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Cystitis treatment
Last reviewed: 07.07.2025

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Cystitis is an inflammatory process of the inner lining of the bladder. In most cases, it is an infection that causes cystitis. Treatment of the disease is prescribed depending on the causes that provoked the disease.
There are several forms of cystitis: acute (primary), chronic (secondary), infectious (non-specific and specific), non-infectious (allergic, chemical, toxic, radiation, medicinal, thermal, hemorrhagic, etc.) cystitis. Treatment of the patient is prescribed depending on what form of the disease was detected during the examination.
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Treatment of acute cystitis
Acute (primary) cystitis is considered a purely female disease. Treatment of this disease is based on antibacterial therapy and includes a gentle diet, rest, drinking large amounts of fluid (up to 2.5 liters per day), as well as protection from hypothermia, avoiding sexual intercourse, and monitoring the functional activity of the intestine.
If the patient experiences severe pain, she will need to take vaginal or rectal suppositories with analgesics. If there is no need for emergency care, antibiotics are prescribed only after an antibiogram. Already at the end of the first day of treatment, the patient feels better, some symptoms accompanying cystitis disappear. Antibiotic treatment is carried out for several months with weekly changes in medications. Even if the signs of the disease have disappeared by the end of 2-3 days, you should not stop treatment, since there is a high probability of relapse. It is recommended to complete the entire course of antibacterial therapy.
Treatment of chronic cystitis
Chronic (secondary) cystitis is recorded in patients slightly less often. Treatment of this form of the disease begins with identifying the causes that caused the appearance of the disease. In addition to eliminating the sources of the disease, treatment of chronic cystitis consists of removing stones from the bladder, normalizing urodynamic disorders, etc. The patient is prescribed anti-inflammatory therapy for 3-4 days (only after an antibiotic test), then Bactrim or nitrofurans are prescribed for several months (usually 3-6). Every month, the patient must give urine for bacteriological examination, this procedure is especially indicated in the first six months after the completed course of therapy. If the tests indicate that there are infections in the body that cause cystitis, the patient is treated with anti-inflammatory therapy again.
Treatment of allergic cystitis
Allergic cystitis may occur against the background of any allergic reactions (for example, anaphylactic shock or bronchial asthma). Treatment of such cystitis, which can also occur as an independent disease, involves taking antihistamines, because these are the drugs that help get rid of any type of allergy. Antibiotics are ineffective in this case. The patient is also prescribed bed rest and drinking plenty of fluids.
Treatment of toxic cystitis
Chemical (toxic) cystitis occurs as a result of the impact of toxic drugs on the bladder mucosa. Its treatment is primarily aimed at reducing pain syndrome by means of painkillers and bladder lavage. By lavage (irrigation), the bladder is freed from chemicals that have entered it. After this, the patient is prescribed a course of restorative therapy, after which the disease usually goes away for a long time.
Treatment of radiation cystitis
One of the side effects of radiation therapy is radiation cystitis. Its treatment involves irrigation of the bladder with special solutions or hyperbaric oxygenation, that is, the introduction of oxygen into the bladder cavity.
Treatment of drug-induced cystitis
The excretion of medications through the kidneys that are capable of entering into close contact with the mucous membrane of the bladder is called drug-induced cystitis. As a treatment, the patient is prescribed medications that support the functional activity of the kidneys, as well as periodic urine collection for general analysis. Effective remedies for this ailment are cranberry juice, kidney teas, kanefron, etc. They have the property of disinfecting the urinary tract, relieving irritation.
Treatment of thermal cystitis
Exposure of the bladder mucosa to excessively hot liquids causes thermal cystitis. Its treatment is based on the use of physiotherapeutic procedures.
Treatment of hemorrhagic cystitis
Hemorrhagic cystitis is manifested by the presence of blood in the urine, as well as an unpleasant smell of urine. This form of the disease occurs due to the destruction of the bladder mucosa and high permeability of the vascular walls. In the presence of hemorrhagic cystitis, the patient is prescribed bed rest, intake of large amounts of liquid, and a gentle diet. Also, depending on the source of the disease, the patient may be prescribed antibacterial drugs, as well as drugs that can strengthen the walls of blood vessels.
Whatever the cause of cystitis, treatment of the disease should be carried out only under the supervision of a urologist, since self-therapy with improvised means may not only fail to eliminate the disease, but also provoke various complications.
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