Cystitis urethritis in a child treatment

Urethritis in children: causes, symptoms and treatments

Various infectious diseases of the urinary tract are characteristic not only of the adult population, they are often found in children. One of these pathologies is urethritis. In children, the disease is more often observed in boys than in girls, and all because of the peculiarities of the structure of the genitourinary system. Urethritis is an inflammatory process localized on the urethra (the wall of the urethra).

Disease classification

There are several types of classification of pathology, in particular, according to the nature of the course:

• acute form, characterized by sudden onset of pain during urination, accompanied by false urge to go to the toilet;
• chronic form, is the result of an untreated acute form of the disease.

According to the factors provoking the development of urethritis in children, several types of the disease are distinguished.

Microbes become a provocateur

The fundamental factor in the development of this type is a fungus from the genus Candida

For the development of this urethritis, it is necessary that the urethral mucosa be exposed to the allergen

The disease is the result of an injury, for example, after surgery or non-traditional sexual pleasures

Primary and secondary urethritis is also distinguished, in which an infection or bacterium enters the urinary canal from other organs, through the blood or lymphatic tract, that is, it is actually a complication of another disease.

Causes of pathology

The risks and causes of urethritis in children are much greater than in adults, since the child's body is much more vulnerable and it is harder for him to resist infections.

Doctors identify a number of main reasons:

• Hypothermia, it is unacceptable to dress the baby inappropriately for the weather or to allow a long stay in a draft.
• Insufficient hygiene procedures, in other words, the baby should always have clean diapers and dry diapers. Children should be taught to wash their hands before and after going to the toilet. The kid should learn from a very young age to wash regularly. In 85% of cases, the development of urethritis in children is associated precisely with non-compliance with the usual rules of hygiene.
• Infection inside the womb. This is a fairly rare occurrence, but still occurs in medical practice. Pathology can appear if the mother had pathogens in the genitourinary system during the period of gestation;
• Weakened immunity. This reason is also quite rare and is typical for children under 3 years old. It is during this period of life that the activity of blood cells in babies is still very low, so they are not able to protect the body from infection. In this case, only microbes or viruses that directly cause an inflammatory process on the urethral mucosa can act as the causative agent of the disease.
• Chronic diseases. This means that if there is any infectious or bacterial disease in the child's body, microbes can constantly penetrate the urethra and thereby become a source of the inflammatory process.

Characteristics of the course of the disease

The symptoms of urethritis in a child largely depend on the type of urethral lesion, age and gender, as well as the duration of the disease. Although doctors still distinguish a number of symptoms that can generally characterize the pathology.

First of all, when urinating, the child feels discomfort, up to itching and irritation. Toddlers are disturbed by frequent urges. Girls may complain of itching in the internal genital organs. Boys may complain that after emptying their bladder, they feel a burning sensation and itching in the genitals.

In children of both sexes, there may be discharge, mucous or purulent, even with blood impurities. The smell of such secretions is usually unpleasant and pungent. Some children even have a fear of going to the toilet, as they are afraid that there will be pain again. Perhaps there will even be an involuntary delay in the act of urination. Very rarely, but still, there are cases when a child also has signs of a viral disease, that is, the general state of health worsens, the temperature rises.

Diagnosis

Before determining how to treat urethritis in a child, the doctor interviews the baby and parents. One of the important indicators is lifestyle and the presence of chronic pathologies. After collecting an anamnesis, it is required to undergo some examinations and an examination by a highly specialized doctor. Boys visit a urologist, and girls visit a gynecologist.

Smear microscopy, ureteroscopy, urethrography, bacteriological culture, ultrasound and other studies are performed. All diagnostic methods are used that can give a complete picture of the child's health status.

Therapeutic measures

Therapy is prescribed depending on the form, provocateurs and symptoms of urethritis in children. Treatment for the most part involves taking antibacterial drugs and drugs that increase the body's immune forces. Local treatment is also quite justified: douching, baths with special formulations. It is usually prescribed for the acute form of the disease.

The choice of the drug depends entirely on the cause of the development of the disease, the form of the pathology. If we are talking about candidal urethritis in children, then "Clotrimazole" or "Fluconazole" may be prescribed. The main drugs for treatment in childhood are Cefix, Augmentin and Cephalox. Immunocorrectors are also prescribed, it can be "Kameton" or echinacea. Depending on the factors that influenced the onset of the disease, in addition to standard drugs, medications can be added that relieve the inflammatory process: Cystan or Urolesan.

It is most difficult to find medicines when urethritis in a child is 3 years old or younger. Then the choice of antibacterial agents is very small. If the clinical picture makes it possible to refuse them, then the treatment is carried out with immunomodulators, vitamin complexes, anti-inflammatory drugs and antiseptics. But such treatment is still possible, provided that the disease does not have an infectious nature of origin, that is, urethritis appeared on the background of hypothermia, or there was an injury earlier.

Treatment of the allergic form of pathology occurs with the help of antihistamines, these can be Zirtek, Zodak or Fenistil. As a rule, hospitalization in the fight against urethritis in childhood is not required.

Therapy with herbal remedies

Traditional medicine recipes are well suited as an adjunct treatment for urethritis and cystitis in children. You can use mono-recipes and multi-component herbal preparations. With these diseases, sage, chamomile, horsetail and bearberry are suitable. You can make a collection of aloe and chamomile, this will improve the functioning of the immune system. You can add cranberry juice and blackcurrant to the herbal collection.

It will not be superfluous to use baths (sedentary). They may contain calamus, mint, St. John's wort and juniper. Such procedures can be done three times a day, duration - 20 minutes. The course is about a week.

How else can parents help?

In addition to treatment with traditional drugs and herbal medicine, it is necessary to provide the baby with dietary nutrition during treatment. Pickles, smoked meats, fatty and fried foods should be eliminated from the diet. During the day, the child should drink enough water, as it will allow you to quickly remove all microbes from the bladder and body. In the acute form of the disease, until the inflammatory process is reduced, the child must be provided with bed rest.

Possible complications

If left untreated, urethritis can become chronic. In such cases, any weakening of the immune system will lead to a new inflammatory process in the urethra. Against the background of urethritis, other diseases may appear: kidney pathology, cystitis, vaginitis, urinary incontinence. In the future, there may be problems with conceiving a child for both girls and boys.

If we talk about the good, then in cases where the disease is detected on time and the correct treatment is carried out, the child will not have any health problems in the future.

Home Doctor

Cystitis in children: causes, symptoms, treatment, folk remedies, antibiotics

Cystitis is an infectious inflammation of the walls of the bladder with a predominant lesion of the mucous membrane, caused either by the penetration of bacteria from the outside through the urethra by an ascending path, or by the spread of infection with the blood and urine in infectious diseases of other organs.

Children of any age can suffer from cystitis. In newborns and infants, cystitis may be due to malformations of the genitourinary system, such as ureteral reflux (reverse reflux of urine into the ureters and kidneys), etc. In premature infants, cystitis may be associated with underdevelopment of the organs of the genitourinary system. By origin, cystitis is primary and secondary. According to the course of the disease, cystitis in children is divided into acute and chronic.

Symptoms of cystitis in a child:

The main signs of cystitis in a child are pain, cramps and burning during urination, frequent urination, urination in small portions of urine, inability to urinate, cloudy urine, flakes of epithelial cells in the urine, changes in color and concentration of urine.

• frequent painful urination;
• changes in urinalysis - leukocyturia, maybe hematuria, protein - uncharacteristic (only due to formed elements);
• bacteriuria 10 5 bw/ml and above, with the exception of viral etiology;
• painful palpation of the suprapubic region.

• infectious;
• chemical;
• ray;
• parasitic;
• for diabetes;
• in spinal patients;
• allergic;
• exchange;
• iatrogenic;
• neurogenic.

• diffuse;
• cervical;
• trigonite.

• catarrhal;
• hemorrhagic;
• ulcerative and fibroulcerative;
• gangrenous;
• encrusting;
• tumor;
• interstitial.

Causes of cystitis in children:

Cystitis and urethritis in young children and newborns may be the result of hypothermia as a result of prolonged exposure to a wet diaper, especially during the cold season. In addition, the occurrence of cystitis and urethritis in older children is facilitated by irregular emptying of the bladder, the need or habit to endure for a long time when urinating. Unfavorable emotional background in the family, fear of punishment can also be the cause of frequent cystitis and urethritis.

In some cases, cystitis and urethritis may have a fungal or Trichomonas nature. Usually, this happens if the child is washed in a common bath or visits public baths and saunas with him. In this case, for successful treatment, it is necessary to completely exclude the possibility of re-infection of the child through household items and personal hygiene.

In addition, the causes of cystitis in children are:

• immunodeficiency states;
• prolonged exposure of the bladder mucosa to certain drugs (cytostatics);
• congenital malformations of the urinary system, bladder stones;
• neurogenic bladder dysfunction;
• Traumatization of the mucous membrane of the bladder.

Hygiene for frequent cystitis in a child:

• general blood test;
• general urinalysis;
• urine cultures before, after treatment and during the period of dispensary observation with the determination of bacteriuria, sensitivity to antibacterial drugs.

• Ultrasound of the kidneys, bladder;
• Urologist's consultation;
• Consultation of a nephrologist.

Treatment of cystitis in children and newborns:

At the first signs of cystitis in a child, you should immediately consult a doctor. In no case should you treat cystitis in children with various kinds of poultices, heating pads, washing the child with solutions of potassium permanganate, salt, iodine and self-medication with other folk remedies. As an aid, it is possible (after consulting a doctor) to use baths of decoctions of chamomile or calendula to alleviate the symptoms of the disease.

Since cystitis is usually a bacterial disease, antibiotics and broad-spectrum uroseptics are prescribed for its treatment. In addition, for severe cystitis, the doctor may prescribe painkillers, anti-inflammatory and sedatives.

• stabilization of the general condition of the patient;
• positive dynamics of urinalysis, including the disappearance of bacteriuria;
• normalization of urination.

Treatment of cystitis and urethritis in children

Treatment of cystitis and urethritis with cranberries

You will be surprised, but cranberries are held in high esteem not only by traditional healers, but also by modern doctors. This plant is known for the fact that it can be used to cure diseases such as cystitis and urethritis. In addition, if antibacterial drugs were prescribed to the patient for the treatment of these inflammatory processes, then cranberries enhance their effect.

If you carefully read the reviews of those who used cranberries to fight urethritis, you can see that this familiar berry really has unique medicinal properties. Compared to drugs, cranberries cope with the disease much faster than drugs that are serious in their effect.

Cranberry in the treatment of urethritis is much more effective than expensive drugs. She copes with the infection quickly and painlessly, without causing side effects.

What is cystitis?

Cystitis is an inflammatory process of the bladder. With this pathological course in a person, the entire epithelium of the urethra is completely inflamed, which leads to disruption of its functioning.

In urology, cystitis is classified:

Useful properties of cranberries

The chemical composition of cranberries is unique. This unsightly little berry is high in vitamins, minerals, antioxidants, and polyphenols. In particular, it is proanthocyanidins and polyphenols that are the substances that quickly destroy viruses, infections and bacteria (they provoke the occurrence of cystitis in humans).

The chemical composition of cranberries comes into contact with microbes and destroys them from the inside, as a result, viruses cannot multiply and infect the mucous membrane of the urethra.Soon the development of the infectious process stops.

Treat cystitis quickly

If you want to quickly and effectively get rid of cystitis, then it is recommended to start treatment with freshly prepared cranberry juice or fruit drink. But, before using these folk remedies, you need to consult a urologist and consult. Why?

For some patients, fruit drink and cranberry juice can harm. Therefore, the doctor should specifically in your case say whether cranberries can be used to treat the inflammatory process.

It is not recommended to carry out treatment with cranberry juices and fruit drinks for those who:

• Have chronic diseases of the gastrointestinal tract;
• If you have an allergic reaction to cranberries;
• Urolithiasis;
• For gout.

In some cases (with the permission of a doctor), you can take fruit drinks and cranberry juice in very minimal quantities.

On an empty stomach, cranberry juice is not recommended even for healthy people!

How to cook cranberry juice?

To prepare cranberry juice, you need to take one glass (250-300 ml) of clean, washed cranberries and mash this amount with a fork or a blender (preferably a blender, since we need juice). Then, be sure to drain the resulting juice into a separate bowl, and pour all the pulp that remains in the container with a liter of water and put on a slow fire. As soon as the broth boils, turn it off. After - let the broth cool a little and then mix it with the juice. No need to add sugar, honey or any other sweeteners to the broth. Doctors recommend taking cranberries exclusively in their pure form, without additives. Only in this way will the body receive all the necessary vitamins and chemically active substances that can fight bacteria.

If it is not possible to prepare cranberry juice for the treatment of cystitis, then it is recommended to take freshly squeezed cranberry juice about half an hour before meals. The course of treatment is 3 times a day for 30 days.

Urethritis is treated identically to cystitis - the same cranberry juice and freshly squeezed juice are used.

Cranberry has a diuretic effect, destroys microbes, relieves inflammation, and is a natural natural antibiotic.

Indications for the use of cranberries

Cranberries are recommended for the treatment of the following diseases:

• Urolithiasis;
• Tuberculosis;
• Anemia;
• Atherosclerosis;
• Cystitis;
• Jade;
• Complications after gynecological interventions, as well as childbirth;
• For pelvic inflammatory disease in women.

If you regularly take cranberries as a preventive measure, this ensures that Escherichia coli cannot attach to the mucous membrane of the urethra. As you know, it is E. coli that is the main causative agent of cystitis.

If you drink 300 ml of cranberry juice daily, it will reduce the likelihood of cystitis by 3 times.

Acute cystitis - can it be cured?

You should not hope for treatment with folk remedies if the inflammatory process in the body takes place in an acute form. For example, acute cystitis in most cases is accompanied by severe pain in the lower abdomen, constant urge to urinate, a rapid increase in body temperature against the background of the inflammatory process, and a feeling of weakness. In this case, it is necessary, first of all, to consult a urologist regarding treatment. As a rule, the acute form of cystitis is treated with antibiotics, and the use of cranberries is used as a preventive measure.

If gonorrheal urethritis, then in this case it is necessary to prescribe treatment from a venereologist. Traditional medicine will not be able to have any therapeutic effect in this case.

So, the main treatment for urethritis and cystitis is the use of antibiotics. And only as an aid can you use herbal ingredients, for example, cranberries in the form of juice or fruit drink.

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Treatment of urethritis at home

Urethritis is called inflammation of the mucous membrane of the urethra (urethra), most often this disease is caused by bacteria and is manifested by pain during urination.

Classification of urethritis

By the nature of the flow, they distinguish:

Due to causal factors, it happens:

In addition, urethritis can be primary, when the pathological process occurs and develops in the urethra, and secondary, when the damaging agent enters here from another organ with blood or lymph flow. Secondary urethritis 8212; This is a complication of various diseases, such as urolithiasis. prostatitis or diabetes. With all types of urethritis, the mucous membrane of the urethra becomes inflamed, it swells, becomes edematous, erosion may appear.Urethritis caused by microbes proceeds differently depending on which microorganism caused the disease. Bacterial nonspecific urethritis is caused to a greater extent by conditionally pathogenic microorganisms that live in the urethra and on the skin of the genital organs. As a rule, these microbes enter the urethra if personal hygiene is not observed from the skin. The symptoms of such urethritis are erased, dim.

Gonorrheal urethritis is not like that. The disease is transmitted sexually. At the same time, in men from the urethra, there is an abundant discharge of copious yellowish-gray creamy purulent discharge from the urethra. In women, the clinical picture is erased.

A common symptom for all urethritis will be pain and burning during urination and discomfort in the groin area. If the process rises higher and captures the neck of the bladder, then cervical cystitis (inflammation of the bladder) develops, then, in addition to the complaints described above, frequent urination and false urges can be observed. Sometimes with urethritis, partial urinary incontinence can be observed.

Diagnosis of urethritis

The diagnosis of urethritis is easy. Usually, a patient who is suspected of having acute urethritis presents typical complaints of pain during emission, burning, cramps, and the discharge of cloudy urine, sometimes with an admixture of pus. On examination, the mucous around the external opening of the urethra, as a rule, is always inflamed and edematous. Tests for urethritis include clinical examinations of urine and blood, as well as scraping from the urethra and bacteriological analysis of urine. Bacteriological analysis of urine in urethritis plays an important role in the selection of adequate antibiotic therapy. Sometimes cystoscopy is indicated 8212; a method of examining the bladder and urethral mucosa, to exclude the spread of inflammation to the bladder mucosa.

Urethritis in children: symptoms

Symptoms of urethritis in children are not much different from those in adults. Children tell their parents that it hurts them to write, cuts. Urethritis usually develops in children after hypothermia or against a background of stress. The temperature may rise sharply up to 38 8212; 39 degrees.

How to cure chronic urethritis

The treatment of urethritis begins with the appointment of a semi-bed rest and a diet with an adequate drinking regimen (cranberry juice).

Patients diagnosed with bacterial non-gonococcal urethritis 8212; treatment is with antibiotics. As a rule, broad-spectrum uroantiseptics are prescribed. If the process is not strongly started, then Monural is prescribed for one day. This is a modern antibiotic that can suppress the growth of pathogenic microflora per day. With the ineffectiveness of monural therapy, other uroantiseptics are prescribed, for example, 5-NOC, ampiox, furadonin, furazolidone.

If a patient has gonococci, then the treatment should be comprehensive. One or two broad-spectrum antibiotics (nitrofurans, cephalosporins), immunostimulating and anti-inflammatory drugs, vitamins are prescribed. Physiotherapy has a good effect.

Treatment of candidal urethritis is always carried out with antifungal drugs (Mikosept), in addition, sometimes with weakened immunity, immunomodulatory drugs are prescribed, and when a bacterial infection is attached, antibiotics are used in short courses.

To suppress an allergic reaction, antiallergic drugs are prescribed, for example, tavegil, suprastin. You should refuse to use allergen-containing objects, as a rule, it is soap or an intimate gel.

For the duration of treatment, sexual intercourse is prohibited. With gonorrheal urethritis, both partners are treated. Careful observance of rules of personal hygiene is recommended. Sedentary baths with antiseptic solutions are useful. Underwear should be worn from natural fabrics, while women should refuse thongs. It is believed that this panty model promotes the spread of intestinal microflora to the urethra.

We recommend that you check their effectiveness.

Urethritis in children: treatment

Urethritis, folk remedies

Treatment of urethritis in children should also be aimed at suppressing the action of the pathogenic factor. Antibiotics are prescribed for a bacterial infection. Children often have allergic urethritis, which are treated with antihistamines (Fenistil, Zyrtec). In addition, children are given sitz baths with bay leaf decoction or antiseptic solutions. Be sure to prescribe vitamin therapy. As a rule, treatment of urethritis in children is carried out at home on an outpatient basis, but hospitalization is indicated in severe cases.

Treatment of urethritis at home

In the treatment of urethritis, you can use traditional medicine. Infusions of herbs such as bearberry and half-fall help well. Decoctions of lingonberry leaf or currant leaves have long been used.

Currant berries have anti-inflammatory and diuretic effects; in case of exacerbation of urethritis, they can be eaten fresh or brewed.

Linden decoction has pronounced anti-inflammatory and uroantiseptic properties.

Some people prefer parsley infusion with milk to all other traditional medicine. There are many ways to treat urethritis, it is recommended to consult a doctor before using them.

Urethritis in children

Urethritis is an inflammation of the mucous membrane of the urethra (urethra) of an infectious and non-infectious nature. This disease refers to infections of the lower urinary tract.

It occurs more often in boys, in girls inflammation quickly passes to the bladder due to the structural features of the urethra (short and wide). Therefore, inflammation of the urethra in girls is usually called urethral syndrome, since the exact localization of inflammation is difficult to determine.

Causes and types of urethritis

Predisposing factors to the development of urethritis:

• Phimosis;
• Vaginitis, vulvovaginitis, synechia of the labia minora;
• Hypothermia;
• Consumption of salty and spicy foods, marinades in large quantities;
• ARVI;
• Urolithiasis;
• Irregular urination (cannot be tolerated for long).

Symptoms of the disease

Urethritis in children can manifest itself both immediately after infection, and within a few weeks.

The main symptoms are pain during urination and burning, there may be discharge, the features of which depend on the type of pathogen. Often a child is afraid to urinate because of a premonition of pain.

If urethritis proceeds without complications, the general condition of the child does not change, there is no increase in body temperature.

Trichomonas urethritis occurs without pronounced symptoms, similar in course to chronic urethritis.

Gonococcal urethritis is characterized by the presence of purulent discharge.

Urethritis with insufficient treatment can lead to the development of complications:

• The transition of acute urethritis to chronic;
• Ascending infection (cystitis, prostatitis, orchitis);
• Infertility;
• Stricture (narrowing) of the urethra.

Diagnosis

A doctor can make a diagnosis of urethritis after questioning the child and / or his parents, since urethritis has characteristic symptoms. Of the laboratory methods, the analysis of a general urine test is informative. Urine analysis according to Nechiporenko is carried out to clarify the localization of inflammation. To clarify the pathogen and its sensitivity to antibiotics, sowing on nutrient media is carried out.

In chronic or sluggish course of urethritis, especially in adolescents, a blood test is performed for the presence of antibodies to microorganisms (chlamydia, mycoplasma, gonococcus, etc.).

Treatment should be comprehensive. It is impossible to interrupt treatment even if the condition improves and there are no symptoms, since untreated urethritis leads to a chronic process and the development of complications.

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Prevention

Prevention of urethritis comes down to observing the rules of hygiene and urination. It is necessary to wash children regularly, girls in the direction from front to back. You should not allow a child to endure the urge to urinate for a long time (which is often practiced in schools).

It is necessary to protect children from hypothermia, especially the genitourinary area (do not sit on a cold surface, dress according to the season).

Recently, in adolescents, in terms of preventing urethritis, the issue of protected intercourse and the absence of promiscuity is relevant. The risk of developing urethritis and its transition into a chronic process is less with the timely onset of sexual activity (not in adolescence).