Urinary tract infection without germs: is it possible?

Preamble to this article

It is essential here to distinguish:

bacterial cystitis: situation in which the symptoms are directly related to the presence of uropathogenic germs in large quantities in the urinary tract (= urinary tract infection)

abacterial cystitis: problem in which the symptoms are identical but the urine tests do not reveal the presence of bacteria

We therefore understand, through these brief definitions, that speaking of an “urinary tract infection without germs” is a contradiction since, in fact, for an infection to occur, pathogens must be present.

Symptoms and diagnosis of cystitis

The presence of the typical symptoms of cystitis such as burning, urgency and frequency when urinating, small amounts of urine, bladder heaviness, etc. it is not enough to speak with certainty of an urinary tract infection. Such a situation, and unfortunately we have concrete examples of it every day, could therefore evoke a framework of bacterial or abacterial cystitis.

When these symptoms appear, the first “good” advice is to make a cytobacteriological urine test or, at least, to use urine strips to confirm or exclude the presence of bacteria.

All these measures are essential to correctly guide the management strategy depending on whether it is strictly an inflammatory cystitis or a bacterial one, to avoid unnecessary and potentially counterproductive effects and to adjust the intake of D-Mannose to the count of germs if present.

How to handle it and tips

As an extension of the previous findings and suggestions, depending on the nature of the cystitis (bacterial or abacterial), it seems obvious that the measures to be taken to combat acute episodes and prevent their recurrence will be different since they are intended to act against:

– inflammation

– bacterial presence

– both in some cases

If cystitis is abacterial, it will be necessary to focus on a series of measures aimed to:

– reduce the irritation suffered by the bladder urothelium -> diet, abundant hydration, avoidance of the main irritants and “toxic” for the bladder (alcohol, tobacco, coffee, chocolate, etc.), alkalinization of urine

– control ongoing inflammation -> supplementation with natural anti-inflammatory active ingredients (Quercetin, PEA, Morinda citrifolia, etc.)

– prevent the establishment of spasms or contractures dependent on the pelvic floor -> application of heat to the lower abdomen, muscle relaxation and breathing exercises, supplementation with Magnesium, cessation of too “violent” physical activities, rest, etc.

If cystitis is really related to an urinary tract infection, it will be useful to combat the presence of uropathogenic bacteria while controlling their inflammatory impact on the urinary tract.

This article contains all the indications for this case.

After an acute episode to prevent a recurrence, it is essential to try to understand the causes (predisposing and precipitating factors) that led to the appearance of symptoms in order to implement an appropriate strategy to control them in the future and prevent new acute episodes.

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