=Treatment.=--The treatment of acute cystitis consists in
rest--preferably on the back, with the legs drawn up, in bed. The diet
should be chiefly fluid, as milk and pure water, flaxseed tea, or
mineral waters. Potassium citrate, fifteen grains, and sweet spirit of
nitre, fifteen drops, may be given in water to advantage three times
daily. Hot full baths or sitz baths two or three times a day, and in
women hot vaginal douches (that is, injections into the front
passage), with hot poultices or the hot-water bag over the lower part
of the abdomen, will serve to relieve the suffering. If, however, the
pain and frequency attending urination is considerable, nothing is so
efficient as a suppository containing one-quarter grain each of
morphine sulphate and belladonna extract, which should be introduced
into the bowel and repeated once in three hours if necessary. This
treatment should be employed only under the advice of a physician. In
chronic cystitis, urotropin in five-grain doses dissolved in a glass
of water and taken four times daily often affords great relief, but
these cases demand careful study by a physician to determine their
cause, and often local treatment. Avoidance of all source of
irritation is also essential in these cases, as sexual excitement and
the use of alcohol and spices. The diet should consist chiefly of
cereals and vegetables, with an abundance of milk and water. The
bowels should be kept loose by means of hot rectal injections in acute
cystitis.
=RETENTION, STOPPAGE, OR SUPPRESSION OF URINE.=--Retention refers to
that condition where the urine has been accumulating in the bladder
for a considerable time--over twelve hours--and cannot be passed. It
may follow an obstruction from disease, to which is added temporary
swelling and nervous contraction of some part of the urinary passage;
or it may be due to spasm and closure of the outlet from nervous
irritation, as in the cases of injuries and surgical operations in the
vicinity of the sexual organs, the rectum, or in other parts of the
body. Overdistention of the bladder from failure to pass water for a
long time may lead to a condition where urination becomes an
impossibility. Various general diseases, as severe fevers, and
conditions of unconsciousness, and other disorders of the nervous
system, are frequently accompanied by retention of urine. In retention
of urine there is often an escape of a little urine from time to time,
and not necessarily entire absence of outflow.
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