How Is Cystitis Treated
Treatment for cystitis usually includes antibiotics, rest and drinking plenty of water. Other things you can do to help relieve the symptoms of cystitis are:
- adding a teaspoon of bicarbonate of soda to a glass of water and drinking it
- taking a urinary alkaliser available over the counter from your pharmacy
- having a warm bath, lying in a warm bed, or applying a hot water bottle or wheat bag on your back or abdomen
- taking painkillers such as paracetamol, if you are in pain
What Complications Can Occur If Cholecystitis Is Not Treated
Complications can range from ongoing infection to possible death.
- Severely Infected gallbladder: A blocked gallbladder that is extremely uncomfortable and painful. Without treatment, it could lead to an overwhelming infection, or even gangrene of the gallbladder.
- Cholangitis: An acute infection of the main bile ducts and liver that can be extremely life-threating if not promptly treated.
- Inflamed pancreas : Your common bile duct and the pancreatic duct share the same valve into the duodenum. If a gallstone blocks that valve, the potent pancreatic enzyme juice excreted by the pancreases gets backed up causing pancreatitis, which can also be severe and life threatening.
Urgent Advice: Ask For An Urgent Gp Appointment Or Get Help From Nhs 111 If:
You think you or someone else has cystitis and:
- a high temperature, or feeling hot and shivery
- a low temperature, or shaking and shivering
- pain in the lower tummy or in the back, just under the ribs
- are confused, drowsy or have difficulty speaking
- are feeling or being sick
- have not had a pee all day
- blood in your pee
These symptoms could mean you have a kidney infection, which can be serious if its not treated as it could cause .
You can call 111 or get help from 111 online.
What Is Interstitial Cystitis
Interstitial cystitis is a disorder in which the bladder is overly sensitive, and usual causes for this, such as infection, cannot be found. The major symptoms are:
- pain in the pelvic area
- urgent need to urinate often .
The pain can be in the area of the lower abdomen, urethra or vagina. Sexual intercourse may be painful for women who have IC. The symptoms may range from just needing to urinate more often to severe pain and urgency. Work, sexual activity and normal social functioning can become difficult or impossible. The symptoms of IC may stay the same over time or get worse. Some patients may go into remission for extended periods.
How Is Bladder Pain Syndrome Treated
There is no cure for bladder pain syndrome. But your doctor will try different treatments to figure out how to improve your symptoms.
The first treatment many people try includes steps you can take at home. Sometimes, by changing what you eat, you can make your symptoms go away. But even when symptoms do go away, they may return days or years later.
If your symptoms do not get better, other treatments your doctor may suggest include:10
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Cystitis In Men And Older People
Men tend to get cystitis later in life. Where trouble with urine flow is a symptom, this may indicate that the underlying cause is a problem with their prostate gland.
Cystitis is common in older people, particularly if they are unwell. Bladder catheters and some urinary-tract operations may also increase the risk of cystitis.
How Is The Diagnosis Made
The doctor must make sure that other diseases are not causing the symptoms. Similar symptoms may be caused by:
- a bladder infection or urinary tract infection
- bladder cancer
- radiation therapy to the pelvic area
- nerve problems
- systemic diseases such as diabetes
- drugs and chemicals that may affect the bladder.
To make the diagnosis, your doctor usually begins with a general examination, including a pelvic exam and urinalysis. The urine is usually normal, with no signs of bacterial infection. For a definite diagnosis of IC, a cystoscopic examination is usually necessary. In this procedure, the patient is put under general anesthesia, the bladder is distended with water and the doctor uses a telescopic device to look inside the bladder. The doctor may also take a biopsy from your bladder to help exclude other conditions.
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How Do You Treat Cystitis
Commonly, cystitis clears up on its own within a few days.
During this time there are cystitis treatments you can buy over the counter to help relieve any pain you are experiencing. These include cystitis sachets which contain potassium or sodium citrate. You simply dissolve the powder in water and then drink the solution this also helps to keep you hydrated.
If you have symptoms of cystitis that dont improve within three days, you should visit your GP.
What Is Bladder Inflammation
Also called painful bladder syndrome, interstitial cystitis is an inflammatory bowel condition that leads to pain, ulceration, and bleeding in the bladders lining. Its characterized by a frequent tendency to urinate that tends to be accompanied by pain or pressure. Following urination, the pain and pressure usually subsides.
Unfortunately, doctors arent sure what causes it. They have, however, determined that it is an independent conditionnot something caused by stress, psychological state, or another ailment. They have also determined that there is likely a series of conditions that fall into the PBS/IC category. PBS/IC is more common in people who have conditions like IBS, allergies, or fibromyalgia.
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What Are The Causes Of Utis In Men
Men are more likely to get UTIs than women. Not only this, men can suffer from a chronic form of UTI that can be particularly difficult to treat.
The lower the kidney function and urine output, the higher the risk of infections. If you have had a kidney transplant, it is important to avoid any medication that contains nitrates. The two main risk factors for men include:
1) Being uncircumcised
2) Having sex with multiple partners
How Do Doctors Treat Ic
Researchers have not found one treatment for interstitial cystitis that works for everyone. Doctors aim current treatments at relieving symptoms in each person on an individual basis.
A health care professional will work with you to find a treatment plan that meets your needs. Your plan may include
- lifestyle changes
- bladder procedures
Some treatments may work better for you than others. You also may need to use a combination of these treatments to relieve your symptoms.
A health care professional may ask you to fill out a form, called a symptom scale, with questions about how you feel. The symptom scale may allow a health care professional to better understand how you are responding to treatment.
You may have to try several different treatments before you find one that works for you. Your symptoms may disappear with treatment, a change in what you eat, or without a clear reason. Even when your symptoms go away, they may return after days, weeks, months, or even years. Researchers do not know why. With time, you and your doctor should be able to find a treatment that gives you some relief and helps you cope with IC.
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How Common Are Bladder Infections
Bladder infections are very common, especially in women. Approximately 60% of women will experience a bladder infection during their lifetime. And these infections may recur: Between 20% and 40% of women who have a bladder infection will experience at least another in their lifetime. Men are less likely to get bladder infections because of differences in their anatomy.
What Are The Causes Of Bladder Infections In Men
A bladder infection is also called a UTI or urinary tract infection. This infection occurs due to the retention of urine in the urethral tract which causes irritation and the formation of a narrow track. This blockage leads to an infection.
The cause of Bladder infection is the obstruction of the urinary tract, which can be caused due to various reasons like enlarged prostate gland, injury, or a stone in the kidney.
Some other causes of bladder infections include:
- Frequent sexual intercourse with same or new partners.
- Not urinating immediately after sexual intercourse.
- Chronic diabetes.
- Changes in the urinary system.
- Diagnosed with bladder or kidney infection within the past year.
The problems associated with bladder infection are irritation in the urethra, which leads to painful urination, frequent urge to urinate, nausea, and vomiting.
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What Are The Symptoms Of Interstitial Cystitis
The following are the most common symptoms of IC. However, each individual may experience symptoms differently. Symptoms may include:
- Frequent urination
- Feelings of pressure, pain, and tenderness around the bladder, pelvis, and perineum
- Painful sexual intercourse
For most women, symptoms may worsen around the menstrual cycle. Stress may also intensify symptoms, but stress does not cause symptoms to occur. The symptoms of IC may resemble other conditions or medical problems. Always consult your physician for a diagnosis.
Key Points About Interstitial Cystitis
Interstitial cystitis is an inflamed or irritated bladder wall.
The cause of IC is unknown and it does not get better with antibiotics.
Symptoms of IC include changes in urination such as frequency and urgency pressure, pain, and tenderness around the bladder, pelvis, and the area between the anus and vagina or anus and scrotum and pain during sex.
There is no best way to diagnose IC. A variety of tests may be needed. Urine tests will be done and imaging tests may be used to look at the different parts of the urinary tract and make sure everything is normal. Tissue samples may be removed from the bladder and examined under a microscope to see if cancer or other abnormal cells are present.
Treatments are aimed at easing symptoms. A variety of procedures, medicines, and lifestyle changes may be advised.
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What Is Interstitial Cystitis/bladder Pain Syndrome
Interstitial cystitis /bladder pain syndrome is a chronic bladder health issue. It is a feeling of pain and pressure in the bladder area. Along with this pain are lower urinary tract symptoms which have lasted for more than 6 weeks, without having an infection or other clear causes.
Symptoms range from mild to severe. For some patients the symptoms may come and go, and for others they don’t go away. IC/BPS is not an infection, but it may feel like a bladder infection. Women with IC/BPS may feel pain when having sex. The more severe cases of IC/BPS can affect your life and your loved ones. Some people with IC/BPS have other health issues such as irritable bowel syndrome, fibromyalgia, and other pain syndromes.
The bladder and kidneys are part of the urinary system, the organs in our bodies that make, store, and pass urine. You have 2 kidneys that make urine. Then urine is stored in the bladder. The muscles in the lower part of your abdomen hold your bladder in place.
How the Urinary System Works
What Are The Tests For This Condition
There are no actual tests to diagnose this condition. Tests are usually undertaken to exclude other diseases which may cause your symptoms. These tests often include a urine test, and a cystoscopy. A cystoscopy is a test in which a special thin telescope is passed into your bladder via your water pipe .
Some people are recommended to have a urodynamic test. This involves filling your bladder with water through a small tube called a catheter, which drains fluid from your bladder. This measures bladder pressures as your bladder fills and empties. In patients with IC/PBS the bladder has a small capacity and can lead to pain with filling.
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Treatment For Interstitial Cystitis
Unfortunately, there is no simple treatment to eliminate the symptoms of interstitial cystitis, and no one treatment works for everyone. Some options do offer some relief, however. Medications
Most commonly doctors prescribe an oral medication called pentosan . Elmiron is the only oral drug approved by the FDA specifically for interstitial cystitis. Some say that the drug may restore the inner surface of the bladder, which protects the bladder wall from substances in the urine that could irritate it.
It takes two to four months before a patient begins to feel pain relief, and up to six months to experience a decrease in urinary frequency. There are also several possible side effects such as minor gastrointestinal disturbances and possible hair loss. Not for use by pregnant women, Elmiron may cause bleeding and loss of pregnancy. Other oral medications that may improve the symptoms of interstitial cystitis include ibuprofen and other non-steroidal pain medications.
Tricyclic antidepressants, such as amitriptyline or imipramine , may help relax the bladder and block pain. They can also, of course, help with the depression that may be associated with interstitial cystitis. Nerve root modulationSacral nerves, which run from the lower spinal cord to the bladder, pelvic floor, and lower bowel, regulate bladder and bowel control. A method of nerve stimulation called sacral nerve root modulation can be very helpful for people with interstitial cystitis.
What Is Cholecystitis
Cholecystitis is an inflammation of the gallbladder. Your gallbladder is a small pear-shaped organ tucked away under your liver in the upper right section of your abdomen. The gallbladders job is to store bile a fat-digesting fluid made by the liver and to release it after you eat a meal. Cholecystitis usually develops when the bile gets trapped in your gallbladder, and becomes infected with bacteria. Bile gets trapped when gallstones block the flow of bile out of your gallbladder.
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What You Need To Know
- Interstitial cystitis is a chronic pain condition. Diagnosis and treatment can be difficult, as the exact cause is unknown.
- No specific test exists to diagnose interstitial cystitis it is often diagnosed after other conditions have been ruled out.
- Genetic and immune disorders, recurrent bacterial infections, and pelvic floor dysfunction are possible factors that can lead to this condition.
- Excessive frequency of urination, urinary urgency, and urethra, bladder or pelvic pain are common symptoms.
- Treatment is divided into five phases, ranging from lifestyle changes to injections to surgery.
How Is Interstitial Cystitis Diagnosed
Because there is no definitive test to diagnose IC, and because symptoms of IC are similar to other urinary disorders, a variety of diagnostic tests and procedures may be necessary. In addition to a complete medical history and physical examination, diagnostic procedures for IC may include the following:
- Urinalysis: Laboratory examination of urine for various cells and chemicals, such as red blood cells, white blood cells, infection, or excessive protein.
- Urine culture and cytology
- Cystoscopy : An examination in which a scope, a flexible tube and viewing device, is inserted through the urethra to examine the bladder and urinary tract for structural abnormalities or obstructions, such as tumors or stones.
- Bladder wall biopsy: A procedure in which tissue samples are removed from the body for examination under a microscope to determine if cancer or other abnormal cells are present.
Things You Can Try Yourself
If you have mild symptoms of cystitis, it can help to:
- take paracetamol up to 4 times a day to reduce pain
- give children liquid paracetamol follow the instructions on the bottle
- drink plenty of water
- avoid drinks that may irritate your bladder, like fruit juices, coffee and alcohol
- pee frequently
Some people take cystitis sachets or cranberry drinks and products every day to prevent cystitis from happening, which might help. However, theres no evidence they help ease symptoms or treat cystitis if the infection has already started.
How Does Bladder Pain Syndrome Affect Pregnancy
Some women find that their bladder pain symptoms get better during pregnancy. Others find their symptoms get worse. During pregnancy, you need to urinate more often and are at higher risk for urinary tract infections and constipation. This can make symptoms worse for some women. Make sure you drink plenty of fluids, especially water.
If you are thinking about becoming pregnant, talk to your doctor about your bladder pain syndrome and any medicines you might be taking. Some medicines and treatments are not safe to use during pregnancy.
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What Is The Treatment For Interstitial Cystitis/painful Bladder Syndrome
There are many different treatments available for this condition. Many people need a combination of treatments. The type of treatment you receive is usually chosen for each person and is based on the symptoms you are experiencing.
Most treatments are aimed at symptom control. IC/PBS treatment is often done in phases with constant monitoring of your pain and quality of life. It is important to talk with your doctor about how your treatments are working so that together you can find the best treatment option or options for you.
You may find that you need to receive treatment for stress or anxiety symptoms that may be related to having this condition. There are many different treatments available and your doctor will be able to advise you.
Common Treatments For Interstitial Cystitis
Treatment Oral drugs
Taken at low doses, tricyclic antidepressants relax the bladder and interfere with the release of neurochemicals that can cause bladder pain and inflammation. They may also improve sleep. Amitriptyline is the medication most commonly prescribed for interstitial cystitis.
Pentosan polysulfate sodium
Elmiron is the only oral drug approved by the FDA specifically for interstitial cystitis. It improves the bladder lining, making it less leaky and therefore less inflamed and painful. The full effect may take three to six months. Side effects, which are rare, include reversible hair loss, diarrhea, nausea, and rash.
Antihistamines such as hydroxyzine interfere with the mast cells’ release of histamine, helping to relieve bladder inflammation and pain, urinary frequency, and nighttime voiding. Because antihistamines can cause drowsiness, they are usually best taken at bedtime.
Nonsteroidal anti-inflammatory drugs and acetaminophen can help relieve mild to moderate pain. Check with your clinician about possible side effects of long-term use of these over-the-counter medications.
Cystistat may help repair the bladder lining.
No single treatment alleviates all symptoms, and some may stop working over time, so finding what works is often a matter of trial and error. The good news is that in 50% of cases, the disease will disappear on its own.
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