{"id":1385,"date":"2020-07-11T11:57:10","date_gmt":"2020-07-11T04:57:10","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1385"},"modified":"2026-08-15T00:21:25","modified_gmt":"2026-08-14T17:21:25","slug":"blasenentzundung-akute-blasenentzundung","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/de\/2020\/07\/11\/bladder-infection-acute-cystitis\/","title":{"rendered":"Bladder Infection (Cystitis): Why It Happened to You"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Der beste Urologe in Chonburi und Kambodscha\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, 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1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"ORCID Profil ansehen\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"Google Scholar Profil ansehen\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">A great many patients come to my office with a bladder infection \u2014 <strong><em>akute Blasenentz\u00fcndung<\/em><\/strong> in medical terms \u2014 and nearly all of them ask the same question: <em>why me?<\/em> For some it is the first time; for others it has been happening on and off for years. This article answers that question by explaining how bacteria actually get into the bladder, because once you can picture the route, both the risk factors and the prevention make sense.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What it feels like<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Burning or pain on passing urine<\/li>\n\n\n\n<li>A strong, persistent urge to go<\/li>\n\n\n\n<li>Passing small amounts, frequently<\/li>\n\n\n\n<li>Pressure and pain low in the abdomen<\/li>\n\n\n\n<li>Blood in the urine \u2014 uncommon, and alarming when it happens, but not in itself a sign of anything worse<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Two things change the picture and mean you should be seen the same day rather than waiting:<\/strong> a <strong>fever<\/strong>, or <strong>pain in the back or flank<\/strong>. A simple bladder infection does not cause either. Both suggest the infection has travelled up to the kidney \u2014 <a href=\"https:\/\/drsoaraweeurology.com\/de\/2021\/04\/02\/akute-pyelonephritis\/\">akute Pyelonephritis<\/a> \u2014 which is a far more serious illness and needs prompt treatment.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"530\" data-attachment-id=\"1389\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2020\/07\/11\/bladder-infection-acute-cystitis\/human-anatomy-of-urinary-tract-infection\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI.jpg?fit=1200%2C795&amp;ssl=1\" data-orig-size=\"1200,795\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Human Anatomy of Urinary Tract Infection illustration&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Human Anatomy of Urinary Tract Infection&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Bladder infection caused from bacteria\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Bladder infection caused from bacteria&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI.jpg?fit=800%2C530&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI.jpg?resize=800%2C530&#038;ssl=1\" alt=\"Bacteria causing a bladder infection in the urinary tract\" class=\"wp-image-1389\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI.jpg?resize=300%2C199&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI.jpg?resize=1024%2C678&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI.jpg?resize=768%2C509&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Almost all bladder infections are bacterial, and most are caused by one organism.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How the bacteria get in<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bladder infection overwhelmingly affects women: about <strong>10% of women have one each year<\/strong>, and most women will have at least one episode in their lifetime. The reason is anatomical \u2014 the female urethra is short, and its opening sits close to the anus.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The usual culprit is <em>E. coli<\/em>, a bacterium that lives harmlessly in the large intestine and causes no trouble at all while it stays there. After a bowel movement it can settle on the perineum and vagina, and from there it climbs the urethra into the bladder, using tiny surface appendages to grip the bladder lining rather than being washed away.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The body is not defenceless. Simply passing urine flushes bacteria out mechanically, and the immune system attacks what remains. But some strains of <em>E. coli<\/em> hide <em>inside<\/em> the cells of the bladder wall, where neither the immune system nor an antibiotic reaches them easily. That is what tips the balance into infection \u2014 and it is also why infections come back in some women and not others.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"657\" height=\"1024\" data-attachment-id=\"1391\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2020\/07\/11\/bladder-infection-acute-cystitis\/urinary-tract-infection-on-white-background\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI-2.jpg?fit=1200%2C1870&amp;ssl=1\" data-orig-size=\"1200,1870\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Urinary Tract Infection on White Background illustration&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Urinary Tract Infection on White Background&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"UTI always annoyed patient\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;UTI always annoyed patient&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI-2.jpg?fit=657%2C1024&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI-2.jpg?resize=657%2C1024&#038;ssl=1\" alt=\"A woman with the lower abdominal discomfort of a bladder infection\" class=\"wp-image-1391\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI-2.jpg?resize=657%2C1024&amp;ssl=1 657w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI-2.jpg?resize=193%2C300&amp;ssl=1 193w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI-2.jpg?resize=768%2C1197&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI-2.jpg?resize=986%2C1536&amp;ssl=1 986w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/07\/UTI-2.jpg?w=1200&amp;ssl=1 1200w\" sizes=\"(max-width: 657px) 100vw, 657px\" \/><figcaption class=\"wp-element-caption\">The discomfort is out of all proportion to how minor the illness usually is.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">When it stops being a one-off<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A simple bladder infection should not happen more than <strong>twice in 6 months or three times in a year<\/strong>. Past that threshold it is called <a href=\"https:\/\/drsoaraweeurology.com\/de\/2020\/08\/14\/why-my-bladder-infected-again\/\">rezidivierende Blasenentz\u00fcndung<\/a>, and it deserves proper investigation rather than another antibiotic course \u2014 there is often a correctable reason behind it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What actually prevents the next one<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Drink more than 2 litres of water a day<\/strong>, enough to keep your urine pale yellow or clear. This is the simplest and most effective measure there is \u2014 it works by flushing bacteria out before they can take hold.<\/li>\n\n\n\n<li><strong>Do not hold on.<\/strong> Delaying gives bacteria more time to multiply in a warm, still bladder.<\/li>\n\n\n\n<li><strong>Pass urine soon after intercourse<\/strong>, which flushes the urethra before bacteria can ascend.<\/li>\n\n\n\n<li>Where infections keep returning, <a href=\"https:\/\/drsoaraweeurology.com\/de\/2020\/09\/20\/3-schritte-zur-verhinderung-einer-blasenentzundung\/\">several non-antibiotic measures reduce the recurrence rate<\/a> \u2014 worth reading if this is a recurring pattern rather than a first episode.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bei brennenden oder dringenden Miktionsbeschwerden bzw. Verdacht auf eine Blasenentz\u00fcndung bietet Dr. Soarawee Weerasopone Fachberatungen im Bangkok Hospital Hauptsitz an. <a href=\"\/de\/Beratungstermin buchen\/\">Beratungstermin buchen<\/a>. Termine im Samitivej Sriracha Krankenhaus k\u00f6nnen vereinbart werden, indem Sie die Abteilung f\u00fcr Urologie anrufen unter <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">H\u00e4ufig gestellte Fragen zu Blasenentz\u00fcndung (akute Zystitis)<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">Was ist eine akute Zystitis (Blasenentz\u00fcndung)?<\/strong> <p class=\"schema-faq-answer\">Die akute Blasenentz\u00fcndung ist eine bakterielle Infektion der Harnblase, die meist durch E. coli verursacht wird. Sie \u00e4u\u00dfert sich typischerweise durch ein Brennen beim Wasserlassen, h\u00e4ufigen und dringenden Harndrang, Beschwerden im Unterbauch und gelegentlich Blut im Urin. Sie betrifft vorwiegend Frauen, von denen etwa 10% mindestens einen Anfall pro Jahr erleben.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">Warum bekommen Frauen h\u00e4ufiger Blasenentz\u00fcndungen als M\u00e4nner?<\/strong> <p class=\"schema-faq-answer\">Frauen sind anatomisch anf\u00e4lliger f\u00fcr Harnwegsinfektionen, da die weibliche Harnr\u00f6hre deutlich k\u00fcrzer ist als die m\u00e4nnliche, was es Bakterien aus dem Damm- und Vaginalbereich erleichtert, in die Blase aufzusteigen. Die N\u00e4he der Harnr\u00f6hren\u00f6ffnung zum Anus erleichtert auch die Kontamination mit E. coli. Hormonelle Faktoren, insbesondere niedrige \u00d6strogenspiegel nach der Menopause, reduzieren die nat\u00fcrlichen Schutzbarrieren weiter.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Wie verursacht E. coli eine Blasenentz\u00fcndung?<\/strong> <p class=\"schema-faq-answer\">E. coli lebt normalerweise harmlos im Dickdarm, kann aber nach dem Stuhlgang den Damm und den Vaginalbereich besiedeln. Von dort steigt es durch die Harnr\u00f6hre in die Blase auf. E. coli verwendet Oberfl\u00e4chenanh\u00e4ngsel, sogenannte Fimbrien, um sich an Blasenschleimhautzellen anzuheften, und einige St\u00e4mme k\u00f6nnen in Blasenzellen eindringen und sich dort verstecken, wodurch die Immunantwort und die antibiotische Behandlung umgangen werden \u2013 weshalb wiederkehrende Infektionen auftreten.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">Hilft das Trinken von Wasser wirklich, Blasenentz\u00fcndungen vorzubeugen?<\/strong> <p class=\"schema-faq-answer\">Ja. Ausreichende Fl\u00fcssigkeitszufuhr ist eine der effektivsten und einfachsten vorbeugenden Ma\u00dfnahmen. Mehr als 2 Liter Wasser t\u00e4glich zu trinken, erh\u00f6ht die Urinausscheidung, wodurch Bakterien physisch aus der Blase gesp\u00fclt werden, bevor sie eine Infektion verursachen k\u00f6nnen. Hellgelber oder klarer Urin deutet auf ausreichende Fl\u00fcssigkeitszufuhr hin. Umgekehrt deutet konzentrierter dunkelgelber Urin auf eine unzureichende Fl\u00fcssigkeitsaufnahme und ein h\u00f6heres Infektionsrisiko hin.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">Wann sollte ich wegen einer Blasenentz\u00fcndung zum Arzt gehen?<\/strong> <p class=\"schema-faq-answer\">Sie sollten einen Arzt aufsuchen, wenn sich die Symptome nach Beginn der Behandlung nicht innerhalb von 2\u20133 Tagen bessern, wenn Fieber oder R\u00fcckenschmerzen auftreten (was auf eine Niereninfektion hindeuten kann), wenn Sie Blut im Urin bemerken oder wenn Sie innerhalb von 6 Monaten 2 oder mehr Infektionen haben. Wiederkehrende Infektionen erfordern eine vollst\u00e4ndige urologische Untersuchung, um zugrunde liegende anatomische oder hormonelle Ursachen zu identifizieren.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Haftungsausschluss:<\/strong> Dieser Inhalt wurde von Dr. Soarawee Weerasopone, einem zertifizierten Urologen am Bangkok Hospital Headquarters, verfasst und \u00fcberpr\u00fcft. Er dient ausschlie\u00dflich zu Bildungszwecken und stellt keine medizinische Beratung dar. \u00dcber pers\u00f6nliche Nachrichtenkan\u00e4le werden weder medizinische Beratungen noch Diagnosen oder Rezepte erteilt. Konsultieren Sie immer einen qualifizierten Arzt, bevor Sie eine medizinische Behandlung beginnen.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Bladder Infection (Cystitis): Why It Happened to You\",\n    \"description\": \"How E. coli reaches the bladder, why women are affected far more often than men, the symptoms of acute cystitis, the warning signs that suggest kidney infection, and what genuinely prevents recurrence.\",\n    \"datePublished\": \"2020-07-11\",\n    \"dateModified\": \"2026-08-12\",\n    \"inLanguage\": \"en\",\n    \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\\\/\\\/drsoaraweeurology.com\\\/\"\n    },\n    \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n    },\n    \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Acute Cystitis\",\n        \"alternateName\": \"Bladder infection\"\n    }\n}<\/script>","protected":false},"excerpt":{"rendered":"<p>Burning, urgency, and the feeling of needing to go every ten minutes. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains how bacteria reach the bladder in the first place, why women are affected far more often, and what genuinely prevents the next one.<\/p>","protected":false},"author":185281453,"featured_media":10024,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Bladder infection (acute cystitis) explained: how E. coli reaches the bladder, why women are affected more, the symptoms, the warning signs of kidney infection, and what actually prevents recurrence. 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