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130 COMMON CONDITIONS: WOMEN’S PROBLEMS

         Cystitis





              Cystitis is inflammation of the bladder, usually as a result of an infection. If you have an episode of cystitis,
              you will probably feel a burning pain when you urinate and have the urge to urinate frequently, even when
              your bladder is empty. The urine may be cloudy and foul smelling, and you may have pain in your lower
              abdomen. Episodes are sometimes triggered by sexual intercourse. Cystitis is a common condition in
              women, but is much less common in men and children.



              See your doctor first
                                                                    DRUG REMEDIES
              Make an appointment to see your doctor if:
                                                            Cystitis pain relief preparations
              ● You are pregnant
                                                            (see p.181) usually contain phenazopyridine to help
              ● There is blood in your urine
                                                            relieve pain and the burning sensation associated
              ● You have pain in your back, or in your sides
                                                            with cystitis, as well as the feeling of needing to
              just below your ribs; high fever; or shivering  urinate urgently.
              ● Your symptoms are not relieved within
              48 hours using the measures below             Analgesics, such as acetaminophen (see p.177),
                                                            can help relieve some of the discomfort of cystitis.
              Men and children with symptoms of cystitis
              should always see a doctor.
                                                                  NATURAL REMEDIES
         What you can do yourself                           Cranberry juice is a useful
              Using these simple measures promptly may      treatment that helps to fight infection
              be enough to clear up a mild episode of cystitis.  and may prevent recurrences of
              However, antibiotics may be necessary.        cystitis by reducing levels of bacteria
                                                            in the bladder.
              ● Drink plenty of fluids to wash away bacteria and
              keep the urine dilute. This will help make your  Drinking cranberry juice
              urine less irritating to the bladder.         Choose a juice with a high
                                                            proportion of cranberry, and
              ● Avoid citrus fruits, tomatoes, spicy foods, caffeine,
                                                            drink 1–2 glasses a day.
              alcohol, and nicotine. All of these substances can
              irritate the bladder.
              ● Take a cystitis pain relief preparation (see DRUG
              REMEDIES, right) to help relieve the symptoms of        PREVENTION
              cystitis, in conjunction with any treatment provided
              by your doctor.                               Avoiding recurrences The following
                                                            measures can help to prevent attacks of cystitis.
              ● Hold a covered hot-water bottle over your
                                                            ● Drink 8 glasses (2–3 quarts) of fluids each day,
              lower abdomen to relieve any pain, and/or take   including 1–2 glasses of cranberry juice.
              an analgesic (see DRUG REMEDIES, right).      ● Empty your bladder frequently and completely.
                                                            ● After a bowel movement, wipe from front to back
              ● Cranberry juice may help to relieve symptoms or
                                                            to avoid spreading bacteria.
              even prevent cystitis (see NATURAL REMEDIES, right).
                                                            ● Urinate before and after sexual intercourse.
              ● Try to urinate immediately before and after  ● Wear cotton underwear and avoid tight pants.
              sexual intercourse, to help flush out any bacteria.  ● Don’t use vaginal deodorants.
                                                            ● Take showers instead of baths, if possible.
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