Noninfectious cystitis is irritation of the bladder that is not caused by a urinary tract infection.
Noninfectious cystitis is most common in women of childbearing years. The exact cause is often unknown. However, it has been associated with the use of:
Certain foods, such as tomatoes, artificial sweeteners, caffeine, chocolate, and alcohol, can cause bladder symptoms.
See also: Interstitial cystitis
Additional symptoms that may be associated with this disease:
A urinalysis may reveal red blood cells (RBCs) and some white blood cells (WBCs). A microscopic examination of the urine may be done to look for cancerous cells.
A urine culture (clean catch) is done to look for a bacterial infection.
A cystoscopy (use of lighted instrument to look inside the bladder) may be done if you have:
The goal of treatment is to manage your symptoms.
This may include:
Surgery is rarely performed unless a person has severe urinary retention or significant blood in the urine.
Your doctor or nurse may also recommend:
Although most cases of cystitis are uncomfortable, the symptoms usually get better over time.
Call your doctor or nurse if you have symptoms of cystitis, or if you have been diagnosed with cystitis and symptoms worsen or new symptoms develop, especially fever, blood in the urine, back or flank pain, and vomiting.
Avoid using items that may be irritants such as bubble baths, feminine hygiene sprays, sanitary napkins or tampons (especially scented products), and spermicidal jellies.
If you need to use such products, try to find those that do not cause irritation for you.
Abacterial cystitis; Radiation cystitis; Chemical cystitis; Urethral syndrome - acute; Bladder pain syndrome; Painful bladder disease complex
Hanno PM. Painful bladder syndrome (interstitial cystitis) and related disorders.In: Wein AJ, ed. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 12.
Carter C, Stallworth J, Holleman R. Urinary tract disorders. In: Rakel RE, ed. Textbook of Family Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap40.
Updated by: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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