A trip to the physio could help banish chronic cystitis
Most women will suffer from cystitis — infection of the urinary tract and bladder — at some point in their lives.
With symptoms including a frequent and urgent need to urinate and pain in the bladder, it can be extremely unpleasant.
Fortunately, it usually clears up after a couple of days and a course of antibiotics.
But about 400,000 Britons — 90 per cent of them women — suffer from chronic cystitis, known medically as interstitial cystitis.
Here the problem is not an infection, but the bladder wall becoming inflamed.
This can occur for a number of
reasons, including childbirth, surgery (such as hysterectomy) and
repeated bouts of bladder infections (such as cystitis), though
sometimes there is no obvious cause.
Unfortunately,
say some experts, chronic cystitis patients — who tend to be aged 30 to
45 — are often misdiagnosed by GPs as simply being prone to urinary
infections. They’re sent away with antibiotics without any further
investigation.
In fact, the real problem could be over-active pelvic floor muscles.
The pelvic floor is a large, V-shaped muscle that supports the bladder, vagina, uterus, lower back and other internal organs.
‘Most people know the pelvic floor can weaken, but it can also tighten,’ says Vik Khullar, a consultant urogynecologist at Imperial College London.
‘Tension can build up in response to anything — endometriosis, bowel or bladder problems. When the pelvic floor tightens and goes into spasm the patient can have pain at any point, such as urination and intercourse.
‘A tight pelvic floor can also cause the bladder to not empty properly, so it can get infected and cause a repeated cycle.’
Meanwhile, the problem could be compounded by doing pelvic floor exercises, says Christien Bird, a physiotherapist at the White Hart Clinic, London, which specialises in women’s health issues.
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