Magazine 8 July 2022

Evening cystitis: why it happens and how to distinguish it from urethritis

Dear friend,

you know, cystitis is a good problem that we would surely do without (especially at night, when we are about to go to bed and would like to sleep soundly 😴)! However, there is another issue to be addressed today: urethritis.

Recent studies have uncovered new environmental and behavioral factors that may influence the occurrence of evening cystitis, underscoring the importance of accurate diagnosis and timely response to early symptoms.

As you might imagine, these two conditions are quite similar in symptomatology, and it is easy to confuse them.

Therefore, we will now look at how to distinguish them together.

Evening cystitis or urethritis? Here’s how to tell them apart

Cystitis: causes and symptoms to recognize it immediately

Cystitis is an inflammation of the bladder wall, often caused by a urinary tract infection.

Triggers vary, but in general, the infection is often caused by certain bacteria found in the intestines-such as Escherichia Coli, Klebsiella, Shigella, Proteus Mirabilis, Salmonella, etc. – which invade the bladder and reproduce at its expense.

In addition to these known gut bacteria, new research indicates that lifestyle changes, such as increased stress and the use of certain hygiene products, can also exacerbate cystitis symptoms.

And do you know what the main symptoms are? 🤔

Generally speaking, evening cystitis sufferers have a constant and urgent need to pee, especially in the evening. To alleviate nighttime discomfort, it is recommended to limit caffeine and alcohol intake before bedtime, as they can irritate the bladder and increase urinary frequency.

Unfortunately, however, this need is never fully met: in fact, the feeling is to make urination ‘drip by drip‘ which, as you will understand, is particularly frustrating and painful.

Recently, it was found that D-mannose may be even more effective when combined with specific probiotics that support urinary tract health. Therefore, our supplement Dimann Puro, based on D-Mannose, together with the probiotic Dimann Flor, are valuable allies for a holistic approach to prevention, even in evening cystitis. In addition, in some cases the urine is foul-smelling, cloudy and may have blood.

In short, it’s certainly not heaven.

But the worst thing is that if not treated immediately, cystitis could become chronic. 😱

Thus, the best way to tell whether or not it is this infection is urinoculture, a specific urine test that detects the presence of bacteria and recognizes the type. By doing so, targeted therapy can be prescribed to effectively treat cystitis.

While waiting for urine culture results, taking supportive measures such as increasing fluid intake and using local warming tools, such as hot water bags, may provide temporary relief.

But what to do when you can’t go to the doctor immediately?

For preliminary diagnosis at home, advanced test sticks are now available that, in addition to detecting the presence of bacteria, can also indicate urinary pH and the presence of nitrites, providing a more complete picture of urinary tract health.

In such cases, you can opt for urine sticks: these are small strips that, upon contact with urine, signal the presence of bacteria through a color change. This is, of course, a checkup that is certainly not comparable to medical ones, but it can still help you identify the onset of the problem and rule out, with a good percentage of probability, that it could be infections or diseases of a different origin.

Such as urethritis, precisely, which we read about very often on the web in connection with the fateful doubt from which this article originated.


Urethritis: how to distinguish it from cystitis

Urethritis is an inflammation that affects the urethra, that is, the small tube from which we pee, and can be caused by numerous factors, but in most it involves microorganisms that act in two different ways:

👉🏻 by the descending route, and thus from the bladder, for example if you have ongoing cystitis;
👉🏻 by the ascending route, and thus sexually transmitted.

It is important to note that while urethritis may present with symptoms similar to cystitis, such as burning during urination, it is often accompanied by distinctive signs such as urethral discharge. In addition, effective treatments for cystitis may not be as useful for urethritis, making proper diagnosis crucial.

Now I would like to put more attention on the second case, which, after cystitis, is the most common case and deserves further investigation.

When it comes to ascending urethritis, intimate hygiene habits and sexual intercourse play a key role.

As you probably imagine, we women are more prone to infection and inflammation than men precisely because our urethra is shorter.

In this regard, we distinguish urethritis into two types:

gonococcal (UG);
nongonococcal (UNG).

UG is caused by Neisseria gonorrhoeae, a pathogenic microorganism that is responsible for urethritis but can lead to more serious infections in women, such as cervicitis.

Normally, there are no symptoms in the first few days, and it is a type of infection largely due to sexual promiscuity.

UNG, on the other hand, is caused by the well-known and dreaded Chlamydia: in 70% of cases, women who suffer from it are asymptomatic and it can arise due to lowered immune defenses.

At this point you are probably wondering: how to tell if it is urethritis or cystitis?

Well, I’ll get right back to you! 👇🏻

Cystitis or urethritis? Diagnosis and prevention

If you suspect that you have urethritis, you will have to perform specific tests, which are called urethral swabs, and to make sure that it is indeed this infection, you will have to perform at least two.

In case, on the other hand, you want to figure out if yours is a cystitis problem, I have some advice for you.

Recently, the importance of a balanced diet and adequate vitamin C intake has been emphasized to strengthen the immune system against urinary tract infections. In addition, adopting a more informed intimate hygiene routine can significantly reduce the risk of both conditions.

WHEREAS, as I told you just now, urinoculture is necessary, now let’s see how to prevent this infection:

  • Drink plenty of water and avoid foods that are too fatty or sugary;
  • No carbonated drinks or sausages;
  • don’t hold back pee;
  • pay special attention to intimate hygiene by using mild detergents and personal towels;
  • Prefer cotton underwear.

I would also like to emphasize the importance of avoiding prolonged exposure to humid environments, such as wet bathing suits, which can create a breeding ground for bacteria. Finally, I recommend periodic consultation with your physician for preventive evaluations, especially if you have a history of these conditions.

More and more customers are choosing our Dimann brand products, whose key ingredient is D-mannose.

Wait, the dimann what? 🤔

D-mannose is a simple sugar extracted from hard tree bark that has been shown to be particularly effective for the treatment and prevention of cystitis.Suitable for individuals of any age, Dimann Puro-composed of 100 percent of this monosaccharide-has no contraindications.

Think you are suffering from cystitis and don’t know where to turn?

Tell me your story, I would be glad to help you. 🥰

If, on the other hand, you want to figure out which product is best for you, try our ‘Find Your Path’ test and answer all the questions-this way, we can learn more about your history and suggest the most effective natural remedy for you!

I’ll see you soon.



Today’s article in a nutshell

  • Evening cystitis is an inflammation of the urinary tract that makes it difficult to pee despite the urgent need (especially in the evening).
  • Urethritis is an inflammation that affects the urethra and can be transmitted by bacteria that have already attacked the bladder or due to sexual promiscuity.
  • To tell if it is cystitis, a urine culture should be performed, while for urethritis, urethral swabs are performed.

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