It is a mistake to believe that cystitis is exclusively female disease, in most cases, the disease manifests itself in the fair sex, but there are cases when the disease affects men.
The next article is devoted to this topic. The stronger sex is most often susceptible to this disease after 40 years.
The problem is directly related to the prostate gland, but it is accompanied by other diseases. It is important to identify and begin to fight the disease in time.
Consider the main drugs for cystitis in men. How is the treatment carried out? Drugs that treat cystitis in men.
Causes of cystitis
The main reason for the development of inflammation of the anterior wall of the bladder (cystitis) are the following factors:- lack of personal hygiene;
- diseases genitourinary system;
- attachment of harmful microorganisms (fungus, Escherichia coli, Chlamydia, Trichomonas and others);
- hypothermia;
- stagnation of urine in the bladder; the course of chronic ailments.
These reasons are not in mandatory cause cystitis, but the likelihood of developing the disease increases several times.
Symptoms
The appearance of an unpleasant disease is accompanied by frequent urges to urinate in small doses. In this case, a sharp pain is felt.
Acute forms are accompanied by an increase in body temperature, headache, chills, and general weakness.
Cases of asymptomatic course of the disease are known to medicine. This form is the most dangerous.
Untimely treatment can lead to irreversible processes, transition to the chronic form of the disease.
Having discovered the first signs of cystitis, be sure to consult a urologist, do not self-medicate!
Treatment methods
Having handed over required analyzes, your doctor will study the clinical picture and prescribe an effective course of treatment. If cystitis is observed in men, then treatment, pills, procedures - all this is not recommended to be selected on your own. You should unconditionally adhere to the doctor's recommendations. The principles of influencing the disease are described below.
Eliminating the root cause
Cystitis is often a concomitant ailment. To completely get rid of it, it is necessary to eliminate the root cause of the disease.
The doctor prescribes a course of treatment for STIs, tuberculosis and other ailments.
It is important to treat the main provoking factor. If this is not done, then the disease will progress, the likelihood of relapse is high.
Medicines for cystitis in men
There are many medicines for cystitis, they are divided into two categories: antibiotics, antispasmodics. The former are aimed at eliminating harmful microorganisms, the latter help to cope with painful sensations... Consider the most effective, fast-acting drugs.
Since cystitis in men is rare, it is very important to find out the reasons for its occurrence. In this topic, everything about the features of the course of the disease, as well as the methods of diagnosis and treatment.
Monural
The medication is an antibiotic wide range actions. The main active ingredient is fosfomycin.
The medicine has a powerful antibacterial effect.
Monural accumulates in kidney tissues, allows you to maintain a positive therapeutic effect for 48 hours.
This effect promotes rapid recovery, urine sterilization.
A sachet of the drug is dissolved in 1/3 cup of boiled water. It is advisable to take the medicine a few hours before bedtime, having previously emptied bladder... The duration of the course of treatment is indicated by the attending physician.
Nolitsin
The drug is prescribed for the treatment of both sexes over the age of 18. It contributes to the disruption of the synthesis of proteins of harmful microorganisms, thereby destroying their population.
The main active ingredient is norfloxacin.
The medication has several contraindications: individual intolerance, deficiency of the enzyme glucose-6-phosphate dehydrogenase.
The drug is well tolerated, in some cases, side effects(vomiting, dizziness), but this is extremely rare.
Take Nolitsin on an empty stomach with a small amount of water.
Dosage, duration of treatment is determined by the doctor based on clinical picture the patient.
Palin
The antibiotic contains pipemidic acid. Active substance effectively fights streptococci, salmonella, Escherichia coli.
The main bacterial effect is a violation of protein synthesis in the cells of harmful bacteria, which leads to their death.
Rulid
The drug belongs to the macrolide group. Active substance- roxithromycin. Many pathogenic microorganisms that provoke cystitis in men are sensitive to the drug. The main component of the drug, easily penetrates the cells of leukocytes, stimulates their activity. This process improves immunity, promotes rapid recovery.
Maximum acceptable dose for adults - 300 ml per day. The duration of therapy depends on the form of cystitis. Overdose is fraught with the appearance of allergic reactions, nausea, dizziness. Not recommended for liver and kidney diseases.
No-shpa
During the course of the disease, patients reduce their fluid intake due to pain.
This cannot be done, the inflammatory process is delayed.
To solve the problem with acute pain, doctors recommend taking No-shpa.
The drug helps to reduce the activity of smooth muscle tone in the bladder.
The effect helps to relieve pain, relieve the patient's condition. Take 1-2 tablets a day, the course of treatment depends on the doctor's prescription.
You can not use medicines for people with individual intolerance to individual components.
Therapeutic diet
Together with urine, a huge amount of harmful substances is excreted from the body.
A special place is occupied by melons, therefore, watermelon and melon should be given special preference.
Eliminate alcohol, fatty, salty, smoked, coffee from your diet. You can replace exacerbating diseases drinks and foods with kefir, milk, lean meat, legumes, cereals. It is not recommended to use various spices, especially horseradish, hot peppers.
Traditional methods
A great addition to drug therapy are herbal decoctions. Anti-inflammatory, antibacterial action is possessed by: bearberry, chamomile, St. John's wort. Rosehip and cranberry tea is useful, be sure to add a slice of lemon.
Preparing natural remedies simple - two tablespoons of a dry plant are poured with a liter of boiling water. Let the broth brew for half an hour, drink two glasses every day (morning, evening).
Physiotherapy
Acute forms, doctors advise to treat with physiotherapy, because drug treatment does not always give a positive result.Physiotherapy methods:
- magnetotherapy;
- electrophoresis;
- ultrasound;
- laser therapy.
The specific method is prescribed exclusively by the doctor.
Do not self-medicate. The wrong choice of the method of physiotherapy can lead to an aggravation of the situation, strengthening inflammatory process.
Spa treatment
An excellent addition to the above methods of treatment is a visit to a sanatorium. The institution will provide you with healing procedures, good care + climate will have a beneficial effect on the whole body as a whole.
Disease prevention
Any ailment is easier to prevent than to cure.
Prevention of cystitis in men consists in observing the following rules:
- do not tolerate, empty your bladder in time;
- drink at least 8 glasses of water daily;
- visit a urologist regularly;
- use a condom to avoid getting an STI;
- wear underwear made from natural fabrics, give up tight pants.
On the pharmaceutical market, antibiotics occupy perhaps the largest niche. Initially, they were obtained from the waste products of plants and animals. The study led to the synthesis of artificial analogs and semi-synthetic drugs. Not a year goes by without new funds being added to the list.
Antibiotics for cystitis can destroy the pathogenic flora that caused the inflammation. To determine exactly which type of antibacterial agents will help in a particular case, you can use bacteriological research urine sediment. Cultures on media after microscopy can reveal sensitivity to certain anti-inflammatory drugs.
Requirements for antibiotics for cystitis
Not every antibiotic for cystitis is good for men, women, and children. It is necessary to determine the optimal properties that help to cure the disease in the shortest possible time. These include the following.
1. The ability to kill or stop the growth of the main causative agents of cystitis - most often cystitis is caused by bacterial conditionally pathogenic microflora (Escherichia coli), followed by importance:
- staphylococcus;
- enterococcus;
- klebsiella;
- Proteus.
Much less often found:
- viruses (herpes);
- fungal infection;
- helminths.
It is very important to consider that antibiotics for cystitis act only on bacteria and are completely inactive against viruses and helminths, and selectively affect fungi. However, it is not possible to cure such an infection only with specific means, because a sharp decrease in immunity contributes to the attachment of bacterial flora and fungi.
2. Treatment of cystitis with antibiotics should not harm and destroy the necessary microflora. After getting into the bloodstream, the drug is carried throughout the body. After the course, it is necessary to restore the lost bacteria of the intestines, vaginal mucosa in women. Dysbiosis in children is especially difficult.
3. For the effect on the bladder, the maximum therapeutic concentration of the drug in the urinary organs is required.
4. A sufficiently long-term effect to maintain the therapeutic dosage throughout the day by ingestion.
5. Absence of irritation of the gastric mucosa from tablets, as well as protection of the antibiotic from destruction by gastric juice (capsules).
Coated medicines can be safely drunk by people with concomitant stomach diseases
6. Convenient frequency of reception. Cystitis is most often treated on an outpatient basis. Patients need to be provided with the most gentle regimen. The most valuable are antibiotics with prolonged properties, which can be taken once or twice a day, but their concentration is kept in the body for a long time (Monural is an example).
7. Reduced allergenic ability of the drug.
8. Good compatibility in combinations with other anti-inflammatory drugs (nitrofurans, sulfonamides, fluoroquinolones).
Is there a difference in prescriptions for acute and chronic forms?
The scheme for the treatment of acute cystitis with antibiotics, according to the examination standards, does not plan to isolate the pathogen and study its sensitivity. The presence of a large group of broad-spectrum antibiotics allows planning the dosage, taking into account the confidence in a sufficient effect on all the most common pathogens.
On the contrary, the chronic form of inflammation requires the identification of a specific "pest". Patients who have undergone more than one exacerbation, as a rule, have already taken various anti-inflammatory drugs, including antibiotics. Since the relapse is repeated, an individual selection of drugs is required. In such cases, it is impossible to do without antibiotics. But you should choose them wisely and carefully.
Viral and fungal cystitis will require the use of specific agents. If a drift of helminths is detected, it is possible to intervene in urological surgery using endoscopic techniques.
Antibiotics are used in urological practice to prevent the spread of inflammation from the urethra to the bladder during urethrocystoscopy. At the same time, the solution is injected into the cavity as in the focus of inflammation.
It is important to definitely find a cure for active infection... Untreated cystitis can temporarily stabilize without disturbing patients. The slightest violation of the diet (alcohol, spicy foods), hypothermia, excitement, overload at work will lead to a new wave of inflammation. Each time, the risk of upward kidney infection increases. Treatment becomes more complex.
What antibiotics are most often prescribed by doctors for cystitis?
The most acceptable in medical practice for the treatment of acute cystitis are antibiotics with a wide damaging spectrum.
These include classes:
- cephalosporins (third and fourth generations);
- tetracyclines;
- macrolides.
These are synthetic drugs created on the basis of suppressing the activity of enzymes in cells that cause infection. As a result, they become unable to accumulate energy for their life, division, respiration and die. All analogs do not give cross-resistance: if the microbe loses sensitivity to one drug from the group, then another acts. In addition, they "work" in the body of patients who have a solid resistance to penicillins after treatment.
With bacterial cystitis, the following are prescribed:
- Ceftriaxone;
- Cefotaxime;
- Ceftibuten;
- Cefoperazone;
- Cefpir.
Tetracyclines (Doxycycline and tetracycline hydrochloride) disrupt the exchange of protein in microorganisms, due to its lack, the membrane is ruptured. They act well on E. coli, staphylococci and streptococci, but are inactive against enterococci and proteus. Cannot be combined with cephalosporins.
Macrolides destroy bacteria, spirochetes, chlamydia, mycoplasma. Render healing effect with simultaneous urethritis in men and women with prostatitis, colpitis caused by a genital infection. The most commonly used:
- Azithromycin;
- Erythromycin;
The doctor prescribes the listed antibiotics in an individual dosage, they must be taken in a course of 5-7 days. To prevent mixing with food, it is recommended to drink the medicine 20-30 minutes before meals, the daily therapeutic dose is divided into three doses.
Monural - occupies a special place in the group of antibiotics. He differs from everyone else in his ability to provide curative action with a single use.
Dissolve the granules of the drug in water in accordance with the instructions.
The drug meets the requirements as much as possible modern treatment cystitis. Allows you to simultaneously sanitize everything urinary tract... Approved for use with and nursing women. The entire course will take one day, rarely the doctor recommends re-taking Monural after two days.
Features of the treatment of chronic cystitis
In chronic cystitis, the patient experiences recurring symptoms (cramps and pain when urinating, above the pubis). The urologist directs the patient for examination. It is necessary by analyzing urine, after carrying out cystoscopy, to accurately establish the microorganism, the causative agent of the infection, the factors contributing to inflammation.
Ciforal - belongs to the group of third generation cephalosporins. It is convenient for use, since an adult needs one tablet per day, and a child needs up to 0.5. The blister contains 7 tablets (per course). Given its strong effect, it is recommended to use it in stationary conditions, as a "shock" agent against resistant pathogens.
More suitable for the treatment of chronic cystitis. Side properties:
- nausea and vomiting;
- diarrhea;
- dizziness;
- the appearance of blood in the urine;
- hemolytic anemia;
- allergic reactions.
- Ciprofloxacin;
- Ofloxacin;
- Norfloxacin.
These antibiotics work against most known pathogens, including Pseudomonas aeruginosa.
You cannot accept:
- during pregnancy and lactation;
- children under 15 years old;
- with individual intolerance.
What medications are of little help for cystitis?
Self-medication and improper intake of antibacterial drugs forces us to recognize a decrease in the activity of some antibiotics in last years... Less significant for the treatment of cystitis have become:
- Ampicillin - when Escherichia coli is detected in 1/3 of patients, the pathogen is insensitive.
- The drugs of the first generation of cephalosporins (Cephalexin, Cefradin, Cefadroxil) reduced their activity against infectious agents of the gram-negative type.
Other drugs previously used to enhance the effect of antibiotics:
- Biseptol (Bactrim) - from 25 to 75% of analyzes indicate insufficient activity against E. coli.
- Nitrofurans (Furadonin, Furagin) began to be used only for prophylaxis.
Inadequate treatment not only greatly prolongs the inflammation, but also contributes to the development of resistant forms of pathogens, the transition of infection to the urethra, kidneys, ureters, genitals.
How to treat cystitis in a pregnant woman?
Symptoms of cystitis are very undesirable during pregnancy. The enlarging uterus creates conditions for urine stagnation and provokes an exacerbation. Antibacterial agents for the most part are considered contraindicated, especially in the first trimester, since they violate the embryonic anlage internal organs The child has.
Gynecologists and urologists try to get by with herbal preparations
Not all medicines have antibiotic activity. In the absence of an effect, one has to rely on studies proving the safety of the following drugs.
Monural - dissolve 3 g of powder once and take it at night is considered harmless and effective, less often the doctor will advise you to take it again after two days.
Kanephron - has a diuretic, antimicrobial and antispasmodic effect, is made from plant materials:
- lovage;
- rose hips;
- rosemary;
- centaury.
Available in drops for small children and in pills for adults. Can be taken by nursing mothers. Several courses are recommended.
Cyston is also a combination of herbal remedies, of a more expanded composition, contains:
- basil;
- mimosa seeds;
- feed rhizome;
- field horsetail;
- and 10 more components.
Besides bactericidal action on the mucous membrane of the bladder, Cyston is able to reduce the amount of oxalic acid salts (oxalates) in the urine, calcium
The drug is also used in the detection of urolithiasis. For children, it is shown only after 14 years.
Features of antibiotic therapy for cystitis in women
In women, more often than in men, E. coli is the causative agent of cystitis, since the excretory opening and urethra are located next to the anus. Pathogenic microorganisms easily come from the vagina during sexual contact with a person with trichomoniasis, gonorrhea, chlamydia.
The bladder suffers in the presence of adjacent chronic inflammation in the appendages. Therefore, a woman must be carefully examined to find the source of infection.
From the group of antibiotics used in therapy:
- cephalosporins of the third and fourth generations;
- Fosfomycin;
- Amoxycycline;
Usually a combination with sulfa drugs, nitrofurans is required. Only the combined effect of drugs different groups allows you to cope with inflammation. Treatment of a genital infection must necessarily be carried out special means under the control of healing.
Features of antibiotic therapy for cystitis in men
Men suffer from cystitis much less often. The cause of inflammation in them is more often congestion in the bladder associated with inflammation of the urethra and prostate... Antibiotics for cystitis in men should be used only after examination and confirmation of the diagnosis.
The most common chronic foci of infection in men are:
- inflammation of the paranasal sinuses;
- transferred flu;
- genital infection;
- tuberculosis of the kidneys and testicles.
This indicates the need for therapy with combined agents acting on:
- bacteria;
- viruses;
- causative agent of gonorrhea;
- Trichomonas;
- chlamydia;
- mycobacterium tuberculosis.
Representative of the group of fluoroquinolones that block the DNA of microorganisms
The most common uses for fluoroquinolones are:
- Tsiprolet;
- Digit.
Just like in women, cephalosporins, specific agents, are used.
Are antibiotics prescribed for cystitis in children?
Children have the most frequent pathogen cystitis is Escherichia coli. In almost 5% of babies, it proceeds without symptoms. Under the age of one year, boys are more susceptible, and from two years of age and older, cystitis is common among girls.
To destroy inflammation and prevent its transition to a chronic form, children are prescribed antibiotics, taking into account age, weight
The dosage is calculated by the pediatrician. It is absolutely impossible to change it. In case of allergic reactions (itching, hives, increased anxiety of the baby), you should inform the doctor.
Anti-inflammatory drugs for children are made in the form of drops, suspension with the addition of fruit syrup. In the acute period, the following are shown:
- Amoxicillin;
- Cefuroxime;
- Cefixime;
- Ciforal.
After a seven-day course of treatment, the parents should give the child prophylactic drugs for the "fixing" effect.
Duration of course therapy
For cystitis, different antibiotics are recommended in courses from one dose to 10-12 days. Features are determined by the mechanism of action of the drug, the duration of maintenance of the therapeutic concentration in the blood. Longer and more repeated courses are prescribed:
- with chronic and;
- senior patients age groups(after 65 years);
- persons suffering from diabetes mellitus;
- with cystitis in men;
- women on the background of pregnancy.
A single use of Monural is prescribed in the case of acute cystitis without complications.
Benefits of a short course:
- quick recovery with minimal patient actions;
- relatively low financial costs;
- rare occurrence of side effects;
- reducing the risk of the formation of resistance of the microorganism to the drug.
Why is antibiotic therapy dangerous?
With an illiterate appointment, prolonged therapy folk ways antibiotics can disrupt the natural balance of flora in the urethra, vagina. In such cases, fungi are activated, conditionally pathogenic bacteria become additional causative agents of inflammation.
For women, vaginal candidiasis (thrush) is characteristic. Antifungal agents have to be added to the treatment. To prevent this from happening, simultaneously with antibiotics, it is recommended to use immunomodulators - agents that enhance immunity:
- aloe tincture;
- echinacea;
- Chinese lemongrass;
- ginseng root.
These funds should be taken after the end of the course of antibiotics for up to two months. The same effect turns out to be vitamins of group B, C, E, PP, herbal preparation Phytolysin.
It is not recommended to independently choose remedies for the treatment of cystitis. Often, buyers ask the pharmacist for advice. Even if the pharmacist honestly recounts the contents of the instructions for use of the drug by heart, this does not mean that the drug is right for you. Think about your health more often, follow the doctor's recommendations.
A disease such as inflammation of the bladder is most common in women.
However, according to statistics, representatives of the stronger sex have to deal with it from time to time - about every two hundredth.
Therefore, it is definitely worth talking about a cure for cystitis in men.
Of course, in especially advanced cases, the patient is taken to the hospital, but most often the treatment is carried out on an outpatient basis.
It should be noted right away that home treatment does not only mean taking medications.
The correct regime is already half of the success and without its organization, no, even the best means, can fully help.
So, in the acute phase of the disease, it is worthwhile to spend in bed as much as possible. large quantity time. It is recommended to adhere to this regimen until complete recovery.
No physical activity or sexual intercourse! The fact is that a rush of blood to the small pelvis will certainly aggravate the condition - the infection can spread.We are what we eat
And since health is at the forefront, you should pay close attention to the diet.
Drinking plenty of fluids is a treatment condition that should not be forgotten.
Since with cystitis, the process of urination is painful, many victims try to consume less fluid - this is a big mistake.
The fact is that each time part of the bacteria is washed out of the bladder. It is worth drinking during the day at least 2-2.5 liters of water or non-acidic juices, teas, herbal decoctions.
It is worth eating more diuretic foods. These are cucumbers, pumpkins, watermelons, melons, cranberries. Cottage cheese, milk, whole grain bread, cereals, bran will have a beneficial effect on the body.
It is recommended to completely forget about even microscopic portions of fast food, all salty, sour and fried alcohol.Fighting with antibiotics
In the treatment of cystitis in men, antibacterial drugs are almost always used, as they cope well with microbes.
The most commonly prescribed drugs for cystitis in men:
It is recommended to take tests before starting treatment in order to determine the type of pathogen and to find out if there are allergic reactions to any of the antibiotics. Antispasmodics - ambulance for severe pain
If the victim suffers from severe pain, you should pay attention to antispasmodics:
- No-shpa- acts for a long time and effectively, acting directly on the muscles of the organ that has suffered. At the same time, the organ begins to function much better, since it is supplied with blood in sufficient quantities. The spasm is eliminated and due to this, urine begins to be excreted from the body more often;
- Papaverine- less effective method than the previous one, but it can also be used. It relaxes smooth muscles, eliminates spasms.
Herbal medicine - nature to help
Herbal anti-inflammatory and diuretics are an excellent addition to the main course of treatment:
- - good antimicrobial agent, enhancing the effect of antibiotics. In addition, immunity increases, which is useful if there is no desire to tinker with the chronic form of the disease in the future;
- - will delight those suffering from pain when urinating. Eliminates cramps and reduces the risk of cystitis flowing into a chronic form. Consists of a whole combination of useful herbs - lovage, rosemary, yarrow;
- - contains a dozen of plant extracts that can be beneficial for this ailment... If you use this medicine for a long time, the inflammatory process will noticeably decrease, and urine will be excreted better. In addition, Cyston acts on microbes. If there are stones in the kidneys, they begin to dissolve under the influence of the drug;
- Monureal- is a cranberry juice. As mentioned above, it is considered one of the most effective weapons in the fight against the disease. She has a diuretic property, and copes with microbes. The tannins contained in cranberries prevent bacteria from attaching to the walls of the bladder - this is an excellent prevention of disease.
Prevention is great medicine
Of course, the pharmacological market is ready to provide a lot of funds to fight cystitis, but best remedy- to prevent recurrence of the disease.
As a prophylaxis of cystitis in men, you should:
- observe cleanliness. Accept water treatments important both in the morning and in the evening. You also need to change linen regularly;
- since cystitis is primarily an infection, special attention should be paid to sexual intercourse. In order not to get infected from a partner, you should always remember about protection during intercourse;
- attention should be paid even to clothing. Hypothermia is one of the factors that provoke cystitis;
- alcohol, spicy and salty foods can be taken, but it is important to know when to stop;
- any foci of infection in the body must be extinguished. This means that it is important to get rid of tonsillitis, sinusitis in time chronic form and even caries;
- if a boy suffers from phimosis, it is important to get rid of such a disease in time. Otherwise, bacteria will accumulate, which will sooner or later lead to cystitis;
- even a malfunction of the intestines can lead to cystitis. The fact is that constipation prevents the elimination of toxins. This can lead to inflammation, which sometimes spreads from the intestinal wall to other organs. Therefore, for proper nutrition need to be monitored daily and not only during illness.
Useful video
A video on what home remedies can help relieve the first symptoms and improve the condition, as well as speed up the healing process:
According to statistics, cystitis is able to bring even the stronger sex to nervous breakdowns. Therefore, at the slightest sign cystitis, it is worth taking your legs in hand and going to a specialist who will prescribe the necessary course of treatment.
Cystitis is an inflammation that occurs in the bladder. Male body reacts to pathology not as sharply as female. Even so, the chronic stage of the disease can develop. Treatment for men is also provided with antibiotics.
Regardless of gender, antibiotics are needed to treat cystitis
When to take medicine
Before you start drinking antibiotics, you need to know the type of inflammation. It can be polyposis, catarrhal, necrotic, cystic, ulcerative. The form is determined by the doctor, after having listened to the man on the subject of complaints. The doctor assesses the symptoms, examines the test results, and only then can he accurately name the type of inflammation.
There are many reasons for the occurrence of cystitis in men. Infection is usually the culprit.
Antibiotics for cystitis in men are prescribed only after passing all the tests. If a patient begins to take antibiotics without the knowledge of the doctor, this can provoke a transition acute inflammation to the chronic stage. Then the treatment will be permanent.
Antibiotics are used to treat acute and chronic inflammation... The therapy is carried out in a hospital setting. The treatment course includes taking medications and herbal decoctions. Physiotherapy is also indicated in conjunction with flushing the affected bladder cavity.
For effective treatment, before taking medications, you should consult your doctor
What to choose for treatment
Before you start taking antibacterial drugs, you need to know some criteria that you need to adhere to, these are:
- a high rate of results in relation to an infection provocateur;
- minimum side effects;
- ease of use;
- the minimum duration of the treatment course;
- safety.
Self-treatment of cystitis can provoke various complications. The duration of the course, the dose and the name of the drug should be determined by a specialist. When choosing a drug, the doctor relies on the type of disease, the patient's age, and the presence of allergic reactions.
Among the penicillin drugs, these data are used most often
How is cystitis treated?
Penicillin group. This type of medication kills the main bacteria that cause cystitis. The drug is effective against E. coli, streptococcus, enterococcus. You need to drink an antibiotic for no more than a week. If the inflammation is sufficiently advanced, the course of treatment is extended to 14 days. Side effects include diarrhea, minor rash.
The line includes such names as:
- Amoxiclav;
- Amoxicar;
- Augmentin;
- Amoxicillin + Protected Amoxicillin.
Cephalosporin group. Actively combats gram-positive and negative bacteria that arise during the period acute process... Effectively fights bacteria that provoke the occurrence of gonorrhea. Used for moderate cystitis. It is used when there is a visible ineffectiveness of drugs of the penicillin group. In the treatment, Cephalexin, Ceftriaxone, Cefotaxime are often used.
The most effective of the cephalosporin group are the presented drugs
Macrolide group. It is prescribed if a man has allergic rash on Amoxicillin. It is also used for infectious inflammation and the presence of pathogens such as chlamydiasis, ureaplasmosis. The line includes the following drugs:
- Azithromycin;
- Summamed;
- Rulid;
- Fromolid.
Aminoglycosides. Medicines from this group tend to cover up the gram-negative flora. They are actively fighting the Pseudomonas aeruginosa. In case of a severe inflammatory process, they are used in conjunction with drugs from a number of penicillins or cephalosporins.
Amikacin and Gentamicin are prescribed. Suitable for adult men and women only. Children and adolescents under 15 years of age are strictly prohibited from taking them, since the substances affect the perception of sounds and the functioning of the kidneys.
There is only one drug in the group - Monural. Great for men who do not like long-term treatment and taking pills. The capsule acts against Proteus, Klebsiela, as well as all major types of cystitis pathogens. Has antibacterial and uroseptic effect.
For effective and fast treatment, Monural is used
Nitrofurans. Applied on initial stage cystitis. The line contains Furadinin, Furagin, Fuazolidone. It is recommended to drink antibiotics for no more than seven days. This group of drugs is considered universal. Appointed after completing a full treatment course.
Oxolins. One drug is involved, this is Nitroxoline. It is rarely used due to its low efficiency in the fight against infections that occur in the male genitourinary system. Sometimes it is included in the treatment course as an additional treatment.
What to take
In the treatment of cystitis in the male population, classic drugs prescribed by urologists are presented.
- Palin. It is used to treat inflammation in the bladder area. The active substance is pipemidic acid, which destroys the DNA of the causative agent of the disease. Often prescribed in a prescription to prevent chronic cystitis. Cannot be taken when seizures, pregnancy, kidney problems, breastfeeding.
- Digit. Among the components of the drug are Tinidazole and Ciprofloxacin. They destroy the culprit of the disease, relieve inflammation. Maximum effect observed in the fight against gram-negative bacteria.
- Monural. It is considered the most popular antibiotic. It is chosen not only by men, but also by specialists themselves. The advantage of this drug is the minimal treatment course. To save a man from cystitis, it is enough to prescribe one capsule of Monural. The agent accumulates in urine and destroys microbes there. You can not drink people who have malfunctioning of the kidneys. Also, treatment is not recommended for children under five years of age, allergy sufferers.
- Nitroxoline. It works against bacteria. Destroys gram-negative and gram-positive bacteria. Also kills some types of mushrooms. Side effects include nausea and minimal allergic reactions. The treatment is easily tolerated.
- Furagin. It has a bacteriostatic effect, is active in the fight against cellular enzymes. Men with renal failure, increased sensitivity.
- Nolitsin. Antimicrobial drug. Designed to eliminate gram-negative and positive elements. Not suitable for men with arrhythmia, severe allergies, atherosclerosis.
It is not recommended to interrupt the treatment of cystitis in the male population with the use of antibiotics. It is also important to set the dosage correctly, it should be proportional to the patient's weight. After the treatment course, it is imperative to drink a herbal decoction to support the body and quickly remove residual substances.
Cystitis is an inflammation of the bladder wall. Usually, cystitis in men is diagnosed after 40 years and it is a complication of various other urological diseases, in which there are congestion in the bladder or the penetration of infection into it.
In addition, male cystitis is quite rare - 7-10 people per 1000. This is due to anatomical features urethra(longer and narrower than the female urethra) and its distance from the anal area, which reduces its infection.
The reasons for the development of the disease
There are several factors that influenced the appearance of cystitis in a man:
- in the kidneys and urinary tract;
- sexually transmitted diseases caused by pathogenic microorganisms;
- stricture of the urethra;
- lowered immunity;
- hypothermia.
The source of infection in men is the prostate gland, epididymis, seminal vesicles and urethra.
The onset of the disease can serve as stagnation of urine, which is formed as a result of narrowing of the urethra in the presence of urological diseases. Often such ailments are: malignant tumor, and foreign body... Moreover, the reasons non-infectious cystitis can serve as a treatment for diseases or some procedures during which damage occurred. Therapy of the prostate by the method of radiation, in 5% of cases, entails complications - post-radiation cystitis. It occurs as a result of radiation burns to the walls of the bladder.
Why do men get sick less often than women?
In men, cystitis is relatively rare due to the special structure of the lower urinary system: they have a long and convoluted urethra, which in most cases prevents the infection from penetrating directly into the bladder.
Under normal conditions, even if the infection enters the urethra, it is partially washed out by a stream of urine, and the rest is destroyed by the cells immune system even before the infection reaches the bladder. In men, cystitis in most cases occurs when immunity decreases, congestion occurs in the bladder, or infectious agents penetrate into it in large quantities.
The first signs and symptoms of cystitis
A man should be sensitive to changes in general well-being, especially he should be alarmed following symptoms cystitis:
- sharp pain while going to the toilet with low urine output;
- increasing the temperature regime to a state of fever;
- urinary incontinence at any time of the day, especially at night;
- discharge from the urethra of blood, mucus, impurities of pus;
- general weakness, instability of the nervous system.
If the disease is identified in acute stage, it can be completely cured. When a man ignores the doctor's instructions, the pathological process is modified into chronic stage, which is accompanied by a decrease in sexual activity, impaired libido.
It should be noted that the symptoms of chronic cystitis are rather weak, and during the period of remission they often do not appear at all. The acute process manifests itself so strongly that it significantly affects the patient's quality of life.
What will happen if you do not treat?
Complications of the disease develop more often with untimely or insufficient treatment:
- perforation (perforation) of the bladder wall;
- reflux of urine into the kidneys and ureters;
- sclerosis of the bladder;
- paracystitis.
Diagnostics
To identify the pathology of the urethra, it is necessary to visit a urologist. It is this doctor who treats cystitis who will be able to examine and palpate the external genitalia. And through the wall of the rectum to examine for the presence of a prostate. At this stage, it will be possible to identify the involvement of adenoma, orchiepididymitis and inflammatory lesions of the prostate gland in cystitis.
Then appoint laboratory research, to clarify the causative agent and the nature of the inflammation.
- Bacteriological culture. After it is carried out, the causative agent of the disease and its sensitivity to antibacterial drugs are established.
- PCR research and scraping. With the help of these tests, genital infections are detected.
- General urine analysis. Allows you to identify leukocyturia, hematuria, bacteria, mucus and protozoa.
- General blood analysis. The ability to determine the severity of the developing pathology and detect the features characteristic of some subspecies of the disease.
Men are assigned to undergo to set the reason instrumental research: cystoscopy, cystography, urodynamic examination, uroflowmetry and ultrasound of the bladder.
Treatment of cystitis in men
If it was noticed full list symptoms of cystitis or at least a few signs, a man urgently needs to seek medical help... The diagnosis and treatment of diseases of the genitourinary system is dealt with by a urologist. The diagnosis is impossible without a thorough examination and a complete history taking.
Treatment of acute cystitis with persistent urinary retention and severe pain that are not relieved by painkillers - is carried out in a hospital setting, after a thorough diagnosis, identification of the pathogen or concomitant diseases of the genitourinary system.
How to treat cystitis in men? Here general scheme treating this ailment at home:
- Bed rest. A patient who has signs of an acute stage of cystitis urgently needs bed rest. In the presence of high temperature, it is reduced with the use of antipyretic drugs. The volume of fluid must be sufficient to flush the infection out of the body. The patient must drink at least 2500 ml per day. It is imperative to follow a diet, which implies a ban on sour and spicy foods.
- Medicines for cystitis in men are antibiotics. After identifying the pathogen, determining its sensitivity to antibiotics, it is necessary to use antimicrobial agents: usually these are fluoroquinolones (Nolitsin for cystitis, Normax, Tsifran, Tsiprolet A), nitrofurans (Furadonin), cephalosporins, within a week, only as prescribed by a doctor.
- Phytotherapy. In addition to treatment, herbal medicine can be used (phytolysin, kanefron, lessons, uroflux, cyston). Many medicinal plants(bearberry, knotweed, horsetail, etc.) have anti-inflammatory, antibacterial effects. Cranberry and lingonberry juice is also useful. There is evidence that cranberries have an anti-adhesive effect (prevents viruses and bacteria from "sticking" to tissues, which contributes to their early elimination from the body). In addition to cranberries, apples have an anti-adhesive effect. Therefore, it is necessary to include them in the diet.
- Pain relievers. To relieve pain, antispasmodics are suitable - No-Shpa, Papaverine, as well as non-steroidal anti-inflammatory drugs - Diclofenac, Nimesil.
- STIs. If sexually transmitted infections have been diagnosed, then the treatment regimen will be selected in accordance with the causative agent that caused the infection. To determine the microorganism or virus, the PCR method is used.
- Symptoms and treatment of cystitis depend on concomitant diseases, which are most often - prostatitis, pyelonephritis, prostate adenoma, urolithiasis disease, adenomectomy. Therefore, in such cases, the treatment of cystitis consists in the treatment of these diseases.
- The implementation of novocaine blockade and bladder lavage are also therapeutic methods in urology, which allow you to get rid of the disease faster. Washes are performed using antiseptic agents.
- Physiotherapy. After graduation acute period inflammation, for resorption and speedy recovery, electrophoresis, UHF, ultrasound, magnetic laser therapy, mud therapy are performed.
- Sanatoriums. Spa and spa treatment is an excellent way to deal with relapses of the disease during its remission. Specialized sanatoriums can be found, for example, in the Stavropol and Krasnodar Territories.
It is worth paying special attention to how to cure radiation cystitis, tuberculous and interstitial. For radiation - local plastic surgery is performed. Therapy of tuberculous cystitis is supplemented with fish oil, PASK and saluside. With interstitial - common complex complement hormonal and antiallergic drugs.
Chronic cystitis
For successful treatment, it is necessary to identify and eliminate the causes that cause and maintain inflammation. For example, they eliminate urinary stagnation, remove stones, treat prostatitis.
Antibiotics are prescribed after identifying the pathogen and determining its sensitivity to the drug. Local treatment comes down to the appointment of bladder lavages with solutions of furacilin, silver nitrate for 2 weeks. Instill (injected into the bladder) sea buckthorn oil, emulsions of antibacterial agents.
From physiotherapy for the treatment of chronic cystitis, UHF, iontophoresis, mud applications, inductothermy are used.
Folk remedies
Remove signs of acute cystitis herbal decoctions unlikely to succeed, but during periods of remission chronic illness they are quite effective. Effective recipes that can be used at home:
- St. John's wort. Pour the crushed dried grass (1 tbsp. L.) With boiling water (1 tbsp.). Boil the mixture for 10-15 minutes, and then leave for 1 hour. Drink home remedy for a quarter of a glass three times a day.
- Cranberry juice. Dissolve three large spoons of juice with water (half a glass), add a spoonful of honey. This vitamin shake should be taken three times two weeks.
- Oats. Pour grains (1 tbsp.) With water (2 tbsp.). Place the container in a water bath and simmer until half of the liquid has evaporated. Add honey (2 tablespoons) to the mixture, cook it for another 5 minutes. Take the remedy in 0.5 tbsp. three times a day.
- Horsetail. 2 tbsp. l. pour 200 ml of herbs hot water... Let the broth brew for 1 hour. Take a glass a day, dividing by 4 times.
- Cowberry. Pour the dried leaves of the plant (1 tbsp. L.) With boiling water (1 tbsp.). Boil the broth over low heat for 10 minutes. Drink a glass of the broth throughout the day.
- Bearberry. Prepare the same as lingonberry leaves just simmer for just five minutes. Then add baking soda. The infusion will quickly and effectively remove excess fluid from the body.
If you believe the reviews, then herbal treatment goes well with drug therapy.
Prophylaxis
Preventive measures are aimed at preventing the development of cystitis in men. In fact, the prevention of cystitis in men does not represent any difficulties.
- It is necessary to carefully monitor personal intimate hygiene.
- Unprotected sex should be avoided.
- It is necessary to quickly sanitize all foci of potential inflammation, including carious teeth, etc.
- You need to go to the toilet regularly, avoiding stagnant urine.
- At the first manifestations of kidney pathologies, you should immediately contact a nephrologist and urologist. One of the complications of untreated diseases is cystitis.
Cystitis occurs less often in men than in women, but this does not mean that the stronger sex is completely safe. Cystitis also occurs in men. Moreover, it proceeds more severely and, as a rule, in a blurred, chronic form. At the first manifestations of discomfort, increased frequency or urination, it will be reasonable to immediately consult a urologist. The effectiveness of treatment depends on this.
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