Whether it is possible to see a cystitis uzi. Diagnostic methods for inflammation of the bladder. How is an ultrasound of the bladder done in women

A doctor can diagnose cystitis based on the results of urine and blood tests. But often the specialist has difficulty in accurately determining the pathology, so he directs the patient for an ultrasound examination of the urinary organs.

Indications for the procedure

A number of symptoms from the urinary system are indications for ultrasound in cystitis. Among them:

• the appearance in the urine of bloody impurities or pus;
• frequent urge to urinate or acute urinary retention;
• a small amount of urine;
• pain in the suprapubic region, which appear periodically.

Training

The person who received the referral for the procedure must prepare for its implementation. An ultrasound examination is performed with a filled urea, so 1.5-2 hours before the ultrasound, you need to drink about 2 liters of still water or other liquid. If this fails, then it is recommended not to defecate for 5-6 hours.

The procedure may interfere with the intestines filled with gases. Those who suffer from flatulence should follow a diet for 2-3 days before the ultrasound. From the diet, it is necessary to exclude products that promote gas formation - vegetables, fruits, legumes, carbonated and alcohol-containing drinks.

If the study will be carried out by the transrectal method, then a cleansing enema should be done a few hours before the procedure.

Types of ultrasound

The study of the bladder using ultrasound is carried out in several ways:

1. Transabdominal. The most common method of instrumental diagnostics and less invasive for the patient. It is carried out through the anterior abdominal wall with a filled urinary organ. With urinary incontinence and obesity, transabdominal ultrasound is not prescribed.
2. Transrectal. It is carried out through the rectum in patients of both sexes.
3. Transurethral is a rare diagnostic method that requires mandatory anesthesia. It is carried out through the urethra using a special tip. The procedure causes discomfort to a person, possibly injuring the urination canal.
4. Transvaginal. Women are examined using this method. The urinary organ must be completely emptied. Transvaginal examination allows for a detailed analysis, but gives the patient some inconvenience.

Pathogenic microorganisms that caused cystitis are able to rise through the urogenital canals to the kidneys, provoking pyelonephritis. If the patient complains of back pain, then with ultrasound for cystitis, a kidney test is performed.

Differences in men and women

Depending on the gender of the patient, the examination is carried out in different ways. If a woman came to the appointment, then the ultrasound doctor additionally analyzes the condition of the uterus and ovaries: the organs are measured, their location, shape and structure are determined. Ultrasound can be performed during menstruation and during pregnancy, but the doctor should be warned so that he selects the correct procedure for the procedure.

During the examination of a man, the doctor can analyze the condition of the prostate gland. If a pathology of the prostate is suspected, then the remainder of the urine is determined. The patient is asked to go to the toilet to empty the bladder, and then the amount of urine remaining in the organ is measured.

Cystitis: symptoms, treatment. How to treat cystitis

results

The results of an ultrasound examination of the bladder indicate several parameters that help make the final diagnosis:

• bubble shape;
• its volume;
• amount of residual urine;
• bubble structure;
• Wall thickness;
• bladder emptying rate.

Ultrasound allows you to determine whether an inflammatory process develops in the urinary organ.

On the echo picture of a patient with acute cystitis, clusters of cells are visible - epithelium, erythrocytes and leukocytes, which are described in the results of the study by the term "sediment". If the patient lies during the ultrasound, then the sediment is localized near the posterior wall of the bladder. When the patient gets up, the sediment will move to the anterior wall.

In the chronic form of the pathology or with the progression of acute cystitis, the results of the study will show that the organ has an uneven contour and the walls are thickened. The presence of blood clots in the cavity of the bladder is shown on the echo picture.

The results of the study conducted using ultrasound should be deciphered by the urologist who referred the patient for the procedure. If necessary, the doctor selects a treatment course.

Norms

The results of the study of the bladder are normal:

1. The form. In the transverse projection, the bubble should be rounded, in the longitudinal projection - ovoid. The shape of the female organ is affected by the number of pregnancies and childbirth.
2. Structure. Normally, it is echo-negative, but the parameter depends on the age of the person: the older, the higher the echogenicity should be.
3. Volume. The average indicators for women are 250-550 ml, for men - 350-750 ml.
4. Walls. The same thickness over the entire surface - 2-4 mm. If thickening or thinning is shown in any area, then this indicates the presence of pathology in the organ.
5. Residual urine. Its amount should not exceed 50 ml. When conducting a study, it is measured without fail.

What is the price

Ultrasound prices depend on various factors: the city of the study, the clinic (in a commercial medical center, the cost of the service can be 2-3 times higher than in a specialized hospital in a municipal hospital), the level of qualification of the specialist performing the procedure.

In Moscow and St. Petersburg, the average cost of an ultrasound of the urinary tract is from 600 to 2,500 rubles.

The cause of cystitis is the entry of pathogenic bacteria into the cavity of the bladder. This body has a fairly high degree of protection against these microorganisms. Therefore, in order to create a focus of infection, additional factors are needed:

• Hypothermia.
• Sexual infections.
• Failure to comply with the requirements of personal and sexual hygiene.
• Reduced immunity.
• Regular consumption of alcohol, smoked, spicy food, etc.

Diagnosis of cystitis

Ultrasound of the bladder with cystitis is prescribed in case of difficulties in diagnosis, the need to obtain a more accurate picture of the state of the organ. The procedure can also be carried out for preventive purposes. This type of research is absolutely safe. Therefore, it can be used for children, pregnant women.

Ultrasound for cystitis

• Examination through the abdominal wall.
• Examination through the urethra.
• Examination through the rectum.

An infection that develops in the bladder can travel up the ureters to the kidneys. This provokes the appearance of pyelonephritis, inflammation of these organs. Therefore, if the patient has back pain, an ultrasound of the kidneys is additionally performed for cystitis. This makes it possible to carry out a treatment that will completely destroy the infectious focus in the body.

The role of ultrasound in diagnosis

• The size.
• The form.
• Content.
• Integrity.

The presence of hyperechoic structures allows you to determine the contents of pus, blood clots. Based on the data from the decoding of the tests, ultrasound of the kidneys and urinary cystitis, the doctor can prescribe an effective treatment.

Initially, antimicrobial, antibacterial drugs are prescribed to destroy pathogens. Simultaneous administration of anti-inflammatory drugs is required. These can be tablets, suppositories or injections. When using herbal preparations, such as Urolesan or Canephron, you need to drink tablets for a month.

If you need to improve blood microcirculation in the tissues of the bladder, Pentoxifylline is prescribed. Taking vitamin complexes helps to support the body, give it strength to fight the disease. In the treatment of chronic cystitis, it is necessary to include a course of physiotherapy.

Diagnosing cystitis is difficult, but it is usually easy to detect. The symptomatology of this pathology speaks for itself, its manifestations are bright and they develop rapidly. Often a person understands what kind of disease has arisen. Diagnosis of cystitis in women, men and children can be different, so doctors identify this ailment using several research methods.

Observation and other methods of disease detection

First of all, the diagnosis is based on the patient's complaints. Almost every person knows that the bladder hurts if this disease appears. In children, the situation is not so simple, because often babies are unable to explain and tell what worries them, and they express any discomfort by crying.

Cystitis is an inflammatory process in the bladder, which can develop for many reasons. Accordingly, he has the following symptoms:

Doctors begin to diagnose cystitis according to the described signs. Only after listening to the patient's complaints, the doctor understands what kind of disease he is talking about. After that, a number of analyzes and other measures are already prescribed to identify the degree of spread of the pathology, its variety and intensity of the course. It should be noted that the transition of this disease to the chronic stage significantly complicates the diagnosis.

In addition, examination methods can be as follows:

With cystitis in women, diagnosis also involves an examination by a gynecologist, since this disease is often differentiated from the presence of other pathologies. The causes of this disease are often sexually transmitted diseases, as well as inflammation in the genital area.

It is also extremely important to identify diseases of a chronic course in the patient's body, so an anamnesis is necessary. If the bacteria that caused this disease of the bladder got into this area with the blood or lymph flow, then the focus of the pathology is localized in any part of the body, so the doctor must recognize the presence and nature of the course of a chronic or inflammatory disease in the body of such a patient.

Often, ailments such as sinusitis, caries and other diseases can affect the development of cystitis.

Laboratory methods

The most informative diagnostic methods for diseases of the urinary organs can be considered laboratory tests of urine. Let's take a closer look at some of them.

Preparatory activities

Every person in his life gave urine for analysis, but few people know how to do it correctly so that the result of such a study is informative. With cystitis, diagnosis through urinalysis involves several multidirectional procedures. However, they all require the same preparation.

Women need to prepare as follows:

With cystitis, men also need to pass a urine test, and this manipulation must also be performed carefully. For this you need:

We must not forget that before passing such an analysis, it is strictly forbidden to eat and drink foods and drinks that can color urine. Also, you can not drink sour-milk products, fruit drinks and others that can change the acidity of urine.

What do analysis scores mean?

In order for the clinical picture of cystitis to be clear, it is necessary to summarize the data of all laboratory studies, and only after that prescribe therapy. The following studies may be carried out:

Instrumental methods and some diagnostic features

Ultrasound is necessary to examine the bladder, to identify changes in this organ that have arisen due to the inflammatory process. Sometimes, with cystitis, the pathology can go to the kidney area, then additional unpleasant symptoms appear, which makes it necessary to conduct an ultrasound scan of this organ.

What ultrasound shows:

Before carrying out an ultrasound diagnosis, the patient needs to prepare.

The study should be carried out only with a full bladder. A couple of hours before the procedure, a person needs to start drinking water.

More often, the examination is performed through the abdominal wall, but there are times when it is necessary to conduct an examination through the rectum or urethra. Ultrasound diagnostics is also necessary for women to examine the internal organs of the reproductive system, because the pathology must be differentiated from the ailments of this area.

Cystoscopy is another way to diagnose cystitis. Using this technique, you can not only examine the urethra and bladder, but also significantly improve the patient's condition, crush the stones in this area, remove neoplasms, cauterize erosive lesions, and eliminate urinary tract blockages.

There is a rigid type of such an examination, when the cystoscope tube is very hard, but allows you to more accurately examine the inner surface of this area in detail. The very conduct of this session gives the patient a lot of inconvenience, pain, so anesthesia is often necessary. This procedure is especially difficult for children. There is also a flexible type of this procedure, less painful, but also less informative, it is more often used in the examination of children.

Diagnosis of inflammation of the bladder in cystitis in children does not differ from the same measures in adult patients. The only difference is the norms of the level of leukocytes, erythrocytes and other elements that exist for a certain age group of people. Also, in the case of examining a child, doctors often use painkillers to make the baby easier to endure this or that procedure.

In addition, women should definitely undergo an examination by a gynecologist in order to take a swab from the vagina, since this area is often responsible for the appearance of cystitis. Men without fail take a swab from the urethra for the same purpose. The child does not need such examinations.

The diagnosis of cystitis described above in men, women and children makes it possible to identify the nature of the disease, its aggressiveness and the nature of the lesions that the disease has already caused. That is why ultrasound, analyzes and other diagnostic methods cannot be neglected, since without this it is almost impossible to prescribe the correct treatment. Only by identifying the causative agent of the disease, you can select the necessary antibiotics and other medications.

Cystitis is a fairly common disease. More common in women. This is due to the anatomical structure - a short and wide urethra. Most often, cystitis occurs due to an ascending infection. About 60 percent of cystitis is due to the ascending pathway of E. coli. E. coli (E. coli) is an opportunistic flora living in the rectum and vagina (in small quantities). Also, cystitis can be caused by staphylococcus aureus (occurs with a febrile temperature), such specific pathogens as chlamydia, mycoplasmas, ureaplasmas. Extremely rarely, cystitis can occur by the hematogenous or lymphogenous route (risk of interstitial cystitis).

On the mucous membrane of the bladder there are special receptors to which Escherichia coli is tropic. The number of these receptors varies from person to person. No genetic predisposition to inheriting the amount of these receptors has been identified. It is due to the amount of these receptors that some people often suffer from cystitis, some do not know about this problem at all. However, timely diagnosis and treatment of acute cystitis prevents the occurrence of a chronic process.

The main manifestations of cystitis are:

Pain in the suprapubic region;

Discomfort or pain when urinating;

Possible subfebrile temperature (up to 38 degrees);

change in color or amount of urine;

Frequent or infrequent urination;

Imperative urge (urge to urinate without excretion of urine) with a drop of blood or pus (mainly with cystitis caused by a specific flora).

Cystitis can occur for the following reasons:

Irregular or improper hygiene (in girls);

Hypothermia and wearing synthetic underwear;

Inflammatory diseases of the vagina (in women), urethritis and prostatitis (in men), defloration (frequent sexual intercourse);

Anatomical anomalies and neoplasms in the bladder (diverticula, polyps, tumors, adhesions);

Metabolic nephropathy (stones and sand in the kidneys and bladder);

Narrowing or inflammation of the urethra;

During pregnancy and after childbirth;

Surgical interventions (transurethral);

Wrong food (spicy, spicy, smoked, salty).

Diagnostics

What studies will the doctor need to make a diagnosis:

Collection of anamnesis and complaints;

General blood analysis. Will show a slight leukocytosis and a slight increase in ESR (except for cystitis caused by staphylococcus aureus);

General urine analysis. It will show an increased number of leukocytes, epithelium, protein, there may be a small amount of erythrocytes, as well as a precipitate in the form of salts;

Urine analysis according to Nechiporenko will show an increase in the number of leukocytes;

Urine bacterial culture and sensitivity to antibiotics (results will be ready in a week, therefore it is rarely prescribed);

(the most informative method);

Perhaps the appointment of voiding cystography (for vesicoureteral reflux);

Cystoscopy.

Ultrasound of the bladder with cystitis carried out after special preparation of the patient. The patient should drink 1-1.5 liters of still water or other drink (not milk) 1-1.5 hours before the scheduled procedure. In chronic cystitis, ultrasound shows thickened walls, as well as sediment at the bottom of the bladder.

Health-ua.org is a medical portal for online consultations of pediatric and adult doctors of all specialties. You can ask a question about ‘ultrasound of the bladder with cystitis’ and get a free online consultation with a doctor.

(ixodid tick-borne borreliosis)»> Leukocyturia and Lyme disease
(ixodid tick-borne borreliosis)

The most common manifestation of kidney disease is leukocyturia, the presence of which, as a rule, doctors associate with urinary tract infection. Indeed, there is no cystitis or pyelonephritis without neutrophilic leukocyturia, accompanied by ...

climacteric syndrome

CS is a kind of symptom complex that aggravates the natural course of menopause. It is characterized by neuropsychic, vasomotor disorders that occur against the background of age-related changes in the body (I group). The frequency of CS is from 26 to 48%.

Hereditary degenerative diseases of the nervous system

The transition from January 1, 2007 to new standards for registering the birth of newborns from 22 weeks imposes special requirements not only on obstetrician-gynecologists and neonatologists, but also on doctors of other specialties, significantly increases the role of medical genetic ...

2016-09-27 19:08:37

Valeria asks:

Hello! I had such a problem. I’ll start from the very beginning. In July of this year I lost my virginity. After a couple of weeks, I began to feel pain when urinating in the clitoris area. I thought it was cystitis, I bought a powder for its treatment, I drank it and the next day the symptoms disappeared .After some time, I began to feel like a needle in my bladder, I especially felt it when I lay down on my stomach. I went to the therapist, he sent me for an ultrasound of the bladder and for urinalysis. No. The last couple of days I feel pain when urinating. Help, what could it be?

Zhosan Dmitry Alexandrovich answers:

Hello. I advise to address for survey to the urologist and the gynecologist. Before a visit to the urologist, I advise you to perform a urine culture tank.

2012-10-16 10:56:24

Olga asks:

Hello! My name is Olga, I’m 26 years old, I’ve been suffering from cystitis for 3 years, at first there was cystitis in the usual form, the urologist prescribed antimicrobials, then it turned into a chronic form. determined the sensitivity to antibiotics. chlamydia, candida, gardinella and herpes simplex virus. believes that Kalpit may be the cause of Cystitis. Why did antibiotics not help, because the microorganism was detected and the correct treatment was prescribed? And can cystitis appear due to Kalpit? How effective will these tests be? It seems to me that there is a relationship here. If something is found during the scraping, will this be considered the cause of Cystitis? Please help(((Thanks.

Brezitsky Yuri Iosifovich answers:

Only by examining you, by conducting a complete laboratory examination, by conducting a detailed analysis of previous appointments and failures from previous therapies, you can find the right solution.

2010-05-22 20:37:36

Ramsia asks:

Hello dear consultants.
I am 48 years old. 10 months ago, due to CIN 3 st, an extirpation of the uterus with ovaries was made. and distension in the rectum, constant pain in the lower abdomen, a feeling of incomplete emptying of the bladder and a slight tension in the body, running, coughing, the desire to urinate. Rezey, pains of a blood at an urination are not present.
Complete blood count is normal, general urinalysis, urine according to Nechiporenko and flora - no pathology.
Sigmoidoscopy - the intestines were examined at 25 cm. There is no tumor pathology.
Irrigography-Sigma with an additional bend, sagging of the transverse colon to the entrance to the small pelvis. Without organic changes - dyskinesia of the right sections of the hypomary type.
Ultrasound of the kidneys - with clear, even contours, the right one is located lower than usual.
Right-102-43mm parenchyma-16
left-100-47, perenchyma 19.
The ratio of the parenchyma and the renal sinus is preserved.
the cavities of the kidneys are not dilated.
In the projection of the renal sinus of both kidneys, hypoechoic structures with a diameter of 2-3 mm are visualized.
vaginal examination
adhesive process in the small pelvis.
Ultrasound of the bladder - the walls are thickened by 7 mm. There is an echogenic sediment along the posterior-lower wall.
I visited a urologist, he says that it is chronic cystitis, it needs to be treated, but because of it, there cannot be such constant severe pain.
Was at the surgeon - says - the stomach is calm, so what, that adhesions because of them, too, there can not be constant severe pain and problems with urination.
Pain in the lower abdomen in the midline and heaviness (feeling as if I were carrying a large boil the size of a brick)
I don’t know what to do and which doctor to go to. Maybe it’s because I don’t take HRT.
Help, tell me what to do.
thanks in advance.
A big request to duplicate the answer to my e-mail address.

Zheleznaya Anna Alexandrovna answers:

Obstetrician-gynecologist of the highest category, PhD, Associate Professor of the Department of Obstetrics, Gynecology and Perinatology

All consultant answers

I would advise you to take FSH estradiol TSH T4 free and, depending on the results, discuss HRT taking into account mastopathy.
Try a course of rectal suppositories Distreptaza or Biostrepta, Serata 2 tabs 3 times a day for 10 days, absorbable preparations.
And most importantly, is there any indication of endometriosis in your histological response after the operation, if there is, then it is imperative to treat it.

2009-12-08 13:04:39

Maria asks:

Hello. I've been suffering from cystitis for 4 years already, but maybe it's not cystitis, because the treatment does not bring results. At the first attack of cystitis, she was treated on her own on the advice of her friends, which I now regret very much. She was treated with furadonin, furagin, herbs, and a heating pad. At that time it helped, and exacerbations were 1-2 times a year. In the future, I tried other drugs: cephalexin, urolesan, cystone, cystenal, amoxycycline, monural, I don’t remember everything. For the last year and a half, the symptoms have haunted me almost constantly, there are sharp attacks, and the rest of the time there is a constant feeling of discomfort when urinating, burning, urging to the toilet is not so frequent, as well as pain during intercourse. In the fall of 2008, she turned to a urologist at a local hospital, they took urine, a culture tank and found Sf epidermidis, Escherichia coli 1000 in 1 liter. detrid - bol., mucus - bol., prescribed Nolitsin + Phytolysin (10 days). It helped for a while, then the symptoms reappeared. In the winter of 2009, she went to the gynecologist with the same problem, passed the tests for the UGI, nothing was found. Discharged for the prevention of suppositories Viferon and drink diuretic fees. The symptoms never went away. In September, she turned to a “quality” clinic on the advice of friends, to a gynecologist. A PCR diagnosis was made for Micoplasma Genitalius, Chlamydia trachomatis, Ureaplasma urealyticum, Ureaplasma parvum, Gardnerella vaginalis, Neisseria gonorrhoeae, Trichomonas vaginalis, Candida albicans, HPV n.r. (6,11), HPVv.r. (16), HPVc .r.(18). It is found out only Candida (could and itself tell). Smear: leukocytes - uretra 1-3, Vagina 5-10, Canalis Cervicalls - 5-10. Epithelium - Uretra, Vagina, Canalis Cervicalls - flat in a large number. Flora - Uretra, Vagina, Canalis Cervicalls - moderately rod. Elements of the fungus - Vagina - detected, Uretra, Canalis Cervicalls - absent.
Cytological examination (scraping from the cervix): Among the single neutrophilic leukocytes, squamous epithelial cells, elements of the fungus were found. Cytogram without features.
Tank. Analysis of vaginal discharge: Staphylococcus epidermidis, Candida albicans with sensitivity to antibiotics. Tank urinalysis of Escherichia coli with the determination of sensitivity.
Ultrasound of the bladder and kidneys: signs of chronic cystitis.
Treatment was prescribed: clotrimazole, Augmentin, Linex, magnetic laser procedures on the bladder area. Candida was treated successfully, but the cystitis did not go away. Biseptol, a diuretic collection and laser-magnetic procedures were prescribed. After treatment, the symptoms did not go away and continue to this day: burning and pain in the urethra during urination, pain during intercourse. Furamag was prescribed 1 tab per day for 4 months and baths with chamomile for 10 days, Clotrimazole ointment for 10 days.
Already disappointed, I don’t know where to turn for help, the treatment does not bring results. Thanks in advance

Alexey Chernikov answers:

Hello Maria. You should have turned not to a gynecologist long ago, but to a urologist. Till now to you the tsistoskopiya and full-fledged inspection is not made. It is a pity that you were not redirected to the right specialist. Treatment by a gynecologist, therapist or general practitioner is justified only in uncomplicated and uncomplicated cases. You need to contact a urologist or nephrologist and be examined. As it is valid, probably it and not a cystitis. Be healthy.

2009-06-29 23:52:09

Kate asks:

Hello! I suffer from pain before (not often), during and after urination in the urethra. At the age of 17 (three years ago) I was diagnosed with chronic pyelonephritis. Exacerbations occur regularly, mostly before menstruation. Cutting during and stitching pains or burning after urination. Sometimes the left side of the back hurts. Helps reduce the symptoms of a large amount of water. According to gynecology, no abnormalities and diseases were found. Tests for all kinds of sexual infections are negative. The only thing that bothers me with particular regularity is thrush. But some of the gynecologists claim that this is vaginal dysbacteriosis, since thrush was sometimes not confirmed by tests. I treated both of them, anyway, everything repeats every month ((. According to urine tests, there is an increased content of leukocytes, but recently the same symptoms have been observed with normal analysis! They did a cystoscopy, there are no pronounced changes. According to the ultrasound of the bladder, they put signs of cervical cystitis.Ultrasound of the kidneys: RD-15? RS-19 mm. Its echogenicity is increased.
Tell me what to do?? What else could it look like? I can’t suffer anymore… Thank you in advance!

Good afternoon. Do a urine culture tank. With the greatest probability you constantly do not recover. In such cases, long-term prophylaxis with small doses of an antibiotic sensitive to the identified pathogen (up to 3 months in the evening) or cranberry juice up to 300 ml / day is recommended.

2008-01-23 10:31:19

Victoria asks:

hello. I was diagnosed with chronic cystitis. I underwent a course of treatment with collargol, I think the instillation of the bladder. But after a month of good health, the attack recurred after hypothermia. The whole story: I have been suffering for 2 years. Pain when urinating, cramps. When passing urine, there is a significant amount of bacteria. Ultrasound Bladder enlarged to 6mm. According to gynecology, everything is normal. But 2 months ago they discovered uroplasma, and ultrasound showed colitis. Prompt, whether the cystitis in my situation is treated. Thanks in advance.

Manzhura Alexander Ivanovich answers:

Good afternoon. First you need to make a tank. urine culture, then, if necessary, treat the infection in the urinary tract, then restore the intestinal microflora and not hypothermia.

2015-02-01 16:32:05

Irina asks:

Hello

A week ago, some kind of discomfort in the vagina began - burning and itching, frequent urination. I myself bought fluomizin suppositories and started putting them on, but after 3 days I started to get very sore in the groin in the area of ​​\u200b\u200bthe left ovary for four days. On the 5th day in the morning, my ovary ached quite a bit, but I still went to the gynecologist, when I examined it, when she pressed hard on the ovaries, I felt pain. After taking a smear, 40-50 leukocytes and nithymycelia were detected. As the doctor explained that this is a beginning thrush or, on the contrary, ending, since I put fluomizin suppositories before the smear and she cannot say what exactly could cause inflammation of the ovaries, since putting fluomizin suppositories could kill the first true infection.

A smear from the urethra is clean everything

General analysis of urine - 1-3 leukocytes and mucus, no protein, no bacteria, said that the problem is not in the bladder

Poisoned me on the ultrasound. By ultrasound

24 day of the cycle (my usual cycle is 31-34 days)

uterus anteflexsio, even, clear, 61/36/65mm, bicornuate

the structure of the myometrium is homogeneous

Cervix 43/25

Endocervix 8

Endometrium 13 corresponds to the phase of the menst.cycle

Homogeneous

Right ovary 31/26

Contours are clear, contains 15 antral follicles up to 6 mm

Left ovary 47/30

Contains a corpus luteum and the number of antral follicles is not yet legible, like 23

Prescribed Azitrox 500 drink 3 days 1 time per day

And candles revitaks 10 days

Fluzak 200 1st, 3rd, 5th, 7th days once

And since I have relapses of cystitis urolesan in drops and furamag

I started taking antibiotics on the same day and until the next morning the ovary almost disappeared, but for some reason after a couple of hours I woke up and started to hurt a lot more than it used to. I can’t understand why, on the contrary, pain worsened during treatment and antibiotics do not help.

Can you tell me if this treatment is effective? It seems to me that revitax does not cure inflammation of the ovaries? And the treatment is not enough. And according to the ultrasound, is this inflammation of the ovaries or not? And why did I feel worse during treatment than before treatment. I am very afraid of complications, since I have not yet given birth and my husband and I are very worried

Please help

Bosyak Julia Vasilievna answers:

Hello Irina! Your left ovary is enlarged, due to which it is difficult to say. I understand that 23 antral follicles are visualized in it? If yes, then the cause of pain in the ovaries is most likely associated with multifollicular ovaries or polycystic. Are your monthly cycles regular? Did you donate blood for sex hormones? To make a diagnosis, it is necessary to donate blood for AMH. If you have PCOS, then antibiotics are not required.

2014-09-23 16:00:33

Katerina asks:

Hello! I have been seeing a psychiatrist since 2003. Neurotic depression with insomnia (I sleep badly, the quantity and quality of sleep is poor). For a long time she drank Azaleptol and Amitriptyline. In January of this year, Sonapaks and Kvetiron were offered at the day hospital. But in the summer, side effects from drugs began to appear, urinary retention began. At first, she could not cure cystitis for a long time, only from the 4th course of antibiotics she fell. Then came the strong urge to urinate. She turned to the Institute of Urology: they did an ultrasound with the determination of residual urine - much higher than the norm, they did uroflometry - showed a delay in urination in the work of the bladder. The urologist explained to me that this happens to me from taking psychotropic drugs.
Please advise what to do and where can I turn for qualified help, where would they help me choose the right drugs that will not cause urinary retention and promote sleep?
The urologists have done everything in their power. I'm still drinking tamsulide, so that urine would pass more easily (sometimes no-shpu with spasm).
One psychiatrist said that it's rare for anyone to experience these side effects from psychosis. drugs, in particular from azaleptol, etc. Although drugs with anticholinergic side effects lead to such neurovegetative disorders as urinary retention, disrupting the normal contractions of sphincters. (Especially so affect tricyclic antidepressants). So far, a miaser has been prescribed and, in addition to it, sonovan and gidazepam.
But how much it will help me and for how long, I do not know! Advise how to be, and to sleep and there were no side effects from drugs?

Andrey Gusak answers:

2014-07-19 07:05:10

Olga asks:

when conducting ultrasound of the small pelvis, an increase in the kidneys was revealed: the right 106/48, the left 108/47 structure of the renal sinuses of increased echogenicity. Urinary bladder-walls are thickened up to 5.5 mm in the lumen of 1/2 bladder floating echo sound. OOM-20 cm3 (said mucus and bacteria). Conclusion: chronic cholecystitis with signs of sluggish pyelonephritis, chronic cystitis. I did a urine culture tank and an antibiogram: Streptococcus agalactiae 10 ^ 5 CFU was detected. all quinols, all cephalosporins. Resistant only to doxycycline and tetracycline. Prompt, please, what antibiotic to be treated. Thank you.

Velichko Marina Borisovna answers:

You need to know how many leukocytes are in the general urine test.