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CYSTITIS

Cystitis means inflammation of the bladder and this may be due to many causes.

Widely, the term is used to cover pain and difficulty in passing urine and often with a sensation of scalding. Occasionally cystitis results in bloodstained urine. The problem is common after sexual intercourse.

Symptoms are:

  • Lower abdominal pain or backache

  • Increased frequency of passing urine

  • Having to pass urine urgently

  • A temperature rise

At some time most women will have an episode of cystitis. Often it will be a recurring problem, which arrives with little warning. Cystitis is uncommon in men and children.

The underlying cause is usually an infection with various bacteria. This can easily arise from bacteria passing into the bladder from the anus or vagina.

Another cause is irritation to external skin of the urethra or vagina by tights, underwear and talc. Some women find certain allergens in deodorants and performed soaps produce an attack of cystitis. Some foods and drinks especially spices, alcohol, tea and coffee sometimes cause cystitis in susceptible persons.

The GP should always be consulted in a first attack of cystitis. A simple investigation may be advised such as a microscopic examination of the mid-stream urine specimen (MSU). An antibiotic may be prescribed. Repeated attacks of cystitis may need further investigation by a specialist to pinpoint the exact cause of the problem.

If attacks continue after full investigation and no direct cause has been found, there are several self-help measures that can be useful:

  • Drink plenty of fluid

  • Medication to maintain alkalinity of the urine

  • Regular emptying of the bladder

  • Use of single-leg tights

  • Ensure cleanliness of private parts

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