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Cystitis - recurrent - Treatment

Alternative Names

Recurrent cystitis; Urinary tract infection - recurrent; UTI - recurrent

Treatment:

Persons with recurrent cystitis are encouraged to drink large amounts of fluid to help increase urination and remove the bacteria from the body.

Antibiotics may be given if the infection is caused by bacteria. Your doctor may wait for the results from the urine culture. This usually takes 36 - 48 hours.

If infections persist despite no obvious cause, a longer course of antibiotics may be necessary.

Surgery is rarely necessary, unless a serious underlying problem is found. Kidney stones may need to be removed.

Expectations (prognosis):

If symptoms are mild, you should expect to have relief of symptoms within 2 - 3 days with the use of antibiotics or supportive care.

Complications:

Possible complications include infection of the kidney and bloodstream, resulting from spread of the bacteria from the bladder into the blood. The occurrence of these complications may be suggested by fevers, back pain, chills or symptoms lasting more than a few days.

If infection travels to the kidneys, they may be at risk for scarring, especially if antibiotic treatment is delayed.

Calling your health care provider:

Call your health care provider if your symptoms last more than 2 - 3 days, if they are particularly severe, or if you have fever, chills, or back and abdominal pain, which might suggest a more serious infection.

  • Reviewed last on: 9/15/2008
  • Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by Reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Foster RT Sr. Uncomplicated urinary tract infections in women. Obstet Gynecol Clin North Am. 2008 Jun;35(2):235-48, viii.

Norrby SR. Approach to the patient with urinary tract infection. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 306.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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