Is it possible to play sports with cystitis: proper physical activity

To improve blood circulation in the pelvic organs and to improve the quality of the urinary tract, gymnastics for cystitis can be useful. But not all types of exercise are equally beneficial. Some sports may even be unsafe and will only worsen the course of the disease. And in case of acute cystitis, you should adhere to bed rest and refuse any physical activity.

Indications

The indication for the complex is weakening of the pelvic floor muscles. Some of the symptoms of this condition:

• Urinary incontinence due to tension in the muscles of the anterior abdominal wall. Often in women with inflammatory diseases of the urogenital complex, or during menopause, urinary incontinence is observed, accompanied by tension in the abdominal muscles. Such actions include coughing, sneezing, loud laughter, and physical activity. Kegel exercises for women with urinary incontinence are irreplaceable.
• Prolapse of the pelvic organs. Uterine prolapse is a dangerous progressive pathology that causes complete loss of the organ. The pathology occurs in old age, especially in those women who have given birth more than 3 times. This may lead to disruptions in the functioning of other organs and systems, since due to the displacement of the organs of the genitourinary complex to the bottom, the location of the intestines will change, which becomes the cause of regular constipation.
• Pregnancy. Kegel gymnastics is recommended for a large number of female representatives. If carried out during pregnancy, this will eliminate the risk of labor weakness.

  

Atony of the pelvic floor muscles causes compression fecal obstruction. This happens when the pelvic organs put extreme pressure on the rectum and block the lumen.

Amoxicillin and treatment of cystitis

Quite often, experts prescribe the drug Amoxicillin for cystitis. It is worth familiarizing yourself with what kind of medicine this is, how it is used and how it works.

Characteristics of the drug

It is active against gram-positive pathogens - staphylococci, streptococci, etc., eliminates a number of gram-negative pathogens - Klebsiella, gonococci, meningococci, E. coli. shigella, salmonella, etc. It is worth noting that it is E. coli that most often causes cystitis.

When this antibiotic is combined with Metronidazole, it is possible to eliminate Helicobacter pylori, the causative agent of peptic ulcers.

But it is worth considering that Amoxicillin does not act against a gram-positive strain that secretes β-lactamase, an enzymatic substance that can neutralize the effect of the antibiotic.

Penetrating into the patient’s body, the active substance of the drug promotes the production of a special enzyme that has a destructive effect on the walls of bacterial cells.

Interaction of the drug with other drugs

Taking Amoxicillin together may have the opposite effect. In one case, efficiency may increase, in another, the action may be suppressed.

The antibacterial effect of Amoxicillin increases when it is combined with a β-lactamase inhibitor - clavulonic acid. With this combination, the effectiveness of therapy expands. Medicines eliminate pathogens such as bacteroid, leginella, pseudomanada, and nocardia. However, some gram-negative bacteria still remain resistant to the drug.

How does the drug behave in the body?

The antibiotic has excellent absorption from the digestive tract; it does so almost completely without being destroyed in the gastric juice. The drug reaches its maximum concentration within 1-2 hours. Eating does not affect the rate of absorption, so you can take the drug before or after a meal.

For what ailments is it prescribed?

The following diseases are treated with amoxicycline:

• infectious diseases of the respiratory system and ENT organs (sinusitis, pharyngitis, tonsillitis, otitis, bronchitis, pneumonia);
• infectious diseases affecting the genitourinary system - it is effective for pyelonephritis, pyelitis, cystitis, inflammation of the urethra (urethritis), gonorrhea, endometritis, cervicitis;
• infections of the gastrointestinal tract - inflammation of the peritoneum, enterocolitis, typhoid fever, inflammation of the gastric ducts, cholecystitis;
• dermatological infectious diseases and soft tissue lesions - erysipelas, impetigo, dermatoses arising from secondary infection).

This antibiotic also provides treatment for leptospirosis, listeriosis, borreliosis, dysentery, salmonellosis, and meningitis. It is used for salmonella carriage, blood poisoning, and also as a prophylactic against endocarditis.

In what forms is the drug available?

Modern pharmacological companies produce several forms of Amoxicillin.

Table No. 1 Different forms of the drug and their features

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In addition, a dry substance is produced, which is intended for dilution and injection.

The use of which form of antibiotic is necessary in a particular case must be decided by a specialist.

How to take medicine for cystitis?

There are several regimens for taking the drug, according to which Amoxicillin can be taken twice a day - every 12 hours, or three times - with an interval of 8 hours.

Any liquid dosage form is allowed to be mixed with drinks - fruit or vegetable juices, milk, water or purees for feeding a child.

It is recommended to shake the solution and suspension thoroughly before use so that the drug is evenly distributed.

Take the tablet or capsule with a sufficient amount of water.

The dosage of the antibiotic is determined by the attending physician individually.

You should not take two doses of the drug at once, even if one dose was missed. Also, treatment should not be interrupted, even if the symptoms have disappeared. Untimely cessation of therapy may lead to the pathogen developing resistance to these active substances.

Duration of therapy for cystitis

The course of therapy for the usual, uncomplicated form of cystitis should not exceed 5 days. It is extended if complications arise in the form of paracystitis, trigonitis and other conditions or the following risk factors are present:

• advanced age of the patient (over 65 years);
• the use of specific methods of contraception in women: spermocytes, diaphragms;
• relapse of the disease;
• the patient suffers from diabetes;
• symptoms do not subside after 5 days from the start of antibiotic therapy.

As for the chronic form of the disease, Amoxicillin, like other penicillin drugs, are not the most effective means in this case. Most often, doctors prescribe antibiotics from the fluoroquinolone group that are more effective against E. coli.

But if preference is still given to this medicine, therapy lasts 1-1.5 weeks.

Treatment of cystitis with amoxicillin during pregnancy

Unfortunately, expectant mothers often suffer from inflammation of the bladder - cystitis. However, the range of approved drugs for treating the disease is noticeably narrower, especially when it comes to antibiotics.

Fluoroquinolones are not recommended, as they can lead to damage to the joints of the fetus, co-trimoxazole - due to the ability to penetrate the placenta, gentamicin - due to the existing likelihood of a negative effect on the development of the auditory cochlea.

Against the background of such effects, Amoxicillin does not pose great risks for the unborn child, but still does not exclude them.

In this case, therapy can last from 7 to 14 days.

Reception features

During pregnancy and breastfeeding

When prescribing Amoxicillin, the doctor assesses the situation - the therapeutic effect for the expectant mother must exceed the existing risks for the fetus.

During breastfeeding, the lowest effective dosage is rarely prescribed; full therapy is interrupted, since the active substances contained in Amoxicillin can pass into breast milk and affect the baby’s health. If treatment is necessary, breastfeeding is temporarily interrupted.

For men

There are no special restrictions, but with inflammation of the prostate and sexual dysfunction, the risks of side effects increase. Reviews from patients say that the temperature may rise, vomiting may begin, and allergies may appear in the form of a skin rash.

Contraindications

Kegel exercises are not always allowed. There are a number of contraindications, including diseases and situations:

• Inflammatory processes. If a woman has an inflammatory pelvic pathology, then it is better to refrain from these activities. Muscle contractions increase blood flow, which causes inflammation to spread to surrounding tissues and organs. Exercises should not be performed if you have cystitis, vulvovaginitis, or endometritis. Used only during recovery.
• A history of miscarriage. If there have been cases of premature birth, spontaneous abortion or miscarriage, then Kegel exercises are prohibited.
• Recent injuries, pelvic surgery. Such conditions are an absolute contraindication, since muscle contractions cause sutures to diverge or cause bleeding.

Examples of gymnastics

1. To perform, you need to sit comfortably on the floor or chair and put your hands on your chest, bringing your hands together. When performing actions, it is important to control the correctness and evenness of breathing. You need to breathe so that your chest rises high, your stomach presses inward, and your back should be flat and straight.
2. You can sit on the floor and put your hands on your hips. The head must be lowered. Next, slowly rise up, moving your hands along your legs. You need to repeat the exercise several times.
3. "Bike". Exercise strengthens muscles and stimulates the bladder.
4. "Scissors". The load on the pelvis will cause the muscles to contract and unclench. Pathogenic bacteria die under the influence of physical activity.

Doctors recommend doing gymnastics after visiting a pool or bath, that is, at the moment of muscle relaxation.

To treat acute cystitis, water procedures can be performed only when the signs of the disease decrease. It is better to use a shower, and a warm one. A refreshing or cool shower may lead to a relapse of the disease. Some experts recommend taking a belly dancing class.

Execution technique

The technique consists of alternating tension and relaxation of the pelvic floor muscles. There are exercises that differ in the duration of contractions, but the principle is similar. Each consists of several stages, which are performed in turn.

1. Exercise 1. For 10 seconds, tense and relax the muscles, after which they pause for the same duration. Repeat this step 3 times. After this, 9 repetitions, but the duration of the pause and contraction time is reduced to 5 seconds. Such contractions tone the muscles, which allows for long, powerful contractions. It is necessary to tense the muscles, maintain this tone for 30 seconds, followed by a rest of the same duration. To relax, repeat the first stage.
2. Exercise 2. It starts with 10 muscle contractions, each lasting 5 seconds. There are small intervals between them. Then, perform 10 quick compressions. The end consists of a long compression, which does not exceed 2 minutes.

   

There are other variations that are based on a gradual increase in compression strength and duration.

Each woman chooses a set of exercises for herself, since each body has individual characteristics.

Kegel gymnastics is a generally accepted scheme for strengthening the muscles of the pelvis and vagina. They are carried out both for medical reasons and to improve sexual sensations during intercourse.

Cystitis and sports

This disease is considered purely female. It is the representatives of the weaker half of humanity who care more about their figure, engaging in all kinds of sports. Therefore, the question of the possibility of combining physical activity with the onset of the disease is more relevant among women. Let's find out more about this.

Physical activity for acute cystitis

Let us remember that there are two types of illness - acute and chronic. If a woman first feels signs of cystitis, it manifests itself as severe pain when urinating in the lower abdomen, a burning sensation, and cramps, then this is the initial phase of acute cystitis. During this period, you cannot play sports. Bed rest must be observed. Doctors explain the restriction by the fact that the body needs help at this time; it directs all its strength to fight the disease. And if you put additional stress on it, the recovery period may not only be delayed, but will also be complicated by increased pain. That is, the priority in this case is peace, warmth, lack of physical activity. When the right therapy is selected for a woman, after 2-3 days she will feel relief and a decrease in pain. After this, you can start exercising, but it is recommended to halve your usual load. Have mercy on your body!

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If you are very worried about your figure, then during the treatment period it is in any case recommended to adjust your diet, increasing the amount of vegetables, berries, fruits in it, and drinking more liquid. Therefore, you should not be afraid to gain weight in a few days.

Restrictions on any physical activity in acute cystitis are hematuria (blood in the urine), severe pain, and increased body temperature. It is clear that in such a state there will simply be no strength to move around the house, let alone go for a morning run.

Sports and chronic cystitis

This type of disease consists of phases of exacerbation (relapses) and remission (attenuation of symptoms of the disease). In the first case, physical activity is not recommended. Especially when it comes to strength sports - exercises with barbells and dumbbells. They can be resumed only in the remission phase. Also, during a relapse, you should not pump up your abs, which for many women is a mandatory daily exercise. Although some ladies try to make it easier to perform such exercises by lifting not their legs, but their torso from a position lying on their back. Thus, the load on the abdominal muscles is reduced. However, in case of relapses, urological specialists strongly recommend not to strain the abdominal muscles at all. After all, this is squeezing the inflamed bladder. The coveted muscle relief must be corrected after you begin to recover.

As for yoga, its breathing exercises are very useful for relapses of chronic cystitis, as is meditation.

What sports are prohibited for cystitis?

Urologists recommend that their patients, regardless of the type, cause and stage of development of this genitourinary disease, abandon bodybuilding, all types of wrestling, skiing, exercise bikes, and weightlifting.

Some sports can provoke an exacerbation of the disease. For example, swimming is a long stay in cool water. Cooling the body reduces immunity, which literally after a few hours can make itself felt with signs of acute cystitis. And expectant mothers are more exposed to this danger than others. Swimming as a sport is very useful for them. But with chronic cystitis, it is better to get rid of it, since it is staying in cold water that serves as a trigger for exacerbation of the disease.

People with chronic cystitis are advised to avoid swimming in cold waters and especially winter swimming. You can swim in pools where the water temperature is not lower than 28-30 degrees Celsius. It is important to change wet underwear immediately after swimming.

Winter sports, which contribute to hypothermia, are also dangerous for chronic cystitis. You should avoid exercising at temperatures of –10 degrees or below. If you are too cold after skiing, then the best salvation will be a sitz bath with infusion of chamomile, calendula, hot linden tea with honey.

Any workouts that involve prolonged abdominal tension and, accordingly, an increase in intra-abdominal pressure are prohibited with cystitis.

Doctors strongly recommend listening to their recommendations, because the disease is fraught with complications that are much more difficult to treat.

Examples of exercises

The exercises are performed as follows:

• Leaning on the back of the chair, rise on your toes as high as possible and sit down.
• Move your hands clasped behind your back back, rising on your toes. Lower your arms, leaning forward a little.
• Clasp your fingers, bend over, stretch.
• Alternately bend your legs.
• Bend and straighten your arms in front of your chest.
• Legs in a wide position, sitting. Bring your hands alternately to each sock.
• From a lying position, raise straight legs.
• Lying on your back, perform swings with straight legs, imitating scissors.