synonyms - Fosmitsin, Urofosfabol or Monural are used for chronic cystitis during its exacerbation; a single dose provides the therapeutic effect of fosfomycin for 24 hours.

Amoxiclav, which is part of the penicillin group, is not the drug of choice for chronic cystitis (for example, enterobacteria are resistant to it). Read more - Antibiotics for cystitis

The quinolone derivative Nitroxoline has a bactericidal and antifungal effect in chronic cystitis, concentrating in the urine. The recommended dosage is 4 times a day, 0.1 (during meals). After two weeks of use, a break of the same duration is taken. Nitroxoline is not prescribed for kidney or liver failure, during pregnancy and lactation.

The drugs Nitrofurantoin, Nitrofural, Furadonin or Furamag are considered less effective for chronic cystitis, in addition, long-term use of nitrofurans causes severe side effects on the bronchi and lungs and has a negative effect on the kidneys.

Experts recommend another bacteriostatic antimicrobial agent, Trimethoprim (Trimopan, Ipralin), intended for the treatment of urological infections (contraindicated during pregnancy).

Detailed information about which tablets for chronic cystitis are used most often in the material - Tablets for cystitis

Many urologists prescribe Fitolizin for chronic cystitis or a largely similar drug, Kanefron, for chronic cystitis. You will find a detailed description of these diuretics and their plant-based components in a separate article – Fitolizin during pregnancy: what you need to know about this drug

The Indian herbal medicine Cyston can be used for chronic cystitis as an additional diuretic and anti-inflammatory agent. But the main indication for its use is the removal of oxalate and phosphate stones from the kidneys and bladder.

During an exacerbation, it is recommended to use antibacterial, anti-inflammatory and pain-relieving suppositories for chronic cystitis, which ones exactly - more details in the publication Suppositories for cystitis

If repeated tests show bacteriuria, liquid medications are administered via a catheter directly into the bladder - instillations for chronic cystitis. For these procedures, silver nitrate solutions, Furacilin, Pentosan, Hydrocortisone, and sea buckthorn oil are used; in severe cases - Dioxidine or Dimexide with heparin.

How physiotherapy treatment is carried out see – Physiotherapy for cystitis

Surgical treatment

In rare cases, when long-term antibacterial therapy does not produce the desired results and does not improve the patient’s condition, surgical treatment of chronic cystitis is performed.

Basically, this is a surgical intervention to stop urinary reflux, as well as endoscopic transurethral resection of damaged (morphologically altered) tissue in granular and polypous forms of the disease.

Homeopathy

Homeopathic remedies recommended (not by urologists, but by homeopaths) for chronic inflammation of the bladder and urinary tract:

• granules (daily dose – three pieces) Cantharis 4C, Terebenthina 30C, Staphysagria 5C, Mercurius corrsivus 5C;
• drops (for internal use, 20-40 drops twice a day) Fraxinus excelsior buds, Plantago major, Orthosiphon stamineus, Vaccinium myrtillus;
• solutions for introduction into the urinary bladder – Berberris, Chimaphila, Solidago virga, Uva ursi, Aletris farinosa, Formica rufa, Sepia, Papeira brava, Populus tremula, Sabal serrulata.

How to treat chronic cystitis at home?

Immediately discard the advertising phrase “how to cure chronic cystitis forever with folk remedies”, because almost everything that is offered to gullible citizens has nothing to do with medicine…

Moderate heat on the bladder area always helps relieve its painful spasms and reduce the frequency of urination. But this is a temporary measure, and you need to take the pills prescribed by the urologist.

And herbal treatment is an auxiliary means for reducing the symptoms of the disease. Taking decoctions of bearberry or lingonberry leaves; horsetail, club moss or knotweed; resthor or dill roots, first of all, you increase diuresis (the amount of urine excreted). For an inflamed bladder, this is useful in itself, and the flavonoids, terpenes, quercetins, organic acids and essential oils contained in medicinal plants also have an anti-inflammatory effect.

Proper nutrition and diet for chronic cystitis help reduce irritation of the bladder mucosa. Start by giving up carbonated drinks, coffee and chocolate, sour and spicy foods, and alcohol. More useful information - Diet for cystitis