Chronic cystitis: symptoms and treatment

Chronic cystitis is an inflammatory process in the bladder area. The provoking factor is an infection of a bacterial or parasitic nature. In the main risk group, women. In men, cystitis is much less common. According to statistics, every woman suffered from this disease at least once in a lifetime.

Chronic cystitis in men indicates the development of a more serious pathology in the genitourinary system. While in women this disease can be independent. With timely treatment, the ailment does not cause complications and does not affect the reproductive function.


As clinicians note, chronic cystitis in women can be the result of another background disease of the genitourinary system or an illness that is transmitted sexually.

In addition, it is necessary to distinguish and such etiological reasons for the development of the pathological process:

  • prolonged impairment of urine outflow
  • presence of chronic infection in the body
  • reducing the protective properties of the mucous membrane of the genital organs
  • hormonal changes resulting from cancer or pregnancy
  • prolonged and frequent hypothermia
  • non-observance of basic rules of personal hygiene
  • too active sex life
  • stressful conditions
  • too spicy food.

It should be noted that you can get chronic cystitis only if the immune system is weakened. Also, chronic cystitis can occur if the bladder is not systematically fully emptied. This etiological factor affects both men and women.

Almost always, cystitis acts as a complication if there is an infectious or inflammatory disease of the urinary bladder or urogenital system.


The peculiarity of chronic cystitis is that you can not observe the symptoms for several months. The clinical picture appears only 1-2 times a year with favorable etiological factors.

If it is a latent form of pathology, then the development of chronic cystitis can be detected only with endoscopic examination, when the patient consults a doctor with symptoms of another disease.

We can distinguish such, the most common symptoms of cystitis in chronic form:

  1. quicker urge to empty;
  2. severe pain when releasing the bladder
  3. lower abdominal pain
  4. a feeling of discomfort during sexual intercourse
  5. Sometimes urine can be with a trace of blood
  6. feeling that the bladder is not completely emptied.

In some cases, the above symptoms can be supplemented with pain in the pelvic region. In this case, it can be said that everything depends on the cause of the inflammatory process.

It should be noted that in the chronic form of this ailment symptoms of background disease may appear. In this case, self-treatment is unacceptable.


There is a classification of chronic cystitis, which is based on the nature of the disease and the morphological pattern.

The nature of the flow is distinguished:

  • latent chronic cystitis
  • Persistent
  • Interstitial. It is also referred to as bladder syndrome.

Depending on the morphological pattern, the following are distinguished:

  1. catarrhal chronic cystitis;
  2. ulcerative
  3. Cystic;
  4. necrotic
  5. polypous.


In most cases, it is very difficult to establish a diagnosis at once. It is due to the fact that the clinical picture can be erased, and the symptoms may indicate other ailments. In such cases, the physician should familiarize himself with the medical history, history and lifestyle of the patient or patient before assigning a diagnosis program.

Mandatory with suspicion of chronic cystitis is a gynecological examination in women using a mirror. In men, rectal examination of the prostate is performed.

The list of laboratory methods of research includes the following:

  • urine analysis for Zimnitskiy
  • Bucks
  • a smear from the urethra
  • smear from the vagina to the microflora.

As for the instrumental methods of research, we can distinguish the following:

  1. kidney ultrasound;
  2. cystography;
  3. Ultrasound examination of the bladder.

If there is a suspicion of the development of a background pathological process, then a biopsy is prescribed.

Only on the basis of the results of the tests can you put an accurate diagnosis and prescribe the correct course of treatment. It should be noted that in some cases, the symptoms of chronic cystitis may indicate signs of another infectious disease, therefore differential diagnosis is performed.


Treatment of chronic cystitis involves not only the intake of medications, then compliance with diet, lifestyle adjustment and subsequent prevention. How to cure chronic cystitis only a specialized specialist knows.

Drug treatment of chronic cystitis implies the use of such drugs:

  • broad-spectrum antibiotics
  • preparations for the removal of the inflammatory process;
  • drugs for normalizing the hormonal background;
  • antihistamines;
  • restorative drugs for the immune system.

As a rule, the duration of taking medication is not more than 10 days and depends on the cause of the development of the disease. After that, the doctor can prescribe the intake of substances to restore the microflora and strengthen the immune system.

In some cases, the treatment of chronic cystitis medication does not give a proper result or does not fit at all. Therefore, an operative measure is used.

In more complex cases, complex therapy is used:

  1. drug treatment;
  2. physiotherapy procedures
  3. Interoperability
  4. diet.

It should be noted that a diet prescribed by a doctor should be adhered to almost always. Otherwise, relapse of the disease is possible.


Diet in the treatment of chronic cystitis implies an almost complete exclusion from the diet of spicy foods and spirits. Instead, dieting requires the use of products such as:

  • cranberry;
  • celery and parsley
  • Watermelon (as this is a diuretic)
  • carrots;
  • Cowberry

In addition, such a diet implies a daily intake of at least 2 liters of fluid. This includes green tea, compote and juices of natural origin.

It should be noted that this diet can not only reduce the symptoms of chronic cystitis, but also normalize the metabolism, which in itself is good for health.

The diet for chronic cystitis should be prescribed only by the attending physician. Otherwise, you can only harm your body. At the same time, it should be noted that the correct diet is already half the success in treatment.

Folk remedies

Cystitis is one of the few diseases that can be treated with folk remedies, if the doctor recommends it. Use folk remedies in the form of baths with medicinal herbs, decoctions and compresses and can be used as prevention if there are relapses of the disease. But even with this type of treatment, one should not forget about the diet and the right way of life.

How to treat chronic cystitis can correctly say only gynecologist or urologist. Do self-medication, even if the disease is indicated by all the symptoms, it is impossible.


Prevention of chronic cystitis is mandatory for those who have already experienced this inflammatory process. For this, it is necessary to apply such recommendations of specialists in practice:

  1. you need to carefully monitor intimate hygiene;
  2. the food should be full and balanced
  3. all infectious and inflammatory processes need to be treated to the end and in a timely manner.

Such preventive measures can not only exclude the risk of recurrence of the inflammatory process, but also prevent other pathologies of the genitourinary system.