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2.6.Treatment of Cystitis

Here is list of the methods for treating Cystitis:

  • Antibiotics are the first line of treatment for community-acquired bladder infections.

  • The medications most commonly recommended for simple UTIs include amoxicillin (Amoxil, Trimox), ciprofloxacin (Cipro), nitrofurantoin (Furadantin, Macrodantin), sulfamethoxazole-trimethoprim (Bactrim, Septra) and trimethoprim (Proloprim, Trimpex).

  • You can try using bicarbonate of soda, 5ml (1 tea spoon) in half a glass of water, two or three times a day, or one of the over the counter cystitis remedies.

  • Use of erotic materials, such as vibrators, books, magazines and videos.

  • Use of lubricants to moisten the genital area.

  • bladder distension- a procedure aimed at increasing bladder capacity and interfering with pain signals that are being transmitted by the nerve cells in the bladder.

  • Surgery, considered a treatment of last resort. Surgery does not necessarily improve symptoms.

2.7.Diagnostics

In case of suspicion of bladder inflammation (cystitis) an overall urinal analysis must be performed. Urine may contain white (leucocytes) and red blood cells (erythrocytes), nitrites, bacteria, which are visible microscopically. A urine culture helps to identify the agent. Sometimes, for more accurate diagnosis, it may be necessary to perform a cystoscopy and a biopsy of the bladder. In cases of asymptomatic cystitis when urinalysis becomes abnormal, the disease should be differentiated with pyelonephritis – an inflammation of the renal pelvis.

Some sexually transmitted diseases like gonorrhea or Chlamydia infection may show similar symptoms to cystitis; therefore, all sexually active patients should be checked for those diseases.

3.Diet for Cystitis

While suffering from an attack of cystitis, it would be better to avoid solid food and up your intake of fluids instead. Drink at least 2 liters of water daily and increase your intake of foods like juices, soups, and coconut water. Solid foods are best avoided if there is a fever.

Raw vegetable juices such as cucumber juice and carrot juice (mixed with equal quantities of water) can be had every three hours. This should continue for three days at a time. After the three days of only juices, you can start an all-fruit diet for the next few days. Once the all-fruit diet is over, gradually introduce foods such as grains, nuts, vegetables and seeds into your diet. Make sure you avoid too much salt and starch in your meals.

4.Prevention

Cranberry juice or tablets containing proanthocyanidin are often recommended to help reduce the risk of recurrent bladder infections for some women. However, recent studies suggest that it's less effective than previously thought. Some smaller studies demonstrated a small benefit, but larger studies found no significant benefit.

As a home remedy, avoid cranberry juice if you're taking the blood-thinning medication warfarin (Coumadin). Possible interactions between cranberry juice and warfarin can lead to bleeding.

Although these preventive self-care measures aren't well-studied, doctors sometimes recommend the following for repeated bladder infections:

  • Drink plenty of liquids, especially water. Drinking lots of fluids is especially important if you're getting chemotherapy or radiation therapy, particularly on treatment days.

  • Urinate frequently. If you feel the urge to urinate, don't delay using the toilet.

  • Wipe from front to back after a bowel movement. This prevents bacteria in the anal region from spreading to the vagina and urethra.

  • Take showers rather than tub baths. If you're susceptible to infections, showering rather than bathing may help prevent them.

  • Gently wash the skin around the vagina and anus. Do this daily, but don't use harsh soaps or wash too vigorously. The delicate skin around these areas can become irritated.

  • Empty your bladder as soon as possible after intercourse. Drink a full glass of water to help flush bacteria.

  • Avoid using deodorant sprays or feminine products in the genital area. These products can irritate the urethra and bladder.

References

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