Cystitis is considered a successfully treated disease, with the exception of severe gangrenous forms. But if you do not heal it to the end, it will go into a sluggish chronic form, and this can be a serious danger. The causes of cystitis and its varieties are many, therefore it is impossible to give a single recommendation. The most suitable medications for cystitis in each case can only be given by a urologist.
First aid is usually aimed at relieving pain symptoms and stopping the inflammatory process. For this, Papaverine solution (2%, 2 ml) and Atropine solution (1%, 1 ml) can be administered intramuscularly (subcutaneously). To relieve the inflammatory process, antibiotic therapy is carried out: in the acute course, it can be "Nolitsin" according to the instructions 3-5 days, "Norbactin" ("Norfloxacin"), "Monural", "Abaktal" ("Perfloxacin"), "Maksakvin" ( "Lomefloxacin"). The uncomplicated form is also treated with Cifran (Ciprofloxacin).
Gangrenous cystitis is very difficult to treat. In some cases, if it is not possible to extract necrotic tissue even through the enlarged urethra, the only way out is surgery, and no conventional medications for this kind of cystitis can be saved.
In the acute and painful form of cystitis, in addition to drug treatment, you need to adhere to some recommendations in the diet: there is absolutely no - to alcohol, we exclude everything acute, salty. Canned foods, sauces and seasonings are undesirable. You should adhere to a milk diet and eat more fruits and vegetables. Be careful with thermal procedures: if this is the first attack of cystitis, and its etiology is unclear, it is better to refrain from heating pads. With macrohematuria, heat can cause bleeding. Thermal procedures for tuberculous cystitis are also contraindicated.
In some cases, lighter drugs may be prescribed for cystitis, for example, after childbirth. Be sure to drink plenty of water (at least 2 liters per day) for the prompt washing out of the pathogenic flora. In the early days, it is possible to use some painkillers and antiseptics. Furadonin may be prescribed for cystitis caused by postpartum infection.
It is harder to treat chronic forms of cystitis. Here the emphasis is on eliminating the causes of inflammation, eliminating its permanent foci, removing stones from the bladder and normalizing general urodynamics. Antibacterial drugs for chronic cystitis are prescribed only after examination of the microflora of the bladder.
If we talk about how cystitis is treated, we need to remember that in addition to drug treatment, you often have to resort to some procedures. So, to improve blood supply to the walls of the bladder, UHF or mud applications, or inductothermy, can be prescribed. Instillation of sea buckthorn or rosehip seed oil into the bladder is also used if there is a violation of its emptying. Iontophoresis with antiseptics and nitrofurans proved to be quite good, the local effect of drugs is significantly enhanced.
In general, chronic cystitis needs to be given special attention. If acute cystitis does not occur the first time, it can give complications to the kidneys, up to the development of cystopyelonephritis. Therefore, with repeated cystitis, taking the medicine yourself, without consulting a urologist, is quite a dangerous business.
Radiation cystitis has its own characteristics, but the prognosis is usually favorable in the early stages. In complex cases of radiation cystitis, instillations of methyluracil or fish oil are also made, corticosteroids are used as intravesical injections. In extreme cases, a resection of the affected area or its intestinal plastic is performed.
The causes of cystitis can be different, and only a qualified urologist can prescribe the correct treatment.