Dr. Sergei Korolev, a urologist, says: "In some cases, the condition can only be diagnosed by a psychiatrist. The patient—often a woman initially—undergoes a thorough examination, but the tests and examinations do not reveal any abnormalities. This condition is known as bladder pain, that is, pain in the bladder without inflammatory changes, and it may be related to the patient's psychological state. Sometimes the pain is caused by nerve damage in the bladder area, and these cases are treated by a psychiatrist or a neurologist."
He added: "Some symptoms similar to cystitis may indicate gynecological problems, such as vaginal bacterial imbalance or candidiasis, or a tumor in the bladder."
He continues: “Tumors may cause symptoms similar to cystitis, so an ultrasound examination is recommended, especially if the symptoms recur within six months, and the doctor may recommend a cystoscopy. Bladder cancer usually develops without clear symptoms, and sometimes its first signs are symptoms of cystitis, or the appearance of blood in the urine, which is a cause for concern.”
Dr. Korolev points out that some mild symptoms, such as discomfort or an unpleasant sensation that goes away after taking medication, are not the ideal solution, "as it is always best to undergo a medical examination to determine the cause and appropriate treatment."
