What is tested for cystitis?

Written by Wang Shuai
Urology
Updated on October 21, 2024
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After suffering from cystitis, a definitive diagnosis can be made through routine urine tests, ultrasonography, urine culture, and antibiotic sensitivity tests. Typically, the routine urine test will show a significant increase in white blood cells, possibly accompanied by pus cells, and often an increase in red blood cells as well. Ultrasonography may reveal inflammatory changes such as thickening and roughness of the bladder wall. Combined with the patient's clinical symptoms, such as frequent urination, urgency, painful urination, or even blood in urine, a clear diagnosis can be established. Once the diagnosis is confirmed, it is advisable to promptly treat with antibiotics. Oral antibiotics, such as levofloxacin tablets or cephalosporins like cefuroxime axetil capsules, are commonly used. During treatment, it is recommended to eat a light diet, avoid spicy and irritating foods, drink plenty of water, and urinate frequently.

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Written by Zou De Bo
Urology
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How is cystitis diagnosed?

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
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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Written by Chen Feng
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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.)

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Written by Wang Shuai
Urology
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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
Urology
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What department to see for cystitis?

Cystitis is a disease of the urinary system, and patients can visit the urology department of their local hospital for examination and treatment. Patients with cystitis mainly experience symptoms such as frequent urination, urgency, and painful urination, and sometimes there may be discomfort and pain in the lower abdomen. When these symptoms occur, go to the urology department of the local hospital, where you can have an ultrasound of the urinary system and a routine urine test. If diagnosed with cystitis, treatment should be carried out with appropriate medications under the guidance of a doctor, which may include taking antibiotics orally or intravenously.