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Cystitis (UTI)

Cystitis is a common type of Urinary Tract Infection (UTI), primarily affecting women and often caused by bacterial infections such as E. coli. Symptoms may include a persistent urge to urinate, a burning sensation during urination, pelvic discomfort, and sometimes blood in the urine. Treatment usually involves antibiotics, supported by adequate hydration and good hygiene practices to help prevent recurrence.

Cystitis refers to inflammation of the bladder, typically caused by a bacterial infection. It is a common Urinary Tract Infection (UTI) that predominantly affects women, though men can also develop it. E. coli, a bacterium commonly found in the gastrointestinal tract, is a frequent culprit behind cystitis.

Symptoms of cystitis include a strong and persistent urge to urinate, discomfort or burning sensation during urination, cloudy or strong-smelling urine, pelvic pain, and occasionally, blood in the urine. Factors such as poor hygiene, sexual activity, the use of certain contraceptives, and underlying medical conditions can increase the risk of developing cystitis.

Treatment typically consists of antibiotics to eliminate the bacterial infection causing cystitis. Adequate hydration, proper hygiene practices, and measures to prevent potential irritants can aid in managing and preventing recurrent episodes of cystitis.

Cystitis Video

Cystitis is the medical term for inflammation of the bladder, which can cause pain, irritation and discomfort.

Cystitis is most frequently caused by a lower Urinary Tract Infection (UTI), commonly known as a water or bladder infection. Bacteria (usually from the anus) enters the urinary tract and moves up to the bladder where it causes inflammation and irritation. E. coli is the most common bacteria involved in cystitis and is responsible for 75-95% of all cases.

Cystitis also has a number of non-bacterial causes, these include: certain medications which cause inflammation of the urinary tract as they leave the body via urine, existing kidney or spinal cord conditions, some autoimmune diseases and hypersensitivity to certain chemicals in bath oils, soaps and sprays.

Cystitis can affect both men and women of any age, but it is much more likely to occur in women; it is estimated that almost all women will experience cystitis at least once in their life. Women are more likely to experience cystitis due to the presence of a shorter urethra (the tube that urine passes out of the body from) which is located closer to the anus. This enables bacteria to pass more easily from the bowel up into the urethra and cause infection. 

Mild cases of cystitis typically last a couple of days and in most cases will resolve on their own. If left untreated, cystitis can develop to a more serious upper urinary tract or kidney infection that will require urgent medical attention.

Some women experience frequent episodes of cystitis, this might require regular or long-term treatment. Recurrent cystitis is most common in women who: are pregnant, are sexually active, have been through the menopause, are diabetic, use a catheter or have kidney problems. Women who are prone to repeated episodes of cystitis should inform their GP.

Cystitis is not considered a sexually transmitted infection, however, being sexually active can increase your chances of contracting it.

Children, men, and the elderly with symptoms of cystitis should always see their GP.

Common symptoms of cystitis include:

  • Pain, burning or stinging when passing urine
  • Feeling the need to urinate more often and more urgently than usual
  • Only being able to produce small amounts of urine
  • Sensation of bladder fullness when empty
  • Producing urine that is dark, cloudy or strong smelling
  • Pain or discomfort behind the pubic bone, lower back or stomach

 

Other symptoms that may be present and indicate a more serious infection are:

  • Severe pain behind the pubic bone or in the lower back
  • Pain in the flanks (the sides of your lower back – where your kidneys are located)
  • Nausea, vomiting or diarrhoea
  • Fever (temperature above 38°C) or sometimes a very low temperature
  • Blood in the urine
  • Drowsiness/confusion

 

If any of the above symptoms are present you should consult a doctor as your infection may have moved up the urinary tract and reached your kidneys (known as Pyelonephritis).

Women are much more likely than men to have cystitis, as the tube that passes out urine from a woman’s bladder (the urethra) is shorter and opens much nearer to the back passage (anus).

Aside from being female, other things that make cystitis more likely include:

  • Pregnancy
  • Being sexually active – bacteria is more likely to enter the urethra during sex
  • Using spermicide with contraception
  • Having already gone through the menopause – the changes in the tissues of the vagina and urethra after the menopause make it harder for them to defend against infection
  • Diabetes – sugar in the urine can mean that bacteria is able to grow more easily
  • Having a catheter inserted in your bladder
  • Abnormalities in your kidneys, bladder or urinary system
  • Having an untreated STI (such as Chlamydia or Gonorrhoea)
  • Having an immune system which is not working well (for example, due to AIDS or medication which suppresses the immune system)

Simple steps that may help to prevent cystitis include:

  • Staying hydrated and drinking plenty of water
  • Always wiping from front to back after going to the toilet to minimise the risk of bacteria being passed from the anus to the urinary tract
  • Emptying your bladder as soon as possible after sex to flush any potential bacteria away
  • Completely emptying your bladder each time that you go to the toilet
  • Avoiding the use of heavily perfumed soaps or lotions. If you find that you’re getting cystitis regularly, you should shower instead of having baths so that the affected area is exposed to fewer chemicals over a shorter period of time
  • Wearing cotton underwear instead of more synthetic fabrics and avoiding tight-fitting underwear
  • Smoking and certain foods and drinks could be triggering your cystitis, so you may want to keep a log to identify potential causes

Mild cases of cystitis often get better without antibiotics and do not always require medical treatment. The first time that you get symptoms of cystitis, you should always visit your GP. After this, you will be familiar with the symptoms and be able to decide whether you require treatment or not.

If you have mild symptoms for less than two days, there are some self-care tips that you can follow that may help clear up the infection:

  • Keeping well hydrated – drinking plenty of water will help your body to flush the infection out
  • Taking over-the-counter painkillers such as Ibuprofen and Paracetamol for pain
  • Avoiding sex until you feel better – having sex when you have cystitis can worsen your symptoms
  • Holding a hot water bottle over your lower tummy can help soothe discomfort
  • Avoiding drinks that may irritate your bladder such as alcohol, fruit juice and coffee
  • Urinating frequently to help flush out the infection

 

Women who are able to self-diagnose their cystitis are able to purchase treatment without the need to visit their GP. Urine alkalinising sachets work by reducing the acidity of the urine, which may help to reduce irritation and burning or stinging symptoms when passing urine.

If your symptoms are more severe or have not improved within three days, you may need antibiotics to treat the infection. Nitrofurantoin (Macrobid) and Trimethoprim are first-line antibiotics for the treatment of simple cases of cystitis in women. They are both available for purchase from PrescriptionPad for women who have previously been diagnosed with cystitis by their GP. They are usually taken for a short course of 3 days but may be prescribed for longer.

Antibiotics normally improve symptoms of cystitis within 24-48 hours and cure the condition within 72 hours. If symptoms have not fully resolved once the 3-day course of treatment is complete, or if symptoms have worsened, you should see your GP for further treatment and advice.

If left untreated, the infection in your urethra and bladder can travel up to your kidneys (Pyelonephritis). This can be very painful and may cause the following symptoms:

  • Severe pain behind the pubic bone or in the lower back
  • Pain in the flanks (the sides of your lower back – where your kidneys are located)
  • Nausea, vomiting or diarrhoea
  • Fever (temperature above 38°C) or sometimes a very low temperature
  • Sweating/chills
  • Blood in the urine
  • Drowsiness/confusion

 

If any of the above symptoms are present you should seek immediate medical attention.

If you have had three or more episodes of cystitis in the last year or two episodes in the last 6 months, you should see your GP.

Long-term cystitis infections are linked to an increased risk of bladder cancer in people aged 60 and over.

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Rest assured that your treatment will be delivered in plain packaging for complete discretion.

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