Obsessive and continual desire to urinate, burning during urination, pain in the lower abdomen is the symptoms of a urinary tract infection. Once diagnosed, cystitis can be treated with antibiotics. Antibiotic medications without prescriptions are an ideal solution.
Cystitis: what is it?
The cystitis refers to a bacterial infection that is among the diseases related to the urinary tract. In other words, it is a urinary infection defined by inflammation of the bladder. The cystitis is intimately related to the anatomy of the woman’s genital tract and anus are close to the female urethra, small pipe three to four centimeters which allows to empty the bladder. The contamination by intestinal and vaginal germs occurs by simple neighborhood, which will cause cystitis. In rare cases, the urinary tract infection may be allergenic, radiation-like or interstitial.
The infection first wins the urethral duct (the one that eliminates urination) and goes back up to finally settle in the bladder. The infection is manifested by various common symptoms such as frequent urination, lower abdominal pain, irritating urination or hematuria (presence of blood in the urine). An untreated urinary tract infection can indeed degenerate into severe kidney infection. From the first urinary burns and imperious urges to urinate, you should consult your doctor as soon as possible.
How to cure a cystitis?
Once the diagnosis is made (using the strip test), if the test is positive, the doctor will prescribe single-dose antibiotics or a maximum of 5 days treatment.
- First-line treatment with fosfomycin tromethanol as a single dose is prescribed;
- In second intention, pivmecillinam can be prescribed for 5 days;
- In third-line, fluoroquinolones (ciprofloxacin, lomefloxacin, norfloxacin, ofloxacin) are also very effective in single dose or 3-day treatment. Finally, nitrofurantoin, in short treatment of 5 days can also be considered;
- You will also need to drink plenty of fluids and urinate regularly during the day.
- Avoid sexual intercourse until symptoms disappear.
- The symptoms of cystitis can persist 2-3 days after treatment, especially when it is a single dose, and then disappear. No control is necessary. If symptoms persist beyond that, consult your doctor.
Treatment of cystitis in pregnant women
As early as the 4th month of pregnancy, your doctor will perform the urinary strip test every month. If the test is positive, a cytobacteriological examination of your urine (ECBU) is performed. The ECBU makes it possible to identify the bacterium responsible for the infection, then to test its susceptibility to antibiotics by antibiogram. Among the antibiotics recommended for the treatment of urinary tract infections in pregnant women, your doctor will prescribe a treatment taking into account the results of the antibiogram. ECBU control 8 to 10 days after stopping treatment is necessary. If you are pregnant and experience the symptoms of cystitis outside these control periods, go to your doctor promptly.
Treatment of urinary tract infection at risk of complication
A urinary tract infection can degenerate into a serious kidney infection. In some people this risk of complication is greater. This is particularly the case for women with a malformation of the urinary tract, people over 75 years, suffering from severe renal impairment or with severe immunosuppression.
As for pregnant women, people at risk of complications will have to carry out an ECBU to identify the bacterium responsible for the infection, then to test their susceptibility to antibiotics by antibiogram. The doctor will prescribe a treatment taking into account the results of the antibiogram. While waiting for the results of the antibiogram, a “probabilistic” treatment (first-line nitrofurantoin, cefixime or a second-line fluoroquinolone antibiotic) is started and adapted to the results of the examination. An ultrasound of the urinary tract may be requested when an abnormality is suspected.
Treating a cystitis: antibiotics
Antibiotics are the drugs to use in case of bacterial infection. They are therefore essential to cure a cystitis. Nevertheless, it can be long and complicated to get a doctor’s appointment and the prescription that comes with it. Fortunately, there are several over the counter medications that are very effective against urinary tract infection.
Although it may impress, cystitis is the most common form of infection of the urinary system. It can therefore be treated simply with non-prescription antibiotic medications. It is then possible to quickly relieve pain and symptoms related to cystitis.
Treatment of recurrent cystitis
The main problem of cystitis is frequent recurrence. Recurrent cystitis is called when the number of infections is at least four per year.
In case of recurrent cystitis, an ECBU is required. The latter will identify the bacterium responsible for the infection, then test its susceptibility to antibiotics by antibiogram. The doctor will prescribe a treatment taking into account the results of the antibiogram.
It is possible to request a prescription for a pack of urine strips and antibiotic treatment in advance. For example, Suprax is effective antibiotic drug to treat cystitis. It is an antibiotic called “broad spectrum” generally used to treat non-recurrent cystitis. This medication is therefore a quick fix for treating point infections and relieving pain. Taking Suprax can quickly destroy bacteria because of the presence of its active agent: cefixime. The patient will be able to initiate the treatment herself during a recurrence without performing ECBU.
In case of recurrent cystitis, it is recommended to see your doctor regularly (once or twice a year) to re-evaluate the situation. Complementary examinations (urinary flow measurement, ultrasound, uroscanner) can be requested when abnormalities are suspected. A surgical treatment is sometimes necessary when there are anatomic abnormalities of the urinary tract.