Cystitis can come on very suddenly, and the last thing you may want to do is go shopping. So make sure you have paracetamol (acetaminophen), long-life cranberry juice, potassium citrate cystitis remedy (available from pharmacists) or a hot water bottle available.
It is not necessary to contact your doctor for every episode of cystitis – 60% of attacks of bacterial cystitis cure themselves within 4 days without antibiotics. The following measures will relieve the discomfort, and help you to get through the episode.
- Take painkillers such as paracetamol if you need them.
- Decide whether you need to contact your doctor, for example, if this is your first episode (see below).
- Drink a reasonable amount of water. As soon as you feel an episode coming on, drink 300 mL (that is a ½ pint or a mugful) of water straight away. Then continue to drink 300 mL of water or very weak tea every hour for 3 hours. Avoid coffee and alcohol because these can irritate the bladder.
- Make sure you empty your bladder completely each time.
- Use a potassium citrate cystitis remedy or 300 mL of cranberry juice This neutralizes acidity in urine. It will not get rid of bacteria, but it can relieve symptoms.
- If you do not have potassium citrate, mix a teaspoonful of bicarbonate of soda with some water – this will do a similar job. Repeat it three more times, 1 hour apart. (But do not use bicarbonate of soda if you are on a low salt diet for blood pressure.)
- Use hot water bottles, in a cover or wrapped in a towel, to ease discomfort; visitors to this site have found them helpful when put on the lower back, stomach and/or between the legs.
- If you think you might have bladder pain syndrome, try avoiding acidic fruits and juices (grapefruit, lemon, orange, pineapple), and caffeine, alcohol and fizzy drinks (British Medical Journal 2009;339:b2707). You may also find that avoiding some foods helps your symptoms. Lists of these foods are available on several websites. Avoid the foods for about 2 weeks, then reintroduce them in your diet one by one, to see whether particular foods are making your symptoms worse. Be careful not to avoid more foods than necessary, as we all need to eat a wide range of foods to keep healthy.
Cranberry Juice and Blueberries
There is some evidence that cranberry juice is useful for preventing cystitis and possibly also for treating an attack.
- Cranberry juice seems to be most useful for women who experience repeated attacks of cystitis (Cochrane Database of Systematic Reviews 2008;1:CD001321; Arch Intern Med 2012;172:988–996).
- Some studies have shown that cranberry juice will shorten an attack of cystitis, while other studies have shown no effect.
- Cranberry juice contains proanthocyanidin chemicals, which prevent Escherichia coli bacteria from sticking to the wall of the bladder and urethra. Therefore, the bacteria can be flushed out before establishing an infection.
- The effect of cranberry juice lasts only about 10 hours, so it should be taken twice a day.
- Researchers have now found that blueberries also contain proanthocyanidins. Apart from their benefits in cystitis, blueberries and cranberry juice are good sources of vitamin C and antioxidants.
First published on: embarrassingproblems.com
Reviewed and edited by: Dr Kevin Barrett
Last updated: May 2021