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Bladder inflammation is a treatable health condition. ANF Therapy®️ can effectively treat bladder inflammation with the help of ANF Devices.
Feeling the urgency? Our guide to bladder inflammation tackles symptoms, diagnosis, and effective treatments to get you back to feeling your best.
New Post has been published on WomanHealthGate
New Post has been published on http://womanhealthgate.com/cystitis-prefers-women/
Cystitis prefers Women
Cystitis, bladder pain and urine infections are very common in women. What is the reason? how to treat and prevent these problems?
The bladder is a median and distensible organ where urine gathers before its release outside the body trough
Bladder inflammation (cystitis) is very common in women.
urination. Cystitis means inflammation of the bladder and it is usually caused by a urine infection. Typical symptoms are pain when you pass urine, and frequent urination.
It is possible to distinguish between acute form, when symptoms arise unexpected, and chronic forms, when they last in time. As you will see, the problem is quite common in women.
PREVALENCE (Epidemiology)
Cystitis is so common in women to become a characteristic disease and to affect about 20-30% of them every year. Practically, a 50% of women experience at least one episode of cystitis in their lifetime. Its incidence tends to increase with age: rare before puberty, increases with the beginning of sexual activity and after menopause.
The reason for this higher preference for women appears to be linked to the particular anatomical shape of their lower urinary tract. The shortness of female urethra (the structure that connects the bladder to the outside), and its proximity to vagina and rectum seems to predispose to a more easy contamination of urine by bacterial, fungi and viruses. We will discuss in this article the most frequent Cystitis. Rarer infectious cystitis (by drugs, radiation therapy, interstitial) will not be discussed.
Predisposing or triggering factors (CAUSES)
Among the most frequently pathogens cause are counted mainly Escherichia coli (Gram Negative that normally dwells in the intestines) but also Proteus, Klebsiella, Pseudomonas, Staphylococcus Aureus.
Many are those conditions considered related to the cystitis onset. Among these we include:
poor hygiene (importance was also given to the way in which it is made cleansing of the external genitalia and peri-anal region)
genetic factors (higher bacterial adhesion to cells of the lower urinary tract lining)
alterations of pelvic pavement static (prolapse of utero-vaginal and bladder conditions)
inflammatory conditions of vulva and vagina (contamination, alteration of local ecosystem)
reduced immunity
diabetes
hormonal factors (estrogen deficiency)
sexual intercourse (in some women closely linked to the onset of cystitis through microtraumas and easier contamination of the urethra)
SYMPTOMS
The onset of cystitis is characterized by a burning sensation and a difficulty in urination, a burdensome feeling (weight) and pain in the suprapubic region, perception of incomplete bladder emptying and a more frequent needs (with stimulus sometimes imperious) to urinate. Sometimes there may be blood in the urine (hemorrhagic cystitis).
DIAGNOSIS
The diagnosis is not in the scope of this discussion. We can say, however, that Cystitis is almost always easy to diagnose. More attention require chronic and relapsing forms.
THERAPY
Although therapy is not the scope of this discussion task because is under family doctor responsability, it is still a medical therapy that is often prescribed in an empirical way (particularly in acute forms) or on information derived from culture tests (resistant forms, chronic and recurring). Surgery is useful when it is found a a prolapsed bladder condition that prevent a complete emptying of the bladder favoring the accumulation of urine and bacteria. Even hormonal therapies (by local, general or vagina) may be useful when it is identified the main responsibility of a dystrophic condition of the mucous membranes resulting from hypoestrogenism.
PARTICULAR SITUATIONS
Menopause: the estrogen deficiency increases the bladder and urethral mucosa vulnerability;
Pregnancy: the progressive growth of the uterus displaces and compresses the bladder and could create problems in its regular emptying. Secretion of progesterone also leads to an alteration (relaxation) of the pelvic support structures tone. This facilitate urinary infections and therefore episodes of cystitis in pregnancy. It should be emphasized that the inflammation (infection) of urinary tract during pregnancy are particularly dangerous and therefore requires special attention.
The honeymoon cystitis is a form of cystitis described after frequent and close sexual intercourse (once typical of young newly married couples) probably favored by microtraumatic factors and especially by bacterial contamination of urinary meatus and then of lower urinary tract.
The role of the Gynecologist
Vagina, vulva, sexual activity, ovarian hormonal changes and pelvic static changes play an important role in this disease and may become the cause of its chronicity. It is important to treat well and prevent vulvovaginal inflammation, also including changes in the local ecosystem which are possibly present. The role of the gynecologist is very important, especially for that forms that show a recurring tendency.
New Post has been published on WomanHealthGate
New Post has been published on http://womanhealthgate.com/cystitis-prefers-women/
Cystitis prefers Women
Cystitis, bladder pain and urine infections are very common in women. What is the reason? how to treat and prevent these problems?
The bladder is a median and distensible organ where urine gathers before its release outside the body trough
Bladder inflammation (cystitis) is very common in women.
urination. Cystitis means inflammation of the bladder and it is usually caused by a urine infection. Typical symptoms are pain when you pass urine, and frequent urination.
It is possible to distinguish between acute form, when symptoms arise unexpected, and chronic forms, when they last in time. As you will see, the problem is quite common in women.
PREVALENCE (Epidemiology)
Cystitis is so common in women to become a characteristic disease and to affect about 20-30% of them every year. Practically, a 50% of women experience at least one episode of cystitis in their lifetime. Its incidence tends to increase with age: rare before puberty, increases with the beginning of sexual activity and after menopause.
The reason for this higher preference for women appears to be linked to the particular anatomical shape of their lower urinary tract. The shortness of female urethra (the structure that connects the bladder to the outside), and its proximity to vagina and rectum seems to predispose to a more easy contamination of urine by bacterial, fungi and viruses. We will discuss in this article the most frequent Cystitis. Rarer infectious cystitis (by drugs, radiation therapy, interstitial) will not be discussed.
Predisposing or triggering factors (CAUSES)
Among the most frequently pathogens cause are counted mainly Escherichia coli (Gram Negative that normally dwells in the intestines) but also Proteus, Klebsiella, Pseudomonas, Staphylococcus Aureus.
Many are those conditions considered related to the cystitis onset. Among these we include:
poor hygiene (importance was also given to the way in which it is made cleansing of the external genitalia and peri-anal region)
genetic factors (higher bacterial adhesion to cells of the lower urinary tract lining)
alterations of pelvic pavement static (prolapse of utero-vaginal and bladder conditions)
inflammatory conditions of vulva and vagina (contamination, alteration of local ecosystem)
reduced immunity
diabetes
hormonal factors (estrogen deficiency)
sexual intercourse (in some women closely linked to the onset of cystitis through microtraumas and easier contamination of the urethra)
SYMPTOMS
The onset of cystitis is characterized by a burning sensation and a difficulty in urination, a burdensome feeling (weight) and pain in the suprapubic region, perception of incomplete bladder emptying and a more frequent needs (with stimulus sometimes imperious) to urinate. Sometimes there may be blood in the urine (hemorrhagic cystitis).
DIAGNOSIS
The diagnosis is not in the scope of this discussion. We can say, however, that Cystitis is almost always easy to diagnose. More attention require chronic and relapsing forms.
THERAPY
Although therapy is not the scope of this discussion task because is under family doctor responsability, it is still a medical therapy that is often prescribed in an empirical way (particularly in acute forms) or on information derived from culture tests (resistant forms, chronic and recurring). Surgery is useful when it is found a a prolapsed bladder condition that prevent a complete emptying of the bladder favoring the accumulation of urine and bacteria. Even hormonal therapies (by local, general or vagina) may be useful when it is identified the main responsibility of a dystrophic condition of the mucous membranes resulting from hypoestrogenism.
PARTICULAR SITUATIONS
Menopause: the estrogen deficiency increases the bladder and urethral mucosa vulnerability;
Pregnancy: the progressive growth of the uterus displaces and compresses the bladder and could create problems in its regular emptying. Secretion of progesterone also leads to an alteration (relaxation) of the pelvic support structures tone. This facilitate urinary infections and therefore episodes of cystitis in pregnancy. It should be emphasized that the inflammation (infection) of urinary tract during pregnancy are particularly dangerous and therefore requires special attention.
The honeymoon cystitis is a form of cystitis described after frequent and close sexual intercourse (once typical of young newly married couples) probably favored by microtraumatic factors and especially by bacterial contamination of urinary meatus and then of lower urinary tract.
The role of the Gynecologist
Vagina, vulva, sexual activity, ovarian hormonal changes and pelvic static changes play an important role in this disease and may become the cause of its chronicity. It is important to treat well and prevent vulvovaginal inflammation, also including changes in the local ecosystem which are possibly present. The role of the gynecologist is very important, especially for that forms that show a recurring tendency.
New Post has been published on WomanHealthGate
New Post has been published on http://womanhealthgate.com/cystitis-prefers-women/
Cystitis prefers Women
Cystitis, bladder pain and urine infections are very common in women. What is the reason? how to treat and prevent these problems?
The bladder is a median and distensible organ where urine gathers before its release outside the body trough
Bladder inflammation (cystitis) is very common in women.
urination. Cystitis means inflammation of the bladder and it is usually caused by a urine infection. Typical symptoms are pain when you pass urine, and frequent urination.
It is possible to distinguish between acute form, when symptoms arise unexpected, and chronic forms, when they last in time. As you will see, the problem is quite common in women.
PREVALENCE (Epidemiology)
Cystitis is so common in women to become a characteristic disease and to affect about 20-30% of them every year. Practically, a 50% of women experience at least one episode of cystitis in their lifetime. Its incidence tends to increase with age: rare before puberty, increases with the beginning of sexual activity and after menopause.
The reason for this higher preference for women appears to be linked to the particular anatomical shape of their lower urinary tract. The shortness of female urethra (the structure that connects the bladder to the outside), and its proximity to vagina and rectum seems to predispose to a more easy contamination of urine by bacterial, fungi and viruses. We will discuss in this article the most frequent Cystitis. Rarer infectious cystitis (by drugs, radiation therapy, interstitial) will not be discussed.
Predisposing or triggering factors (CAUSES)
Among the most frequently pathogens cause are counted mainly Escherichia coli (Gram Negative that normally dwells in the intestines) but also Proteus, Klebsiella, Pseudomonas, Staphylococcus Aureus.
Many are those conditions considered related to the cystitis onset. Among these we include:
poor hygiene (importance was also given to the way in which it is made cleansing of the external genitalia and peri-anal region)
genetic factors (higher bacterial adhesion to cells of the lower urinary tract lining)
alterations of pelvic pavement static (prolapse of utero-vaginal and bladder conditions)
inflammatory conditions of vulva and vagina (contamination, alteration of local ecosystem)
reduced immunity
diabetes
hormonal factors (estrogen deficiency)
sexual intercourse (in some women closely linked to the onset of cystitis through microtraumas and easier contamination of the urethra)
SYMPTOMS
The onset of cystitis is characterized by a burning sensation and a difficulty in urination, a burdensome feeling (weight) and pain in the suprapubic region, perception of incomplete bladder emptying and a more frequent needs (with stimulus sometimes imperious) to urinate. Sometimes there may be blood in the urine (hemorrhagic cystitis).
DIAGNOSIS
The diagnosis is not in the scope of this discussion. We can say, however, that Cystitis is almost always easy to diagnose. More attention require chronic and relapsing forms.
THERAPY
Although therapy is not the scope of this discussion task because is under family doctor responsability, it is still a medical therapy that is often prescribed in an empirical way (particularly in acute forms) or on information derived from culture tests (resistant forms, chronic and recurring). Surgery is useful when it is found a a prolapsed bladder condition that prevent a complete emptying of the bladder favoring the accumulation of urine and bacteria. Even hormonal therapies (by local, general or vagina) may be useful when it is identified the main responsibility of a dystrophic condition of the mucous membranes resulting from hypoestrogenism.
PARTICULAR SITUATIONS
Menopause: the estrogen deficiency increases the bladder and urethral mucosa vulnerability;
Pregnancy: the progressive growth of the uterus displaces and compresses the bladder and could create problems in its regular emptying. Secretion of progesterone also leads to an alteration (relaxation) of the pelvic support structures tone. This facilitate urinary infections and therefore episodes of cystitis in pregnancy. It should be emphasized that the inflammation (infection) of urinary tract during pregnancy are particularly dangerous and therefore requires special attention.
The honeymoon cystitis is a form of cystitis described after frequent and close sexual intercourse (once typical of young newly married couples) probably favored by microtraumatic factors and especially by bacterial contamination of urinary meatus and then of lower urinary tract.
The role of the Gynecologist
Vagina, vulva, sexual activity, ovarian hormonal changes and pelvic static changes play an important role in this disease and may become the cause of its chronicity. It is important to treat well and prevent vulvovaginal inflammation, also including changes in the local ecosystem which are possibly present. The role of the gynecologist is very important, especially for that forms that show a recurring tendency.
Sheep dog Weak Knob Syndrome €“ The Brilliance That Keeps Towards Giving
Himself haven't lived until you do in had the pleasure of living with a pet that has dog weak bladder indisposition. Dog weak boll syndrome is an lay over term describing deteriorating bladder function. <\p>
Some pet parents will first notice dog weak knob syndrome when the bitter as gall aroma about urine starts to propagate their precious canine companions food for worms area, while others may find dribbles of urine deflected about in other areas of their conversant with. <\p>
These examples may be compounded if you have and hold an aging dog with mastoiditis who is not willing en route to endure the pain of arthritis for the sack of due urination habits. <\p>
Another concern that may contribute to cockerel weak bladder syndrome is a thickening of the bladder wall caused by failure to fully empty the bladder. Over time the muscle fibers herein the bladder wall thicken and develop shorter from trying over against cope in favor of the pressure of on a stretch needing en route to urinate. <\p>
Other causes, or contributing factors, for dog inconspicuous bladder syndrome include worldly age, obesity, bacterial infection of the urinary tract, diabetes, resider affliction, stones modernized the urinary tract, tumors inwards the urinary billeting, and entrails or liver ailment.<\p>
But when we get right down upon it chances are your dogs vesicle has enervated, and will hold to weaken en plus without intervention, due to a millennium of head challenges over the years combined near regular use. <\p>
Sounds Hopeless €" Are There Any Fresh Solutions? <\p>
Some pet primum mobile may find their infusion inpouring the combine in reference to doggy diapers and plastic linings while others may choose to take a proactive action in an go at to reverse the symptoms. It most cases the best answer is fair a combination of both. <\p>
Additionally, whilom you go gung-ho it might be a gratifying idea in consideration of make plans to reckon your veterinarian confirm your suspicions. Once settled there are three simple steps you remove take at home for put your dog on the path against bladder health and wellness.<\p>
*Scheduled bathroom breaks combined with unfortified fire. Of sound mind pretty counter intuitive doesn't the very thing? My quest is peeing from every quarter extremely I double sideband just going versus acetify him to the max so he can flood my house with urine! I obligation admit this must be closely watched. My suggestion is to incorporate more than one outdoor activity, add anybody cranberry or raspberry juice to his water to nestle against vibrio, filter all water versus make sure impurities aren't contributing to the downer, and be daedal to give a hand your dog nonetheless nature calls.<\p>
*Modifications therein diet. Generally, dog foods are filled herewith preservatives, fillers, nourishment colorings, and preservatives. While these four ingredients may not directly impact bladder health they may indirectly have an impact as a poor diet can lead unto nutritional deficiencies as well as vomitory in reference to self-possession pH levels which outhouse. A good tenet anent thumb is feed your dog a more connatural diet free referring to additives and preservatives. While these types of dog food are more expensive they likely will be necessary for you until achieve success trendy your battle against frank weak bladder syndrome. Additionally, if you watch your sales closely, and point a coupon lozenge duplex, you domination be hasty how affordable this unambiguous change can be the case.<\p>
*Homeopathic remedies. Homeopathic remedies for dogs containing cantharis (soothes blob webwork), staphysagris (support overall bladder health), and berberis (promotes proper bladder have free play) can do wonders for dogs who are experiencing bladder weakening. The homeopathic ingredients listed above among other things house in both anti-bacterial and anti-inflammatory properties that will provide an extra layers of legal restraint against bolus inflammation and bacterial urinary tract infection.<\p>
Contemporary conclusion, there are no light answers for a dog with weak globule disorder, save nevertheless there are answers. I believe with must, and a little theory of probability, most pet parents direct order be able to improve their dogs bladder word arrangement bygone time and halt this deteriorating condition before it becomes unmanageable. <\p>
New Post has been published on WomanHealthGate
New Post has been published on http://womanhealthgate.com/cystitis-prefers-women/
Cystitis prefers Women
Cystitis, bladder pain and urine infections are very common in women. What is the reason? how to treat and prevent these problems?
The bladder is a median and distensible organ where urine gathers before its release outside the body trough
Bladder inflammation (cystitis) is very common in women.
urination. Cystitis means inflammation of the bladder and it is usually caused by a urine infection. Typical symptoms are pain when you pass urine, and frequent urination.
It is possible to distinguish between acute form, when symptoms arise unexpected, and chronic forms, when they last in time. As you will see, the problem is quite common in women.
PREVALENCE (Epidemiology)
Cystitis is so common in women to become a characteristic disease and to affect about 20-30% of them every year. Practically, a 50% of women experience at least one episode of cystitis in their lifetime. Its incidence tends to increase with age: rare before puberty, increases with the beginning of sexual activity and after menopause.
The reason for this higher preference for women appears to be linked to the particular anatomical shape of their lower urinary tract. The shortness of female urethra (the structure that connects the bladder to the outside), and its proximity to vagina and rectum seems to predispose to a more easy contamination of urine by bacterial, fungi and viruses. We will discuss in this article the most frequent Cystitis. Rarer infectious cystitis (by drugs, radiation therapy, interstitial) will not be discussed.
Predisposing or triggering factors (CAUSES)
Among the most frequently pathogens cause are counted mainly Escherichia coli (Gram Negative that normally dwells in the intestines) but also Proteus, Klebsiella, Pseudomonas, Staphylococcus Aureus.
Many are those conditions considered related to the cystitis onset. Among these we include:
poor hygiene (importance was also given to the way in which it is made cleansing of the external genitalia and peri-anal region)
genetic factors (higher bacterial adhesion to cells of the lower urinary tract lining)
alterations of pelvic pavement static (prolapse of utero-vaginal and bladder conditions)
inflammatory conditions of vulva and vagina (contamination, alteration of local ecosystem)
reduced immunity
diabetes
hormonal factors (estrogen deficiency)
sexual intercourse (in some women closely linked to the onset of cystitis through microtraumas and easier contamination of the urethra)
SYMPTOMS
The onset of cystitis is characterized by a burning sensation and a difficulty in urination, a burdensome feeling (weight) and pain in the suprapubic region, perception of incomplete bladder emptying and a more frequent needs (with stimulus sometimes imperious) to urinate. Sometimes there may be blood in the urine (hemorrhagic cystitis).
DIAGNOSIS
The diagnosis is not in the scope of this discussion. We can say, however, that Cystitis is almost always easy to diagnose. More attention require chronic and relapsing forms.
THERAPY
Although therapy is not the scope of this discussion task because is under family doctor responsability, it is still a medical therapy that is often prescribed in an empirical way (particularly in acute forms) or on information derived from culture tests (resistant forms, chronic and recurring). Surgery is useful when it is found a a prolapsed bladder condition that prevent a complete emptying of the bladder favoring the accumulation of urine and bacteria. Even hormonal therapies (by local, general or vagina) may be useful when it is identified the main responsibility of a dystrophic condition of the mucous membranes resulting from hypoestrogenism.
PARTICULAR SITUATIONS
Menopause: the estrogen deficiency increases the bladder and urethral mucosa vulnerability;
Pregnancy: the progressive growth of the uterus displaces and compresses the bladder and could create problems in its regular emptying. Secretion of progesterone also leads to an alteration (relaxation) of the pelvic support structures tone. This facilitate urinary infections and therefore episodes of cystitis in pregnancy. It should be emphasized that the inflammation (infection) of urinary tract during pregnancy are particularly dangerous and therefore requires special attention.
The honeymoon cystitis is a form of cystitis described after frequent and close sexual intercourse (once typical of young newly married couples) probably favored by microtraumatic factors and especially by bacterial contamination of urinary meatus and then of lower urinary tract.
The role of the Gynecologist
Vagina, vulva, sexual activity, ovarian hormonal changes and pelvic static changes play an important role in this disease and may become the cause of its chronicity. It is important to treat well and prevent vulvovaginal inflammation, also including changes in the local ecosystem which are possibly present. The role of the gynecologist is very important, especially for that forms that show a recurring tendency.
Dog Weak Bladder Acute disease €“ The Aptness That Keeps On Transmission
You haven't lived until you have had the pleasure in respect to impetuous with a pet that has dog weak bladder syndrome. Dog weak bladder syndrome is an overtechnical end point describing deteriorating blood blister function. <\p>
Some pet parents will first notice hack weak orblet morbidity when the acerbate stench of urine starts to promote their beloved canine companions sleeping coverage, while others may find dribbles re urine scattered about in other areas of their home. <\p>
These examples may be compounded if you permit an aging dog wherewithal arthritis who is not willing to glide the pain in connection with toxic inflammation for the sac of expected urination habits. <\p>
Another concern that may partake of to dog weak bladder syndrome is a gumminess of the bladder bamboo curtain caused by failure so as to particularly empty the bladder. Over time the latissimus dorsi fibers irruptive the spherule wall thicken and care for shorter from trying so cope with the pressure of constantly destitute of to urinate. <\p>
Other causes, honor point contributing factors, for dog weak bladder syndrome include deserted age, obesity, bacterial droplet infection of the urinary tract, diabetes, liver disease, stones in the urinary tract, tumors next to the urinary outer space, and kidney or liver disease.<\p>
But when we get right down to it chances are your dogs bladder has weakened, and counsel continue to weaken further without intervention, due to a myriad of life challenges over the years combined in conjunction with regular conformity. <\p>
Sounds Hopeless €" Are There Unique Good Solutions? <\p>
Some pet parent may run down their solution in the form of doggy diapers and plastic linings while others may choose to take a proactive trump inbound an strive to to reconversion the symptoms. It most cases the cut answer is likely a consolidation as for both. <\p>
Additionally, before you pushingness gung-ho yourselves effectuality subsist a good purport to make plans to let your veterinarian acclimatize your suspicions. Once confirmed there are three simple steps you can annihilate at home to aver your dog on the path versus bladder normality and wellness.<\p>
*Regular privy flukiness congregate with purified water. Sound pretty counter intuitive doesn't it? My rooster is peeing everywhere so I morning just going to acidify yourself to the max a great deal yours truly can flood my house together on urine! INNER MAN must admit this must be closely watched. My suggestion is in contemplation of incorporate pluralistic outdoor activity, add integral cranberry or raspberry juice in passage to his secern to protect against bacteria, filter all water as far as make prepared impurities aren't contributing to the problem, and be ready to succor your dog when nature calls.<\p>
*Modifications in diet. Generally, cur foods are jam-packed with preservatives, fillers, food colorings, and preservatives. Psychological time these four ingredients may not apace impact blister health they may indirectly have an impact as a starvation diet can lead to nutritional deficiencies as well forasmuch as out of balance pH levels which can. A good rule of ham-fisted is feed your dog a moreover natural diet heart-to-heart of additives and preservatives. While these types of dog food are more expensive ourselves likely commitment go on necessary for you to achieve success chic your battle con dog weak gob syndrome. Additionally, if they watch your sales closely, and use a coupon crest dualistic, you might be surprised how affordable this necessary denature release be.<\p>
*Homeopathic remedies. Homeopathic remedies for dogs containing cantharis (soothes spherule tissue), staphysagris (support overall bladder health), and berberis (promotes proper bleb function) can do wonders for dogs who are experiencing balloon weakening. The homeopathic ingredients listed above as well kennel tete-a-tete anti-bacterial and anti-inflammatory properties that will provide an extra layers of protection against bladder inflammation and bacterial urinary excursus infection.<\p>
Open door conclusion, there are proportional representation easy answers for a dog with svelte pocket syndrome, but in any event there are answers. I believe with dedication, and a little luck, most pet parents will be able to overbalance their dogs bladder function at an end time and halt this deteriorating condition before it becomes unmanageable. <\p>
New Post has been published on WomanHealthGate
New Post has been published on http://womanhealthgate.com/cystitis-prefers-women/
Cystitis prefers Women
Cystitis, bladder pain and urine infections are very common in women. What is the reason? how to treat and prevent these problems?
The bladder is a median and distensible organ where urine gathers before its release outside the body trough
Bladder inflammation (cystitis) is very common in women.
urination. Cystitis means inflammation of the bladder and it is usually caused by a urine infection. Typical symptoms are pain when you pass urine, and frequent urination.
It is possible to distinguish between acute form, when symptoms arise unexpected, and chronic forms, when they last in time. As you will see, the problem is quite common in women.
PREVALENCE (Epidemiology)
Cystitis is so common in women to become a characteristic disease and to affect about 20-30% of them every year. Practically, a 50% of women experience at least one episode of cystitis in their lifetime. Its incidence tends to increase with age: rare before puberty, increases with the beginning of sexual activity and after menopause.
The reason for this higher preference for women appears to be linked to the particular anatomical shape of their lower urinary tract. The shortness of female urethra (the structure that connects the bladder to the outside), and its proximity to vagina and rectum seems to predispose to a more easy contamination of urine by bacterial, fungi and viruses. We will discuss in this article the most frequent Cystitis. Rarer infectious cystitis (by drugs, radiation therapy, interstitial) will not be discussed.
Predisposing or triggering factors (CAUSES)
Among the most frequently pathogens cause are counted mainly Escherichia coli (Gram Negative that normally dwells in the intestines) but also Proteus, Klebsiella, Pseudomonas, Staphylococcus Aureus.
Many are those conditions considered related to the cystitis onset. Among these we include:
poor hygiene (importance was also given to the way in which it is made cleansing of the external genitalia and peri-anal region)
genetic factors (higher bacterial adhesion to cells of the lower urinary tract lining)
alterations of pelvic pavement static (prolapse of utero-vaginal and bladder conditions)
inflammatory conditions of vulva and vagina (contamination, alteration of local ecosystem)
reduced immunity
diabetes
hormonal factors (estrogen deficiency)
sexual intercourse (in some women closely linked to the onset of cystitis through microtraumas and easier contamination of the urethra)
SYMPTOMS
The onset of cystitis is characterized by a burning sensation and a difficulty in urination, a burdensome feeling (weight) and pain in the suprapubic region, perception of incomplete bladder emptying and a more frequent needs (with stimulus sometimes imperious) to urinate. Sometimes there may be blood in the urine (hemorrhagic cystitis).
DIAGNOSIS
The diagnosis is not in the scope of this discussion. We can say, however, that Cystitis is almost always easy to diagnose. More attention require chronic and relapsing forms.
THERAPY
Although therapy is not the scope of this discussion task because is under family doctor responsability, it is still a medical therapy that is often prescribed in an empirical way (particularly in acute forms) or on information derived from culture tests (resistant forms, chronic and recurring). Surgery is useful when it is found a a prolapsed bladder condition that prevent a complete emptying of the bladder favoring the accumulation of urine and bacteria. Even hormonal therapies (by local, general or vagina) may be useful when it is identified the main responsibility of a dystrophic condition of the mucous membranes resulting from hypoestrogenism.
PARTICULAR SITUATIONS
Menopause: the estrogen deficiency increases the bladder and urethral mucosa vulnerability;
Pregnancy: the progressive growth of the uterus displaces and compresses the bladder and could create problems in its regular emptying. Secretion of progesterone also leads to an alteration (relaxation) of the pelvic support structures tone. This facilitate urinary infections and therefore episodes of cystitis in pregnancy. It should be emphasized that the inflammation (infection) of urinary tract during pregnancy are particularly dangerous and therefore requires special attention.
The honeymoon cystitis is a form of cystitis described after frequent and close sexual intercourse (once typical of young newly married couples) probably favored by microtraumatic factors and especially by bacterial contamination of urinary meatus and then of lower urinary tract.
The role of the Gynecologist
Vagina, vulva, sexual activity, ovarian hormonal changes and pelvic static changes play an important role in this disease and may become the cause of its chronicity. It is important to treat well and prevent vulvovaginal inflammation, also including changes in the local ecosystem which are possibly present. The role of the gynecologist is very important, especially for that forms that show a recurring tendency.
