Cystitis. General measures

Cystitis typically affects adult women (at a rate 50 times higher than men) due to the shortness of the female urethra, allowing intestinal bacteria to rise up into the bladder. Pain and burning during urination, and the urgent need to urinate frequently are the most common symptoms. A prominent role in cystitis is played by Escherichia coli, a germ commonly found in the intestine, which rises up to the bladder. 

The general measures include drinking at least 2 litres of water a day, avoiding constipation, maintaining a balanced intestinal flora, taking lactic bacteria to counter gut dysbiosis, urinating frequently and not retaining urine. Urinate after intercourse.

Several phytocomplexes and nutritional supplements can be used to prevent and control the inflammatory process in urinary tract infections. To prevent recurring urinary tract infections, 20-day cycles per month are recommended, as needed. 

Bearberry (Arctostaphylos uva ursi L.) is a plant traditionally used to treat urinary tract infections. Arbutin is the active ingredient characterising its antiseptic properties. It seems, in fact, that the heteroside breaks down, freeing its aglycone: hydroquinone, effectively responsible for the antibacterial properties.  The high tannin content also offers astringent properties useful in controlling urinary disorders.

Mallow (Malva sylvestris L.) is a plant rich in soothing substances. The flowers and leaves contain mucilage that exerts a soothing action on the inflamed mucosa. It also performs an intestinal regulatory action, which facilitates the condition of gut eubiosis. At a urinary level, it promotes defensive mechanisms, especially against Escherichia coli, responsible for cystitis.

Cranberry fruit, thanks to its high procyanidin content, stops bacteria from adhering to the cells of the mucous membrane lining the urinary tract, thus promoting their elimination with urine. It also causes acidification of the urine, thus creating a hostile environment for the bacteria, and in particular for Escherichia coli, often responsible for cystitis. The dried extract must contain at least 36 mg of proanthocyanidins, measured using the DMAC method (a colorimetric method that uses dimethylaminocinnamaldehyde as a reagent) for best results, whether preventive or therapeutic.

D-mannose is a simple sugar, poorly absorbed by the gut, which after oral administration is largely eliminated with stools and urine, manifesting the inhibition of bacterial adhesins. It is suited for the treatment of recurring urinary tract infections, together with Cranberry.

It is available in sachets or tablets.