How to treat acute simple cystitis

Nowadays, many people live under great pressure and at a fast pace. Bad habits can lead to many acute diseases. Acute cystitis is a disease that is very easy to occur, which is usually caused by bacterial infection. Symptoms include obvious urinary pain, urgency, and frequency. In severe cases, the patient cannot leave the toilet and will also feel pain when urinating. It greatly affects people's physical and mental health. Therefore, we must pay more attention to it in our daily life. How do we treat acute cystitis?

1. Treatment

Rest in bed, drink plenty of water, avoid irritating foods, and use hot water sitz baths or suprapubic hot compresses to improve local blood circulation and relieve symptoms. Take alkaline drugs such as sodium bicarbonate or potassium citrate orally to alkalize urine and reduce irritation to the urinary tract. Flavonoids (Urinary Ling), belladonna, and atropine can relieve bladder spasms.

Choose appropriate antimicrobial drugs according to the genus of pathogenic bacteria. Before the drug sensitivity results are available, trimethoprim-sulfamethoxazole, cephalosporins, and quinolones can be used. After treatment, the condition generally improves rapidly, pus cells in the urine disappear, and cell culture turns negative. Short-term 3-day therapy should be used as much as possible to avoid unnecessary long-term medication to prevent drug resistance or increase side effects, but measures to prevent recurrence should be strengthened. If the symptoms do not disappear, pus cells in the urine continue to exist, and the culture is still positive, bacterial resistance and infection triggers should be considered. More appropriate antimicrobial drugs should be adjusted in time and the application time should be extended in order to achieve a complete cure.

Urinary tract infections are common in postmenopausal women and are susceptible to reinfection. The lack of estrogen causes a decrease in lactobacilli in the vagina and an increase in the reproduction of pathogenic bacteria, which is an important factor in infection. Estrogen replacement therapy can maintain a normal vaginal environment, increase lactobacilli and eliminate pathogenic bacteria, thereby reducing the occurrence of urinary tract infections.

2. Prognosis

Acute cystitis can be cured quickly with timely and appropriate treatment. For chronic cystitis, if the primary lesion can be cleared, the obstruction relieved, and symptomatic treatment is given, most cases can be cured, but it takes a long time.