How to Diagnose Cystitis?

How to Diagnose Cystitis?

Such pathology is dangerous because with irrational independent treatment it can be chronic, leading to exacerbations. In addition, those who try to make their own diagnosis are often mistaken, confusing cystitis with other pathological conditions, begin self-medication, which only aggravates the situation.

Urinalysis for cystitis usually reveals leukocyturia the presence of “white” cells leukocytes, which migrate to the tissue in response to inflammation. Also in the urine are found in a different number of red blood cells, almost always sow bacteria pathogens of the disease.

Such symptoms and laboratory indicators are very nonspecific, as frequent urination can be observed in other diseases, for example, in the case of urethritis or prostatitis in men, as well as in pyelonephritis. And erythrocytes in the urine can be detected with glomerulonephritis, urolithiasis or oncological processes. Therefore, self-diagnosis is not possible, and the symptoms should be considered together with the results of the research.

Sometimes inflammation of the bladder is accompanied by a reflex spasm of the smooth muscles of the sphincter of the urethra and the pelvic floor, in which case there is a delay in urination (most often such a symptom occurs in children), while aching pains in the perineum and anus. This condition can be confused with acute renal failure, when the kidneys simply stop producing urine, but a general blood test comes to the rescue. The normal level of creatinine and urea will tell you that there are no problems with kidneys.

Also, the retention of urine is characteristic of large stones in the renal pelvis or ureter, which prevent the outflow of urine. This condition is easy to confirm or disprove by X-ray or ultrasound.
In addition, the delay in urination is observed in men with prostatitis or adenoma, because the enlarged prostate compresses the urethra passing through it. But before anuria occurs (no urine), the jet becomes thin and intermittent, it takes a lot of pressure to empty it, but even after that, there is often a feeling that the bladder is not fully emptied. To distinguish the reflex delay of urination with cystitis from mechanical with enlarged prostate is helped by palpation of the gland through the anus and ultrasound.


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