The first signs of cystitis are not at all manifested by the release of blood in the urine. Most often, the following symptoms are found:
- strong and sudden urge to urinate;
- falsity and increased urges;
- a strong burning sensation during the excretion of urine;
- pronounced urge against the background of a small amount of urinary fluid;
- cloudy urine, change in odor;
- feeling of discomfort and pressure in the lower abdomen;
- a slight increase in temperature - up to about 37, less often - up to 38 ° C.
In young children, acute cystitis with blood is often manifested by urinary incontinence, fever, loss of appetite, and sleep disturbance.
An acute attack of cystitis with blood, accompanied by symptoms of intoxication (rapid heartbeat, vomiting, significant fever, chills) is usually typical of a fibro-ulcerative or gangrenous form of the disease. Such forms often develop in patients with obvious immunodeficiency, or with a complication of pyelonephritis.
Blood in chronic cystitis can be detected only during an exacerbation. Additional symptoms are general anxiety, painful palpation in the suprapubic area. 
Cystitis with blood in women
Cystitis in women happens often, and even sometimes acquires a chronic course. The reason for this is self-treatment, a frivolous attitude to the disease, ignoring a visit to the doctor. Other reasons may be:
- a sharp weakening of the immune system;
- sedentary lifestyle, prolonged sitting position, prolonged retention of urine in the bladder;
- the use of sweets, spicy and fried foods, low fluid intake;
- untreated gynecological problems;
- constant stress, chronic fatigue;
- non-compliance with the rules of personal and intimate hygiene;
- promiscuous sex life, unprotected sexual contacts.
The risk of an inflammatory process is significantly increased if a woman:
- practices combined anal-vaginal intercourse;
- wiped after defecation not from front to back, but vice versa;
- regularly uses pads or tampons (including daily ones) and rarely changes them;
- wears underwear made of synthetic dense fabrics;
- often tries to suppress urination.
Especially often in women, the disease develops against the background of hormonal changes - for example, with the onset of menopause, or during pregnancy.
Cystitis with blood during pregnancy
The inflammatory process makes itself felt during pregnancy quite often, and there is an explanation for this. First, the uterus enlarges and puts pressure on the ureters and bladder. This causes a violation of blood circulation in the organs, prevents an adequate outflow of urine, and contributes to the development of a bacterial infection. Secondly, in pregnant women, the quality of immune protection decreases: the body does this on purpose so that the uterus does not reject the baby, mistaking new tissues for a foreign body. Thirdly, strong hormonal changes also contribute to the development of the disease.
If a woman has previously had problems with the urinary tract, then during pregnancy they are likely to worsen.
It should be noted that cystitis with blood in a pregnant woman requires a special and serious attitude. Hoping that “it will pass by itself” and drinking only cranberry juice is at least unreasonable. Seeking medical help should be not only mandatory, but also immediate. If timely high-quality treatment is not carried out, then the risk of spontaneous abortion, premature birth and impaired intrauterine development of the baby increases.
Blood with cystitis in a child
Inflammation of the bladder is the most common infection of the urinary system, which occurs in pediatric and pediatric urological practice. The disease occurs in children of all ages, but is approximately 4 times more common in girls aged 4-12 years. This trend in incidence is associated with the features of the anatomy of girls: wide and short urethra, close proximity to the anus, etc.
Blood in the urine can be observed with an isolated or combined inflammatory process (for example, with cystourethritis, cystopyelonephritis).
When carrying out bacterial culture of urinary fluid in children, predominantly uropathogenic strains of Escherichia coli are sown, less often - Proteus, Klebsiella, Pseudomonas aeruginosa, Staphylococcus epidermidis. In about one in four cases, bacteria in the urine are not detected diagnostically.
Acute cystitis in childhood most often ends in recovery. The chronic form of the disease develops in the presence of anatomical functional prerequisites for delaying and multiplying the infection. Children with a chronic form should be under the supervision of a urologist, regularly give urine for tests and be examined.
Blood with cystitis in men
Cystitis is not as common in men as in women. However, not many people know that inflammation in male patients is more severe, with severe symptoms and blood in the urine. Moreover, the disease is mainly associated with a problem in the prostate.
The disease can develop after the microbial pathogen Escherichia coli, which normally “lives” in the intestine, enters the urinary tract. But cystitis is more often secondary, since the prostate gland first becomes inflamed. The urethra narrows, the bladder is not completely emptied, which leads to an increase in the likelihood of developing an infectious process.
Treatment of the disease in men involves a primary impact on the inflammatory response in the prostate, after which drug therapy for cystitis is prescribed - in particular, antibiotics are required. In addition, it is necessary to follow a diet, drink plenty of fluids: this allows you to speed up the removal of bacteria from the urinary system and potentiate the healing of damaged tissues.
Cystitis with blood after intimacy
This kind of disease is called postcoital, since inflammation develops throughout the day after sexual contact. In this case, sexual intercourse becomes a provoking factor in the painful process.
There may be several reasons:
- too rough sex, or an insufficient amount of natural lubrication leads to damage to the tissues of the genital organs and urethra;
- diseases of the genital area that cause pain during sexual contact;
- a low level of sex hormones in the female body (in particular, estrogen);
- frequent and promiscuous sexual intercourse;
- combination of anal and vaginal intercourse.
Also, the “culprits” may be the anatomical features of the genital organs - for example, if the distance between the urethra and anus is less than 4.5 cm.
Radiation cystitis with blood
During the treatment of oncology, most patients undergo radiation therapy. The difficulty lies in the fact that, in addition to the malignant focus, other, healthy organs are also exposed to radiation. Among them is the bladder: the rays affect its tissues, which causes the development of radiation cystitis.
If the urothelium, the natural protective layer of the bladder, is damaged, the elements of the urinary fluid begin to irritate the mucous tissue, affecting the exposed nerve endings. With long-term radiation therapy, the urothelium can become covered with ulcers, which further aggravates the situation. Ulcers begin to bleed, blood appears in the urine.
With such a problem, intravesical treatment often becomes the only right solution: hyaluronate or sodium alginate, chondroitin sulfate are prescribed, that is, substances that can restore the protective layer and correct autoimmune reactions.
Radiation cystitis with blood is a serious complication of a specific type of therapy. However, you should not despair: modern remedies can help the patient and cure the insidious disease.