What is cystitis?
Cystitis is inflammation of the bladder, usually attributable to an infection.
It is one of the most frequent pathologies of the urinary tract and mainly affects the female sex.
Is cystitis dangerous?
Cystitis is very annoying but rarely dangerous. The milder cases resolve spontaneously within a few days; however, some people tend to have frequent relapses that need specific treatment. The only pathological complication of cystitis is kidney infection, fortunately very rare. After the first diagnoses, some women choose to treat cystitis themselves.
When to contact the doctor?
The intervention of the doctor is essential especially when:
- Blood and / or pus appear in the urine
- Per gives him gravid
- For Kids
- For the men.
Causes of cystitis
The causes of cystitis proper are not always well defined.
The pathological mechanism is based on the ascent of bacteria (cutaneous or more commonly faecal) in the urethra up to the bladder (event favored by the use of the catheter, poor hygiene, etc.).
The decisive treatment consists of antibiotic and anti-inflammatory drugs. There is also an alternative form of cystitis, other than the common one, known as interstitial cystitis.
The interstitial is a form of cystitis DON'T obvious (free of clinical signs) and resistant to drugs; it mainly affects middle-aged women and should be treated differently than bacterial cystitis.
The etiological cause is almost always unknown and many suspect that it may be:
- Irritation due to food
- Psychosomatic reaction.
Prevention and Diet
Prevention of cystitis
Prevention of cystitis infectious provides a series of well-defined behavioral and nutritional measures.
Behavioral ones concern the care of intimate hygiene, attention in emptying the bladder and the exclusion of some risky circumstances. Diet tactics involve:
- Maintain the state of hydration and increase daily urination, both in frequency and in volume;
- Consume foods that could promote remission of cystitis; a fairly well-known product is American cranberry juice (crambery);
- According to some, the reduction of urinary pH (See deepening: Acidifying Urine).
In case of cystitis interstitial, the most important precautions to be respected are:
Follow a varied and balanced diet;
Carry out an exclusion diet, with the support of a food diary in which to note the dietary and behavioral changes.
Balanced Diet for Cystitis
The diet for interstitial cystitis (however also valid for bacterial) must have all the characteristics of nutritional balance. These aspects can be summarized as follows:
- Calories that allow you to maintain weight or, in the case of severe overweight, to lose weight slowly. By "slowness" in weight loss we mean a weight loss of 3kg or less per month. This can be achieved by reducing the diet by 650-700kcal per day;
- Divide the foods of the day into 5 meals: a satisfying breakfast, at least two snacks, a structured lunch and a light dinner;
Eliminate junk foods, unhealthy foods and processed / preserved products in jars: sweet, savory, fast-food, fried, pre-cooked snacks, in oil, pickled, smoked, salty, sausages, fatty cuts of meat (ribs, coppa, bacon etc), canned meat and fish, ready-made sauces, sweets, candies etc;
- Replace all refined foods with the equivalent DON'T worked. For example, instead of a portion of semolina pasta with meat sauce, prefer a soup in whole wheat broth and a small meat-based dish;
- Consume all foods belonging to the basic food groups with a frequency of consumption equal to or comparable to the following:
- fruit two or three times a day;
- vegetables two or three times a day (at least once raw);
- milk once a day, plain yogurt once or twice a day;
- cereals or legumes for first courses once a day *, bread only when needed (for example a piece to clean the plate);
- a teaspoon of raw oil on each plate;
- meat twice a week *;
- fish two or three times a week *;
- three eggs a week;
- cheese as a dish once or twice a week * (grated on pasta even every day, one or two teaspoons).
* The frequency of consumption of these foods considers the use of a large portion which, if necessary, can also be divided into two smaller ones to be divided on the same day.
- Consume a serving of cranberries or, if not available, their juice in a jar. Some argue that (thanks to some molecules they contain) they can help fight cystitis bacterial; however scientific research has not yet confirmed this hypothesis;
- Eliminate added sugar, sweeteners and salt;
- Replace any form of seasoning fat with cold-pressed oils (for example extra virgin olive oil);
- In some cases, it is useful to eliminate certain stinging spices and the stock cube;
- Eliminate alcohol and excess coffee, as well as all packaged drinks (cola, orange soda, etc.), preferring some natural herbal tea;
- Drink at least one glass of water per meal (one glass contains 150ml); the meals are 5 in all, for a total of 600ml / day. With food, approximately 0,8-1,0ml of water per calorie will be provided on average. Assuming a 1.900kcal diet, about 1.500-1.900ml is reached, for a total of 2.100-2.500ml (a more than sufficient intake);
- Check for any gluten and lactose intolerances; if necessary, eliminate them from the diet. Gluten is typical of some cereals (and derivatives) such as: wheat, spelled, spelled, rye, oats, barley and sorghum. Lactose is typical of unseasoned milk and derivatives. Celiac disease is often linked to other forms of inflammatory or autoimmune distress; lactose intolerance, on the other hand, causes an intestinal imbalance that can radiate pain or discomfort in other areas (for example, from the abdomen to the pelvis);
- With your doctor's help, try to rule out or replace certain medications or supplements that may irritate your bladder.
Diet and Interstitial Cystitis
Food and Interstitial Cystitis
There is a list of foods recommended and not recommended in the diet for INTERSTIZIAL cystitis (based on pH, content of irritating molecules, etc.).
This list is mainly based on conjectures or experiences which, at the moment, have no statistical value.
However, for disclosure correctness, we will report them below, underlining that they do not necessarily constitute a cure for interstitial cystitis:
|RECOMMENDED FOODS||FOODS NOT RECOMMENDED|
|ananas, cranberries, melons, watermelon, grapes, gala apples, Fuji and Pink Lady, pumpkin and pears||Grapefruit, lemons, oranges, pineapple, kiwifruit, Granny Smith apples and nectarines, sour blueberries, sour grapes and black cherries|
|Vegetables and Legumes|
|Potatoes, sweet potatoes, beans, peppers, broccoli, carrots, asparagus, cauliflower, celery, lettuce, mushrooms, peas, radishes, squash, and zucchini||Onions, chillies, pickles, sauerkraut, tomato derivatives, soy flour, edamame and toasted soy|
|Milk and derivatives|
|Milk, cottage cheese, mozzarella, cheddar, feta, ricotta||Yogurt (lemon, lime, orange, chocolate, mocha or artificial sugars flavor) spicy or very seasoned cheeses, and chocolate ice cream|
|Cereals, Tubers and Derivatives|
|Wheat, rice, pasta, corn, quinoa, oats, buckwheat, unleavened bread, polenta, mashed potatoes, couscous, millet, spelled and bread (except those listed next)||Heavily processed or fortified bread and pasta, sugary, flavored cereals with added cocoa (e.g. sweets and breakfast cereals)|
|Meat and Peach Products|
|Chicken, turkey, beef, pork, lamb, shrimp, tuna and salmon||Cured, canned, processed, processed, prepackaged, smoked cuts of meat or fish. Strongly spiced, salty and flavored cured meats|
|Semi Oil and Oil|
|Almonds, cashews, peanuts and their oils||Hazelnuts, pecans and pistachios|
|Water, whole, partially or skimmed milk; rice, coconut and almond milk; cranberry and pear juice; chamomile and peppermint herbal tea||Alcoholic beverages (including beer and wine), carbonated beverages such as soda, coffee and tea, citrus juices (grapefruit, orange), other acidic juices, liquid chocolate, coffee, and smoothies that contain foods that are not recommended|
|Garlic||Ketchup, spicy mustard, miso, soy sauce, vinegar, cayenne pepper, spicy curry powder, horseradish and spicy sauces|
|All not recommended; in particular monosodium glutamate (MSG), aspartame, saccharin and dyes|
Diary and Interstitial Cystitis
As anticipated, in the search for the triggering factor of interstitial cystitis it can be very useful to fill in a food diary.
The compilation does not have to be limited to noting alone the foods consumed, but must also take into consideration: sporting activities, work, any particular or stressful situations and the time of onset of symptoms.
The most correct system would be to start the diet for cystitis with a so-called "elementary" therapy, gradually adding, one at a time, all the foods and drinks (allowing 7 days to pass between one and the other). In this way it is possible to identify the product responsible for the symptoms.
Another system is the reverse. In the presence of symptoms, starting from a customary diet, all "prohibited" foods will be progressively excluded (one at a time, with 7 days between one and the other).
The food diary of the diet for cystitis can be used both on a personal level and as a consultative tool for the general practitioner or the treating urologist.
|Medicines for the treatment of Cystitis||Cystitis|
|Cystitis: treatment, diagnosis and prevention||Cystitis in pregnancy Cystitis: natural remedies|
|Herbal tea against cystitis||Mannose and cystitis|