Cystitis Treatment

Trimethoprim tablets for the antibiotic treatment of cystitis can now be purchased through us using our online doctor service.

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Cystitis is inflammation of the urinary bladder. The condition more often affects women.

Cystitis occurs when the normally sterile lower urinary tract (urethra and bladder) is infected by bacteria and becomes irritated and inflamed. It is very common.

The condition frequently affects women ages 20 to 50. Older adults are also at high risk for developing cystitis, with the incidence in the elderly being much higher than in younger people.

Cystitis is rare in males. Females are more prone to the development of cystitis because of their relatively shorter urethra, bacteria do not have to travel as far to enter the bladder.

More than 85% of cases of cystitis are caused by escherichia coli ("E. coli"), a bacterium found in the lower gastrointestinal tract. Sexual intercourse may increase the risk of cystitis because bacteria can be introduced into the bladder through the urethra during sexual activity. Once bacteria enter the bladder, they are normally removed through urination. When bacteria multiply faster than they are removed by urination, infection results.

Symptoms:
Pressure in the lower pelvis, abdominal cramp 
Burning on passing water 
Frequent or urgent need to urinate
Need to urinate at night
Abnormal urine colour (cloudy)

Treatments:
Antibiotics are used to control bacterial infection in more severe cases. However, cystitis can also be treated with over-the-counter medicines, where self-treatment is appropriate (see-for your safety below).

Cymalon sachets, and Cystopurin sachets are available for over the counter treatment. They all work in the same way by neutralising the acidity of the urine that causes the painful stinging and irritation. Cystopurin also has cranberry juice extract added.

Increasing the intake of fluids may allow frequent urination to flush the bacteria from the bladder.

Drinking cranberry juice prevents certain types of bacteria from attaching to the wall of the bladder and may lessen the chance of infection. 

Pain relief in the form of paracetamol or ibuprofen can be taken.

For your safety:

Symptoms which need referral to a doctor:

Blood in urine. Fever. Pain in lower back or severe abdominal pain. Nausea or vomiting.

If you have diabetes, kidney disease, heart disease or high blood pressure or are over 65 years.

If symptoms do not improve after 2 days of treatment.

If symptoms keep recurring.

If there are other problems with the urinary system such as kidney stones or difficulty emptying the bladder.

Children and men who get cystitis should always see a doctor.

For much more information click CYSTITIS or go to NHSDirect at www.nhs.uk BUT DON'T FORGET TO COME BACK TO US.  

This page was last updated: Monday 06 January, 2014