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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Written by Guan Hai Fang
Urology
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What is cystitis?

Cystitis, simply put, is inflammation of the bladder and can be divided into acute bacterial cystitis and chronic bacterial cystitis. Acute cystitis typically affects women more often due to the shorter female urethra. Infections can occur following sexual intercourse, catheterization, poor personal hygiene, or reduced resistance to bacteria, such as during a cold, which might lead to an ascending infection. Symptoms are generally most pronounced at the superficial bladder, particularly near the internal urethral orifice and the trigone of the bladder. Chronic cystitis often develops from an acute upper urinary tract infection or through chronic infection and may also be triggered or followed by certain lower urinary tract conditions, such as benign prostatic hyperplasia, chronic prostatitis, urethral stricture, bladder stones, hymenal fusion at the urethral opening, or paraurethral gland inflammation. It is generally characterized by persistent frequent urination, urgency, painful urination, and discomfort in the suprapubic bladder area.

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Written by Wang Jian
Urology
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How to diagnose cystitis?

Cystitis is most commonly seen in female patients because the female urethra is very close to the vagina and anus, making it easy to get contaminated, leading to cystitis. Cystitis in females is somewhat related to sexual activity. The symptoms of cystitis generally include frequent urination, urgent urination, painful urination, and a burning sensation in the urethra during urination. Sometimes, there may be visible blood in the urine at the end of urination, and symptoms of discomfort and heaviness in the bladder and perineal area. A routine urine test can be done if cystitis is suspected; if the white blood cell count in the urine is greater than five per high power field, cystitis is likely the cause. Treatment generally involves medication, with a recommended short course of antibiotics for typically three days. Regularly drink more water, urinate more, and avoid spicy and irritating foods. (Please use medications under the guidance of a doctor.)

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Written by Zeng Zhong
Urology
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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 Wang Jian
Urology
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How to treat cystitis

Bladder infections are most commonly seen in female patients, as the female urethra is very close to the vagina and anus, making it easy for bacteria to cause infection. Symptoms of bladder infection generally include frequent urination, urgent need to urinate, painful urination, discomfort in the bladder area and perineum, a burning sensation during urination, and sometimes visible blood in the urine at the end of urinating. Diagnosis of bladder infection mainly involves a routine urine test, where a large number of white blood cells can be seen in the urine. In terms of treatment, antibiotics are primarily used, with quinolones such as levofloxacin being common choices, administered over three days. Another option is cephalosporin antibiotics such as cefixime, which is also used for three days. It is important to drink plenty of water, urinate frequently, avoid spicy and irritating foods, and maintain cleanliness and hygiene of the perineal area. Generally, symptoms should improve significantly within about three days, and it is advisable to recheck the routine urine test after one week.

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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.