How long is the treatment course for cystitis?

Written by Wang Jian
Urology
Updated on July 03, 2025
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Cystitis is most commonly seen in female patients, especially middle-aged and young women, and it is somewhat related to sexual activity. Acute cystitis is the most common type, as the female urethra is very close to both the vagina and the anus, making it easily contaminated, which can lead to acute cystitis. Symptoms of acute cystitis include frequent urination, urgency, painful urination, and in severe cases, distressing urge incontinence. It feels like a burning sensation in the urethra during urination, and there can also be visible blood in the urine. The treatment for acute cystitis mainly involves antibiotics; oral levofloxacin or cephalosporin antibiotics are usually prescribed for three days. If the effect is not very obvious after three days, treatment can be extended to seven days, then stop the medication and recheck the routine urine analysis after three days. It is also advised to drink more water, urinate frequently, eat less spicy and irritating food, and apply heat when symptoms of frequent urination and urgency are severe.

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Written by Zeng Zhong
Urology
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Is cystoscopy necessary for cystitis?

Patients with cystitis do not need to undergo cystoscopy. The main examinations for patients with cystitis include routine urine tests, bacteriological examination of urine, routine blood tests, kidney function tests, ultrasonography of the urinary system, and X-rays including abdominal plain films. Diagnostically, it mainly depends on the patient's clinical manifestations and a comprehensive judgment based on the results of these auxiliary examinations. Patients with cystitis generally experience symptoms such as frequent urination, urgency, painful urination, and discomfort or pain in the lower abdomen and perineal area.

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Written by Wang Shuai
Urology
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What is tested for cystitis?

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 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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What department should a woman go to for cystitis?

Female patients with cystitis need to go to the local hospital's urology department for formal examinations and treatments. Doctors need to perform a series of tests including routine urine tests, urinary system ultrasound, and routine blood tests to make a comprehensive diagnosis. After diagnosis, patients need to take broad-spectrum antibiotics orally or intravenously. Generally, symptoms can improve significantly within five to seven days. Patients must take their medication on time and in the correct dosage according to the doctor's instructions.

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Written by Wang Shuai
Urology
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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.