If you have interstitial cystitisCystitis (sis-TIE-tis) is the medical term for inflammation of the bladder. Inflammation is when a part of your body is swollen and hot. It can also be painful. Most of the time, cystitis happens when there's an infection caused by bacteria. This is called a urinary tract infection (UTI).https://www.mayoclinic.org › symptoms-causes › syc-20371306
The patient does not present for help from a physician until it bothers them such as voiding every hour, multiple episodes of nocturia or has post void urgency. But after time many will note the onset of pain cycles that appear suddenly are intense and drive the patient to seek medical care.
Most patients need to continue treatment indefinitely or the symptoms return. Some patients have flare-ups of symptoms even while on treatment. In some patients the symptoms gradually improve and even disappear. Some patients do not respond to any IC/BPS therapy.
Interstitial cystitis/bladder pain syndrome (IC/BPS) has several well-known comorbid psychiatric manifestations, including insomnia, anxiety, and depression. We hypothesized that somatoform disorder, which is a psychosomatic disease, can be used as a sensitive psychiatric phenotype of IC/BPS.
Amitriptyline is the medication most commonly prescribed for interstitial cystitis. Elmiron is the only oral drug approved by the FDA specifically for interstitial cystitis. It improves the bladder lining, making it less leaky and therefore less inflamed and painful.
Foods to eat
Fruits: bananas, apricots, blueberries, dates, melons, prunes, pears, raisins. Vegetables: avocados, asparagus, broccoli, beets, eggplant, peas, mushrooms, spinach. Grains: oats, rice. Proteins: beef, lamb, pork, poultry, fish, eggs.
However, some people with IC find that certain foods or drinks trigger or worsen their symptoms. Coffee, soda, alcohol, tomatoes, hot and spicy foods, chocolate, caffeinated beverages, citrus juices and drinks, MSG, and high-acid foods can trigger IC symptoms or make them worse.
Stress does not cause IC, but if you have IC, stress can cause a flare. Physical stress and mental stress can lead to flares. Remember, every flare will settle down and worrying about it only prolongs the discomfort. Understanding stress and how to minimize it is the best way to limit the intensity of your flares.
End-stage interstitial cystitis is defined as a hard bladder that triggers intense pain and possesses very low bladder capacity. Many cases of end-stage interstitial cystitis involve Hunner's ulcers. Also known as “end-stage IC”, only about 5% of IC patients develop this severe condition.
What is the outlook for interstitial cystitis? IC is a chronic disease. Patients may find some comfort in the fact that it is not life-threatening and it does not lead to cancer. However, because the symptoms are always present, patients need to develop coping skills to deal with them.
Dimethylsulfoxide — Dimethylsulfoxide (DMSO) is a liquid medication that has been approved by the US Food and Drug Administration (FDA) to treat interstitial cystitis/bladder pain syndrome (IC/BPS). DMSO is put into the bladder through a temporary catheter and is held in place for approximately 20 minutes, if possible.
Hydroxyzine hydrochloride is an antihistamine that is used for treating allergic and inflammatory skin conditions – it can be used in the treatment of interstitial cystitis/painful bladder syndrome as it blocks the chemicals that can cause inflammation.
Options may include walking, tai chi, gentle yoga, rowing, the elliptical machine, gentle resistance machines, and stretching classes. Swimming may be a good choice for some, but pool chemicals can irritate the bladder. If you enjoy swimming, try it for a few minutes first to test your sensitivity.
People with interstitial cystitis (IC) have repeat discomfort, pressure, tenderness or pain in the bladder, lower abdomen, and pelvic area. Symptoms vary from person to person, may be mild or severe, and can even change in each person as time goes on.
Cystoscopy. Doctors may use cystoscopy to look inside the urethra and bladder. Doctors use a cystoscope, a tubelike instrument, to look for bladder ulcers, cancer, swelling, redness, and signs of infection. A doctor may perform a cystoscopy to diagnose interstitial cystitis (IC).
There is however, one nationally distributed brand that most of us have no problem with: Evian. Imported from France and slightly alkaline, it's a favorite with IC patients all across America.
What foods calm the bladder? The American Urological Association also recognizes some foods as potentially having a calming effect on sensitive bladders. These foods include pears, bananas, green beans, squash, potatoes, lean proteins, whole grains, nuts, bread, and eggs.
Supplements to Avoid with Interstitial Cystitis
Patients often report multi-vitamins irritate their bladder and pelvic pain symptoms. Vitamin C, which is found in almost all multi-vitamins, may be a trigger for many. We also want to avoid any supplements causing constipation, diarrhea or GI issues.
If you have interstitial cystitis, the signals from the bladder are painful and may occur even when the bladder is not full. The condition most often occurs between ages 20 to 40, although it has been reported in younger people. Women are 10 times more likely to have IC than men.
Signs You Should Get Help for Interstitial Cystitis
Pressure and tenderness in your bladder and pelvic area. Urgent need to urinate or frequent urination (often small amounts) Pain intensity that changes as your bladder fills or empties. Pain during sex.