Can cystitis cause blood in urine?

Written by Xu Chun Hua
Urology
Updated on September 14, 2024
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Patients with cystitis may experience hematuria, commonly terminal hematuria, which occurs towards the end of urination. Sometimes, blood is present throughout the entire urination process, even with blood clots being expelled. The onset is often quite sudden, and may be accompanied by frequent urination, urgency, and painful urination, with severe cases needing to urinate every few minutes, regardless of day or night. Therefore, when cystitis leads to hematuria, there is no need for concern. Timely treatment can fully resolve the issue, and it is important not to be overly stressed mentally.

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Urology
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Causes of cystitis

Cystitis refers to symptoms such as frequent urination, urgent urination, painful urination, hematuria, and even lower abdominal pain caused by infections from bacteria, viruses, mycoplasma, chlamydia, etc. The most common cause is bacteria entering the urethra through the urethral opening and spreading to the bladder. Additionally, kidney diseases such as pyelonephritis can also cause cystitis. Bacteria from the remaining infected urine produced by pyelonephritis travel down the ureters into the bladder, thus causing cystitis. After contracting cystitis, it is necessary to receive timely anti-inflammatory treatment, and generally, the condition can be healed with about a week of medication.

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What should women with cystitis pay attention to?

Female patients suffering from cystitis should first go to the hospital's urology department to receive regular antibiotic treatment. Along with treatment, dietary habits should be kept light, avoiding spicy and irritating foods such as onions, ginger, garlic, and chili peppers. Additionally, avoid drinking strong tea, coffee, and other stimulating beverages. In terms of daily routine, avoid sitting for long periods and holding in urine. Engage in appropriate exercise, drink plenty of water, and urinate frequently to help flush out inflammatory exudates and bacteria from the bladder, which aids in treating the disease. Furthermore, strengthen the hygiene care of the external genitalia, keeping the area clean and dry, all of which are beneficial for the treatment of the disease.

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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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What should I do if cystitis recurs?

After the recurrence of cystitis, symptoms such as frequent urination, urgent urination, painful urination, and discomfort in the lower abdomen may occur. It is necessary to go to the local hospital's urology department for a formal examination and treatment in a timely manner. Urinalysis and ultrasound of the urinary system can be conducted. In terms of treatment, it is mainly based on oral or intravenous administration of broad-spectrum antibiotics. In addition, patients need to drink more water, urinate frequently, maintain cleanliness of the perineal area by washing daily, engage in appropriate exercise, avoid sitting for long periods, and avoid holding in urine.

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What happens when cystitis worsens?

After suffering from cystitis, if it is not treated in time, the condition will worsen further, leading to obvious symptoms of frequent urination, urgency, and pain during urination. Severe cases may be accompanied by significant hematuria and pyuria, and even chills and high fever. If still not treated promptly, bacteria are very likely to retrogradely enter the kidneys through the ureters, causing acute pyelonephritis and leading to symptoms of back pain in patients. Severe cases can affect kidney function and even be life-threatening. Additionally, if the inflammation persists, it can lead to contractions of the bladder, reduced bladder capacity, and subsequent significant lower abdominal pain. It may even cause reproductive system inflammations such as prostatitis and orchitis in male patients.