Noninfectious cystitis is irritation of the bladder that is not caused by a
Abacterial cystitis; Radiation cystitis; Chemical cystitis; Urethral syndrome – acute; Bladder pain syndrome; Painful bladder disease complex
Causes, incidence, and risk factors
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:
- Bubble baths
- Feminine hygiene sprays
- Use of sanitary napkins
- Spermicidal jellies
Radiation therapyto the pelvis area
- Certain types of
- History of severe or repeated bladder infections
Certain foods, such as tomatoes, artificial sweeteners, caffeine, chocolate, and alcohol, can cause bladder symptoms.
- Pressure in the lower pelvis
Painful urination Frequent need to urinate Urgent need to urinate
- Decreased ability to hold urine
Need to urinate at night Abnormal urine color— cloudy Blood in the urine
- Foul or strong urine odor
Additional symptoms that may be associated with this disease:
- Pain during sexual intercourse
Penile pain Flank pain Fatigue
Signs and tests
- Symptoms related to radiation therapy or chemotherapy
- Symptoms that do not get better with treatment
- Blood in the urine
The goal of treatment is to manage your symptoms.
This may include:
Medicines to help your bladder contract and empty. These are called anticholinergic drugs. Possible side effects include slowed
heart rate, low blood pressure, increased thirst, and constipation.
Muscle relaxers to reduce the strong urge to urinate or need to urinate frequently.
A medicine called pyridium to help relieve bladder pain
Surgery is rarely performed unless a person has severe urinary retention or significant
Your doctor or nurse may also recommend:
Avoid fluids that irritate the bladder such as alcohol, citrus juices, and caffeine.
- Bladder training exercises to help you schedule times to try to urinate and to delay urination at all other times. One method is to force yourself to urinate every 1 to 1 and 1/2 hours, despite any leakage or urge to urinate in between these times. As you become skilled at waiting this long, gradually increase the time intervals by 30 minutes until you are urinating every 3 to 4 hours.
- Pelvic muscle strengthening exercises called
Kegel exercisesto help relieve symptoms of urgency
Although most cases of cystitis are uncomfortable, the symptoms usually get better over time.
- Ulceration of bladder wall
- Diminished bladder capacity
Bladder cancer Anemia
Calling your health care provider
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
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.