The Mail on Sunday

It tastes fab but cranberry juice won’t fix cystitis

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MY CYSTITIS just won’t go away. I am surprised that medics haven’t discovered something to stop it recurring every few months as millions of women suffer as I do. I know some people say cranberry juice helps. Am I missing out on something? EVEN as a one-off episode, bladder infections such as cystitis are uncomforta­ble and distressin­g. Recurrent cystitis is particular­ly troublesom­e and infections can become resistant to antibiotic­s, so taking repeated prescripti­ons could eventually stop them from working.

However, taking a six-month course of a low-dose antibiotic is a way round this and does provide the cure for some women, so it is certainly worth asking your GP. It may be worth considerin­g a concurrent probiotic alongside the drug to counter the disruption of gut bacteria caused by prolonged antibiotic­s use.

Cystitis can often be related to sexual activity: if this is the case, an antibiotic can be used preventati­vely within two hours of sex. Women in this situation should also avoid using female contracept­ion such as diaphragms. Contrary to popular belief, cranberry juice, dietary changes or passing urine before or after sex will not help ease recurrent cystitis. If the recommende­d preventati­ve treatments are not working, consider reviewing your situation with a urologist who specialise­s in female bladder issues. Some women suffer recurrent cystitis due to underlying problems such as bladder stones or anatomical abnormalit­ies that allow regular infections to take hold, and need correcting to provide a cure. MY GRANDDAUGH­TER has recently been diagnosed with autism, leaving my daughter and me in a panic and desperatel­y researchin­g different treatments. I recently came across a procedure involving stem cell transplant­s. Does it work and how can my granddaugh­ter get it? ALMOST 700,000 Britons have autism, a lifelong developmen­tal disability that has immeasurab­le impact on sufferers’ lives. The condition can be frustratin­g and distressin­g for families.

Understand­ably, out of desperatio­n parents will seek potential cures, some of which may be obscure or not routinely recommende­d. Research is continuing into the field of stem cells but currently they are not scientific­ally proven to cure or alter the prognosis of a child with autism. The advertised treatments therefore may be unregulate­d and unsafe, with their benefits exaggerate­d.

It was only last year that leading UK researcher­s warned of the dangers of unscrupulo­us marketing of unproven stem cell treatments that was putting lives at risk. Stem cells are highly successful for treating blood cancers, but are not an approved treatment for autism.

I would urge any family dealing with an autism diagnosis to seek help from patient support groups such as the National Autistic Society. Finding a local support network for the child and parents could be one of the most helpful things a worried relative can do as seeking out others in the same boat is tremendous­ly helpful and reassuring.

There is no cure for autism – help is centred around therapies that help a child learn and develop, as well as securing their mental and physical health needs. Community paediatric­ians work with a team of therapists to ensure the needs of an autistic child are met.

IN SOME CASES, A COURSE OF ANTIBIOTIC­S IS THE ONLY WAY

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