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Symptoms

By Mayo Clinic staff

Cystitis signs and symptoms often include:

  • A strong, persistent urge to urinate
  • A burning sensation when urinating
  • Passing frequent, small amounts of urine
  • Blood in the urine (hematuria)
  • Passing cloudy or strong-smelling urine
  • Discomfort in the pelvic area
  • A feeling of pressure in the lower abdomen
  • Low-grade fever

In young children, new episodes of accidental daytime wetting also may be a sign of a urinary tract infection (UTI). Nighttime bed-wetting on its own isn't likely to be associated with a UTI.

When to see a doctor
Call your doctor immediately if you have signs and symptoms common to a kidney infection, including:

  • Back or side pain
  • Fever and chills
  • Nausea and vomiting

If you develop urgent, frequent or painful urination that lasts for several hours or longer or if you notice blood in your urine, call your doctor. If you've been diagnosed with a UTI in the past and you develop symptoms that mimic a previous UTI, call your doctor.

Also call your doctor if cystitis symptoms return after you've finished a course of antibiotics. You may need a different type of medication.

If your child starts having daytime wetting accidents, call your pediatrician.

In otherwise healthy men, cystitis is rare and should be investigated by your doctor.

References
  1. Katz VL, et al. Comprehensive Gynecology. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-06986-1..C2009-0-48752-X--TOP&isbn=978-0-323-06986-1&uniqId=325227117-5. Accessed March 22, 2012.
  2. Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/das/book/body/208746819-6/0/1445/0.html. Accessed March 22, 2012.
  3. Hooton TM. Acute uncomplicated cystitis and pyelonephritis in women. http://www.uptodate.com/index. Accessed March 22, 2012.
  4. Interstitial cystitis/painful bladder syndrome. National Kidney & Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/kudiseases/pubs/interstitialcystitis/. Accessed March 22, 2012.
  5. French L, et al. Urinary problems in women. Primary Care: Clinics in Office Practice. 2009;36:53.
  6. Hooton TM. Recurrent urinary tract infections in women. http://www.uptodate.com/index. Accessed March 22, 2012.
  7. Ksycki MF, et al. Nosocomial urinary tract infection. Surgical Clinics of North America. 2009;89:475.
  8. Ferri FF. Ferri's Clinical Advisor 2012: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05611-3..C2009-0-38601-8--TOP&isbn=978-0-323-05611-3&uniqId=291436269-101. Accessed March 26, 2012.
  9. Brenner BM. Brenner & Rector's The Kidney. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-6193-9..C2010-1-67932-1--TOP&isbn=978-1-4160-6193-9&uniqId=321553651-265. Accessed March 26, 2012.
  10. Tanagho EA, et al. Smith's General Urology. 17th ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/content.aspx?aID=3130813. Accessed March 27, 2012.
  11. Gupta K, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Disease Society of America and the European Society for Microbiology and Infectious Diseases. Clinical Infectious Diseases. 2011;52:e103.
  12. Cranberry. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed March 27, 2012.
  13. Castle EP (expert opinion). Mayo Clinic, Phoenix, Ariz. April 11, 2012.
  14. Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4. Accessed April 4, 2012.
DS00285 April 25, 2012

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