Cystitis is an acute inflammation of the lining of the bladder. Allocate: infectious and non-infectious, primary and secondary, acute and chronic, allergic, toxic, medicinal, alimentary, etc. Cystitis is more common in women. The causative agents of cystitis are: Escherichia coli, Staphylococcus aureus, Streptococcus, etc.
Exacerbation of cystitis, as a rule, is associated with hypothermia, which causes a decrease in the body's defenses, as a result of which the infection begins to multiply actively, enters the bladder and causes an inflammatory reaction. For symptoms of acute cystitis, do not attempt to self-medicate. Incorrectly treated cystitis can very easily and quickly turn into a chronic process. You should see your urologist or gynecologist immediately.
If during the examination it is revealed that the cause of the disease is a chronic focus of infection, then the treatment of cystitis alone will give a short-term and short-term result. In this case, complex treatment of urinary tract infections is carried out. To improve immunity, you can take courses of vitamin therapy, immunotherapy and physiotherapy. The most problematic is the treatment of interstitial cystitis, which includes drug therapy, physiotherapy courses (laser therapy, magnetotherapy) and other methods.
In acute cystitis, it is recommended: physical and sexual rest, a sparing diet (salty, spicy, acidic foods must be excluded), drinking plenty of fluids (2.5 liters of liquid during the day). In addition, you should avoid cooling the body, monitor bowel function, and refrain from sexual intercourse.
With severe pain syndrome, vaginal and rectal suppositories with analgesics are prescribed. Antibiotic therapy is carried out taking into account the determination of the sensitivity of the causative agent to antibiotics (antibioticogram) until the results are obtained. As a rule, broad-spectrum antibacterial drugs, nitrofuran drugs and antihistamines are prescribed.
Antibacterial therapy is prescribed for 3-4 weeks, and then nitrofurans or bactrim for 3-6 months. It is necessary to conduct a bacteriological examination of urine on a monthly basis. If an infection is detected, a repeated course of anti-inflammatory therapy is prescribed. It is advisable to use hormonal and antihistamines. Dibunol liniment, liquid paraffin, as well as sea buckthorn oil, methyluracil, hydrocortisone and silver preparations are used locally.
In case of interstitial cystitis, physiotherapy is additionally prescribed (ultrasound therapy, diathermy, electrophoresis with a solution of novocaine and enzymes, electrical stimulation of the bladder). Various manipulations are performed: novocaine blockade (prevesical, presacral, intravesical); stretching the wrinkled bladder under anesthesia. With cicatricial changes in the bladder, surgical intervention is indicated: unilateral nephrostomy, ileocystoplasty, ureterosigmoanastomosis, ureteroureteroanastomosis.