Cystitis

The term ‘Cystitis’ refers to ‘inflammation of the bladder’. It is a most common complaint in women. Escherichia coli infections are considered the primary culprit in cystitis. The female anatomy makes it more convenient for e.coli bacteria, which normally inhabit the colon., to travel from the rectum to the vagina, up the urethra and into the bladder. This condition is rarely dangerous but it is generally a forerunner to more serious troubles. The reoccurrence of cystitis may in some cases be associated with kidney troubles.

The kidney and bladder are the principal strikers in the urinary system. The kidneys are situated on the back of the abdomen, one on each side of the spine at about the level of the lowest rib. The bladder is situated in the lower abdomen, in the pelvis. The body is relieved of the greater part of the waste matter, resulting from the complex working of the whole body’s vital processes by means of these two organs.

Symptoms

Cystitis is characterized by symptoms which may cause great discomfort. The patient complains of frequency and burning on urination as well as an almost continual urge to void. There may be a feeling of pain in the pelvis and lower abdomen. The urine may become thick, dark and stingy. It may have an unpleasant smell and may contain blood or pus.

The ‘scalding’ sensation on passing urine indicates that the inflammation has spread to the urethra. Some pain in the lower back may also be felt in certain cases. In an acute stage there may be a rise in body temperature. In the chronic form of cystitis, the symptoms are similar but generally less several and without the rise in temperature. The persistence of the chronic form of the disease indicates a process of deterioration, almost invariably due to wrong treatment of the acute form by suppressive drugs.

Causes

Cystitis may result from infections in other parts adjacent to the bladder such as the kidneys, the urethra, and the vagina. Local irritation and inflammation of the bladder may be caused if urine is retained there for an unduly long time. It may also result from severe constipation.

Continual draining of pus and germs from an infected kidney may injure the epithelial lining of the bladder. Trouble may also arise from the presence of a stone in either bladder or kidney. Childbirth injuries and major surgical procedures within the pelvis may also lower the resistance of the bladder-wall and predispose to the development of the cystitis. There is also the problem of new brides who sometimes suffer from so-called honeymoon cystitis.

The bladder wall may become swollen and ulcerated so that the bladder cannot hold the normal amount of urine. Germs may then find their way into the bladder and bring about chemical changes in the urine. Calcium or lime may thus be deposited in the walls of the bladder, increasing the patient’s discomfort.