Chronic cystitis is one of the most common diseases in urology. Both men and women suffer from this pathology, but due to the anatomical features of the genitourinary system, it occurs several times more often in women.

Typically, the chronic form is a complication of acute cystitis, which was treated incorrectly or the manifestation of the disease was completely ignored.

The signs of chronic cystitis are less pronounced; sometimes the disease is asymptomatic, but only until an exacerbation occurs. This makes it difficult to diagnose and timely treat chronic cystitis.

It is possible to get rid of chronic cystitis, although many exhausted patients no longer hope for this. The most important thing is to correctly establish the causes of chronic cystitis, then the doctor will determine how best to treat chronic cystitis.

Factors provoking the disease

Almost all human internal organs are lined with epithelium, and the bladder is no exception. If its mucous membrane becomes inflamed under the influence of any factors, then cystitis is diagnosed.

If in a short period of time cystitis repeats several times or lasts more than two weeks, then we can say that it has turned into chronic form.

The development of chronic cystitis is provoked by the most various factors, the most common of them:

hypothermia, especially if your legs and thighs are constantly frozen;
various types of infections - viruses, bacteria, fungi;
disorders of the circulatory system;
injuries to the genitourinary system, in particular the urethra and bladder;
dystrophy of the bladder lining.

Why do women get cystitis more often than men? The reason is not only that their urethra is shorter, which means that it is easier for infections to penetrate to the bladder.

Often women put themselves in danger by neglecting basic common sense: in cold weather they wear thin tights and short skirts, wear shoes that are out of season, and buy deliberately too tight trousers with a low waist.

Active and indiscriminate sexual life, especially irregular, with long periods of abstinence, and then a sharp surge, can also become an impetus for this pathology.

It is important to know: artificially prolonging or interrupting sexual intercourse is also a risk factor. Those who like to diversify their sex life anal sex, must be especially careful.

You must not neglect condoms and personal hygiene; you can cause an infection in the bladder in in this case Both partners take risks.

Other reasons for the development of pathology

Doctors have noted that inflammation of the bladder can begin in those who restrain the urge to urinate, in other words, they endure until the last minute and do not go to the toilet for a small need.

This often becomes the cause of cystitis in children who are embarrassed to ask to leave in class or are not allowed out. Why is that? Everything is quite understandable:

Urine, accumulating and lingering in the urinary tract, becomes an excellent breeding ground for bacteria.
When the urge to urinate is regularly suppressed, the bladder muscles lose their tone. This leads to various disorders and can cause not only chronic cystitis, but also other diseases of the genitourinary system.

In rare cases, doctors are unable to determine what exactly triggered the development of the disease. Therefore, the risk of bladder infection exists for every person, regardless of gender and age - even young children suffer from cystitis.

Before starting treatment for chronic cystitis, it is very important to find out why it appeared. Depending on the causative agent of the disease, the optimal treatment regimen is prescribed; antibiotic therapy is not always necessary to treat chronic cystitis.

Manifestations of the disease

It was already mentioned above that the symptoms of chronic cystitis are often blurred or absent altogether. But only until things got worse.

Then the symptoms of chronic cystitis are expressed very clearly, causing great discomfort to the patient - it is impossible not to notice them. The disease manifests itself in the acute phase as follows:

Painful and difficult urination. The discomfort during this process is so strong that, feeling the urge to urinate, the patient falls into depression and panic in advance, knowing what torment awaits him. This is cutting, burning, pain in the lower abdomen - and in the end only a small portion of urine and no relief.
Frequent urge “for little reason.” A person suffering from cystitis visits the toilet up to 50 times a day. But in half the cases the urges turn out to be false.
Changes in the color and smell of urine. The urine becomes cloudy and dark, the specific smell is very noticeable - the person himself understands that not everything is all right with him.
Impurities in urine. It can be pus or blood, mucous clots. Women often deceive themselves that this is just the beginning of menstruation. But in fact, this sign signals cystitis in its most severe form; the patient needs urgent medical attention.
Pain syndrome. Since not only the urethra, but also the bladder is involved in the inflammatory process, nagging or sharp pain in the lower abdomen may occur. The pain often radiates to the groin or lower back, and can be constant or paroxysmal.

Hematuria

As with any inflammation, with cystitis the patient feels general malaise– weakness, fatigue, loss of appetite and decreased ability to work.

If you measure the temperature of a patient with chronic cystitis, it will probably be higher than usual - from 37 to 37.5 degrees. And when the inflammatory process worsens, it can reach 40 degrees.

Treatment methods

Whether it is possible to cure chronic cystitis is a controversial issue both between doctors and between patients. Not so long ago it was believed that chronic cervical cystitis was completely incurable; it was only possible to achieve stable remission.

But today it has been proven: there are ways and methods to cure chronic cystitis forever and no longer remember the torment. The most important condition effective fight with illness – consistency.

The treatment will be complex and long-term, including many aspects. Its success largely depends on the patient’s willingness to cooperate with the doctor. Basic moments complex therapy Bladder inflammations are given below.

Antibiotic therapy

There are cases when it is possible to do without antibacterial drugs. But they are rare, since most often cystitis is caused by pathogenic microflora. What type of pathogenic microorganism caused the disease is determined by urine culture.

Having assessed its results, the doctor selects the optimal antibiotic, its dosage and determines the duration of the course of taking the drug.

Even if there is an improvement, in no case should you interrupt the course ahead of time - this is fraught with a relapse.

Elimination of the inflammatory process

In this case, it is not enough to destroy the causative agent of the disease - you need to relieve inflammation and restore normal bladder function.

For this purpose, drugs from the group of uroseptics are selected: they help get rid of annoying symptoms of the disease and significantly improve the patient’s well-being.

Physiotherapy

Various baths, warming up, mud therapy - all these activities will also be beneficial and speed up recovery. But they are applicable only when acute inflammation is completely eliminated. Alternative medicine is not silent on how to get rid of chronic cystitis.

Doctors do not question the fact that many folk remedies can really relieve the symptoms of the disease. But, unfortunately, they cannot fight its root cause.

Not a single herbal infusion will destroy bacteria, although it can remove inflammation and its consequences.

Recommendations for the treatment of chronic diseases

How to get rid of this disease once and for all? Why do some people succeed after the first course of treatment, while others suffer for years and lose hope, accusing doctors of incompetence and medications of ineffectiveness?

The answer is simple: an incorrect treatment regimen or its violation. To quickly overcome the disease, you need to do everything that the attending physician said, and not self-medicate, relying on the advice of colleagues or neighbors.

You cannot even ignore prescribed baths, not to mention skipping medications. This behavior can nullify all the efforts of doctors.

Next, you should adjust your lifestyle. It is important to completely avoid sexual intercourse during treatment, even very carefully and with a condom. In the acute phase of the disease, the patient does not experience sexual desire, which is understandable.

But as soon as relief comes, many forget about the danger of relapse and return to their old habits. This is an unacceptable attitude towards your own health. Further recommendations are given below:

Diet therapy

The patient must monitor his diet. Poor nutrition in most cases becomes a provoking factor of all diseases, although many patients tend to argue with this.

The composition of urine and its acidity level depend on what foods and drinks a person consumes. If the acidity becomes too high, a favorable environment is created for the proliferation of pathogenic microflora - and inflammation progresses.

It makes no sense to take antibiotics and at the same time drink alcohol, spicy, sour, fatty foods. Baked goods and food should not appear on the table during treatment. confectionery, chocolate. You'll have to be patient, but the result will be worth it.

Vitamin therapy

Vitamins

If a person’s diet is dominated by meat, fatty foods with hot sauces and marinades, but there are almost no fresh vegetables, fruits, or cereals, he almost certainly suffers from vitamin deficiency.

And this condition also contributes to the development of the disease. Therefore, it is imperative not only to reconsider your eating habits, but also to take a course of vitamins.

Drinking regime

In folk medicine, there are entire methods based on “washing out” pathogenic microflora from the body with mineral waters and herbal decoctions.

Their effectiveness remains an open question, but the fact is that you need to drink a lot for cystitis, at least 3 liters per day.

But it should not be coffee, strong tea, especially alcohol. If it’s water, then only without gas, and if it’s juice, then it’s unsweetened and diluted with water. Infusions medicinal herbs are welcome too.

And the most important thing is not to stop, even if the symptoms have disappeared and at first glance the disease has gone away. The course of treatment for chronic cystitis lasts at least two weeks, and consolidation therapy can last up to one month.

There will be great benefit in the remission stage from resort and sanatorium treatment. But even after complete recovery, we must not forget about the reasons that caused cystitis.

Promiscuous sex life, poor diet, regular hypothermia as a tribute to fashion and male attention - if these three factors are eliminated, cystitis will not have a chance.

Summary: knowing and understanding what chronic cystitis is, its causes and symptoms, you can recognize the disease in time and begin to fight it. Therapy for chronic cystitis is more successful the earlier it is diagnosed. Only by following all medical instructions and remembering preventive measures, it is possible to defeat cystitis forever.

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Chronic cystitis in women: symptoms and treatment

The content of the article:

Chronic cystitis in women is quite common. In this article we will look at what contributes to the transition of cystitis to a chronic form, what symptoms, diagnosis, treatment and prevention of chronic cystitis exist in modern medicine.

One of the pressing problems of modern medicine is the increase in the number of inflammatory diseases of the genitourinary system, which have chronic course, often recur and are difficult to treat standard methods therapy. A very common urinary tract infection is cystitis in women (an inflammatory process that develops in the mucous membrane of the bladder and negatively affects the function of the organ). Most often, young and middle-aged females suffer from this disease.

If the resulting inflammation worsens and the process from the mucous membrane spreads to other tissues, the disease becomes chronic. Moreover, chronic cystitis in women is quite common. According to medical statistics, this happens in more than 30% of cases. Typically, cystitis takes a chronic course if the patient has functional or organic pathologies of the bladder or any severe concomitant diseases.

Chronic cystitis in women significantly reduces the quality of life. By creating discomfort and causing pain, it worsens social adaptation sick and can even lead to loss of ability to work (temporary, and in the most serious cases, permanent). Rehabilitation of such patients may require significant budget investments.
The disease is prone to recurrence. Most relapses occur within three months after the previous episode of the disease. Very often, women do not pay enough attention to acute cystitis, and adequate therapy not carried out - up to 60% of sick people. Healing can occur spontaneously, but in this case the risk of relapse in the next year is approximately 50%.

Chronic cystitis is considered to be a female disease. And medical statistics confirm this - women suffer from this disease much more often than the male population. According to doctors, women in the age group from 18 to 45 years are most often affected. Why is the disease so selective with respect to age and gender? Everything is explained quite simply. Firstly, anatomical features are a significant factor female body. A woman’s urethra is different from a man’s – it is wider and shorter, which makes it much easier for pathogens to enter the bladder. Secondly, women, especially young women, neglect their health, always striving to look attractive. And wearing short skirts and light clothing in the cold season is a dangerous factor that contributes to the development of the infectious process.

Cystitis usually becomes chronic for the following reasons:

· Decreased immunity.

· Insufficient or incorrectly selected treatment for acute cystitis.

· Concomitant inflammatory processes in the genitourinary system, occurring chronically (pyelonephritis, urethritis, vulvovaginitis).

· Presence of sexually transmitted diseases (chlamydia, vaginal candidiasis, ureaplasmosis, mycoplasmosis, trichomoniasis in women, etc.)

Etiology and pathogenesis of chronic cystitis

In the vast majority of cases, cystitis is associated with some kind of infection. The disease is usually caused by bacteria (Gram-negative). But sometimes viruses, protozoa or fungi (Candida) act as pathogens. The initiating factor in the development of the inflammatory process in the bladder can be sexually transmitted diseases or STIs (sexually transmitted infections). As a result, bacterial infections occur.

The female bladder is characterized by high resistance associated with the action of natural antimicrobial mechanisms, which function effectively provided that the woman is healthy. Bacterial invasion cannot be considered the main condition for the occurrence of an inflammatory disease. And numerous medical studies confirm this fact. The development of the infectious process is prevented by the flow of urine during regular emptying of the bladder. With timely urination, the likelihood of infection spreading to the mucous membrane and the development of an infectious process in it is minimized.

It is also known that the bladder mucosa itself has bacteriostatic properties, which are especially strong against E. coli bacteria. Such properties are due to the synthesis of secretory IgA, as well as mucopolysaccharides. In addition, human urine often contains a number of bacterial growth inhibitors (both specific and nonspecific) and some immunoglobulins A and G. It should also be noted that intact urothelium (epithelium covering the urinary tract) has pronounced phagocytic abilities. When cystitis develops in the body, the mechanisms of local and humoral immunity are activated, and antibodies begin to be actively produced.

Chronic infectious diseases are known to be associated with disturbances in the functioning of the immune system. Moreover, in most patients, cystitis appears as a secondary pathology, that is, it can be considered as a complication of any other disease of the genitourinary system.

Cases where relapse is due to persistent infection are not uncommon. But much more often, with a repeated episode of the disease, reinfection occurs. In patients with persistent infection, infectious agents of the same type are present. The disease in such situations can recur very quickly - 1-2 weeks after the course of therapy. By reinfection we mean the repeated development of an infection caused by some other microorganism. The interval between the end of therapy and reinfection is usually several weeks.

As is known, the pathogenesis of chronic inflammatory disease Transient dysfunction of the immune system, as well as tissue hypoxia, have a huge impact. Chronic inflammation is a long-term process that can develop over many weeks and even months. Chronic processes are characterized by the synchronous development of a damaging factor, reactive changes and scarring.

The prerequisite for such chronic inflammation of the bladder is the inability to regenerate after an acute inflammatory process, which is associated with impaired tissue homeostasis. And any chronic disease usually develops as alternating periods of subsidence and exacerbation of pathological phenomena, on which its morphological features. Thus, acute cystitis is characterized primarily by vascular-exudative and alterative changes. While subacute and chronic diseases of the bladder are characterized by sclerotic phenomena (proliferation with the formation connective tissue). As is known, there are no capillary vessels between epithelial cells, therefore their activity is supported by the diffusion of all necessary substances through the intercellular substance and the basement membrane of the underlying connective tissue. Therefore, much depends on the submucosal structures of the bladder wall.

The appearance of a focus of chronic infection is associated with constitutional features epithelial tissue and age-related changes in it (which influence cellular stability and metabolic processes). One of the most important factors is increased cellular sensitivity to oxidative stress. At the same time, against the background of hypoxia, there is an increase in the rate of mobilization, as well as division of immature epithelial cells, which is why they do not have time to mature. And the immaturity of the epithelium is known to increase bacterial adhesion.

During the period of exacerbation, the symptoms of chronic cystitis are the same as in the acute process. These symptoms may be accompanied by sensations associated with the underlying disease, which caused the transition of cystitis to a chronic form (for example, with atony, the presence of stones in the bladder). The most common complaint of women with acute cystitis is frequent urination, accompanied by pain.

As the process becomes chronic, pain can become constant, and the urge to urinate can be painful in some cases. Typical location pain– pelvic area and pubis. Painful sensations occur or intensify during urination. Sometimes the pain intensifies before urination begins, when the walls of the bladder stretch. But most often, intense pain occurs at the very end of the urination process. At the same time, we must not forget that the feeling of pain and impaired urination can be a manifestation of inflammation developing in the woman’s genital organs.

There may be traces of blood in the urine due to thinning and damage to the walls of the bladder. During an exacerbation, the body temperature may rise.

Diagnosis of cystitis in women

Conducting an accurate diagnosis of chronic cystitis is not an easy task. In such cases, they resort to a number of clinical and paraclinical methods, and in addition, doctors are required to be able to carefully analyze the data obtained.

On clinical stage examination, the doctor examines the patient’s medical history, paying special attention to information about the genital organs. It is important to conduct a speculum examination to exclude urethrohymenal adhesions and urethral vaginization.

The basic diagnostic stage involves the use of laboratory methods. A bacteriological analysis of urine and a study of the sensitivity of flora to antibiotics are mandatory. Even at this stage, an ultrasound examination (for some indications, x-ray) is performed of the pelvic area, as well as the upper urinary tract. In addition, it is very important to find out whether the patient suffers from an STI. The standard criterion for bacteriuria is 105 CFU per 1 ml (in the middle portion of urine). A study of bacteriological cultures in patients with recurrent cystitis showed this result in only 21% of cases. Therefore, when examining patients with cystitis, it is advisable to take a lower figure as a diagnostic criterion - 103 CFU in 1 ml.

On last stage diagnostics are carried out by endoscopy, this study is mandatory. Cystoscopy is used to determine the reasons why cystitis has become chronic. It is worth noting that the methodology is somewhat subjective. The accuracy of the result depends on the specialist’s interpretation of the visual data. The situation is complicated by the fact that against the background of a chronic inflammatory process in the epithelial tissue, pathological changes, Related precancerous conditions: hyperplasia, dysplasia and metaplasia. Therefore, today many doctors declare the need for such a method as multifocal biopsy. This will help give a more accurate assessment of the processes in the walls of the bladder.

The optimal number of biopsy samples is 8-15. However, some experts question the feasibility of conducting random biopsies. After all, a biopsy is a traumatic procedure that can aggravate inflammation, and sometimes (though very rarely) it even leads to a serious complication - bleeding and perforation of the bladder.

A modern diagnostic method that allows one to distinguish inflammatory phenomena from neoplastic processes is optical coherence tomography. One of its varieties is cross-polarization OCT. With the help of such tomography, you can clearly study the condition of the mucous membrane of the bladder, as well as submucosal tissues. OCT provides a cross-sectional image of the body's structures (resolution up to 10-15 µm). The research is carried out in real time. The operating principle of OCT is based on the fact that interstitial structures have different optical properties, due to which an optical image of the area under study is created. Cross-polarization OCT provides a more accurate picture, since some elements of the layered structure (for example, collagen) have the property of scattering radiation both in the main polarization and in the orthogonal one.

Clinical studies have shown that when diagnosing bladder neoplasia, OCT has high sensitivity (up to 98-100%), and the specificity of the method is 70-85%.
The use of optical imaging technologies for the diagnosis of bladder diseases has great promise. This technique helps to differentiate chronic cystitis from other pathologies that have similar symptoms without performing a biopsy. In the images obtained using tomography, it is possible to clearly identify foci of epithelial proliferation, as well as areas with altered structural organization (fuzzy/uneven borders of the epithelium and submucosal structures). Patients with such results should be classified as a special group (they should be under medical supervision due to increased risk malignancy).

If OCT shows that the epithelium of the bladder mucosa is too thin or atrophic, it can be assumed that the patient has a lack of estrogen. Such patients are referred to an appointment with a gynecologist. In postmenopausal women, such changes can lead to urogenital disorders. If chronic cystitis has been developing for a long time, CP OCT gives a picture of obvious thickening of the submucosal structures with high contrast, which is a sign of the development of sclerotic phenomena.

So, the tomographic method for diagnosing bladder diseases gives doctors the opportunity to accurately determine the nature of the pathology and, based on the data obtained, select a suitable treatment regimen for the patient.

Treatment of patients diagnosed with chronic cystitis is associated with a number of difficulties and problems. In some cases, therapy does not bring good results, and the prognosis of the disease may be unfavorable. The ineffectiveness of treatment is primarily due to the fact that doctors are not always able to determine what exact cause led to the development of cystitis. Caring for such patients requires the doctor to have deep knowledge in various fields of medicine (gynecology, neurology, immunology).

At the stage of development of the disease, morphological manifestations are ahead of clinical ones, that is, structural changes occur first, and then the function of the organ is disrupted. And during recovery, the function first returns to normal, and then the damaged structure begins to recover. Resistance to pathogenic microorganisms only mature epithelial cells possess. And with a moderately differentiated cell ultrastructure, the protective capabilities of the epithelium are reduced.

The main method of treatment (as well as prevention) chronic infections prone to relapse - etiotropic antibacterial courses (7-10 days each). It takes at least 3 weeks for the epithelial layer to completely return to normal. Thus, if pathogenetic therapy is not long enough, there is a risk of relapse during reparative processes after a previous episode of the disease. This will lead to negative changes - increased collagen formation, discorrelations, sclerotic processes in subepithelial structures, which play a critical role in the homeostasis of the bladder mucosa. In such situations, a vicious circle is inevitable: inadequate therapy – chronic process – changes in submucosal structures – tissue hypoxia – incomplete regeneration of the epithelial layer – exacerbation of the inflammatory process.

Treatment of women with chronic recurrent cystitis:

· Etiological. Patients undergo courses of antibacterial therapy.

· Pathogenetic. Aimed at eliminating anatomical pathologies, improving immune function, normalization of microcirculation and hormonal levels. In addition, pathogenetic treatment includes therapy for STIs, as well as gynecological diseases of an inflammatory and dysbiotic nature.

· Preventive. Antibacterial drugs, plant-based diuretics.

Prevention of chronic cystitis in women

If young women with an active sexual life use spermicides as contraception and they experience frequent relapses of chronic cystitis, then their use should be abandoned, since spermicides destroy lactobacilli, which prevent the colonization of the vagina by uropathogens.

After sexual intercourse, women should use topical antimicrobial agents.

It is not allowed to endure it for a long time; the bladder must be emptied as often as possible.

It is necessary to maintain personal hygiene of the genital organs.

Taking medications and herbal medications.

Drug prevention of recurrence of cystitis in women

In women with frequently exacerbating chronic cystitis (more than 2 relapses within 6 months or more than 3 relapses within one year).

Use of a low dose of antibiotics once at night (Norfloxacin, or Co-trimoxazole).

Reception antibacterial drug after sexual intercourse once.

If obvious symptoms of chronic cystitis appear, self-administration of antibiotics is allowed.

Women with menopause are prescribed periurethral and intravaginal use of hormonal creams that contain estrogens (estriol 0.5 mg/g), every night for two weeks, then 2 times a week for 8 months.

Use herbal preparations in courses (Cyston, Canephron or Monurel).

Forever? Any chronic diseases require detailed examination and sometimes long-term treatment.

Chronic bladder diseases are not a rare occurrence in urology.

Most known problem in women there is cystitis and its chronic manifestation. Fifteen percent of all women have experienced it.

Cystitis is an inflammation of the walls of the bladder, which leads to pathology in the functioning of this organ. Chronic cystitis occurs in every third case, especially if it was not fully treated.

Walls of a healthy bladder and cystitis

As a rule, not all women go to the doctor with this problem, but try to treat the disease on their own. As a result, the process is further aggravated and becomes chronic stage. Sometimes the symptoms disappear on their own and many people think that they have been cured, but this is wrong. Only a doctor can conclude that remission has occurred.

In advanced cases, disturbances in the functioning of the bladder become irreversible; moreover, complications may arise due to infection in other organs and even lead to problems with reproductive function. It is even more unacceptable to ignore illness during pregnancy. This always causes complications.

Chronic cystitis mainly affects middle-aged and older women, less often men and children. This is explained by anatomical features.

The causes of chronic cystitis are:

bacterial or viral infection , which can penetrate from the vagina into the urethra. This can happen after sexual intercourse or due to poor genital hygiene;
congenital anomalies. In rare cases, there are abnormalities in the body that make it difficult to empty and bacteria accumulate in large quantities;
weak the immune system, which allows bacteria to pass through and disrupts the acidity of the mucous membrane. As a result, the infection enters the kidneys;
accompanying pathologies: diabetes, in the bladder, allergies, nervous stress.

If you get cystitis more than 2-3 times every six months, then this is a serious reason to consult a urologist for advice.

Symptoms

Symptoms of chronic cystitis:

slight or sharp pain in the lower abdomen;
frequent and at any time of the day;
false urge to urinate or incontinence;
high temperature up to 40 degrees with exacerbation of the disease;
general weakness, dry mouth.

Sometimes, with a chronic form of the disease, symptoms may disappear, but then appear due to any provoking factor: hypothermia, stress, colds, injuries, active sexual life. In the latent course of the disease, symptoms may not appear at all.

If you notice two or more symptoms, you need to get tested.

It is not difficult for an experienced doctor to diagnose chronic cystitis.

To do this, at the initial stage you will be prescribed: a general urine test, a urine culture tank, a general blood test, cystography (examination with contrast using an X-ray machine), cystoscopy (examination of the inner walls of the bladder with an endoscope), ultrasound of the bladder and kidneys. You may need additional tests and examination by a gynecologist. Only after full examination you will be prescribed therapy.

Self-medication is extremely dangerous; you risk not only not curing chronic cystitis, but also adding complications and disrupting the functioning of other organs. If the infection is not stopped, it will begin to rise higher. One of the most common development options is pyelonephritis. This means that the infection has begun to affect the kidney tissue.

Treatment

Treatment of chronic cystitis does not require a hospital stay for the patient; all medications are taken on an outpatient basis.

Depending on the source of the disease, the following therapy is prescribed:

antibacterial therapy– if the bacterium that caused the disease is known, as well as its sensitivity to antibiotics, medications, mainly antibiotics;
anti-inflammatory therapy– treatment aimed at removing acute inflammation walls, to alleviate the patient’s condition;
physiotherapy– prescribed to eliminate inflammation and restore bladder function. Physiotherapy includes: electrophoresis, ultrasound radiation devices, infrared, laser irradiation, thermal wrap, mud therapy, drinking mineral water;
preventive therapy– influence on the body with the help of herbal preparations, tinctures, and other herbal preparations;
local therapy- carried out with the help antihistamines, which are injected directly into the bladder. They are aimed at combating germs, viruses and bacteria.

If stones or polyps are detected, treatment is carried out with surgery.

Correct lifestyle with cystitis

Very important in the question of how to cure chronic cystitis forever is also correct behavior during the day.

For a complete cure for chronic cystitis, it is important:

compliance with hygiene rules (washing after each bowel movement, correct use toilet paper after bowel movements, frequent changes of tampons, panty liners, wear the right underwear made from natural materials);
proper nutrition (avoid “fast food”, spicy, fried, salty and smoked foods). Include more vegetables, fruits, fresh berries and, of course, fermented milk products in your diet;
drink at least 1.5-2 liters of water, fruit drink, juice per day to cleanse the body of pathogenic flora;
active supplements that restore the body after antibiotics;
Empty your bladder as often as possible. Urine should not stagnate. This is especially important after sexual intercourse;
do physical education;
giving up alcohol.

There are other methods traditional treatment chronic cystitis. This is the use of certain products: parsley, cranberries, melon, watermelon, lingonberries. They provide antibacterial effect and improve immunity. But they should only be used after consultation with your doctor.

Useful video

Video about how to properly treat cystitis at home.