Treatment of chronic cystitis in women. Postcoital cystitis, its symptoms and treatment in one day!

for the fact that the symptoms of cystitis in women and its treatment are more common than in men. But they don’t argue with nature, the main thing is to cure the disease in a timely manner and not cause complications! For LAIB MEDIC specialists, the primary task is to identify and eliminate the causes.

The impetus for female cystitis can be:

1. Bacteria that have entered the bladder through the urethra;
2. Inflammatory processes resulting from prolonged friction;
3. Long patience when wanting to urinate;
4. Rarely – tumor.

Classification of the disease

There are several types of the disease, divided depending on a number of factors:

• According to the severity of the pathological process: Acute. A common disease. Occurs in 35% of women aged 25–45 years. It is characterized by an acute onset and pronounced symptoms.
• Chronic. Less common. Develops with improper or absent treatment of the disease. Periods of exacerbation alternate with remission.

• Infectious. Most often caused by E. coli, as well as other bacteria, viruses, and protozoa.
• Non-infectious. Occurs with chemical, thermal, allergic, medicinal, toxic, radiation, interstitial, helminthic and other lesions of the mucous membrane.

The disease is widespread in women of childbearing age and is one of the common reasons for visiting a urologist.

Drugs for chronic renal failure (CRF)

In chronic renal failure, kidney function irreversibly deteriorates: filtration capacity decreases, metabolic products accumulate in the plasma. And if in the initial stages of chronic renal failure the disease can be controlled with medication, then in complex cases the only way out is lifelong hemodialysis. Well, the radical treatment of chronic renal failure is a donor kidney transplant. At the initial stage of chronic renal failure, the patient does not notice any negative symptoms; usually he is worried about the problems that caused chronic renal failure: high blood pressure, high blood sugar, diabetes mellitus. Complaints arise already at stages 4-5 of chronic renal failure, when the urea level goes off scale and the acid-base balance is disturbed. Symptoms of chronic renal failure are: fatigue, swelling, pain in muscles and bones, tinnitus, headaches, loss of appetite, thirst, ammonia breath, pale skin, high blood pressure.

Causes

Cystitis most often develops in the fair sex due to the anatomical features of the female urinary system. Through the shortened and wide urethra, the infection from the outside easily enters the bladder.

Potential causes include:

• consequences of radiation therapy;
• unprotected sexual intercourse;
• irritation from lubricant, spermicidal gel, bubble bath;
• a long-term urinary catheter, menstrual cup, contraceptive diaphragm, or other foreign body;
• allergic reaction to medications (for example, chemotherapy).

Secondary cystitis, as a complication, occurs in pregnant women, kidney stones, diabetes, prostatitis, spinal column injuries, reduced immunity, poor hygiene and in the elderly.

Provoking factors:

• hypothermia;
• tendency to constipation;
• hormonal changes;
• active sex life;
• problems with immunity;
• disruption of the blood supply to the organ;
• injuries, congenital malformations;
• failure to comply with basic hygiene standards;
• violation of the outflow of urine (blockage of the ureter with a stone);
• a sedentary lifestyle leading to stagnation.

The combination of these factors increases the likelihood of developing cystitis. Therefore, it is worth carrying out prevention.

Factors that provoke the appearance of cystitis:

• Stones in the bladder
• Acute and chronic pyelonephritis
• Bladder diverticula with signs of urinary stagnation
• Pregnancy (due to hormonal changes in the woman’s body, the flora in the vagina changes and immune defense decreases)
• Diabetes mellitus, oncology, allergic diseases (cystitis is provoked by taking medications that affect the immune system, altered composition of urine)
• Surgeries and manipulations on the bladder, endoscopic examinations (mucous membranes are injured)
• Menopause (decrease in estrogen causes degenerative processes in the genitals and bladder).

Symptoms

The symptoms of cystitis are quite specific. In addition to pain, there may also be other signs:

• low-grade fever;
• increased urination or frequent urge;
• hematuria (bleeding from the urinary system);
• protein and other impurities that give urine a cloudy appearance and an unpleasant odor;
• burning, pain and discomfort in the pelvic area (above the pubis), aggravated by urination.

Symptoms of general intoxication are also added, including muscle aches, weakness, poor appetite, decreased performance, and nausea.

Symptoms can occur individually, together, or worsen. To prevent it from getting worse and the disease from moving into the chronic phase and becoming more complicated, you need to urgently seek treatment.

“Which doctor treats you?” - This is a question many patients ask themselves. If you have cystitis, you should contact a urologist. It is this doctor who is in charge of diagnosis, treatment and prevention of the disease.

Symptoms

A few hours or even 1-2 days after intercourse, a woman may feel that the urge to urinate has become more frequent. There is a need to visit the toilet even with a minimal amount of urine excreted. In this case, urination itself is accompanied by sharp pain. It may be present throughout the entire process or only at the very end [4].

For some women, the troubles don't end there. There may be pain in the pubic bone and fever, and the urine may turn reddish due to the presence of blood. The cause of all this discomfort is most likely acute cystitis [3,4].

Diagnosis of cystitis

To make a correct diagnosis, you will need to undergo a quick medical examination:

• Analysis of urine. They detect bacteria, viruses, protozoa, as well as leukocytes and red blood cells, protein and other impurities.
• Bacterial sowing Colonies of bacteria that cause cystitis are grown on special media and sensitivity to antibiotics is tested.
• Cystoscopy. A cystoscope is inserted through the urethra and the condition of the bladder is examined from the inside. A mucosal biopsy is taken.
• Ultrasound. The organs of the genitourinary system are studied, which makes it possible to identify not only the prevalence of the process, but also its causes - tumor, structural abnormalities, pyelonephritis - a common cause and complication of cystitis.

The disease can be diagnosed at our Life-Medic clinic. Specialists with 10 years of experience will conduct an examination and prescribe one or more methods from the list in order to make a diagnosis and prescribe the correct treatment.

Diagnostic measures

If any signs of cystitis appear, a woman should immediately consult a doctor. At the appointment, the patient is asked about how long ago she noticed the appearance of symptoms, whether this happened before, as well as what diseases she had previously and are present now. The patient must answer the questions asked truthfully. Otherwise, the doctor will not get a full picture of what is happening to her.

To identify cystitis, the doctor will refer you for a laboratory examination. It consists of taking a general blood and urine test. Thanks to such studies, it is possible to detect inflammation, the level of leukocytes and immature forms of neutrophils, and the level of erythrocyte sedimentation rate. In addition, protein in the urine and bacteria are detected. If the result of a general urine test shows that the leukocyte content is increased, the patient is prescribed a urine test according to Nechiporenko.

Carrying out such a urine test will help determine what caused the disease. As a result, more effective treatment is prescribed. With this method of examination, an antibiogram can be performed and the sensitivity of the pathogen to various types of antibacterial drugs can be determined.

Also, special test strips are used, thanks to which nitrites and leukocytes are determined. Such special strips give a reaction if products of pathogenic microorganisms are present in the urine.

An ultrasound examination of the bladder helps to exclude stones in the organ, and the doctor also evaluates the condition of the upper urinary tract and organs adjacent to the bladder. An ultrasound will help rule out a large tumor.

Treatment methods for cystitis at the Life-Medic clinic

Cystitis therapy is based on an integrated approach. The main tasks are to identify the cause and provoking factors, and then eliminate them and restore health. Our clinic uses all the variety of methods available to modern medicine to not only treat cystitis, but also restore the immunity and reproductive functions of the female body:

• Drug therapy.
• Physiotherapeutic treatment.
• Alternative (traditional) medicine: herbal medicine;
• homeopathy;
• acupuncture.

How to treat the kidneys: uroseptics, citrates and drugs for chronic renal failure.

Thursday, November 25
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Content

• Causes of kidney disease
• The most common kidney diseases
• The most popular drugs for kidney treatment
• Uroseptics
• Furamag
• Nitroxoline (5-NOK)
• McMirror
• Furadonin
• Citrates
• Allopurinol
• Blémarin
• Urolesan
• Phytolysin
• Drugs for chronic renal failure (CRF)
• Kalimeit
• Renagel

Kidneys are the most important paired organ in the human body. The kidneys pump blood, clearing it of toxins, maintaining the correct acid-base balance, and reabsorbing amino acids, glucose and water. And this is not a complete list of kidney functions.

If abnormalities appear in the functioning of the kidneys, diseases may develop that are then very difficult to treat. The kidneys should be treated by a nephrologist or urologist, who will select the correct treatment regimen after examination and tests. Moreover, kidney diseases require an integrated approach: usually the doctor prescribes several drugs that affect both the causes of the problem and the symptoms, as well as restore kidney function.

Drug therapy: tablets for cystitis in women

Drug therapy for cystitis is often carried out using oral tablets. They have a systemic effect and are effective in cases of infectious origin of the disease.

The drugs used for treatment are divided into different categories, but have similar effects. Each remedy must be fast-acting, with a minimum of side effects.

Basically, these are oral antibiotics. Among them are inexpensive but effective broad-spectrum antimicrobials. Just because they're cheap doesn't mean they're ineffective.

This medicine is designed for repeated use, and you will need not just 1 tablet every day, but several. This increases the risk of side effects. Therefore, doctors are trying to choose the best treatment - injections, douching or more expensive new generation drugs.

Modern medications are sold without prescriptions, but generally require once daily dosing to achieve therapeutic concentrations. These antibiotics are gentle, but more effective. They affect the genitourinary area directly, and not the entire body. They have a minimum of side effects.

There are also narrow-spectrum antibacterial drugs; they are prescribed when the causative agent of the disease has been accurately identified. In addition to injections and tablets, rectal and vaginal suppositories, pain relievers, and immunomodulators are also recommended. Their action is aimed at relieving pain and generally supporting the immune system.

Medicines for cystitis in women: list of prescribed drugs

The list of medications recommended for cystitis includes the following medications:

• No-shpa and Spazmex. Antispasmodics.
• Sumamed. Azithromycin derivative.
• Palin. Derivative of the quinolone group.
• Monural. Broad spectrum antibiotic.
• Miramistin. Antiseptic and disinfectant.
• Suprax. Antibiotic of the cephalosporin series.
• Trichopolum and Metronidazole. Imidazole derivatives.
• Fosfomycin. Systemic antimicrobial agent.
• Nimesil. Non-steroidal anti-inflammatory drug.
• Furagin (50 mg). Furamag (25 mg). Nitrofuran derivatives.
• Canephron. A herbal remedy used in urology.
• Flemoxin. Systemic antibiotic. Amoxicillin derivative.
• Biseptol. Combined antimicrobial systemic agent.
• Cyston. A drug that affects the dissolution of urinary stones.
• Ciprolet, Ciprofloxacin and Nolitsin. Fluoroquinolone derivatives.
• Furadonin. Antibacterial agent based on nitrofurantoin.

Most often, uroseptics are prescribed that act specifically on the urinary system and do not affect the rest of the body. Biseptol and the herbal remedy canephron, antispasmodics and cystone have also proven themselves well.

The degree of effectiveness of drugs against cystitis

Treatment of cystitis is complicated by the fact that over time, pathogens become resistant to many antibacterial drugs. Most often, this situation occurs during repeated courses, hospital infections (introduction of a pathogen during examination, surgery). Resistance can develop during therapy with Ampicillin (E. coli is not very sensitive to it), Furadonin, Furagin, Biseptol, Cephalexin, Cefradin. That is why it is so important before taking medications to consult a doctor who knows not only the symptoms and characteristics of cystitis, but also knows the properties of antibiotics. It is also important to adhere to the recommended course, dose and frequency of antibiotics.

In addition to etiotropic therapy, in the treatment of cystitis, herbal-based drugs or herbal infusions, antispasmodics, and, if necessary, immunostimulants (Viferon, etc.) are prescribed. Viferon suppositories contain α-interferon, which stimulates the immune system and regulates its functioning. Only a doctor can decide which immunomodulators to prescribe, because each of them has its own mechanism of action and indications.

Herbal remedies

Herbal remedies and herbal preparations are often used to treat genitourinary infections. They should be included in complex treatment to improve results. In mild cases, with minimal symptoms, cystitis can be cured only with the help of herbal medicine. In complex treatment, in addition to herbal preparations, other agents are used - antibiotics, antispasmodics, non-steroidal anti-inflammatory drugs.

Cyston

A herbal medicine containing more than a dozen different herbal extracts.

It has diuretic, anti-inflammatory, antibacterial properties. With long-term use of Cystone, the manifestations of the inflammatory process in the bladder and other organs of the urinary system are significantly reduced.

Cyston enhances the effect of antibiotics when taken simultaneously with them. For urolithiasis, this medicine can help dissolve stones.

Cyston price from 450 rubles.

Lingonberry leaves

Lingonberry leaves relieve inflammation, promote diuresis, and have astringent and antibacterial properties. Particularly effective in the complex treatment of infections caused by Staphylococcus aureus.

Lingonberry leaves are used for cystitis, pyelonephritis, nephropathy in women bearing a child, sexually transmitted infections (gonorrhea), colds, etc. The plant enhances the effect of antibacterial drugs and has a positive effect on the immune system.

Tea is prepared from lingonberry leaves; it is best to buy the dried mixture at the pharmacy.

Price - from 40 rubles.

Cranberry and the drug Monurel

For many diseases of the kidneys and urinary tract, including cystitis, doctors advise drinking cranberry juice. It is easy to prepare at home from fresh berries. Cranberry is one of the components of herbal kidney teas; it is also used in folk medicine. Has antimicrobial, diuretic properties. It is sometimes called a natural antibiotic. If you drink 300 ml of cranberry juice daily, the frequency of repeated episodes of cystitis is significantly reduced.

With the help of cranberries, you can alleviate cystitis and increase the chance of a full recovery. The berries contain tannins, which prevent E. coli from attaching to the mucous membrane of the bladder walls. As a result, the number of relapses decreases, and antibiotics kill bacteria more effectively.

Cranberry extract is included in Monurel tablets. It is prescribed both during exacerbation and during remission. The best treatment results are observed with long-term use of the drug.

Monurel price from 500 rubles.

Uroprofit capsules have a similar composition . They also contain bearberry leaf extract, horsetail, and ascorbic acid (vitamin C). The product is registered as a dietary supplement. It is taken one capsule twice a day, or 2 capsules once a day.

Canephron

The herbal preparation Canephron contains rosemary, lovage and centaury. Available in the form of a solution or dragee.

Canephron, when taken regularly, reduces the pain characteristic of cystitis, reduces the likelihood of a chronic disease, and prevents exacerbations. The medicine combines well with antibiotics and is well tolerated.

The cost of the drug is from 400 rubles.

Phytolysin

Phytolysin is a green paste. It is a hydroalcoholic extract of 9 herbs, also includes sage, pine and orange oil. It has diuretic, antispasmodic, anti-inflammatory properties. Phytolysin not only effectively treats cystitis, but also helps remove sand and stones from the kidneys.

Fitolysin paste is intended for oral administration. A teaspoon is dissolved in a glass of warm water and drunk at one time. The course of therapy is two weeks or more.

Price - from 300 rubles.

Urolesan

Herbal preparation of hop cones, wild carrot extract, oregano, peppermint leaves, fir oil. Urolesan is a urological antiseptic, has a positive effect on diuresis, relieves spasms, and promotes the excretion of bile.

The course of therapy is 1-4 weeks, the dose is determined by the attending physician.

Price - from 250 rubles.

Spilled

A combined preparation of plant origin, with a positive effect on the bladder and urinary system. Prolit has proven itself in the treatment and prevention of kidney stones. Uroseptic makes antibiotic therapy more effective.

Prolit is registered as a dietary supplement. Prescribed in doses of 1 to 5 capsules three times a day.

Price – from 500 rubles.

Antispasmodics

There are a large number of drugs with antispasmodic effects on the market, so the choice of the appropriate drug is up to the doctor.

The best and universally recognized medicine from this group is No-shpa . The active component of the drug, Drotaverine , is an isoquinoline derivative. Refers to myotropic antispasmodics, acts on smooth muscles. As a result, the walls of the internal organs relax, the spasm is relieved, and the pain disappears. Antispasmodics do not affect the cause of cystitis, they only relieve symptoms. Therefore, it is impossible to cure the disease with their help.

Drotaverine and other antispasmodics have side effects, they cause lethargy, drowsiness, and dizziness.

Drotaverine hydrochloride

A drug with the same properties and active ingredients as No-shpa. Only Drotaverine is a non-proprietary chemical name, and No-shpa is a brand name.

The mechanism of action of Drotaverine hydrochloride is the same as that of No-shpa - relaxation of smooth muscles and relieving spasms. The medicine eliminates pain within thirty minutes after administration. However, it does not have a negative effect on the nervous system.

The price of Drotaverine is from 70 rubles.

No-shpa costs from 80 rubles.

Nonsteroidal anti-inflammatory drugs

For severe pain that cystitis can cause, NSAIDs are prescribed. Medicines have an anti-inflammatory and analgesic effect, reduce tissue swelling and body temperature. You should consult your doctor about the duration of the NSAID course. They have a rather gentle effect on the body, are well tolerated by patients, but have side effects with long-term use.

Nonsteroidal anti-inflammatory drugs are sold in pharmacies without prescriptions and can be taken at home. But if abused, they can have a negative effect on the kidneys, liver, and reduce blood clotting, causing bleeding. NSAIDs are contraindicated in pregnant women.

Ibuprofen

An inexpensive medicine that can be taken by both adults and children. Relieves inflammation, pain, effectively reduces temperature. Ibuprofen has a fast effect. Contraindicated in pregnant women; it should be prescribed with caution to children under 6 years of age.

Ibuprofen price from 40 rubles.

Faspik

The drug Faspik is the same ibuprofen, but in a higher concentration.

Other analogs of Ibuprofen are Nurofen, Ibuklin (a combination of ibuprofen with paracetamol). Many people take these medications on their own, without any prescription, and give out “recommendations” on forums. You cannot follow the advice of non-professionals; it is better to consult a doctor.

The price of ibuprofen is from 120 rubles.

Probiotics

Cystitis in women develops not only due to the penetration of pathogenic bacteria into the bladder, but also due to disruption of the microflora in the intestines and vagina. Therefore, doctors often include probiotic drugs in complex therapy. In pharmacies you can see many drugs from this group; they include lactobacilli and bifidobacteria. They normalize the microflora of the intestines and genital organs in women and girls, restoring it after long-term use of antibiotics. The most popular and proven probiotics are Bifiform, Rio Flora Balance, Acipol, Hilak Forte, Rio Flora Immuno and others.

Physiotherapy for cystitis

The advantage of this method compared to medication is an enhanced local effect on the deeper layers of the bladder walls, plus a general strengthening effect on the entire body. The following methods have proven themselves to be effective in the treatment of cystitis in girls and women:

• Microwave, UHF;
• phonophoresis;
• laser therapy;
• magnetic therapy;
• short-pulse electroanalgesia;
• sinusoidal modulated currents.

The course of treatment is 10–15 sessions of 5–10 minutes on average. Most procedures combine well with each other. This allows you to fight chronic inflammation and restore damaged organ functions in remission.

Important. If you have cystitis, you should not use thermal procedures: baths, heating pads. Heat promotes active reproduction of the pathogen.

Alternative medicine: treatment of cystitis with folk remedies in women

The techniques used in our clinic are aimed at gentle elimination of symptoms and speedy rehabilitation. Therefore, we actively use the knowledge accumulated by medicine over many thousands of years.

Herbal medicine has shown high effectiveness in the treatment of cystitis. Many medications include herbal extracts. They have a mild antispasmodic and effective bactericidal effect.

Alternative medicine makes equally common use of herbs. Some of them are diuretics, others help relieve inflammation. Still others promote regeneration of the bladder mucosa. With their help:

• the acute process is stopped;
• chronic goes into remission;
• prevention of new exacerbations occurs.

Most of our clinic patients are interested in what to drink. Many have heard that chamomile has a good effect, but it is not the only effective plant. Most often, we prescribe an individual herbal mixture to patients. It may include celandine, St. John's wort, yarrow, corn silk, parsley, garlic, sage, horsetail...

Soda can be used internally. It reduces the acidity of urine, and the discharge is less irritating to the damaged mucous membrane. If you don’t know what else to drink, mineral water won’t hurt. Sanatorium-resort and balneological treatment for cystitis also gives excellent results.

Homeopathy and acupuncture have proven themselves to be excellent. Both methods are a couple of millennia old. With their help, balance in the body is restored, active points are activated, and one’s own defenses are awakened. They best help with a chronic and often recurrent process.

Chronic cystitis in women: treatment and prevention

Any acute inflammatory process with insufficient treatment or its absence becomes chronic. This is not uncommon with cystitis. Many are ashamed to visit a urologist or do not find time for this, they endure it, and the pain gradually subsides. But this is imaginary prosperity. The infection has not gone away and is firmly settled in the tissues of the bladder.

Particularly chronic process occurs if cystitis:

• hemorrhagic (with blood);
• postcoital (after sex);
• radiation (against the background of irritation);
• interstitial (cause unknown);
• hormonal (endocrine imbalance).

All these types of cystitis, especially interstitial, have several similar factors for the chronicization of the process - rapid development, severe symptoms, prolonged course, severe irritation of the mucous membrane. If they are misdiagnosed and treated as ordinary bacterial cystitis, the effect will be minimal. Therefore, you should trust your health only to experienced doctors who know exactly how to cure the disease.

Gynecologists and urologists with 10 years of experience practice at the Life-Medic clinic. We have modern diagnostic and treatment equipment to identify the causes and pathogens of the disease, prescribe and carry out adequate and successful treatment.

How long does the treatment last?

Alas, the disease cannot be cured in 1 day. And you can get rid of it forever only if you try hard. Getting rid of the acute process takes 10–14 days. How long a chronic process takes to be treated depends on the severity, concomitant diseases, the presence of complications and a host of other factors. The duration of therapy is individual for each patient.

Prevention of chronic cystitis

In addition to promptly consulting a doctor, you should follow these recommendations:

• Diet. If you have kidney disease, avoid fatty, fried, and sour foods. Juices from cranberries, carrots, and pumpkins are allowed. Steamed fish and meat.
• Maintaining hygiene. Skip baths. Shower twice a day. Change sanitary pads promptly (every 3-4 hours).
• Hypothermia. Dress in a way that makes you feel comfortable. So as not to be cold, but also not to sweat.
• Proper underwear and clothing. Choose cotton over synthetics, loose over tight. It is necessary that the skin breathes and the blood vessels are not squeezed.
• Constipation. Eat foods rich in fiber. Ask your GP to prescribe an effective laxative if the problem persists.
• Intimate life. Pee and clean up after sex. Avoid lubricants, intimate gels and other chemicals.

With these simple rules at home, you can avoid chronicity of the acute process. And be sure to follow all the recommendations of your doctor.

Call Life-Medic now to make an appointment at a convenient time. We will tell you how to treat, how quickly you can return to your previous life, and we will be happy to solve your delicate problems!

Furadonin

This is one of the most inexpensive and oldest medicines for the kidneys. "Furadonin" destroys microbes regardless of their concentration. This drug is weak against enterococci and fungi, but copes well with gram-positive flora, streptococci, staphylococci, gram-negative aerobes, E. coli, and shigella. Also, Furadonin should not be prescribed for Proteus. Indications: pyelitis, pyelonephritis, urethritis, cystitis, prevention of infections during urological examinations and operations. "Furadonin" is considered a weak medicine, so it is prescribed mainly for mild infectious processes without complications. The drug has an impressive list of contraindications, including: children under 6 years of age, serious liver diseases, heart failure, etc. Side effects: disorders of the nervous system, numbness of the limbs, goosebumps (in these cases, the drug should be discontinued) , drowsiness, dizziness, problems with breathing, hematopoietic system, cough, fever, joint pain. Also, during treatment with Furadonin, hepatitis, hemolysis and even fungal superinfection may develop. Therefore, if your doctor prescribes this particular drug for kidney treatment, be sure to ask him why he didn’t choose a more modern and safe drug.

Furadonin

Olaina Chemical Plant, Latvia

Antibacterial drug used for: Bacterial urinary tract infections (pyelitis, pyelonephritis, cystitis, urethritis), prevention of infections during urological operations or examinations (cystoscopy, catheterization, etc.).
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