Cystitis - noninfectious
Cystitis is a problem in which pain, pressure, or burning in the bladder is present. Most often, this problem is caused by germs such as bacteria. Cystitis may also be present when there is no infection.
Abacterial cystitis; Radiation cystitis; Chemical cystitis; Urethral syndrome - acute; Bladder pain syndrome; Painful bladder disease complex; Dysuria - noninfectious cystitis; Frequent urination - noninfectious cystitis; Painful urination - noninfectious; Interstitial cystitis
The exact cause of noninfectious cystitis is often not known. It is more common in women as compared to men.
The problem has been linked to:
Certain foods, such as spicy or acidic foods, tomatoes, artificial sweeteners, caffeine, chocolate, and alcohol, can cause bladder symptoms.
Common symptoms include:
Other symptoms may include:
Exams and Tests
A urinalysis may reveal red blood cells (RBCs) and some white blood cells (WBCs). Urine may be examined under a microscope to look for cancerous cells.
A urine culture (clean catch) is done to look for a bacterial infection.
A cystoscopy (use of lighted instrument to look inside the bladder) may be done if you have:
The goal of treatment is to manage your symptoms.
This may include:
Other things that may help include:
Most cases of cystitis are uncomfortable, but the symptoms most often get better over time. Symptoms can improve if you are able to identify and avoid food triggers.
Complications may include:
When to Contact a Medical Professional
Call your health care provider if:
Avoid products that may irritate the bladder such as:
If you need to use such products, try to find those that do not cause irritation for you.
American Urological Association website. Diagnosis and treatment interstitial cystitis/bladder pain syndrome. www.auanet.org/guidelines/interstitial-cystitis/bladder-pain-syndrome-(2011-amended-2014). Accessed April 6, 2018.
Carter C. Urinary tract disorders. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier; 2016:chap 40.
Hanno PM. Bladder pain syndrome (interstitial cystitis) and related disorders. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 14.
National Institute of Diabetes and Digestive and Kidney Diseases website. Interstitial cystitis (Painful bladder syndrome). www.niddk.nih.gov/health-information/urologic-diseases/interstitial-cystitis-painful-bladder-syndrome. Updated July 2017. Accessed March 29, 2018.
Review Date: 1/23/2018
Reviewed By: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.