Chronic cystitis in women: why does treatment not help and how to get rid of the disease

Chronic cystitis is a "special" disease that affects every tenth woman. Often faced with a new exacerbation within 1-2 weeks. after an antibiotic treatment.

What's going on and how can the disease be overcome? To get a clear answer to these questions, you should understand what causes chronic cystitis and what happens in the bladder.

Chronic cystitis - the truth lies in the cause of the inflammation

Chronic cystitis

Chronic cystitis is a collective term that is only a consequence of a number of diseases. In this case, the inflammatory process develops over more than 2 months and affects not only the mucous membrane of the urinary bladder (as in acute inflammation), but also the deep layers.

Treating the disease with antibiotics alone, such as acute inflammation, is useless. Relieving pain is just about deceiving yourself by agreeing to some temporary relief. In the meantime, the disease will continue to progress and sooner or later the pain will "spoil" life significantly. We offer a rational approach to understanding the disease.

In a chronic inflammatory process, a pathogenic microflora quickly develops in the bladder. It can not only be bacteria, but also fungi, protozoa and viruses. Therefore antibiotics are not always justified.

Important! Treatment of chronic cystitis with drugs from the group of antibiotics is only advisable if sensitive microorganisms are detected in the urinalysis.

A patient with chronic cystitis always has an inflammatory pathology:

  • leukoplakia of the bladder neck (isn't it! ) or vaginal metaplasia - chronic cervical cystitis leads to benign degeneration of the mucous membrane, which is the result of several acute attacks of cystitis or genital infection, including latent ones (ureaplasmosis, chlamydia, etc. );
  • Bladder diverticula, polyps, and urolithiasis are excellent breeding grounds for bacteria and fungi;
  • inflammation of the kidneys, hydronephrosis, nephrolithiasis - infection of the kidneys with urine constantly enters the bladder;
  • The deep part of the urethral opening that is opened during intercourse leads to post-coital cystitis.
  • Decreased local immune defense - occurs with hormonal disorders (during pregnancy, during menopause, inadequate estrogen synthesis is observed with ovarian pathology), with diseases of the genital organs, with diabetes mellitus;
  • on
  • Chronic foci of infection (tooth decay, chronic tonsillitis, sinusitis, etc. ) - the pathogen spreads with blood.

ImportantThese diseases are the real cause of chronic cystitis. Therefore, the disease should be considered along with the causal pathology. For example, the correct diagnosis is: “Cystic polyposis. Chronic bacterial cystitis ".

A worsening of the chronic cystitis can be triggered:

  • a small amount of drinking water;
  • Consumption of spicy food, alcohol;
  • hypothermia, acute respiratory infections;
  • "greenhouse effect" - wearing thick synthetic underwear, skinny jeans;
  • basic lack of personal hygiene.

Symptoms of chronic cystitis in a woman

Chronic cystitis is less symptomatic than acute inflammation. Depending on the severity of the clinical symptoms and the frequency of relapses, the following variants of the course of chronic cystitis are distinguished:

  1. Stable latent - no complaints and laboratory changes in the urine, the diagnosis is only confirmed by endoscopic examination;
  2. Latent with rare relapses - an acute picture of cystitis does not occur more than once a year;
  3. Latent with frequent relapses - exacerbations 2 or more times a year;
  4. Sluggish, persistent inflammation confirmed by laboratory and endoscopy;
  5. Interstitial symptoms, persistent pain syndrome.

Important! Chronic cystitis should be distinguished from chronic pelvic pain. With the latter pathology, in most cases, no changes are found on urinalysis, there is no endoscopic confirmation of inflammation.

Changes in the bladder wall range from catarrhal to ulcerative and necrotic.

Symptomatic picture of a chronic cystitis:

  • Pain - almost constant pain in the lower abdomen (above the pubic bone), which increases with the filling of the bladder and with periodic excruciating cuts. Pain when urinating - before, after, but more often at the end of the urination.
  • Frequent urination - In reviews of chronic cystitis treatment, women find that frequent urges do not allow them to go without a toilet for long periods of time, have a small amount of urine, and feel like they are not completely emptied. Nocturia (going to the bathroom at night) and stress urinary incontinence are common.
  • Changes in the urine - with ulcerative lesions and the onset of a necrotic process, blood appears in the urine.

Important! Unlike urethritis, chronic cystitis pain is not always associated with urination.

If symptoms of chronic cystitis in women worsen after treatment (after 1-2 weeks), the inflammation is triggered by activation of a type of microorganism. A relapse that occurs several weeks after therapy indicates renewed infection with another pathogen. In addition to signs of chronic cystitis, women also note symptoms of the underlying disease - vaginal discharge with gynecological pathology, back pain or attacks of colic with kidney pathology.

Important! Urinalysis for chronic cystitis does not always show signs of inflammation and identify the causative agent. The only study that guarantees the diagnosis is confirmed is cystoscopy. Sometimes urography is required.

How can one properly treat chronic cystitis?

How To Properly Treat Chronic Cystitis

Most women suffering from chronic cystitis have tried all antibiotics and homeopathic remedies on themselves. They know what medical infusions into the bladder and iontophoresis are. Then why does it seem that properly prescribed complex treatment is not helping? The answer is simple - the cause of the inflammation has not been eliminated. An effective treatment regimen for chronic cystitis is carried out in the following areas:

  • Elimination of causal pathology

    Depending on the diagnosis, the transposition of the urethra (plastic) with an abnormal location of the urethra, laser ablation of leukoplakia and polyps, etc. is carried out. Almost all surgeries are performed through the urethra, leaving no scars on the skin. The patient is given spinal or intravenous anesthesia.

    During cystoscopy, a transurethral operation (e. g. stone removal) is often performed. Reviews of women on the treatment of chronic cystitis often indicate the pain of an endoscopic examination. The cystoscopy should be performed under anesthesia so that the patient is not in pain. After transurethral operations, a woman is only in the hospital for one day; on the second day she can go to work.

  • Infection Control

    Depending on the type of pathogen identified, patients are prescribed antibiotic, antiviral, or antifungal treatment. With bacterial cystitis, drugs with a bactericidal (not bacteriostatic! ) Effect are prescribed for a period of 7 to 10 days.

  • Treating Symptoms of Chronic Cystitis in Women

    NSAIDs are most commonly used to provide rapid pain relief. After 2-3 weeks. In the course of NSAIDs, the effects last up to 3 months. At the same time, antihistamines are prescribed.

  • Immunostimulation

    The simultaneous use of immunostimulants with antibiotic therapy can replace prophylactic courses in the next 6 months.

  • Elimination of tissue hypoxia

    Antiplatelet drugs are prescribed to improve nutrition of the cystic mucosa and prevent adhesions from forming.

    Drugs that restore microcirculation and have an immune stimulating effect are also widely used for prostatitis in men and prescribed for chronic cystitis in women.

  • Prevention of mucosal epithelial replacement

    Recently, hormonal preparations have been actively used for this purpose. Estrogen and progesterone accelerate the development of a protective layer on the cystic mucous membrane. The widely used drug Ovestin is available in tablets and candles.

  • Local therapy

    For a local effect on the inflammatory process, resort to installations (infusions) in the bladder of dioxin, heparin, colloidal silver solution (combats bacteria, viruses, protozoa and fungi)back. However, such treatment is only used as a last resort to rule out infection.

  • Physiotherapie

    Physiotherapy - drug electrophoresis, ultrasound, laser treatment, electrostimulation, magnetotherapy - prevents further replacement of the bladder epithelium and has a resorbing effect. Medical treatment is actively complemented by physiotherapy exercises to normalize blood circulation and strengthen the pelvic muscles.

  • Treatment with folk remedies

    Chronic cystitis can only be treated at home with the approval of your doctor with trays and decoctions of medicinal herbs! Most of them are diuretic and antiseptic. Bearberry also activates tissue regeneration, burdock fights fungal infections, chamomile and ivy eliminate muscle spasms (relieve pain), and echinacea has an antiviral effect. Treatment with medicinal herbs lasts at least a month. The best effect is achieved with a combination of several herbs.

Important! With chronic cystitis, it is necessary to consume enough water, exclude from the diet spicy, salty foods, smoked meats, and foods that contain preservatives and chemical colors.

What is the prognosis?

The duration of treatment and the prognosis of the disease depend on the degree of damage to the bladder epithelium, the nature of the accompanying pathology and the state of immunity. To avoid relapse, doctors recommend following the recommendations:

  • 10 daily herbal tea;
  • taking antibiotics for the next 10 days;
  • Another 10 days decoction of another medicinal herb.

Similar scheme for 3-6 months. After the main treatment, practically eliminates the aggravation of chronic cystitis.

Most unfavorable prognosis for scars in the bladder and urethra. In such cases there is a need for surgical removal of connective tissue foci.

It should also be noted that chaotic drugs can eliminate acute symptoms without a doctor's prescription, but do not restore the bladder lining and cure the causative disease. Only a doctor who knows exactly the cause of the disease will individually prescribe an effective treatment regimen and help to get rid of the debilitating symptoms of chronic cystitis forever!