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How to tell thrush from cystitis

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Possible treatments
It is important to distinguish between thrush and cystitis before starting treatment. Thrush infections can be quickly cleared up by antifungal medication that can be delivered in either by taking a tablet such as Diflucan or by a combination of a pessary inserted into the vagina, along with a cream to treat the vaginal lips. Both treatments are available from the chemist and have been shown in trials to be equally effective. It is therefore safe to choose whichever suits your lifestyle. While some women prefer to use simpler, external treatment, others view the pessary and cream as unnecessarily inconvenient and messy.

Cystitis is best treated as quickly as possible after the onset of the inflammation. Over the counter products containing potassium or sodium salts that reduce the acidity of the urine are effective - they create a more alkaline environment that is less favourable to bacteria.

Over the counter products such as Cysteme or Cymalon should be taken with plenty of liquid to flush out the water - and a teaspoon of bicarbonate of soda in a glass of water every three hours is also recommended except for people with a history of high blood pressure. Mild painkillers and a hot water bottle can help to alleviate pelvic pain.

If the symptoms persist, you should always see your doctor.

Prevention
Keeping to a few rules will improve your chances of staying free of both by conditions.

  • Don't douche or clean inside the vagina
  • Don't use vaginal deodorants, bubble baths or perfumed soaps
  • Don't wear nylon underwear, tights or tight fitting trousers
  • Do drink lots of water and cranberry juice
  • Do eat extra bananas, lemons, yoghurt, parsley and garlic if you have thrush
Seeing your GP
Very occasionally, the symptoms of both thrush and cystitis can be a sign of something more serious. You should always see your GP if this is your first attack of thrush or cystitis or if you have a fever, vomiting, have blood in the urine or are pregnant. Both these conditions can also be a sign of diabetes.
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Created: 12/11/2001  Updated: 10/10/2007

This iVillage Health service area is designed for educational purposes only. You should not rely on this information as a substitute for personal medical attention, diagnosis or hands-on treatment. If you are concerned about your health or that of a child, please consult your family's health provider immediately and do not wait for a response from our professionals. For the full Disclaimer, click here.
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