The Hidden Danger Awaiting Vacationers: Pool Cystitis

By | 18 April 2021

The Hidden Danger Awaiting Vacationers: Pool Cystitis

Don’t let your vacation turn into a nightmare. Pools that do not have the necessary conditions for health and sometimes seawater can cause urinary tract infections. The most common complaint among pool infections is shown as “pool cystitis”.

What is cystitis?

Cystitis; is an inflammation of the bladder (urinary bladder). Since they are anatomically different from men, cystitis, which is more common in women, can become chronic if neglected and cause permanent damage to the urinary system (bladder and kidneys).

Bacterial cystitis is usually more common in young women between the ages of 20 and 40. One out of every 5 women experiences cystitis at least once in any period of their life. The most common reason for more cystitis in women is a shorter urethra. The most common cause of cystitis is the Koli bacillus, which is responsible for 85 percent of its cases. Normally, these bacteria are abundant in the large intestine. In the presence of some risk factors, these bacteria reach the bladder and cause cystitis.

What are the risk factors that cause cystitis?

  • Poor genital cleansing
  • Situations in which urine flow is blocked (presence of a foreign body such as a stone, tumor, or catheter in the urinary system)
  • Neurologically inability to empty the bladder
  • Diabetes
  • Pregnancy
  • Senile
  • Irregular sexual intercourse (cystitis is more common in newlyweds, it is called ‘honeymoon cystitis’)
  • Menopause period
  • Prostate and urethra diseases in men

What are the symptoms of cystitis?

  • Dysuria (burning, aches, pain when urinating)
  • Pollakiuria (frequent urination) and less urination
  • Urgent feeling of urinating
  • The feeling of incomplete ejaculation
  • Foul-smelling and cloudy urine
  • Dyspareunia (pain during sexual intercourse)
  • Pain in the groin and under the belly button
  • Hematuria (blood in the urine)

How is cystitis diagnosed?

The most important finding in the diagnosis of cystitis is anamnesis. Most of the patients have many of the aforementioned complaints. The first examination to be performed on a patient with these complaints is a microscopic examination of the urine. Red blood cells, white blood cells, and bacteria should be seen in the urine of a patient with cystitis. A urine culture may also be required to identify the bacteria causing the infection. If primary disease-causing cystitis is considered, the patient can also be performed a urinary ultrasound, IVP (medicated kidney film), and cystoscopy (looking at the bladder with a light instrument). If cystitis and the underlying cause are not treated, it can become chronic and leave the patient weak and exhausted.

How should cystitis be treated?

Since it is a bacterial disease, antibiotics should be used in treatment. Treatment should be started with drugs effective against gram-negative bacilli until culture results are available. Then treatment should be tailored to the culture.

What should be done to prevent cystitis?

  • Daily water intake should be at least 2 liters. Water prevents bacteria from adhering to the bladder and allows it to be thrown out.
  • Drinks such as coffee, strong tea, alcohol, and spicy foods should be minimized. These have a stimulating effect on the bladder.
  • You should urinate as often as possible. Holding urine makes it easier for bacteria in the bladder to adhere to the bladder wall and cause infection.
  • Cleaning after the toilet should be correct. Cleaning should be done from front to back. Thus, you do not carry bacteria towards the urinary tract. It is not enough to just wipe with paper. The anal area should be washed with plenty of water. However, care should be taken as excessive hygiene obsession may disrupt the normal vaginal flora.
  • Since the use of vaginal deodorants, perfumed soaps, and powders may irritate the urinary tract, such products should not be used.
  • Underwear choice should be made correctly. Do not wear tight, tight pants and nylon underwear. The mentioned clothes increase the humidity of the genital area and facilitate the reproduction of bacteria.
  • Cotton underwear should be preferred and should be changed every day.
  • It should be urinated in the early period after sexual intercourse. This situation prevents the spread of bacteria.
  • Estrogen creams should be used in the postmenopausal period.
  • Particular attention should be paid to pool cystitis in summer. Entering into crowded and dirty pools should be avoided.


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