What to do if you have bladder pain

Bladder distension and pain is generally a common symptom of cystitis, especially bacterial cystitis, which often causes patients to have relatively strong symptoms and has a relatively large impact on the patient's physical health. In addition to causing bladder distension and pain, it also causes lower and upper urinary tract infections, lower urinary tract obstruction, etc. At this time, it is necessary to conduct timely examinations, find the clear cause, and then carry out symptomatic treatment.

Bladder pain examination

1. Laboratory examination: normal blood count, or slightly elevated white blood cell count. Routine urine test: WBC count (or platelet count) ≥10/HP, red blood cells may be present but without casts; Gram stain of urine sediment smear, WBC ≥15-20/HP; midstream urine culture, colony count ≥108/L. Urinalysis often shows pyuria or bacteriuria and sometimes macroscopic or microscopic hematuria. Urine culture can detect pathogenic bacteria. 2. X-ray examination: If kidney infection or other genitourinary tract abnormalities are suspected, an X-ray examination is required. For patients infected with Proteus, if the treatment is poor or ineffective, an X-ray examination should be performed to determine whether there are urinary stones. 3. Urinary tract angiography: Chronic cystitis manifests as reduced bladder volume and rough or irregular bladder edges. 4. Ultrasound manifestations: The bladder cavity is reduced and the bladder wall is generally thickened. 5. CT manifestations: Chronic cystitis is manifested by extensive irregular thickening of the bladder wall, bladder shrinkage, and rough inner and outer edges. Gangrenous cystitis may also show gas in the bladder and inflammatory exudate in the pelvic cavity.

Bladder pain treatment

1. General treatment: Patients with cystitis should get adequate rest, drink plenty of water to increase urine output, pay attention to nutrition, avoid eating irritating foods, and hot water sitz baths can relieve symptoms. 2. Special treatment: (1) Patients with obvious bladder irritation symptoms are given antispasmodics to relieve symptoms. Alkaline drugs such as sodium bicarbonate or potassium citrate can reduce urine acidity and relieve bladder spasms. Flavonoids (Urinary Ling) can relieve spasms and reduce urinary tract irritation symptoms.