First aid for cystitis in women and men

Cystitis is a rather painful condition associated with acute or chronic lesions of the urinary tract. First aid for cystitis is almost always provided, since the patient is bothered by sharp severe pain, cutting, the condition deteriorates sharply. After providing first aid, it is possible to control the pain, stop the attack, after which it is already possible to continue the planned therapy. About how to help a person with cystitis, everyone needs to know.

What to do at the first signs of cystitis?

More and more often from patients have to hear the question: "What to do at the first signs of cystitis?". The question is quite natural, because it is necessary to act quickly and accurately. So, the first thing to do when the first signs of cystitis - to control the pain syndrome, relieve the attack of spasm, rubber. After that, you can proceed to eliminate the consequences of an acute attack. It is necessary to give the patient antispasmodic, analgesic means. Well help with acute attacks of pain are such remedies as no-shpa, 5-NOC, baralgin. With severe pain syndrome, you can use diclofenac (injections). With attacks of medium severity helps urolesan (a remedy of vegetable origin). It is dripped on a piece of refined sugar 5-25 drops, (depending on the stage of the disease, the severity of the pain syndrome). As an emergency remedy prescribe monural, furagin, cyston, which quickly relieve inflammation and pain. [1]

After the patient is relieved, he should be given plenty of water (tea, warm water). It is important to rest and call an ambulance. When an attack of cystitis, it is necessary to call an ambulance, even if it was possible to independently stop the attack, and well-being has significantly improved. This is due to the fact that medicines allow you to mask the main symptoms of pathology, temporarily control the pain process. But they do not eliminate the cause, and do not affect the pathological process. This means that over time there may be a relapse of the attack, which will be much more severe than the previous one. In addition, it should be taken into account that the body can develop resistance to the drugs used, so the next time they will be ineffective. Also, if the pathological process was not cured, there is a chronicization of the inflammatory process. The chronic form is difficult to treat, requires the use of intensified drugs, characterized by a more severe recurrent course with frequent exacerbations.

Should I call an ambulance for cystitis?

Patients suffering from cystitis are usually able to manage the main attack of cystitis fairly quickly on their own. After the acute attack has passed and the condition has somewhat improved, the natural question arises: "Should I call an ambulance?". With cystitis, it is always recommended to call an ambulance, even if the attack was eliminated and the patient felt relief. It should be understood that cystitis is a serious disease of the urinary tract, which requires not just emergency care and the elimination of the main attack, but also complex qualified treatment. Emergency physicians will provide all the necessary assistance to maximize the patient's safety, prevent relapses, prevent the transition of the disease into a chronic form, prevent the progression of the disease or the development of complications.

It should be assumed that the relief of an acute attack is not a reason to refuse to continue treatment. On your own, you can only relieve symptoms for a short time, eliminate severe pain. After that, it is necessary to be examined by qualified medical personnel. The ambulance crew will decide the question of the need for further hospitalization, or the continuation of treatment with the attending physician on an outpatient basis. In any case, only a doctor, and soon after the attack will be able to correctly assess the severity of the pathological process, its consequences, and will be able to competently plan the tactics of further treatment. Therefore, even if it seems that well-being has become normal, in no case should not refuse to call an ambulance. This rule the patient should firmly know, and use it as an axiom for every new attack, regardless of its severity and circumstances of occurrence. [2]

What to do for cystitis?

Every patient who has a history of such a disease as cystitis, must know what to do in case of cystitis. First aid should be able to provide and family members, relatives. So, the first thing you need to do is to drink an anesthetic, antispasmodic agent, which will help to control the inflammatory process, eliminate the onset of pain, relieve spasm. Well suited remedies such as baralgin, nosh-pa, analgin, dimedrol. After that, you should definitely call an ambulance. It should be understood that just remove the attack can many means, but this is not enough. Complex treatment is necessary, aimed at eliminating pathological changes in the urinary system. It is also important not to allow the progression of the disease.

In cystitis, along with the inflammatory process, an infectious process, most often of bacterial etiology, also develops. Through the ascending pathways, the infection migrates upward, and can easily penetrate into the kidneys, leading to the development of renal inflammation. Dangerous are such complications of cystitis as pyelitis, pyelonephritis, glomerulonephritis. In addition, in the absence of further treatment, attacks can acquire a chronic and recurrent character, and it will be much more difficult to get rid of them. Attention is drawn to the fact that prolonged use of drugs leads to resistance of the body to the effects of drugs, so the next time, drugs may be ineffective.

Therefore, after relieving the attack, an ambulance is called. The doctor conducts an examination, administers the necessary drugs to relieve inflammation, prevent the infectious process. After this, the tactics of further treatment are decided. The doctor may suggest hospitalization for further inpatient treatment (in severe cases, the risk of complications, the need for detailed diagnosis). In simpler cases, treatment can be limited to outpatient treatment at the outpatient clinic.

In any case, antibacterial therapy will be required. It is preferable to use complex therapy, which will include antibiotics, antifungal agents. Depending on the severity of the pathological process, the peculiarities of the course of the disease, the complex therapy may include either probiotics aimed at restoring the normal microflora of the urinary tract, or immunomodulatory agents aimed at normalizing local immunity and nonspecific resistance system.

In any case, the treatment scheme should be selected exclusively by a doctor, since the dosage, method of treatment, duration, and even the choice of drug depends on the main pathogen that causes inflammatory-infectious process, from the etiology of the specific pathogenesis. Therefore, it is considered most rational to prescribe antibiotic therapy after analyzing the sensitivity of the pathogen to antibiotics. The issue is that this analysis requires time (at least 5-7 days, depending on the timing of cultivation of microflora). The time reserve is often limited, therapy is urgent. Therefore, the choice is made on broad-spectrum antibiotics, which have an effect on a wide range of microorganisms. After receiving tests, the treatment scheme can be adjusted. Self-medication should never be engaged in any case. This can be fraught with serious complications and unfavorable consequences. [3]

What to do when blood appears in cystitis?

The appearance of blood in cystitis is an extremely unfavorable sign. It indicates a severe inflammatory-infectious process, in which the blood vessels are affected. There is also vascular stenosis, hemodynamic disturbance, hematuria, up to open bleeding. The question immediately arises: what to do when blood appears with cystitis? The first thing to do is not to panic, and assess the real state of blood loss. Whether we are talking about bleeding, or an ordinary bruise, bloodstain. In the case of bleeding, the blood takes on a scarlet hue, flows out in a small stream, when combined with urine diverges, forming a darker stain in the center. There is usually a lot of blood when bleeding - from 1-1 milliliters to several hundred milliliters. In case of bleeding, drink a styptic: aminocaproic acid, dicinone, bloodworm, and other means. And immediately call an ambulance.

If you have not bleeding, but an ordinary bruise, hemostatic agents can not drink, but it is necessary to call an ambulance as soon as possible. In this case, it is better to wait for the advice of a qualified doctor, and strictly follow his further recommendations. Usually the cause of such a bruise is damage to blood vessels, violation of the tone and permeability of blood vessels, violation of hemodynamics, microcirculation, violation of the state of the system of nonspecific resistance, clearance of mucous membranes. This requires special treatment, which will be selected by the doctor, based on the anamnesis, the results of examination, laboratory tests.

First aid for cystitis in women

The danger of cystitis in women is that they have a sharply increased likelihood of developing complications from the reproductive system. Cystitis is an inflammatory-infectious process in the urinary organs. Due to the anatomical proximity to the female reproductive system, quite often there is a spread of infection to adjacent organs, there is an involvement in the pathological process of the vagina, uterus, ovaries. This leads to the development of appropriate gynecological diseases. Attention is drawn to the rather rapid spread of the infectious-inflammatory process along the ascending pathway - from the urethra to the kidneys, renal tubules. This leads to the development of renal complications, such as pyelitis, pyelonephritis, nephritis, glomerulonephritis, and other kidney damage. Unlike men, the probability of developing complications on the kidneys in women is much higher, which is due to the anatomical features of the female body: the urinary tract in women is much shorter, there is a direct connection of the entire urinary system with the kidneys. In addition, the infectious process is maintained due to vaginal discharge, ingress of vaginal microflora into the urinary organs.

Therefore, first aid for cystitis in women is reduced to the management of spasm and pain syndrome, and the immediate elimination of the infectious process. It is necessary, along with analgesics, analgesics and antispasmodic agents, to drink an antibiotic. It is recommended to drink plenty of water, which will provide lavage of the urinary tract and accelerate the excretion of bacterial microflora and bacterial endotoxins to the outside, respectively, reducing the risk of complications of bacterial etiology. First of all, the drugs of choice in emergency care are monural, furagin, or cystone. Further, depending on the data of the antibioticogram, showing the sensitivity of the bacterial microflora to the prescribed drug, prescribe such drugs as penicillin, erythromycin, tetracycline, oleandomycin, levomycetin in regular doses. The drug is prescribed by a doctor. Further self-medication can be dangerous for both the urinary system and the reproductive system. Especially dangerous is self-medication for pregnant women, since the wrong choice of drug can adversely affect the development of the fetus. Not treating the infectious process is also not a solution, since the spread of the infectious-inflammatory process can cause intrauterine infection of the fetus, amniotic fluid. It can also cause miscarriage, premature labor. [4]

First aid for cystitis in a child

At the first signs of cystitis in a child, you should immediately call an ambulance. Self-treatment can be fraught with serious consequences and complications. In children, the infectious-inflammatory process spreads extremely quickly, characterized by a tendency to kidney damage. In addition, children, especially boys, often have complications of the sexual system, which manifest themselves only in adulthood in the form of sexual disorders, infertility. It should also be taken into account that the younger the child, the more severe the pathology, the higher the risk of complications, generalization of infection and inflammation, up to bacteremia and sepsis. It is necessary to call an ambulance immediately, follow all the recommendations of the doctor. Often hospitalization is required. First aid for cystitis in a child until the arrival of the ambulance, may consist in the management of acute pain syndrome, relieving spasm. To do this, the child is given analgesics, antispasmodics, in accordance with the instruction. It is necessary to take into account the age of the child, and the dosage should be calculated based on age, body weight. The child can be given such drugs as first aid: analgin, baralgin, urolesan, no-shpa. It is important to ensure abundant drinking and complete rest.

First aid for cystitis at home

At home with cystitis, first aid is provided to relieve the attack. The aim is to control pain, relieve spasm. Further assistance must necessarily be provided by a doctor, since improper treatment can cause serious complications. The most dangerous are considered complications on the kidneys, which can even lead to the disability of a person. If a person is treated at home, the most useful thing that he can do is to strictly follow all the recommendations of the doctor, do not violate the therapeutic regimen, take medicines in time, complying with the dosage, regimen, duration of treatment prescribed by the doctor. In no case should not abandon treatment, even if you feel much better, and there are no more signs of cystitis. As a rule, a person immediately becomes better, because the external manifestations, symptoms of the disease disappear, spasms and superficial lesions go away. However, deep inflammatory, and even more so infectious processes still continue, and require long-term treatment.

When providing first aid for cystitis at home, you need to relieve the attack of pain as soon as possible. To do this, painkillers, analgesics are used. Then you should definitely call an ambulance, and then the doctor will provide further assistance, depending on the severity of the pathological process, the patient's condition. After providing first aid, you need to carry out further treatment. The basis of treatment is antibacterial therapy, which eliminates not only the bacterial process, but also buys inflammation, restores damaged tissues, prevents complications. In the mild form, mainly sulfonamide drugs are used, such as biseptol, urosulfan (2 g / day), ethazol (5-10 mil 10% solution), sulfadimezine (2 g / day). It is advisable to prescribe combination therapy, which includes antibiotics and sulfonamides.

First aid for acute cystitis

In acute cystitis, first aid depends on the leading symptom. Thus, most often the patient is bothered by acute pain, so painkillers are prescribed as first aid remedies. If a person has a strong spasm, it is advisable to combine analgesics and antispasmodics. Also with cystitis, antibacterial agents are prescribed, since it is important to stop the inflammatory process and prevent the development of infectious complications. Good therapeutic effect gives such antibiotics as penicillin, erythromycin, biseptol. Appoint uroseptic - urolesan, baralgin. Widely used nitrofuran compounds: furagin (500 ml of 0.1% solution), furazolidone (0.1 g), nitroxoline (0.4-0.6 g / day). The duration of the course of treatment is 10 days.

In acute cystitis, nalidixic acid (Negram) is prescribed. It is indicated for the prevention of pyelonephritis, nephritis, glomerulonephritis, it is used in severe cystitis, in chronic pathology and recurrent course of the disease. This drug is especially effective for the treatment of cystitis caused by gram-negative microflora. It is appointed by a tablet 4 times a day, the course of treatment is 5-7 days. If visible results are not observed, 5-NOC is prescribed. The course of treatment is 10-12 days. This remedy is especially effective in the treatment of prolonged cystitis.

As a rule, in acute cystitis, the body temperature rises sharply. If the temperature rises above 38 degrees, it is obligatory to give antipyretics as a means of first aid. Then antibacterial therapy is connected, and antipyretics are drunk as necessary. Antibacterial therapy is carried out until the body temperature normalizes. Also, antibiotic therapy should not be stopped until the urine sediment is normal and the bacteremia (bacteriuria) has completely disappeared. [5]

First aid for cystitis, medicines, pills

With cystitis, the patient needs first aid: they give medicines, pills. Sometimes injections are administered. First aid should be provided before the arrival of an ambulance to alleviate the patient's condition. Usually the list of means necessary for emergency care is limited to a minimum set of drugs that allow you to quickly relieve pain and inflammation, eliminate spasm, relax the patient. Further treatment is carried out by a doctor, an ambulance crew. As the main means of first aid are: 5-NOC, urolesan, urosept, analgin, baralgin, no-shpa, spasmalgon. These are the most well-known and frequently used means. Often they are the ones that end up in the first aid kit of a patient who has had an attack.

But the list of drugs and pills that can be used to provide first aid for cystitis is not limited to these drugs. Therefore, it is necessary to consider other drugs.

To relieve the main symptoms of cystitis, dichlothiazide (hypothiazide) is used - 50-200 mg each. This drug has diuretic and hypotensive action. It is recommended to combine it with potassium preparations, furosemide (40-160 mg). Preparations of rauwolfia, alpha-methylzhdofu, isobarine are prescribed for 0.025 g. Dibazol is administered in 2 ml of 0.5% solution. To control the inflammatory process, you can give the patient suprastin: with a mild form - 1 tablet, with a strong attack - 2 tablets. Suprasin acts as an antihistamine, aimed at reducing histamine. With an acute attack of cystitis, an inflammatory process develops, which is accompanied by an active release of histamine into the blood. Destruction of histamine relieves inflammation and relieves the patient's condition. As a strong analgesic in a severe attack, ketonal, ketopherol (1 tablet each) are used.

What to do if monural did not help with cystitis?

Many patients take monural for cystitis. This is a fairly effective remedy that helps to quickly relieve the attack, pain, eliminate inflammation and the infectious process. Many people rely so much on monural that there are no other means in the medicine cabinet. And in vain. After all, few people wonder what to do if monural did not help with cystitis? Such cases happen. This may be due to the fact That with a recurrent course of the disease, with frequent attacks, the patient constantly takes this drug. The body's sensitivity to it gradually decreases, and addiction develops. Therefore, in order to avoid addiction, it is necessary to alternate drugs. It is not recommended to be treated twice in a row with the same drug. If monural is ineffective, you can try furagin, cyston as an alternative.

What to do if furagin does not help with cystitis?

Furagin is often used for cystitis attacks. Usually it quickly and well acts. But what to do if furagin does not help with cystitis? You should not worry about this. It happens. You just need to change the drug. Of course, it is better to consult with the attending physician, because only the attending physician can accurately select the drug, taking into account the characteristics of the current disease, the patient's condition. But in any case, even without knowing the anamnesis, the patient can be recommended as an alternative to these drugs: furosemide (Lasix) in a dosage of 40-80 to 600 mg per day. Hypotensive agents are used, for example, dopegit, the daily dosage of which is 0.75 to 1 gram. With progressive cystitis prescribe azathioprine in the amount of 100-150 mg per day, curantil in the amount of 300-500 mg per day. Calcium preparations are indicated, for example, calcium chloride intravenously 5-10% solution of 1 tablespoon 4 times a day. Also an alternative is cystone, which is taken according to the instructions.

What to do if cystone does not help with cystitis?

Cystone is considered one of the most effective remedies for cystitis. Now let's consider what to do if cystone does not help with cystitis. Such cases also happen. This happens if the patient is often treated with this drug. Addiction occurs, its effectiveness decreases. But there are also cases when the drug is appointed for the first time, and it does not help. This is an individual peculiarity of the body. In any case, if there is no effect within 2-3 days, treatment should be stopped and look for an alternative. The closest alternative to cystone is monural, furagin. These drugs are taken in accordance with the instruction. However, before you start taking any preparations, you should consult a doctor.

First aid for cystitis pain

First aid is needed for cystitis pain. It should be given as soon as possible. First of all, the patient should be given any analgesic. This depends on the individual characteristics of the body. With severe pathology, they give such strong drugs as ketanol, ketolorac. With moderately pronounced pathology is enough baralgin, analgin, diclofenac, no-shpa. These means quickly relieve pain. After that, you need to call an ambulance. Until its arrival, the patient should provide rest and plenty of water. Further assistance will be provided by a doctor.

What should I do for cystitis pains?

If there is a feeling of rubbery cystitis, it is necessary to consult a doctor and undergo examination. This may be a sign of the beginning of the inflammatory process. In no case should it be started, because it can end in a severe attack. It is better to prevent inflammation in the early stages. You can also try such remedies as monural, furagin, cystone, urolesan. They are good at controlling the inflammatory process, especially in the early stages of its development, prevent the development of severe inflammation and infection, prevent complications.

Folk remedies for cystitis as first aid

As a first aid for cystitis can be used folk remedies. Let's consider some of them.

Herbal treatment is indicated for cystitis because herbs allow for a long-lasting, cumulative treatment. The herbs below are most often used.

Ledum bog. It is used in the form of decoction: about a pinch of herb per glass of hot water (boiling water). Infuse for at least an hour. Drink a tablespoon 2-3 times a day, or as prescribed by a doctor. It should be remembered that the remedy is poisonous, take with caution.

Yarrow. It is recommended to use in the form of an alcoholic infusion. It is acceptable to use in the form of an aqueous decoction. Often included in the composition of various medicinal collections.

Common barberry is available in ready-made form in the form of a preparation of berverine bisulfate, a collection according to the prescription of Zdrenko.

Macleaya cordate is used in the form of decoctions, infusions, extracts. Stephania smooth is used in the form of decoctions, infusions.

Often prescribed and such as althea medicinalis, aire, celandine, plantain, Siberian fir, juniper, dandelion, sophora japonica, sophora japonica, water mountaineer, snake mountaineer, ginseng, cornflower, eleutherococcus, echinacea. It is recommended to use these remedies in the form of alcohol infusions (using alcohol concentration of 40%). Water decoctions can also be used.

What to do in case of an exacerbation of cystitis?

Corticosteroid hormones are prescribed for recurrent, chronic cystitis, frequent kidney complications. Corticosteroids can also be used in case of blood in the urine (hematuria). For example, the drug of choice is prednisolone. It is prescribed starting with a dose of 10-20 mg per day. Quickly (within 5-7 days), bring the daily dose to 60 mg, continue treatment for 2-3 weeks, then gradually reduce the dose. The course of treatment is 5-6 weeks. In total, the course requires 1500-2000 mg of prednisolone. In the absence of the necessary effect, maintenance doses of prednisolone (10-15 mg per day) are prescribed.

Magnesium sulfate (intravenous injection) is also used in acute cystitis. Approximately 10 ml of 25% solution of the drug is administered. In severe pain. Which is not controlled by other drugs, give narcotic analgesics, for example, chloral hydrate. Ganglioblockers have a positive effect. For example, benzogexonium 10-20 mg (0.5 - 1 ml of 2% solution intramuscularly). Also prescribe reserpine, uregit, lasix to prevent further complications.

What should you not do when you have cystitis?

Often we have to hear from patients the question: what should not be done with cystitis? The first thing to pay attention to is that you should not self-medicate. Cystitis is an extremely serious and dangerous disease. It is much more serious than it may seem at first glance. The danger lies in the fact that with cystitis develops an acute infectious and inflammatory process. Accordingly, along the ascending pathways, this process spreads rather quickly to all urinary tracts - ureters, kidneys. The most dangerous are considered complications on the kidneys, since the pathological process can progress up to necrosis and the development of renal failure. Infection, which got into the kidneys, is very difficult to treat, and often leads to disability, fatal outcomes. The second danger is complications with the reproductive system. It is especially dangerous for pregnant women, as there may be intrauterine infection, and even fetal death, or complicated labor. For men from the side of the reproductive system, a serious complication is sexual impotence and infertility.

Do not interrupt the course of treatment for cystitis, or reduce the dosage, even if you feel better. Improvement in health means that the inflammatory process has decreased, the symptoms have gone, but before full recovery is still far away. If treatment is abandoned, cystitis will turn into a chronic form with frequent recurrences.

Antibiotic therapy should not be started or stopped on its own. If you choose the wrong drug, or quit treatment without being cured, it will lead to the development of resistance among the bacterial microflora, and antibiotics will stop working.

Do not eat spicy foods, fried, fatty, smoked dishes. Do not eat pickles, pickles, dishes with a lot of spices, spices. Do not consume alcohol. Food should be dietary.

Under no circumstances should you get hypothermia.

In addition, a patient who has a history of cystitis should know as much as possible about his disease. It should also be remembered that first aid for cystitis is required even before the arrival of an ambulance, so a first aid kit with basic medications should always be at hand.