cystitis

=Cystitis=

//A 26-year old woman presents to the pharmacy asking for something for cystitis. She has had the symptoms for about 3 days and has tried no medication to relieve the symptoms.//

Problem
Confirming that she has cystitis and providing appropriate treatment

Questions to Ask
- location, nature and severity of the pain - associated symptoms - previous history - any factors that might have precipitated the attack - medical history, including any regular medication currently taking - presence of any vaginal discharge

//The patient is suffering from pain on urination, discomfort and is going to the toilet frequently, but has no other symptoms. She has had these symptoms previously about 2 years ago, but they went on their own after a day or two. She takes no medicine from her GP.//

What to do
Symptoms suggest an uncomplicated acute urinary tract infection The patient should visit the GP.and empirical treatment could be instigated (trimethoprim) [|d mannose] Advice about adequate fluid intake should be taken.

Resources
//This case was taken from 'Community Pharmacy - Symptoms, Diagnosis and Treatment' by Paul Rutter (p94)//