Is hematuria in cystitis severe?

Written by Wang Shuai
Urology
Updated on September 26, 2024
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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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Treatment of cystitis

Treatment of cystitis includes drinking plenty of water and taking oral sodium bicarbonate to alkalize the urine, reducing irritation to the urinary tract. Atropine and diazepam may be used. Applying heat to the bladder area and taking hot water sitz baths can relieve bladder spasms. Antibacterial drugs such as cephalosporins and quinolones can be used. In recent years, for women with uncomplicated cystitis without complications, sensitive antibacterial drugs can be appropriately used for treatment. Postmenopausal women often experience urinary tract infections frequently. The lack of estrogen, leading to a decrease in lactobacillus in the vagina and an increase in pathogen proliferation, is often a factor in infections. Therefore, adopting estrogen replacement therapy can also maintain the normal vaginal environment and reduce the occurrence of urinary tract infections.

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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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Will cystitis cause pain in the lower abdomen?

Patients with cystitis may experience symptoms of lower abdominal distention and discomfort, as well as frequent urination, urgent urination, and painful urination. Patients presenting these symptoms should first visit the urology department of a hospital to undergo routine urine analysis and urinary system ultrasound to confirm the diagnosis of cystitis. Once diagnosed, under the guidance of a consulting physician, treatment involves oral or intravenous antibiotics. Additionally, patients are advised to drink plenty of water and urinate frequently, which can assist in the treatment of cystitis.

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Does cystitis require surgery?

Patients with cystitis do not need surgery. Cystitis mainly occurs when the bladder's mucous membrane is infected by bacteria, causing inflammation inside the bladder. Patients often experience symptoms such as frequent urination, urgent urination, painful urination, and lower abdominal pain. Cystitis is primarily treated with medication, usually under a doctor’s guidance, either orally or through intravenous antibiotics. Additionally, patients are advised to drink more water and urinate frequently, which generally can cure cystitis.

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What water should be drunk for cystitis?

Patients with cystitis generally just need to drink plain boiled water. It is important for cystitis patients to ensure they drink more than 2500ml of plain boiled water daily. Drinking sufficient water can increase urine production, promptly flushing the bladder and urethra, which helps in the quick recovery of the condition. If the condition of a cystitis patient is more severe, medication may be necessary. Common medications include cephalosporins and quinolones, such as cefuroxime, cefpodoxime, and levofloxacin. Along with medication, patients should adhere to a bland diet and avoid spicy and stimulating foods such as chili, fried foods, and barbecue. Alcohol should not be consumed while taking medication, especially cephalosporins, as drinking alcohol could lead to a disulfiram-like reaction, severely harming health. (Medication should be used under the guidance of a physician.)