Symptoms of Chronic Cystitis in Women

Written by Wang Shuai
Urology
Updated on November 10, 2024
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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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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.

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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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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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Written by Wang Shuai
Urology
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Is hematuria in cystitis severe?

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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How is bladder calculus treated?

Patients with cystitis who also have bladder stones need to use antibiotics for local anti-inflammatory treatment. Meanwhile, the bladder stones require formal treatment. If the size of the stone is less than 2 centimeters, patients can undergo extracorporeal shock wave lithotripsy in the lithotripsy department. If the size of the stone is more than 2 centimeters, patients need to visit the urology department for minimally invasive surgery, specifically ureteroscopic holmium laser lithotripsy. During this procedure, a ureteroscope is inserted through the urethra to visually break up and flush out the stone.