What Is Eosinophilic Cystitis? Symptoms, Treatment And Management

Eosinophilic cystitis is a rather rare inflammatory condition of the urinary bladder; it is caused due to an accumulation of eosinophils in the urinary bladder. The precise etiological factor of this disorder is not yet known. On the other hand, eosinophilic cystitis is frequently seen in people having asthma and other allergies, and in those who have a history of bladder infection or bladder injury, open bladder surgery, or surgery for a bladder tumor.

Eosinophilic cystitis (EC) is an atypical variation of cystitis and is typified by painful urination and hematuria. Biopsy is vital to ascertain the diagnosis. EC, in its rare tumor-like manifestation, may imitate an invasive bladder carcinoma.

Symptoms Of Eosinophilic Cystitis

Eosinophilic cystitis occurs due to an inflammation of the urinary bladder; common presenting feature include:

  • Increased urinary frequency.
  • Increased urination at night.
  • Dysuria or painful urination.
  • Haematuria or blood in urine.
  • Pain in the abdomen whilst urinating.
  • Retention of urine.
  • Rare symptoms are: Gastrointestinal symptoms occurring due to eosinophilic gastroenteritis.
  • Passage of air in the urine and skin rash is hardly ever seen features of Eosinophilic cystitis.
  • Those diagnosed with superficial transitional cell carcinoma, i.e. carcinoma of the bladder cancer, may also show features of Eosinophilic cystitis.

Eosinophilic Cystitis Treatment And Management

  • By and large, doctors recommend trans-urethral resection of the lesions in the urinary bladder and treatment with corticosteroids and anti histamines. The doctor will prescribe anti biotics when there is urinary tract infection. Alongside, certain home remedies and food prescriptions will also help keep the symptoms at bay.
  • Any causative factor should be avoided, such as, certain medications which could be triggers. Talk to your health care provider about it.
  • Non steroidal anti inflammatory drugs along with antihistamines are invariably the principal management of choice and do produce good results.
  • Those who fail to respond to non steroidal anti inflammatory drugs and antihistamines are then managed with corticosteroids. These drugs suppress the inflammatory reaction in the urinary bladder and help manage the symptoms better. On the other hand, symptoms of eosinoplilic cystitis may continue, in spite of steroid therapy.
  • Symptoms of infection of the urinary tract need to be managed with anti biotics.
  • Also, make sure that you drink plenty of water daily. 3 liters per day is mandatory. Drinking sufficient water will prevent dysuria and will also keep infections at bay.
  • Herbal teas, particularly, ginger tea is advised by most naturopaths; since ginger is a powerful anti inflammatory herb. It will reduce swelling and inflammation and thus manages the symptoms well.
  • Cranberry juice is another effective food prescription. Cranberries are recommended for most symptoms of the urinary tract; and what’s more, the fruit helps alleviate most symptoms effectively and rapidly. Drinking 2 to 4 glasses of the juice everyday is advocated. Another option is having a cranberry supplement to handle the symptoms of Eosinophilic cystitis.
  • In those having urinary bladder lesions, surgery has been often successful. A small number of patients having progressive eosinophilic cystitis, who do not respond to medical therapy and / or surgery, may need more radical procedures, such as, partial/total cystectomy – i.e. a surgical resection of a part or all of the bladder.

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