Normally, acute cystitis goes away in about 5-10 days, of course, subject to quality treatment. But sometimes the problem does not disappear even after several courses of therapy. Why does this happen? What to do with cystitis that “does not want” to go away?
Why cystitis does not go away after antibiotics
Antibacterial therapy is considered the main method of combating cystitis. And in most cases it works, because almost always inflammatory process in the bladder is caused by bacteria. But there are other situations. Sometimes cystitis is caused by:
- viruses (the same ones that provoke the usual ARVI);
- fungi of the genus Candida (which also cause thrush).
Viral or candidal cystitis cannot be treated with antibacterial drugs: these drugs are ineffective against anything other than bacteria. Antiviral or antifungal agents are required, prescribed after appropriate examinations.
Another possible variant– the chosen antibiotic is simply not suitable. This happens when the medicine is prescribed “by eye”, i.e. without bacteriological culture urine and determining the sensitivity of bacteria to the drug. Please understand: different antibiotics have different active ingredients, and they are not always interchangeable. It is especially important to remember this before treating cystitis at home: self-selected remedies rarely work.
Urethral dystopia as a reason for persistent cystitis
Dystopia of the external opening of the urethra means its congenital abnormal location. With this pathology, the entrance to the urethra is very close to the vagina, almost on its front wall.
As a result, the woman constantly experiences relapses of chronic cystitis. Almost always, attacks appear a day (or a little more) after sex. Why is this happening?
For dystopia urethra somewhat shortened, and it constantly gets infected from the vagina. The reverse “exchange” also operates: urine with pathogenic microbes developing in it penetrates the vagina. This is especially facilitated by the movements of the man’s penis during intimacy: it works like a pump, “pumping” the infection into the bladder. In addition to cystitis, a woman may also suffer from chronic urethritis and vulvovaginitis, trying in vain to find out their cause and choose treatment.
The complexity of therapy is largely explained by the lack of coverage of the issue of urethral dystopia in the relevant literature. Doctors prescribe therapy according to the standard regimen: if there is cystitis, then antibiotics. It’s rare that a specialist really gets to the bottom of things.
For persistent cystitis, it is recommended, in addition to other examinations, to perform palpation using the O’Doonnell-Hirschhorn method. During the procedure, the doctor inserts a medium and index fingers, after which he spreads them laterally, pressing on back wall vagina. Thanks to this, it is possible to establish the presence of heminourethral adhesions, which are the cause of the gaping of the external opening of the urethra.
For dystopia, transposition is indicated distal section urethra. The operation is planned and involves moving the opening of the urethra a little higher, due to which it moves away from the vagina. Recovery after the intervention takes up to 10 days. You should also avoid intimacy for at least 1.5 months. In Moscow clinics, the cost of the procedure is 55-65 thousand rubles. As a rule, this already includes anesthesia and hospitalization for several days.
Hidden source of infection causing cystitis
It often happens that the patient has another pathology in the body that constantly causes inflammation in the bladder. For example, in men it can be prostatitis, in women it can be hidden sexually transmitted infections.
In this case, you will have to undergo examinations of everything possible until the cause of recurrent cystitis is discovered. True, it will take a lot of money and time.
Recurrent cystitis due to constant hypothermia
The first “accomplice” of cystitis is cold. It affects the blood vessels, “knocking down” the normal blood supply to the pelvic organs. As a result, local immunity decreases, and the inflammatory process in the bladder begins.
Hypothermia is caused by:
- swimming in a cold pond;
- clothing not appropriate for the weather;
- habit of walking barefoot at home;
- sitting on cold surfaces, including wet beach sand;
- being in drafts.
In general, throughout the day a person often finds himself in situations where his body becomes hypothermic. But people don't always notice this.
Those who are prone to bouts of cystitis should take care to keep their bodies warm. At a minimum, you should always cover your lower back and buttocks: hypothermia in these areas is especially dangerous to health genitourinary system. You also need to keep your feet warm.
Insufficient hygiene and persistent cystitis
Following the norms personal hygiene critical to minimizing the risk of a recurrence of cystitis. Necessary:
- Wash twice a day.
- Change pads and tampons at least every 1.5 hours (even if the discharge is scanty).
- Take a shower after intimacy (you can also urinate immediately after sex - this will further reduce the likelihood of cystitis activating).
- Change your underwear daily.
Following these simple rules will reduce the chance of infection getting into the bladder. In addition, the risk of developing other genitourinary diseases will be significantly reduced.
Persistent cystitis: treatment at home or in hospital?
Many patients, having gone through more than one urologist/gynecologist and not getting the desired result, decide to give up medical care and begin self-therapy. How justified is this?
Most likely, nothing will change, and after some time cystitis will reappear: treat advanced cases quickly and reliably infectious process at home it is almost impossible. Traditional methods of therapy and reception pharmaceutical drugs, chosen at random, rarely give the desired effect. Especially if a long-term antibacterial therapy: she violates normal microflora, which complicates further treatment.
At home, the patient can only try not to make things worse for himself, i.e.:
- eat right (with a minimum amount of fried, spicy, salty, spicy, sour, smoked);
- do not overcool;
- observe hygiene standards.
The rest should be left to the doctors. It is advisable to look for another specialist who will seriously take on the problem and find out its root cause. Often you have to go to private clinics, where doctors have a smaller flow of patients and have more opportunities for a high-quality, comprehensive examination.
Constant inflammation in the bladder causes a lot of inconvenience. But there is no smoke without fire: if a disease begins, something provokes it. The main task is to find the causative agent of the disease and get rid of it. The main thing is not to resign yourself to your “fate” and not to give up: with each new attempt the chance of success increases.
Which is most often observed among representatives of the fairer sex. As for the male half of the population, they are much less likely to encounter this disease. This fact is associated with the anatomical features of the structure of organisms of representatives of both sexes. The urethra in women is very short and close to the genitals, which directly affects the penetration of various bacteria into the urethra. In men, this organ is covered with several layers of epithelium and also has an elongated shape. This canal structure protects their bladder from attacks by pathogens.
In connection with the above, it can be noted that cystitis is purely female disease. Today it is quite well studied. However, more and more often there are situations where cystitis does not go away even after taking strong antibiotics. What is the reason for this and how to solve the problem? The answers to these questions will be presented below.
Basic information
Experienced specialists have long developed clear treatment regimens for all types of inflammation Bladder. Following strict recommendations, tailored to each individual case, allows patients to achieve desired results for quite a bit short term. If cystitis does not go away for a month, this may indicate violations in certain methods of treatment.
If, after three weeks from the start of therapy, positive dynamics are still not observed, you should immediately visit a doctor. Delaying the moment of contacting a specialist can cause the development of serious complications, as well as transfer the disease to chronic form.
Incorrect treatment regimen
Why does cystitis not go away after treatment at home? This question is very often asked by those who do not want to turn to specialists, but are trying to cure the disease on their own, using ineffective means that increase the resistance of pathogens to the action of antibiotics.
It should be noted that the wrong combination of certain medications often causes a decrease in therapeutic effect other specialized drugs.
Women with cystitis very often purchase antimicrobial medications, as they say, at random. They also rarely follow all the rules for taking them. However, experts believe that the mistake of such patients is not that they try to cure the inflammation on their own, but that with regular manifestations of the disease they use the same medications over and over again. Thus, after a certain period of time, bacterial pathogens develop stable resistance to specific substances of the drug, and they stop responding to them. In this case, women begin to complain that they got a counterfeit drug, because even after antibiotics, cystitis does not go away.
Wrong choice of medicine
Why does cystitis not go away? The answer to this question lies in the initially incorrect choice of medicine.
Most women begin treatment for cystitis by taking a drug such as Monural. This medication is in the form of a suspension and contains active substances wide range actions. However, not everyone knows that in many cases the use of only one indicated drug is insufficient and the mandatory addition of auxiliary drugs is required.
For proper treatment of cystitis, one should rely on the bacteriological culture of the patient’s urine. If there is a long wait for test results, the therapeutic regimen is selected according to the instructions. Then it is adjusted (if necessary).
Wrong diagnosis
Why did cystitis not go away after antibiotics? Such situations may arise if the patient has been misdiagnosed. People who have inflammatory disease bladder problems have occurred more than once; this pathology is often confused with another. That is why it is extremely important not to start self-therapy for cystitis until a diagnosis is made by a specialist.
What diseases are they confused with?
If cystitis does not go away, then perhaps it is not cystitis at all. The symptoms characteristic of this pathology are similar to the signs of the movement of stones through the urethra, the formation of tumors in the bladder and the development of urethritis. Also, mechanical damage and trauma to the organs of the urinary system, including the formation of polyps and cysts in them, are often mistaken for cystitis. In the presence of such diseases, while taking antispasmodics, the main symptoms may disappear within a short time, but very soon they return and bother the patient for weeks or even months.
Complications due to improper treatment
If cystitis does not go away for a long time, then one should doubt the correct diagnosis. After all, the treatment of some pathologies of the urinary system involves a special regimen, if violated, the patient may experience serious complications. For example, heat, so often used in cystitis, always causes growth cancer cells. Sports activities stimulate the movement of sand and stones. The use of painkillers hides the symptoms of serious pathologies, etc.
Anatomical features of the body
Why does cystitis not go away for a week? What is it connected with? frequent relapse this disease? Experts say that the protracted course of such inflammation can be the result of the following phenomena:
- Excessive mobility of the urethra. In such cases, pathogens can enter the bladder even during sexual intercourse.
- The location of the urethra near or inside the vagina. With such anatomical features In the body, cystitis can occur with the slightest violation of personal hygiene rules or careless sexual intercourse.
- Narrow urethra. This problem is quite rare. However, it can apply to both sexes. Due to the narrow urethra, bladder emptying slows down, which leads to stagnation and bacterial growth.
Other causes of prolonged illness
If cystitis does not go away long time, then this may be due to:
- Chronic source of infection. There have been cases when cystitis developed as a result of the transition of the inflammatory process from the kidneys to the bladder. Therefore, it is very important to consult a doctor in time and begin treatment of the main organ from which the infection spreads.
- Reduced immunity. To get rid of cystitis, it is not enough to organize the correct treatment. It is necessary to increase the body's defenses, since a weakened immune system will certainly lead to a relapse of the disease.
- Violation of the microflora of the genital organs. The too close location of the urethra and vagina means that the condition of the first organ depends on the health of the second. Therefore, representatives of the fairer sex who suffer from chronic cystitis are recommended to first get rid of all existing sexual problems.
- Poor hygiene. Even a properly selected treatment regimen will not be able to cope with cystitis if the woman does not follow the banal rules of personal hygiene.
Symptoms
If cystitis does not go away after antibiotics, then it is worth considering whether the disease is correctly diagnosed. The main symptoms of this pathology include:
- frequent urination (up to several times an hour);
- painful sensations when going to the toilet;
- cloudy urine;
- cutting pain in the bladder and above the pubis;
- increased body temperature (especially in severe cases).
It should also be noted that sometimes with cystitis the patient may experience blood in the urine and feel incomplete emptying bladder, severe pain occurs at the end of urination, radiating to the rectum.
Which doctor should I contact?
If cystitis does not go away, what to do? First of all, you need to see a doctor. This disease is within the competence of two specialists - a gynecologist and a urologist. However, you should visit a therapist first. If a man develops cystitis, he is immediately referred to a urologist. If the problem affects a woman, then first of all she is recommended to visit a gynecologist, since very often the cause of the ailment in question is diseases of the genital area. If the latter do not affect the occurrence of cystitis, then the patient is also referred to a urologist.
Consequences of an untreated disease
How many days does it take for cystitis to go away? With a correct diagnosis and timely treatment, the signs of this disease disappear after 5-10 days. However, in some cases, the symptoms of the disease subside only for a while. At the same time, the true cause of the disease remains in the body and reminds itself at the slightest hypothermia. In such cases, they speak of a chronic form of pathology.
This type of disease is especially dangerous for little girls, as it often leads to scarring of the walls of the urethra and its reduction in volume. Also, incompletely cured cystitis can provoke infection from the bladder to the kidneys. As a result, it is likely that more serious illness, called pyelonephritis.
A serious complication of the disease in question is the development of interstitial cystitis. In the presence of such a pathology, the infection enters not only the mucous membranes, but also the submucosal layers, as well as the muscles of the organ. Next, the tissues of the bladder become scarred, deformed and contribute to its shrinkage, that is, loss of volume.
Treatment with medications
How many days does it take for cystitis to go away? If we are talking about the symptoms of this disease, then you can get rid of them within a day. As for the treatment of the pathology itself, this will take more time.
For cystitis acute nature patients are prescribed antibacterial agents, antispasmodics and herbs with a diuretic effect. If the symptoms of the disease are severe, then experts recommend taking medications that relieve spasms of the bladder muscles. Such drugs include: “No-shpu”, “Papaverine” and “Drotaverine”.
Also, for cystitis, diuretics in the form of “Canephron”, “Cyston” and “Fitolysin” are widely used.
Home methods
Non-traditional remedies for the treatment of cystitis are used very often. Thus, when the first symptoms of the disease develop, some patients recommend immediately taking a decoction of diuretic herbs such as bearberry, kidney tea and lingonberry leaf. Lingonberry, cranberry and blueberry fruit drinks are very useful in the presence of the pathology in question.
To alleviate your condition after painful urination, experts recommend taking warm baths with herbs, as well as washing the external genitalia. soda solution.
Preventive actions
What to do to avoid recurrence of a disease such as cystitis? According to experts, to prevent this disease it is enough to follow the most simple rules:
- avoid hypothermia of the legs and pelvic organs;
- observe intimate hygiene;
- do not sit on cold surfaces;
- empty your bladder on time;
- do not abuse spicy and salty foods;
- promptly treat sexually transmitted infections;
- refuse synthetic underwear.
You should also know that if you have a sedentary lifestyle, you need to get up and stretch every 20-30 minutes.
The most important!
Good prevention cystitis is the daily consumption of one glass of cranberry/lingonberry juice or taking cranberries/lingonberries in any other form, including in the form of fruit drink. Such berries are a natural medicine that has disinfectant and diuretic properties.
A Nizhny Novgorod urologist says regional clinic, doctor of higher education qualification category Yuri Sergeevich Popov.
— What's new in the treatment of cystitis?
— Currently, approaches to treatment have changed. It was recently discovered that the microorganisms responsible for this infection are able to adapt and survive well. That's why they are so difficult to deal with. And at the slightest hypothermia and decreased immunity, the infection immediately makes itself felt. And in a particularly unfavorable situation in the body, bacteria can migrate to the kidneys and even cause pyelonephritis.
Therefore, more powerful antibiotics are now used to combat prolonged cystitis. And you need to take them longer than before. But drugs are used in small doses, so side effects from such treatment occur quite rarely.
With cystitis, it is especially important to avoid self-medication. It is the incorrect and delayed use of antibiotics that leads to the infection beginning to “play hide and seek.”
— For a long time It was believed that chronic cystitis could be caused by sexually transmitted infections. Is this no longer relevant now?
- No, nothing has changed here. Prolonged infections of the intimate area often become the cause of chronic cystitis, which is difficult to treat. Nowadays, cystitis is occurring more and more often, which is caused by some representatives of chlamydia and mycoplasma. These bacteria are good at “hiding” from antibiotics, so sometimes two drugs are required to destroy them. Therefore, in case of repeated exacerbations of cystitis, it is necessary to visit a gynecologist and take tests for PCR diagnostics.
In addition to gynecological problems, there are other causes of chronic cystitis. The fact is that the bladder has a protective layer that prevents microbes from sticking and penetrating into cells.
But decreased immunity due to chronic diseases, hypothermia, hypovitaminosis and overwork leads to the destruction of this protective layer. And it becomes easier for bacteria to attach to the wall of the bladder and cause inflammation.
Therefore, if problems arise with bladder It is very important not to suffer from illness on your feet. You need to take sick leave and spend several days in a warm place, strictly following the daily routine and the doctor’s recommendations.
Sometimes the cause of long-term inflammation in the bladder is urolithiasis. Its competent, timely treatment helps prevent exacerbations of cystitis.
— Is it possible to somehow cope with the infection without pills, for example, with the help of rinses?
— Washing the bladder with special solutions is used only in the treatment of chronic cystitis. When exacerbations occur for the first time, they are of no use.
The procedure, of course, is not simple and pleasant. But it is very effective. And in combination with other treatment methods, it sometimes leads to complete recovery.
A course of 8-10 washes is carried out in the hospital daily or every other day. The solution for infusion is selected individually, after checking the sensitivity of bacteria to it.
— I know that many people take herbal preparations to prevent exacerbations of cystitis. How effective is this method?
— Long-term use of antibiotics leads to the emergence of resistant microorganisms. Moreover, after stopping treatment, approximately 60% of women experience a recurrence of the disease within 3-4 months.
Therefore, in case of chronic cystitis, to prevent exacerbation, it is advisable to use herbal remedies, for example, the herbal medicine Canephron N. Preparations plant origin act in conjunction with antimicrobial drugs.
It can also be used in acute period diseases. Canephron N helps increase the effectiveness of antibiotics and speeds up recovery. Long-term subsequent use of Canephron N can reduce the risk of recurrence of cystitis.
Canephron N is effective remedy for the treatment and prevention of infections, as well as urolithiasis in adults and children of any age. It has anti-inflammatory, antimicrobial, diuretic and antispasmodic effects.
You can also use other herbal remedies, such as lingonberry, parsley, birch leaves and kidney tea herb. They are sold in pharmacies both individually and as part of various diuretic preparations.
— How long should preventive courses of treatment with herbal preparations be carried out?
Contraindications to herbal preparations A little. But people prone to allergies should consult a doctor before using them.
— What about everyone’s favorite cranberry juice? Is it still relevant too?
— Yes, of course, cranberry or lingonberry fruit drinks do a good job of preventing exacerbations of cystitis. However, not everyone can tolerate the sour taste of cranberries. It is especially undesirable for those who have stomach problems.
— Are there any changes in the treatment of acute cystitis? If a woman gets sick for the first time, does she also need to take antibiotics longer?
- Not at all. When the infection first enters the bladder and has not yet taken root, it can be treated with a short course of antibiotics. Modern means should be taken no longer than three days.
The advantages of short courses of antibiotics are high efficiency, simplicity, and low cost. And also less risk of side effects.
It has been proven that with a three-day course, the causative agents of cystitis die in more than 95 percent of cases, minimizing the risk of the process becoming chronic.
There are even medications that are used once. For example, an antibiotic with international name fosfomycin. You only need to take one sachet to get rid of cystitis. However, this medicine belongs to the means prescription, has side effects and contraindications. Therefore, it must be prescribed by a doctor.
In case of acute cystitis, the main thing is not to start the process and not rely on traditional methods. Their misuse can transform the disease into a chronic form.
— Visiting the toilet with cystitis causes a lot of unpleasant sensations. Therefore, many try to limit drinking. Is it correct?
- Both with acute cystitis and with exacerbation of chronic cystitis, you need to drink a lot. If there are no contraindications, fluids need up to 2.5 liters or more per day.
“Rinsing” the bladder is necessary so that the infection does not stagnate and does not have time to “stick” to the walls of the bladder. Drinking plenty of fluids reduces the risk of further spread to the kidneys.
In addition to cranberry and lingonberry fruit drinks, it is advisable to drink for cystitis mineral water, weak tea, various juices diluted with water. Any alcoholic beverages, including beer, are strictly contraindicated.
There are some nuances in the diet. During the height of unpleasant sensations, spicy, fried and smoked foods, seasonings, spices, coffee, and canned food are prohibited. It is also advisable not to consume sour fruits and vegetables, marinades.
- Many women put warm heating pad on the lower abdomen. Can this method be used to relieve discomfort?
- This method of treatment is undesirable for those women who have not yet started treatment with antibiotics. Warming, of course, reduces the frequency of the urge to go to the toilet, but can contribute to the activation of infection. It is dangerous to use this method even in cases where the diagnosis is still unclear.
In addition, we must remember that heating is contraindicated for some gynecological diseases. For example, with uterine fibroids. Therefore this folk way Can only be used on the recommendation of a doctor. Instead of a heating pad, you can use no-shpu or drotaverine to relieve unpleasant spasms.
— Cystitis is often a concern . Do they also need antibiotics? Or can you still get by with herbal medicine?
— Herbal remedies It is better for pregnant women to use only on the recommendation of a doctor. In the midst of cystitis, pregnant women, like everyone else, need antibacterial drugs. Now there are antibiotics approved for use in expectant mothers and proven to be safe.
1 Try to stay in a warm, dry room for longer. When going outside, dress warmly. Cold air and especially wind increase discomfort and delay recovery.
2 Don't wear tight clothes. A tight elastic band can impair blood circulation, which contributes to the development of inflammation.
3 Adjust your diet so you don't have bowel retention. Constipation can make cystitis worse.
4 To strengthen your immune system, eat fresh fruits and vegetables, but avoid fresh onions and garlic.
5 Do not delay contacting a doctor, do not self-medicate. Modern drugs will help you quickly alleviate your condition.
Cystitis is an inflammatory, often infectious, disease of the bladder.
The causes of this disease are bacteria, viruses and fungi. Their reproduction is facilitated by many reasons, such as:
- Chronic diseases of the genitourinary system;
- Venereal diseases;
- Passive lifestyle;
- Gynecological diseases;
- Failure to empty the bladder regularly;
- Structural features urinary system among women.
The symptoms of the disease are very specific: abdominal pain and cutting pain when urinating.
Causes
Therapy for cystitis consists of the use of antibiotics, antispasmodics, physical therapy, and diet, excluding alcohol, caffeine, marinades and spices.
When started on time and proper treatment Cystitis should go away within a week.
It happens that cystitis does not go away despite the therapy used, the reasons for this may be the following factors:
- Inadequate therapy. Unfortunately, we often don’t have time to go to the doctor, but we can’t live with the symptoms of the disease - self-medication read on the Internet can lead to chronic cystitis or complications. And given the fact that often the causative agent of cystitis is a virus or fungus, antibiotic therapy may simply be ineffective and useless.
- No cystitis. Under the mask of the disease, other pathologies may be hidden, such as: gynecological diseases, bladder injuries, oncology.
- Features of the structure of the urethra. For women whose urethral opening is too close to the vagina, it is more difficult to get rid of cystitis, due to the fact that the urethra is constantly in contact with the vaginal microflora.
- . Another cause of persistent cystitis is a kidney infection, which, in the absence of treatment, “descends” into the bladder through the ureters.
- Immunodeficiency states. Decline protective functions The body occurs due to partial hypothermia, taking certain medications, pregnancy, radiation and chemotherapy. If you are concerned about frequent exacerbations of cystitis, doctors recommend that you consult an immunologist to prescribe medications that stimulate the immune system.
- Lack of personal hygiene. A special feature of the structure of the female urethra is its proximity to the vagina and anus. If hygiene is poor, the microflora of the intestine and vagina easily penetrates the bladder through the urethra and causes inflammation.
- Vaginal dysbiosis. In the presence of opportunistic vaginal microflora or thrush, the infection easily spreads to the bladder and causes cystitis. Until it's resolved gynecological problem cystitis will progress or worsen.
- . Age-related hormonal changes, and in particular a decrease in estrogen, lead to a decrease in tone muscle wall bladder and urethra. This leads to incomplete emptying of the bladder and stagnation of urine, and the open urethra is a “gateway” for pathogenic bacteria. In addition, dryness of the urethra leads to microtraumas, which also contributes to the development of the disease.
- Narrowing of the urethra. Various diseases, Availability foreign body in the urethra, adenoma prostate gland lead to stagnation of urine, and therefore favorable conditions for the development of pathological microflora.
- . Inflammation of the prostate gland can also contribute to chronic recurrent cystitis.
Diagnostics
To understand why cystitis does not go away, you need to visit a doctor who will prescribe an examination for you. Diagnosis of persistent cystitis includes:
- blood analysis;
- urine tests (general, bacteriological, according to Nechiporenko, according to Zimnitsky);
- X-ray examination;
- cystoscopy;
- smear of vaginal discharge;
- PCR diagnostics for STDs.
These methods will help to identify the cause of cystitis, and therefore select effective therapy.
Treatment
Drugs are prescribed after examination; if an infectious agent is identified, antibiotics, uroseptics, and antispasmodics are prescribed.
Herbal decoctions are used as herbal medicine, such as:
- calamus root;
- Melissa;
- St. John's wort;
- knotweed grass;
- black elderberry;
- flax seed;
- fennel;
- marshmallow root;
- nettle leaves;
- and etc.
The recipe for preparing the decoction is simple, and consists of boiling a tablespoon of herb in a glass of water for 5-7 minutes over low heat.
The infusion is prepared by brewing 4-5 tablespoons of the herb with boiling water and infusing it in a thermos for several hours.
Take herbs for recurrent or recurrent cystitis during the day in equal portions, for about 2 months.
The drinking regime consists of drinking 1.5-2 liters of clean still water.
In rare cases, rinsing the bladder with antiseptic solutions is prescribed. This procedure requires certain skills, so it is carried out in a hospital setting.
Prevention
To prevent the occurrence and recurrence of cystitis, you must adhere to the following recommendations:
- Avoid hypothermia - dress appropriately for the weather, take a warm shower or bath.
- Maintain personal hygiene, especially during menstruation.
- Avoid physical inactivity: try to get up and walk every 15-20 minutes.
- Empty your bladder in a timely manner.
- Visit your gynecologist regularly to identify and timely treatment diseases or microflora disorders.
- Avoid wearing tight synthetic underwear.
- Do not stop taking antibiotics immediately after the symptoms of cystitis cease; the course of antibiotic therapy is at least 5 days.
- Use herbal medicine 2 times a year to prevent relapses.
- If the first symptoms occur, consult a doctor.
Conclusion
The key to quick and complete cure from cystitis is timely complex therapy. Therefore, at the first signs of the disease, and especially if cystitis does not go away, do not self-medicate, but contact a specialist.
If cystitis does not go away for a long time, this means that the treatment regimen is ineffective or the patient has not taken the doctor’s recommendations responsibly enough. In addition, such a situation can be a consequence of self-medication.
Why does cystitis not go away?
Inflammation detected on initial stage, can be cured in a week. The chronic form will require more long-term treatment. Lasting for a month or longer healing process– this is a signal about the presence of diseases of other organs and systems.
Cystitis may not go away for a long time with the development of pathology of the genital organs, for example, vaginal dysbiosis.
The cause of frequent cystitis may be a decrease in the body’s protective functions due to frequent hypothermia, taking certain medications, unbalanced diet. Often inflammation is a consequence of promiscuous sex life with frequent changes of partners and without the use of condoms.
Among women
Peculiarities anatomical structure urinary system most often cause inflammatory processes.
The close location of the urethra and vagina creates favorable conditions for the penetration of microorganisms into the urethra. If a woman suffers from genital herpes or thrush, the infection easily enters the bladder, causing inflammation.
Until the woman heals gynecological disease, cystitis will constantly worsen.
Can cause disease age-related changes. Decreases during menopause muscle tone bladder walls. Because of this, it is not completely emptied, and urine stagnation occurs. Through the open urethra pathogenic microbes easily fall into it. In addition, microtraumas occur due to the dryness of the urethra. Pathogenic microorganisms entering them provoke the development of inflammation.
The source of infection may be a violation of personal hygiene rules. Improper care of the genital organs leads to the fact that the microflora of the vagina and intestines easily enters the bladder through the urethra.
In men
Narrowing of the urethra due to the entry of a foreign body (for example, a kidney stone), inflammation of the prostate gland and prostate adenoma lead to stagnation of urine, creating favorable conditions for the development of cystitis.
What to do if cystitis does not go away
If nothing helps to cope with the disease, this may mean that its cause has not been correctly identified.
To clarify, specialists prescribe more informative diagnostic methods.
Absence positive result after treatment may also be due to incorrect selection medicines. In this situation, you should visit a doctor to review the treatment regimen.
Repeated diagnosis
The patient will be prescribed general tests urine and blood. When fuzzy clinical picture disease, to detect inflammation, a urine test according to Nechiporenko is prescribed.
To figure out what caused the disease and what drugs this microorganism is sensitive to, urine culture is necessary.
Urogenital scraping allows you to confirm or refute the presence of a sexually transmitted infection.
To clarify the diagnosis and exclude other pathologies with similar symptoms, an ultrasound of the bladder is prescribed. For frequent cystitis or a chronic form of the disease, a urologist may prescribe a study of the hormonal system.
Taking medications
A course of antibacterial therapy remains a prerequisite for the fight against cystitis.
The antibiotic Monural, which acts on bacteria located directly in the bladder, has proven itself well in the treatment of cystitis. It is capable of not only removing pathogens, but also suppressing their ability to attach to the walls of the bladder, that is, preventing the development of the disease.
While taking medications, you must strictly follow the urologist's instructions.
Is it possible to cure cystitis?
In order to get rid of inflammation, you need to consult a doctor when the first signs of cystitis appear, strictly follow his recommendations and not self-medicate.
The treatment regimen is drawn up individually, taking into account examination and analysis data, the form of pathology and the patient’s condition.
Treatment is not limited to just taking medications. Be sure to follow a diet and avoid bad habits and physical activity.
Spicy
At acute form cystitis except taking medicines a special diet is prescribed that excludes salty and spicy foods and alcohol. Drinking plenty of fluids is recommended. You should take decoctions that have a diuretic and antiseptic effect, use warm baths and heating pads to relieve pain.
Chronic
Treatment chronic infection held antibacterial agents in combination with local therapy in the form of drip administration of medicinal solutions into the bladder or urethra.
The chronic form of cystitis is often a secondary disease.
For effective treatment you need to find out what caused the inflammatory process in the bladder and eliminate the cause.
The cause of chronic cystitis is the development of prostate adenoma.
These may be sexually transmitted infections, intestinal dysbiosis, bacterial vaginosis, stones in the bladder, prostate adenoma and other pathologies.
If chronic cystitis has caused complications that cannot be treated conservative treatment, the patient is recommended to undergo surgery.
What happens if cystitis is not treated?
Lack of treatment can lead not only to relapses of the disease, but also to more severe consequences.
Cystitis will become chronic, which can cause irreversible changes in the bladder.
The infection can penetrate the kidneys and provoke the development of pyelonephritis, which will manifest itself high temperature And severe pain in the lumbar region. This disease is more difficult to treat than cystitis, and only in a hospital.
Sometimes inflammation of the bladder leads to an incurable form of cystitis - interstitial. Drug therapy often turns out to be powerless in the fight against the symptoms of the disease. The only option is surgery to remove the bladder.
