Cystitis is an infection of the bladder that almost always follows (is secondary to) bacterial infection in the urine. It is the most common type of urinary tract infection (UTI), particularly in women.
The bladder is a muscular bag that stores urine from the kidneys. Urine leaves the body through a tube called the urethra. Cystitis occurs when bacteria travel up the urethra, infect the urine and inflame the bladder lining. Most women will experience cystitis at least once in their lives. While it is painful and annoying, it isn’t dangerous or contagious, and the infection can’t be passed on to your partner during sex.
If left untreated, the infection can ‘backtrack’ deeper into the urinary system from the bladder and reach the kidneys. A kidney infection is serious and needs prompt medical attention
as it can cause kidney damage or even kidney failure.
Symptoms of cystitis
Cystitis can be mild to severe. The symptoms include:
- frequent urge to urinate, if only to pass a few drops
- burning pain or a ‘scalding’ sensation on urination
- strong-smelling urine
- cloudy or bloody urine
- pain in your lower abdomen.
Cause of cystitis
The most common bug or bacteria causing urinary tract infection is Escherichia coli
). The bacterium is often found when the urine is examined under a microscope – this test is called a microscopy and culture (M&C) of urine.
is commonly found in the digestive tract and bowel. Under normal conditions, it is harmless. However, E. coli
thrives in the acidic environment of the bladder, where it multiplies and inflames the bladder lining.
Women and cystitis
Women in their late teens and older are most susceptible to cystitis, especially if they are sexually active. The female urethra is only 4 cm long, which gives bacteria easy access to the bladder. Female sex hormones influence the vaginal secretions that affect the ability of bacteria to survive.
This makes a woman more susceptible to infection during certain times including:
- certain stages of the menstrual cycle
- during pregnancy
- during menopause
- after a total hysterectomy.
Cystitis in men and older people
Men tend to get cystitis later in life. Trouble with urine flow in men may indicate problems with their prostate gland.
Cystitis is common in older people, particularly if they are unwell. Bladder catheters and some urinary-tract operations may also increase the risk of cystitis.
Cystitis in children
Cystitis in a child always needs to be investigated, because it may indicate a more serious condition such as vesico-ureteric reflux. This is a bladder-valve abnormality, which allows urine to flow back towards the kidneys.
Dealing with a cystitis attack
The earliest symptom of cystitis is usually a faint prickling feeling on passing urine. It is possible to get rid of mild cystitis if you take action immediately. Some suggestions include:
- Drink plenty of liquids.
- Take a commercial urinary alkaliser or one teaspoon of baking soda (bicarbonate of soda) in water.
Medical advice for cystitis
If self-help treatments aren’t working, you need to seek medical advice quickly. Your doctor will probably test your urine to check which micro-organism is present. It is very important to see a doctor if you suspect a kidney infection or kidney stones, because infection that has spread from cystitis (pyelonephritis) is a much more serious condition.
Long-term prevention of cystitis
In some women, one bout of cystitis allows their urinary system to build up a type of immunity and further bouts are rare. For other women, cystitis can occur regularly.
Although not always backed up by research, some women have found that useful suggestions include:
- Go to the toilet to pass urine as soon as you feel the urge, rather than holding on.
- Drink plenty of water every day to flush your urinary system.
- Wipe yourself from front to back (urethra to anus) after going to the toilet.
- Wash your genitals before sex and encourage your partner to do the same.
- Urinate after sex.
- Wear cotton rather than nylon underwear.
- Avoid wearing nylon pantyhose, tight pants or tight jeans.
- Don’t use perfumed soaps, talcum powder or any type of deodorant around your genitals.
- Avoid bubble baths.
- Treat vaginal infections such as thrush or trichomoniasis promptly, since these organisms can encourage cystitis.
Cranberries (usually as cranberry juice) have been used to prevent UTIs. Cranberries contain a substance that can prevent the E. coli
bacteria from sticking to the urinary tract lining cells. However, recent research has shown that cranberry juice does not have a significant benefit in preventing UTIs, and most people are unable to continue drinking the juice on a long-term basis.
Let your doctor know if you’re having cranberry juice as it can alter the effectiveness of some antibiotics.
Regular and severe attacks of cystitis
Sometimes, self-help treatments don’t work and you will need medical assessment and investigation. Cystitis can be treated with a course (or more than one course) of antibiotics. Regular or severe attacks of cystitis should be investigated by a doctor, because an underlying disorder – such as kidney stones – may be the trigger.
Where to get help
- Your doctor
- Kidney Health Information Service Tel. 1800 454 363
Things to remember
- Cystitis is an inflammation of the bladder and is usually caused by the bacterium Escherichia coli (E. coli).
- Treatment includes drinking plenty of water and taking urinary alkalisers and antibiotics.
- Regular and severe attacks should be investigated and treated by your doctor.
- A kidney infection is serious and needs prompt medical attention.
This page has been produced in consultation with and approved by:
Kidney Health Australia
Page content currently being reviewed.
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