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If you are reading this, it is because you have ever suffered from one. Cystitis is the second most common female infection after respiratory; in fact, it is 50% more common among us than among men. The reason? That our urethra is so short (about 4 centimeters on average compared to 20 of the male urethra) that any bacteria that can be found swarming around our genital or rectal areas is capable of presenting itself in a bad not in the bladder, rolling an uncomfortable cystitis. “What’s more, the pH of female urine is slightly higher (basic) than that of men, especially during pregnancy, which complicates things”, explains Victoria de Lara, pharmacist and medical business on Arkopharma Laboratories.
“The kidneys are a factory for producing urine, and the bladder accumulates it throughout the day. The function of this is, in a 90% warehouseand it only stays empty 1% of the day,” says Dr. Guillermo Celada, urologist and expert at the Functional-Female Urology Unit of ROC Clinicas well as a urologist at the Princess University Hospitalin Madrid.
The typical bacterium that causes cystitis (in 80%-90% of cases) is the Escherichia Coli O E-Coli. Its habitat is the intestine, and it does not cause infection there, but when it comes out through feces, it can come into contact with the urethra if care is not taken. “Sometimes that bacteria stays in the anus and is capable of migrating to the vaginal or urinary tract. If the immune system is strong, you fight it, but if it is low, it is capable of colonizing and causing an infection”, warns Manuel Rozalén, Doctor of Physiotherapy, pelvic floor specialist and manager of the Rozalen Clinic. “It is being seen that with stronger muscles there is less incidence of cystitis,” she concludes.
Besides the E-Coli, Cystitis can be caused by other types of bacteria such as klebsiella o la staphylococcus saprophyticus. So before you take any leftover antibiotics from a previous cystitis, You should see a doctor for a urine culture.a, plus it is important to remember that an antibiotic can only be prescribed by a doctor.
Symptoms of cystitis
They are very typical: frequent urge to go to the bathroom to urinate (often resulting in a few droplets), stinging in doing so, lower abdominal pain O blood when urinating,” says María Sánchez, e-Health Medical Manager from Swan Spain. Bladder cystitis does not present with fever. If there is, it could be a pyelonephritis aguda, which includes lower back pain and severe urinary problems, and which occurs when the bacteria rise to the kidney. “If the cystitis is bleeding It does not mean that it is more serious, it is just a symptom of the inflammation of the area: there are bacteria that break the urothelium and that is why it bleeds“, confirms Dr. Celada.
How to prevent cystitis
All the specialists consulted have agreed on the same advice:
- don’t hold on the desire to go to the bathroom (and go every two hours at most).
- Drink between one and a half and two liters of water per day.
- remedy constipation when it appears.
- Avoid tight underwear and/or synthetic fabric. Better always cotton.
- go to the bathroom to urinate at the end of the sexual encounter.
- always wash after defecation and before and after sexual intercourse (with a pH 3.5 soap), and do it from front to back, never the other way around. In other words, stand on the bidet facing the tap, and not with your back to it.
- Sign up for Kegel exercises, because when you strengthen the pelvic floor you are closing the door “to the bug”. The ideal is 100 a day, divided into groups of no more than 20 at a time.
Why are red fruits so recommended for cystitis?
The bacteria E-Coli has around him some hairs with which it adheres to the urethra and the bladder. On the other hand, fruits such as blueberries (red) carry molecules called proantocianidinas that are placed at the end of the hairs of the E-Coli preventing it from attaching to the tissues of the urinary system. In addition, to prevent, they also surround the walls of the urethra. “The ideal is to take it in tablets so that the active ingredient is more concentrated, since we would have to eat an extraordinary amount of fruit to achieve the same effect”, says Victoria de Lara. And at night it acts more effectively, since you have about eight hours ahead to function within our urethra and bladder without fear of being expelled with urine.
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When are cystitis considered recurrent?
If they repeat themselves frequently, it means that either they have been badly cured, or you continue with the habits that led to it. They are called recurring if there are more than 3 episodes in a year, or more than 2 in the last 6 months.
Slip-on, yes or no?
Yes, it is advisable, according to Victoria de Lara, “as long as when handled properly, and conveniently replacing it throughout the day”.
Is it true that sitting on a cold surface is fatal?
Not at all. Sitting on the floor does not cause cystitis. “The cold from the chair, or from a stone, or from the ground, does not bring the bacteria to you. The infection is an infection and it is caused by a bacterium that has nothing to do with the coldalthough it is true that this, and the humidity of a wet swimsuit, for example, can alter the vaginal flora”, clarifies the pharmacist. “But above all, the reason for this urban legend is that the cold reproduces that sensation you have when there is an infection“, comments the urologist Guillermo Celada.
Reasons to drink more water
It’s simple: the more water you drink, the more often you’ll go to the bathroom to empty your bladder, it is more difficult for bacteria to settle there roaming freely. It is important to expel them before they have time to adhere to the mucosa of your urethra and your bladder.
And what do we do with sex?
It is very common to get cystitis when you change partners. The reason is that it changes the pH and the vaginal flora (as it also does with the use of spermicides, during menstruation, pregnancy, childbirth, quarantine -puerperium- and the intake of antibiotics), as well as having sex without the necessary lubricationbecause the area will be more vulnerable to friction”, details Victoria de Lara. “Sexual relations can be a risk factor, but not so much because of the sexual activity itself, but because intercourse triggers urethral massage and favors the possible rise of bacteria“, justifies María Sánchez. And if the practice is in the water, the risk is multiplied.
The pH is regulated with adequate washesbut also doing exercise, because a greater circulation is generated. The fact that there is activity that increases blood pumping generates cleanliness, just like orgasmwhich is a perfect “detritus cleaner”.
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