Treatment of Cystitis

Treatment of Cystitis

Treatment of cystitis depends on the underlying cause, the severity of symptoms, and whether the condition is acute, recurrent, or chronic. In most cases, particularly when bacterial infection is involved, doctors treat cystitis effectively with short courses of antibiotics and self-care measures. Early treatment helps relieve symptoms quickly and prevents the spread of infection.

Antibiotic Therapy

For bacterial cystitis:

Doctors usually prescribe a 3- to 5-day course of antibiotics for otherwise healthy women

Common antibiotics include nitrofurantoin, trimethoprim, and fosfomycin

Doctors may require longer treatment for men, children, or patients with recurrent infections

It’s important to complete the full course even if symptoms improve early, to prevent recurrence or antibiotic resistance.

Pain Relief

Over-the-counter painkillers like paracetamol or ibuprofen can help reduce:

Abdominal pain

Burning sensation during urination

General discomfort

Doctors may prescribe a urinary tract analgesic like phenazopyridine for short-term symptom relief in some cases.

Hydration and Lifestyle Measures

Increasing fluid intake helps flush bacteria out of the bladder:

Drink plenty of water (2–3 litres a day)

Avoid caffeine, alcohol, and spicy foods, which may irritate the bladder

Use a hot water bottle on the lower abdomen to ease discomfort

Avoid using scented soaps, bubble baths, or vaginal deodorants, which may contribute to irritation or recurrence.

Treatment of Recurrent Cystitis | Treatment of Cystitis

For frequent episodes:

Doctors may prescribe a low-dose antibiotic taken daily for 3–6 months

Doctors may offer post-coital antibiotic prophylaxis to those with sexually triggered infections

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Non-Infectious and Chronic Cystitis

If cystitis is not caused by infection:

Bladder training, physiotherapy, or elimination diets may help reduce symptoms

Referral to a urologist or gynaecologist may be required

Antihistamines or anti-inflammatory medications may help in interstitial cystitis

In summary, treatment of cystitis typically includes antibiotics, pain relief, and supportive care. Managing lifestyle factors and underlying causes is essential for preventing recurrence and ensuring long-term bladder health.

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