What medicine should I take for bladder spasms?

Medically, bladder spasm refers to the contraction of the bladder smooth muscle or the bladder sphincter. Generally, there is no inflammatory change. Clinically, it often manifests as dribbling urine or temporary urinary retention. It is also easy to cause symptoms of urinary pain. When this spasm occurs, it can be treated with certain medications. If the symptoms are relatively mild, atropine can be taken. If it is more serious, you should go to the hospital for appropriate treatment in time.

What causes bladder spasms?

There are many causes of acute bacterial cystitis, but most of them are infections with pyogenic bacteria. The causes include stones, foreign bodies, tumors or obstructive lesions, including urinary dysfunction caused by nervous system diseases. The pathological changes of acute inflammation of cystitis include mucosal congestion, edema, bleeding and ulcer formation, with pus or necrotic tissue. Chronic inflammation mainly includes mucosal hyperplasia or atrophy, granulation tissue formation, and fibrous tissue hyperplasia, reduced bladder capacity; or concurrent obstruction causes muscle hypertrophy, increased bladder capacity and even diverticulum formation.

It is caused by bacterial infection, most of which are Escherichia coli. It usually occurs in women because the female urethra is shorter than the male urethra and is closer to the anus, making it easy for Escherichia coli to invade and eventually cause bladder irritation symptoms.

Acute bacterial cystitis is a common urinary tract infection, accounting for about 50% to 70% of all urinary tract infections. Caused by bacterial infection. The pathogenic bacteria are mostly Escherichia coli, which usually occurs in women because the female urethra is shorter than the male urethra and is closer to the anus, making it easy for Escherichia coli to invade the body. The most typical symptoms of cystitis are frequent urination, urgent and painful urination, and even urge urinary incontinence, and may also include hematuria and pyuria.

How to prevent and treat

First of all, you need to rest in bed, drink plenty of water, avoid irritating foods, and hot water sitz baths can improve blood circulation in the perineum and 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. Traditional 10-14 days of antibacterial therapy is not necessary for uncomplicated cystitis. A single high-dose or a short course of 3 days is recommended outside of China. A single high-dose antibiotic can achieve satisfactory results in the treatment of simple cystitis, and there is no difference between it and the 14-day therapy. A single bolus dose has several advantages:

① The method is simple and patients are willing to accept it; ② The medical cost is low; ③ The cure rate is high and the therapeutic effect is significant; ④ Drug toxic side effects rarely occur; ⑤ Drug-resistant strains rarely occur.

The specific medication method is: sulfamethoxazole (SMZ) 2.0g, trimethoprim (TMP) 0.4g, sodium bicarbonate 1.0g, taken once; or 5 tablets of co-trimoxazole, or 3.0g of amoxicillin, or 400mg of trimethoprim, taken once. In order to completely sterilize, some authors believe that the routine treatment course is still appropriate to be 3 days. 2 tablets of co-trimoxazole plus 1.0g of sodium bicarbonate, twice a day; or 0.5g of amoxicillin, 4 times a day; 0.2g of ofloxacin, twice a day.

All taken for 3 consecutive days have a cure rate for cystitis similar to the traditional 14-day treatment, with fewer side effects. Its indications and contraindications are the same as those for single-course therapy. As for lower urinary tract infections in the elderly, Mccne believes that regardless of whether the infection is symptomatic or asymptomatic, the elderly should adopt a 5-7 day treatment course, because the elderly often have abnormal bladder function, incomplete bladder outlet obstruction, and atrophy of the vaginal and urethral mucosa, which makes treatment more difficult.