How should cystitis be examined?

Written by Wang Shuai
Urology
Updated on July 03, 2025
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After suffering from cystitis, patients will exhibit symptoms such as frequent urination, urgent urination, and painful urination. In severe cases, there may be blood in the urine, pus in the urine, pain in the lower abdomen, and even symptoms such as chills and high fever. It is important to go promptly to the hospital's urology department, where tests such as routine urine analysis, urine culture and sensitivity tests, blood tests, and ultrasound examinations are performed to make a clear diagnosis. Routine urine tests often indicate a significant increase in white blood cells, and sometimes red blood cells are present as well. Ultrasound examinations typically show thickening and roughness of the bladder wall. In cases of certain special types of cystitis, such as considering interstitial cystitis or glandular cystitis, it may also be necessary to observe the bladder under cystoscopy, and if necessary, take a biopsy for pathological examination to confirm the diagnosis.

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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.

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Urology
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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.

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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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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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Bladder inflammation moxibustion site

Cystitis is primarily treated with antibiotics, so moxibustion can only serve as an auxiliary treatment method. Commonly chosen acupoints include Zhongji and Guanyuan. Moxibustion involves igniting a moxa stick, targeting the body's meridians and channels to achieve a therapeutic effect. Moxibustion can effectively unblock the body's meridians, and for certain symptoms of diseases like cystitis, it can have a significant effect. It is a treatment method in traditional Chinese medicine. From the perspective of Chinese medicine, the treatment of cystitis with moxibustion is considered a form of internal and external medicine, where blood and qi play a direct role.