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Health

First aid for cystitis in women and men

, medical expert
Last reviewed: 20.09.2022
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Cystitis is a rather painful condition associated with acute or chronic lesions of the urinary tract. First aid for cystitis is almost always provided, since the patient is worried about sharp severe pain, pain, the condition worsens sharply. After providing first aid, it is possible to stop the pain, stop the attack, after which it is already possible to continue the planned therapy. Everyone needs to know how to help a person with cystitis.

What to do at the first sign of cystitis?

Increasingly, patients have to hear the question: "What to do at the first sign of cystitis?". The question is quite natural, since you need to act quickly and accurately. So, the first thing to do when the first signs of cystitis appear is to stop the pain syndrome, relieve an attack of spasm, cramps. After that, you can begin to eliminate the consequences of an acute attack. It is necessary to give the patient anti-spasmodic, painkillers. Well help with acute attacks of pain such means as no-shpa, 5-NOK, baralgin. With a strong pain syndrome, you can use diclofenac (injections). With attacks of moderate severity, urolesan (a herbal remedy) helps. It is dripped onto a piece of refined sugar 5-25 drops (depending on the stage of the disease, the severity of the pain syndrome). As a means of emergency, monural, furagin, cystone are prescribed, which quickly relieve inflammation and pain. [1]

After the patient has become better, it is necessary to give him plenty of fluids (tea, warm water). It is important to ensure peace and call an ambulance. With an attack of cystitis, it is imperative to call an ambulance, even if you managed to stop the attack on your own, and your health has improved significantly. This is due to the fact that drugs can mask the main symptoms of the pathology, temporarily stop the pain process. But they do not eliminate the cause, and do not affect the pathological process. This means that over time, a recurrence of an attack may occur, which will be much more severe than the previous one. In addition, it must be borne in mind that the body may develop resistance to the drugs used, so the next time they will be ineffective. Also, if the pathological process has not been cured, the inflammatory process becomes chronic. The chronic form is difficult to treat, requires the use of enhanced drugs, is characterized by a more severe relapsing course with frequent exacerbations.

Should I call an ambulance for cystitis?

Patients suffering from cystitis are usually able to quickly stop the main attack of cystitis on their own. After the acute attack has passed, the condition has improved somewhat, a logical question arises: “Should I call an ambulance?”. With cystitis, it is always recommended to call an ambulance, even if the attack was eliminated and the patient felt relieved. It must be understood that cystitis is a serious disease of the urinary tract, which requires not only emergency care and relief of the main attack, but also complex qualified treatment. Ambulance doctors will provide all necessary assistance in order to protect the patient as much as possible, prevent relapses, prevent the disease from becoming chronic, prevent the disease from progressing or developing complications.

It must be assumed that the withdrawal of an acute attack is not a basis for refusing to continue treatment. On your own, you can only relieve symptoms for a short time, eliminate severe pain. After that, an examination by qualified medical personnel is necessary. The ambulance team will decide whether further hospitalization is necessary, or whether to continue treatment with the attending physician on an outpatient basis. In any case, only a doctor, and in the near future after an attack, will be able to correctly assess the severity of the pathological process, its consequences, and will be able to correctly plan the tactics of further treatment. Therefore, even if it seems that the state of health has become normal, in no case should you refuse to call an ambulance. The patient must know this rule firmly and use it as an axiom for each new attack, regardless of its severity and the circumstances of its occurrence. [2]

What to do with cystitis?

Every patient who has a history of a disease such as cystitis must know what to do with cystitis. Family members and relatives should also be able to provide first aid. So, the first thing to do is to drink an anesthetic, an antispasmodic, which will stop the inflammatory process, eliminate an attack of pain, relieve spasm. Means such as baralgin, nosh-pa, analgin, diphenhydramine are well suited. After that, you need to call an ambulance. You need to understand that many means can simply relieve an attack, but this is not enough. Comprehensive treatment is needed to eliminate pathological changes in the urinary system. It is also important to prevent the progression of the disease.

With cystitis, along with the inflammatory process, an infectious process also develops, most often of bacterial etiology. The infection migrates upward along the ascending pathways, and can easily penetrate the kidneys, which will lead to the development of a renal inflammatory process. Such complications of cystitis as pyelitis, pyelonephritis, glomerulonephritis are dangerous. In addition, if left untreated, seizures can become chronic and recurrent, and it will be much more difficult to get rid of them. Attention is drawn to the fact that long-term use of drugs leads to resistance of the body to the effects of drugs, so the next time, the drugs may not be effective.

Therefore, after removing the attack, an ambulance is called. The doctor conducts an examination, introduces the necessary medicines to relieve inflammation, prevent the infectious process. After that, the tactics of further treatment is decided. The doctor may suggest hospitalization for further inpatient treatment (in severe cases, the risk of complications, the need for detailed diagnosis). In simpler cases, you can limit yourself to outpatient treatment in a clinic.

In any case, antibiotic therapy will be required. It is preferable to use complex therapy, which will include antibiotics, antifungal agents. Depending on the severity of the pathological process, the characteristics of the course of the disease, complex therapy can include either probiotics aimed at restoring the normal microflora of the urinary tract, or immunomodulatory agents aimed at normalizing local immunity and the system of nonspecific resistance.

In any case, the treatment regimen should be selected exclusively by the doctor, since the dosage, method of treatment, duration, and even the choice of the drug depends on the main pathogen that causes the inflammatory and infectious process, on the etiology and specifics of pathogenesis. Therefore, the most rational is the appointment of antibiotic therapy after analyzing the sensitivity of the pathogen to antibiotics. The issue is that this analysis takes time (at least 5-7 days, depending on the timing of microflora cultivation). The supply of time is often limited, therapy is needed urgently. Therefore, the choice is stopped on broad-spectrum antibiotics that affect a wide range of microorganisms. After receiving the analyzes, the treatment regimen can be adjusted. In no case should you self-medicate. This can be fraught with serious complications and adverse consequences. [3]

What to do if blood appears with cystitis?

The appearance of blood in cystitis is an extremely unfavorable sign. It indicates a severe inflammatory and infectious process in which blood vessels are damaged. Also noted is vascular stenosis, hemodynamic disturbance, hematuria, up to open bleeding. The question immediately arises: what to do when blood appears with cystitis? The first thing to do is not to panic, and assess the real state of blood loss. Whether we are talking about bleeding, or the usual bruising, bruising. In case of bleeding, the blood acquires a scarlet hue, flows out in a small stream, and when combined with urine, it diverges, forming a darker spot in the center. Usually, when bleeding, there is a lot of blood - from 1-1 milliliters to several hundred milliliters. In case of bleeding, drink a hemostatic agent: aminocaproic acid, dicynone, burnet, and other remedies. And call an ambulance immediately.

If you do not have bleeding, but an ordinary bruise, you can not drink hemostatic agents, but you need to call an ambulance as soon as possible. In this case, it is better to wait for the advice of a qualified doctor, and strictly follow his further recommendations. Typically, the cause of such a bruise is damage to blood vessels, impaired tone and permeability of blood vessels, impaired hemodynamics, microcirculation, impaired state of the system of nonspecific resistance, and clearance of mucous membranes. This requires special treatment, which the doctor will select based on the anamnesis, examination results, and laboratory tests.

First aid for cystitis in women

The danger of cystitis in women is that they dramatically increase the likelihood of complications from the reproductive system. Cystitis is an inflammatory and infectious process in the urinary organs. Due to the anatomical proximity to the female reproductive system, the infection often spreads to adjacent organs, and the vagina, uterus, and ovaries are involved in the pathological process. This leads to the development of corresponding gynecological diseases. Noteworthy is the rather rapid spread of the infectious-inflammatory process along the ascending path - from the urethra to the kidneys, renal tubules. This leads to the development of renal complications, such as pyelitis, pyelonephritis, nephritis, glomerulonephritis, and other kidney damage. Unlike men, the likelihood of complications in the kidneys in women is much higher, due to the anatomical features of the female body: the urinary canal in women is much shorter, there is a direct connection of the entire urinary system with the kidneys. In addition, the infectious process is supported by vaginal discharge, the entry of vaginal microflora into the urinary organs.

Therefore, the first aid for cystitis in women is reduced to the relief of spasm and pain, and the immediate relief of the infectious process. It is necessary, along with analgesics, painkillers and antispasmodics, to drink an antibiotic. It is recommended to drink plenty of water, which will provide washing of the urinary tract and accelerate the excretion of bacterial microflora and bacterial endotoxins to the outside, respectively, and reduce the risk of developing complications of bacterial etiology. First of all, the drugs of choice in emergency care are monural, furagin, or cystone. In the future, depending on the data of the antibiogram showing the sensitivity of the bacterial microflora to the prescribed drug, drugs such as penicillin, erythromycin, tetracycline, oleandomycin, chloramphenicol are prescribed in normal doses. The drug is prescribed by a doctor. Further self-medication can be dangerous for both the urinary system and the reproductive system. Self-medication is especially dangerous for pregnant women, since the wrong choice of drug can adversely affect the development of the fetus. Not treating the infectious process is also not an option, since the spread of the infectious-inflammatory process can cause intrauterine infection of the fetus, amniotic fluid. It can also cause miscarriage, premature birth. [4]

First aid for cystitis in a child

When the first signs of cystitis appear in a child, you should immediately call an ambulance. Self-medication can be fraught with serious consequences and complications. In children, the infectious-inflammatory process spreads extremely quickly, characterized by a tendency to damage the kidneys. In addition, in children, especially in boys, complications on the reproductive system are often observed, which manifest themselves only in adulthood in the form of sexual disorders, infertility. It should also be taken into account that the younger the child, the more severe the pathology, the higher the risk of complications, generalization of infection and inflammation, up to bacteremia and sepsis. You need to call an ambulance immediately, follow all the doctor's recommendations. Hospitalization is often required. First aid for cystitis in a child before the arrival of an ambulance may consist in stopping acute pain, relieving spasm. For this, the child is given painkillers, antispasmodics, in accordance with the instructions. It is necessary to take into account the age of the child, and calculate the dosage based on age, body weight. The child can be given the following drugs as first aid: analgin, baralgin, urolesan, no-shpa. It is important to ensure plenty of fluids and complete rest.

First aid for cystitis at home

At home, with cystitis, first aid is provided, aimed at relieving an attack. The goal is to relieve pain, relieve spasm. Further assistance must be provided by a doctor, since improper treatment can cause serious complications. The most dangerous are complications on the kidneys, which can even lead to disability of a person. If a person is being treated at home, then the most useful thing he can do is to strictly follow all the doctor's recommendations, not to violate the treatment regimen, while taking medicines, observing the dosage, regimen, duration of treatment prescribed by the doctor. In no case should you stop treatment, even if the state of health has improved significantly, and there are no more signs of cystitis. As a rule, a person immediately feels better, because external manifestations, symptoms of the disease disappear, spasms and superficial damage disappear. However, deep inflammatory, and even more infectious processes are still ongoing, and require long-term treatment.

When providing first aid for cystitis at home, you need to relieve an attack of pain as soon as possible. To do this, use painkillers, analgesics. Then it is necessary to call an ambulance, and then the doctor will provide further assistance, depending on the severity of the pathological process, the patient's condition. After providing first aid, further treatment should be carried out. The basis of treatment is antibacterial therapy, which eliminates not only the bacterial process, but also stops inflammation, restores damaged tissues, and prevents complications. In a mild form, predominantly sulfanilamide preparations are used, such as biseptol, urosulfan (2 g / day), etazol (5-10 mils of a 10% solution), sulfadimezin (2 g / day). It is advisable to prescribe a combination therapy, which includes antibiotics and sulfa drugs.

First aid for acute cystitis

In acute cystitis, first aid depends on the leading symptom. So, most often the patient is worried about acute pain, therefore, painkillers are prescribed as first aid. If a person has severe spasm, it is advisable to combine painkillers and antispasmodics. Also, with cystitis, antibacterial agents are prescribed, since it is important to stop the inflammatory process and prevent the development of infectious complications. Antibiotics such as penicillin, erythromycin, biseptol give a good therapeutic effect. Assign uroseptics - urolesan, baralgin. Nitrofuran compounds are widely used: furagin (500 ml of a 0.1% solution), furazolidone (0.1 g), nitroxoline (0.4-0.6 g / day). The duration of the course of treatment is 10 days.

In acute cystitis, nalidixic acid (Negro) is prescribed. It is indicated for the prevention of pyelonephritis, nephritis, glomerulonephritis, is used for severe cystitis, chronic pathology and recurrent disease. This drug is especially effective for the treatment of cystitis caused by gram-negative microflora. Assign it to the tablet 4 times a day, the course of treatment is 5-7 days. If no visible results are observed, 5-NOC is prescribed. The course of treatment is 10-12 days. This remedy is especially effective in the treatment of protracted cystitis.

As a rule, with acute cystitis, body temperature rises sharply. When the temperature rises above 38 degrees, it is imperative to give antipyretics as a first aid. Then antibiotic therapy is connected, and antipyretics are drunk as needed. Antibacterial therapy is carried out until the body temperature returns to normal. Also, antibiotic therapy should not be stopped until the normal pattern of urinary sediment is restored and bacteremia (bacteriuria) completely disappears.  [5]

First aid for cystitis, medicines, pills

With cystitis, the patient needs first aid: they give medicines, pills. Sometimes injections are given. First aid should be provided before the arrival of an ambulance in order to alleviate the patient's condition. Usually, the list of funds needed for emergency care is limited to a minimum set of drugs that allow you to quickly relieve pain and inflammation, eliminate spasm, and relax the patient. Further treatment is carried out by a doctor, an ambulance team. The main means of first aid are: 5-NOC, urolesan, urosept, analgin, baralgin, no-shpa, spasmalgon. These are the most famous and commonly used tools. Often they are in the first aid kit of the patient who had an attack.

But the list of medicines and tablets that can be used to provide first aid for cystitis is not limited to these drugs. Therefore, other drugs should be considered.

To relieve the main symptoms of cystitis, dichlothiazide (hypothiazid) is used - 50-200 mg each. This drug has a diuretic and hypotensive effect. It is recommended to combine it with potassium preparations, furosemide (40-160 mg each). Preparations of rauwolfia, alpha-methylzhdofu, isobarine are prescribed at 0.025 g. Dibazol is administered in 2 ml of a 0.5% solution. To stop the inflammatory process, suprastin can be given to the patient: with a mild form - 1 tablet, with a severe attack - 2 tablets. Suprasin acts as an antihistamine, aimed at reducing histamine. In an acute attack of cystitis, an inflammatory process develops, which is accompanied by an active release of histamine into the blood. The destruction of histamine relieves inflammation and alleviates the patient's condition. Ketonal, ketopherol (1 tablet each) are used as a strong pain reliever for a severe attack.

What to do if monural did not help with cystitis?

Many patients take monural for cystitis. This is a fairly effective remedy that helps to quickly relieve an attack, pain, eliminate inflammation and the infectious process. Many rely on monural so much that there are no other means in the first-aid kit. And in vain. After all, few people wonder what to do if monural did not help with cystitis? Such cases happen. This may be related to. That with a recurrent course of the disease, with frequent attacks, the patient constantly takes this drug. The body's sensitivity to it gradually decreases, addiction develops. Therefore, in order to avoid addiction, you need to alternate drugs. It is not recommended to be treated twice in a row with the same drug. If monural is ineffective, you can try furagin, cystone as an alternative.

What to do if furagin does not help with cystitis?

With attacks of cystitis, furagin is often used. It usually works quickly and well. But what to do, furagin does not help with cystitis? You shouldn't worry about this. That happens. You just need to change drugs. Of course, it is better to consult with your doctor, since only your doctor can accurately select the drug, taking into account the characteristics of the current disease, the patient's condition. But in any case, even without knowing the history, the following drugs can be recommended to the patient as an alternative: furosemide (Lasix) at a dosage of 40-80 to 600 mg per day. Antihypertensive drugs are used, for example, dopegyt, the daily dosage of which is 0.75 - 1 gram. With progressive cystitis, azathioprine is prescribed in an amount of 100-150 mg per day, chimes in an amount of 300-500 mg per day. Calcium preparations are shown, for example, calcium chloride inside a 5-10% solution, 1 tablespoon 4 times a day. Also an alternative is cystone, which is taken according to the instructions.

What to do if cystone does not help with cystitis?

Cystone is considered one of the most effective remedies for cystitis. Now consider what to do if cystone does not help with cystitis. Such cases also happen. This happens if the patient is often treated with this drug. Addiction occurs, its effectiveness decreases. But there are also cases when the drug is prescribed for the first time, and it does not help. These are the individual characteristics of the body. In any case, if there is no effect within 2-3 days, the treatment should be stopped and an alternative should be sought. The closest alternative to cystone is monural, furagin. These drugs are taken according to the instructions. However, before you start taking any medications, you should consult your doctor.

First aid for pain in cystitis

For pain in cystitis, first aid is needed. It must be provided as quickly as possible. First of all, the patient must be given any pain medication. It depends on the individual characteristics of the organism. In severe pathology, such strong drugs as ketanol, ketolorac are given. With moderately severe pathology, baralgin, analgin, diclofenac, no-shpy are sufficient. These remedies quickly relieve pain. After that, you need to call an ambulance. Before her arrival, the patient should be provided with rest and plenty of fluids. Your doctor will provide further assistance.

What to do with cuts with cystitis?

If a feeling of pain occurs during cystitis, you need to consult a doctor and undergo an examination. This may be a sign of the beginning of the inflammatory process. In no case should you start it, as this can result in a strong attack. It is better to prevent inflammation in the early stages. You can also try remedies such as monural, furagin, cystone, urolesan. They stop the inflammatory process well, especially in the early stages of its development, prevent the development of severe inflammation and infection, and prevent complications.

Alternative remedies for cystitis as first aid

As first aid for cystitis, alternative remedies can be used. Let's consider some of them.

With cystitis, herbal treatment is indicated, since herbs allow for long-term, cumulative treatment. The most commonly used herbs are listed below.

Marsh ledum. It is used in the form of a decoction: about a pinch of herbs in a glass of hot water (boiling water). Leave for at least an hour. Drink a tablespoon 2-3 times a day, or as directed by a doctor. It must be remembered that the product is poisonous, take with caution.

Yarrow. It is recommended to use in the form of alcohol infusion. May be used as an aqueous solution. Often included in various medicinal collections.

Barberry ordinary is produced in finished form in the form of a preparation of berverine bisulfate, a collection according to Zdrenko's prescription.

Maclea heart-shaped is used in the form of decoctions, infusions, extracts. Stephania smooth is used in the form of decoctions, infusions.

Often prescribed and such as marshmallow, calamus, celandine, plantain, Siberian fir, juniper, dandelion, Manchurian aralia, Japanese Sophora, water mountaineer, snake mountaineer, ginseng, cornflower, eleutherococcus, echinacea. These funds are recommended to be used in the form of alcohol infusions (using alcohol with a concentration of 40%). You can also use water decoctions.

What to do with an exacerbation of cystitis?

With a recurrent course, chronic cystitis, frequent complications on the kidneys, corticosteroid hormones are prescribed. Corticosteroids can also be used when there is blood in the urine (hematuria). For example, prednisolone is the drug of choice. It is prescribed, starting with a dose of 10-20 mg per day. Quickly (within 5-7 days), bring the daily dose to 60 mg, continue treatment for 2-3 weeks, then gradually reduce the dose. The course of treatment is 5-6 weeks. In total, the course requires 1500-2000 mg of prednisolone. In the absence of the desired effect, maintenance doses of prednisolone (10-15 mg per day) are prescribed.

With exacerbation of cystitis, magnesium sulfate is also used (intravenous administration). Approximately 10 ml of a 25% solution of the drug is injected. With severe pain. Which is not stopped by other drugs, give narcotic painkillers, for example, chloral hydrate. Ganglioblockers have a positive effect. For example, benzohexonium 10-20 mg (0.5 - 1 ml of a 2% solution intramuscularly). Reserpine, uregit, lasix are also prescribed to prevent further complications.

What can not be done with cystitis?

We often hear from patients the question: what can not be done with cystitis? The first thing you should pay attention to is that you should not self-medicate. Cystitis is an extremely serious and dangerous disease. It is much more serious than it might seem at first glance. The danger is that with cystitis an acute infectious and inflammatory process develops. Accordingly, along the ascending pathways, this process quickly spreads to all urinary tracts - ureters, kidneys. The most dangerous are complications in the kidneys, since the pathological process can progress up to necrosis and the development of renal failure. An infection that has entered the kidneys is very difficult to treat, and often leads to disability and death. The second danger is the complications on the reproductive system. This is especially dangerous for pregnant women, as intrauterine infection can occur, and even fetal death, or complicated childbirth. For men on the part of the reproductive system, a serious complication is sexual impotence, infertility.

It is impossible to interrupt the course of treatment with cystitis, or reduce the dosage, even if the state of health has improved. Improvement in well-being means that the inflammatory process has decreased, the symptoms have gone, but full recovery is still far away. If treatment is abandoned, cystitis will become chronic with frequent relapses.

You can not start and quit antibiotic therapy on your own. If you choose the wrong drug, or stop treatment without being cured, this will lead to the development of resistance among the bacterial microflora, and antibiotics will no longer work.

Do not eat spicy foods, fried, fatty, smoked foods. You can not eat marinades, pickles, dishes with a lot of spices, spices. You can't drink alcohol. Food must be dietary.

Under no circumstances should you overcool.

In addition, a patient who has a history of cystitis should know as much as possible about their disease. You also need to remember that  first aid for cystitis  is required even before the ambulance arrives, so there should always be a first aid kit with basic drugs on hand.

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