How is cystitis diagnosed?

Written by Zou De Bo
Urology
Updated on September 21, 2024
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Chronic cystitis can be diagnosed through various methods. Firstly, urinary tract imaging can demonstrate reduced bladder capacity, rough or irregular bladder margins. Secondly, an ultrasound can show a reduction in bladder cavity and general thickening of the bladder wall. Additionally, a CT scan can reveal widespread irregular thickening of the bladder wall and a reduction in bladder size, with the inner and outer surfaces appearing rough. These diagnostic methods can all be used to check for cystitis, though specific situations should be evaluated on a case-by-case basis.

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Written by Wang Shuai
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Symptoms of Chronic Cystitis in Women

The main clinical manifestations of chronic cystitis in women are recurrent symptoms of frequent urination, urgency, and incomplete emptying, accompanied by pain in the lower abdomen, generally without the presence of blood in the urine. Chronic cystitis often develops from acute cystitis that has not been fully treated. For such cases, further urine culture and antibiotic sensitivity tests should be conducted. After identifying the causative bacteria, appropriate antibiotics should be used for regular treatment, typically exceeding three weeks. Additionally, there are special types of cystitis, such as glandular cystitis. In cases of this type of chronic cystitis, surgical bladder instillation and other treatments may be necessary.

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Written by Zeng Zhong
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Causes of glandular cystitis

The causes of glandular cystitis are still not very clear, and it may be related to chronic inflammation in the bladder, stones, obstruction in the bladder, neurogenic bladder, bladder eversion, and other diseases. Glandular cystitis is considered a transformative lesion of the bladder mucosal tissue. The origins of the bladder mucosal epithelium mainly include embryonic origin, degeneration, and epithelial transformation theories. The main clinical symptoms are frequent urination, urinary urgency, painful urination, macroscopic hematuria, and discomfort of heaviness in the lower abdomen.

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Written by Zeng Zhong
Urology
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What department should I go to for cystitis?

Patients with cystitis need to go to the urology department of their local hospital for formal examination and treatment. Cystitis mainly causes frequent urination, urgency, and painful urination, and some patients may also experience discomfort and pain in the lower abdomen. In such cases, it is necessary to promptly visit the urology department for examination. The doctor will first conduct a routine urine test and a urinary system ultrasound for the patient. If diagnosed with cystitis, treatment should be carried out through formal medication.

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Written by Wang Shuai
Urology
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Is hematuria in cystitis severe?

Cystitis refers to the congestion and edema of the bladder mucosa caused by infections from bacteria, viruses, etc., leading to symptoms such as frequent urination, urgent urination, and painful urination. The presence of blood in the urine indicates that the bladder mucosa has been compromised, possibly involving mucosal rupture, ulceration, or even invasion of blood vessels, resulting in bleeding. This suggests that the cystitis has progressed to a more severe stage and requires timely anti-inflammatory treatment. Treatments might include oral administration of levofloxacin tablets or cephalosporin antibiotics, and if necessary, intravenous antibiotics may be used. During treatment, it is advisable to consume a light diet, avoid spicy and irritating foods, drink plenty of water, and urinate frequently to help flush out negative exudates and blood clots from the bladder.

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Bladder inflammation moxibustion site

Cystitis is primarily treated with antibiotics, so moxibustion can only serve as an auxiliary treatment method. Commonly chosen acupoints include Zhongji and Guanyuan. Moxibustion involves igniting a moxa stick, targeting the body's meridians and channels to achieve a therapeutic effect. Moxibustion can effectively unblock the body's meridians, and for certain symptoms of diseases like cystitis, it can have a significant effect. It is a treatment method in traditional Chinese medicine. From the perspective of Chinese medicine, the treatment of cystitis with moxibustion is considered a form of internal and external medicine, where blood and qi play a direct role.