Learn about cystitis & our top tips for helping prevent this common bladder infection


What is cystitis & what are the symptoms?


Cystitis is a type of urinary tract infection (UTI). More specifically, it’s inflammation of the bladder, usually caused by a bladder infection. If you have cystitis, you may experience:


• Pain, burning or stinging when you pee

• Needing to pee more often and urgently than usual

• Cloudy, dark or strong-smelling urine

• Pain in your lower tummy


In older people with cognitive impairment (such as dementia) and people with a urinary catheter, symptoms may also include:


• Changes in behaviour, such as acting confused or agitated (delirium)

• Wetting themselves more than usual

• Shivering or shaking (rigors)


Babies and children may get cystitis and must be referred to a GP quickly for a diagnosis and treatment to reduce the risk of complications. Symptoms may be numerous and quite vague, including:


• A high temperature – they feel hotter than usual if you touch their neck, back or tummy

• Wetting themselves

• Reduced appetite and being sick

• Weakness and irritability


What causes cystitis


Most cases of cystitis are caused by bacteria from the bowels entering the urethra (the tube that carries urine out of your body) and getting into the bladder. It’s more common in women because they have a shorter urethra than men, which means bacteria is more likely to reach the bladder and cause an infection. The following things can increase the risk of this happening:


• Having sex 

• Being pregnant

• Wiping from back-to-front after going to the toilet

• Having been through the menopause

• Using spermicide as a form of contraception

• Having diabetes

• Having a weakened immune system

• Having a urinary catheter 

• Having a condition that blocks the urinary tract, such as kidney stones

• Having a condition that makes it difficult to fully empty the bladder, such as an enlarged prostate gland in men


You may experience cystitis only once or occasionally, but for some people it can be a recurring problem.


5 tips for helping to prevent cystitis


If you’re someone who experiences cystitis frequently, there are things you can do to help avoid it. None of these are cures, simply helpful measures to try.


1. Wipe your bottom from front-to-back 


This is a simple change to make after going to the toilet. Wiping from front-to-back instead of the other way around helps reduce the risk of bacteria from the anus getting into the bladder.


2. Don’t hold pee in


If you need to urinate, do so as soon as you can and make sure to fully empty your bladder. It’s advised to drink plenty of fluids, especially water, during the day so that you pee regularly. 


3. Take measures before, during & after sex


It’s a good idea to wash the skin around the vagina with water before and after sex, as well as peeing straight after sex. It’s thought that spermicides that are used with diaphragms or condoms can increase the risk of cystitis, so try using a non-spermicidal lubricant or consider a different type of contraception.


4. Keep genital areas clean & dry


Keeping clean down there is a given, but there are a few extra helpful things to know, too. Try to avoid using scented soaps, body washes or talcum powder as these can irritate some people’s genital areas. Go for fragrance-free options instead. It’s also advised to shower instead of taking a bath to limit the amount of time your genitals come into contact with cleansing products.


Choose cotton underwear rather than synthetic material such as nylon and avoid wearing tight jeans and trousers. This helps keep the airflow around your genitals and avoids too much moisture building up.  


Change soiled nappies in babies promptly. And if you or someone you’re caring for uses incontinence pads, they should be changed as soon as necessary.


5. Think about what you drink


Drink plenty of water every day and try to avoid alcoholic drinks and coffee which may irritate the bladder. Sugary food and drinks should also be avoided as they may encourage bacteria to grow. 


What to do if you have cystitis


Mild cases of cystitis generally clear up by themselves within a few days. You can ask a pharmacist for advice on how to help relieve mild symptoms. They will recommend the best pain relief options for you to consider and let you know whether you should see your GP. 


For mild symptoms of cystitis it may help to:


• Consider taking paracetamol up to four times a day to help reduce pain

• Hold a hot water bottle on your tummy or between your thighs

• Avoid having sex


If you do need to see a GP, they may:


• Do a urine test, although this is not always necessary 

• Give you a prescription for a three-day course of antibiotics, but may suggest you wait for 48 hours before taking them, in case your symptoms go away on their own


If you repeatedly get cystitis, your GP may prescribe:


• A single-dose antibiotic to take within two hours of having sex, if you've noticed sex triggers cystitis

• A low-dose antibiotic to take for up to six months

• A vaginal oestrogen cream, if you’ve gone through the menopause


You can also find advice, support and treatment, if appropriate, via our Boots Online Doctor Cystitis Treatment service.* 


When to seek urgent help for cystitis


Ring 111 or ask for an urgent GP appointment if you think you or someone else has cystitis and:


• A high temperature, or feeling hot and shivery

• A low temperature, or shaking and shivering

• Pain in the lower tummy or in the back, just under the ribs

• Are confused, drowsy or have difficulty speaking

• Are feeling or being sick

• Have not had a pee all day

• Have blood in your pee


These symptoms could mean you have a kidney infection, which can be serious if it’s not treated as it could cause sepsis. 

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*Access to prescription only medicine is subject to a consultation with a clinician to assess suitability. Charges apply.