Acute cystitis often occurs with the release of blood at the end of urination. But there is a separate form of cystitis in which all urine during the acute period of the disease is painted in the color of blood. This is called hemorrhagic cystitis. It may occur as acute or chronic.

The causes of cystitis with blood

Cystitis blood called hemorrhagic. The most frequent cause of such diseases are viral infections (particularly adenoviral infections). And since viral infections suffer mostly children, then hemorrhagic cystitis Cystitis: urgently take action   often it occurs in them. This viral infection usually enters the urinary tract through the bloodstream. Boys viral hemorrhagic cystitis are more frequent and more severe than in girls.

There may be a hemorrhagic cystitis and poisoning of some chemicals.

But hemorrhagic cystitis may have bacterial origin - such cystitis is more common in women and girls, as they have a shorter urethra and wide. The most common bacterial agent of hemorrhagic cystitis is E. coli that lives in the intestines, where it refers to the beneficial microflora, which helps digest food. But if it enters into the urine, E. coli becomes pathogenic properties, multiplies rapidly and settles on the surface of the bladder mucosa.

Another cause of hemorrhagic cystitis is the fact that the blood vessels become permeable to blood cells causing the red blood cells to fall urine by coloring it red.

How is cystitis with blood

Even in normal, non-severe cystitis at the end of urination appear a drop of blood, as a sign of hemorrhagic cystitis is the blood of all urine samples. This type of cystitis refers to severe. It starts usually sharply with increasing temperature (sometimes up to high digits). At the same time there are frequent painful urination with imperative (commanding) urging, a man can not overcome the urge to urinate. There it is because in hemorrhagic cystitis is particularly vulnerable mucous membrane of the bladder, and in it are the nerve endings. Even a very small amount of urine in the case irritate nerve endings and causes an irresistible urge to urinate.

Blood in the urine does not appear immediately, but after a few hours after the first signs of the disease. Sometimes there is so much blood that clots formed from it clog the urethra and comes acute urinary retention. Blood in the urine usually disappears after a day or two before other symptoms of cystitis will Cystitis - symptoms: spasms, cramps and discomfort .

Lasts acute hemorrhagic cystitis Hemorrhagic Cystitis: always seriously   a little longer than normal, more than seven days, but then signs it pass, including without treatment.

Meets hemorrhagic cystitis and chronic, worsening its flow as well as acute cystitis Acute cystitis: Treat treated responsibly But less severe symptoms. Complications of chronic cystitis with blood can be anemia (iron deficiency anemia), which is associated with frequent small losses of blood and with her iron.

What can be identified in the survey

In the acute stage of the disease in the urine of patients can see a large number of fresh red blood cells, white blood cells and bacteria (for bacterial infection). At the same time in the patient's blood is usually also present signs of inflammation: ESR acceleration and increased white blood cell count.

If cystitis blood is of viral origin, the bacteria in the urine is not, and in the general analysis of blood are signs of a viral infection (such as increasing the number of one type of white blood cells - monocytes).

Confirm or remove the diagnosis of bacterial urine culture on nutrient media, and simultaneously explores the sensitivity of pathogen to antibiotics.

Treatment of cystitis with blood

Since cystitis blood in most cases is more severe than usual and can cause acute urinary retention, then it must be treated in a hospital.

Patients were assigned a bed rest, drink plenty of liquids - it helps to remove the bacteria from the urinary tract, and their metabolic products. You can drink mineral water without gas, fruit drinks, fruit drinks, just water and herbal infusions. Total drinking need to 1, 5-2 liters of fluid per day.

Infusions of herbs have diuretic, anti-inflammatory and hemostatic effect. These plants include yarrow, leaves, cranberries, horsetail, bearberry.

Be sure to stick to a diet - foods that can irritate the bladder will cause an accelerated accumulation of blood in the urine. These products include all spicy, sour, smoked, canned, fried and salty.

Warming procedure with cystitis blood contraindicated. If there is a blockage of the urinary channel blood clots, they removed an instrumental way.

Cystitis with blood - this is very serious, do not treat it yourself.

Galina Romanenko

Hemorrhagic cystitis - is not just blood in the urine at the end of urination - a sign, characteristic of all cystitis at all. In this form of cystitis the urine is constantly red and complication of the disease may be blockage of the urinary channel blood clots, and iron deficiency anemia.

What is a hemorrhagic cystitis

Hemorrhagic cystitis Cystitis: urgently take action   - An inflammation of the bladder wall, which is accompanied by the appearance of blood in the urine. Urine in this case has a red color and an unpleasant odor. The basis for this form of cystitis is destruction of the mucous membrane lining of the bladder cavity and increased permeability of blood vessel walls.

There hemorrhagic cystitis more often for viral infections (for example, it is common in adenovirus infection) and chemical lesions (when taking certain drugs, such as cytostatics used in the treatment of tumors).

Contributing factors for the onset of the disease are:

• habit of constantly delaying the urine in the bladder to the state of its overflow and distension of the walls - a stagnation of urine promotes circulatory disorders in the bladder;
• mechanical obstruction to the flow of urine - such as narrowing of the urethra or the compression of a growing tumor (inflammation) of surrounding tissues;
• decrease in contractility of the bladder wall - this is often neurogenic nature;
• presence in the lumen of bladder various foreign bodies - stones catheters; they can injure the mucous membrane, and then microtrauma can be implemented infection;
• presence in the lumen of bladder tumor that can decompose with the accession infection;
• failure to observe the rules of personal hygiene - bacteria and viruses from the surrounding tissue can get to the bladder;
• reduction in the overall and local immunity characteristic for some common diseases and conditions such as diabetes Diabetes - threatening and incurable disease , Thyroid disease Thyroid disease - women at risk , Menopause.

With all these factors predisposing trapped in the bladder is rapidly infectious agents are introduced into the mucosa, causing its inflammation, destruction of the blood vessels and increased permeability. Hemorrhagic cystitis can be acute or chronic.

Signs of hemorrhagic cystitis

As with any other form of cystitis, the main symptoms of the disease are frequent painful urination. But in this case urine from the start colored blood color. If the disease is difficult, it can be urinating every 10-15 minutes and accompanied by excruciatingly painful impulses. Each urinating stands a small volume of urine (just a few drops) and there is severe pain in the abdomen Abdominal pain: when to sound the alarm?   and in the perineum, which is becoming stronger the closer to the end of urination.

Hemorrhagic cystitis is considered severe form, it is often accompanied by an impaired general condition such as high fever, malaise, chills, loss of efficiency.

Complications of acute hemorrhagic cystitis can be a blockage of the urethra blood clots. In addition, the damaged blood vessels can become infected and spread through the bloodstream throughout the body. Most often, such an infection gets into the kidneys, causing them inflammation - pyelonephritis.

As with all other types of acute cystitis, all signs of the disease can pass on their own within a week. But if acute hemorrhagic cystitis is not treated, it always comes back, this time in the form of chronic.

Chronic hemorrhagic cystitis occurs with periods of exacerbation and remission. With each new aggravation of symptoms of the disease are becoming increasingly blurred, but blood in the urine is always present. Over time, the bladder begins to lose its function due to the fact that it expands the walls of connective tissue.

Complications of chronic hemorrhagic cystitis is almost always iron deficiency anemia.

Diagnosis and treatment of hemorrhagic cystitis

Severe hemorrhagic cystitis treated in a hospital. First of all, hemorrhagic cystitis to be distinguished from other diseases where blood may also appear in the urine. This stones and bladder tumors. Therefore, before prescribing treatment to a survey carried out: laboratory blood and urine tests, blood cultures to detect infection and its sensitivity to antibiotics, ultrasound of the pelvic organs (if necessary X-ray) and cystoscopy - Inspect the inside surface of the cavity of the bladder.

If the diagnosis of hemorrhagic cystitis is confirmed, in its acute course of prescribed bed rest, drinking plenty of fluids, diet (do not eat spicy, sour, smoked foods). Echli infectious agent is a bacterial nature, then prescribe antibiotics, usually a one-time or prem Monural or three-day treatment with fluoroquinolones. Assign also means that reduce bleeding and strengthen the walls of blood vessels. If the cause of the disease were cytostatic drugs, the drug is administered, neutralizing their negative impact on blood vessels - mesna.

In chronic hemorrhagic cystitis, first identify the cause of the disease, and then treated with the use of general and local medicines.

Galina Romanenko