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How Is Interstitial Cystitis Diagnosed
Pbs is also called interstitial cystitis (ic). It is a chronic condition of the bladder that causes pain in the pelvis and low abdomen. The exact cause is unknown but seems to have some correlation with endometriosis and is more common in women. There is a lot of research by urogynecology and urology trying to better understand what causes it and how to treat it. Diet has ...Read more
Trigger points!!: This is a new look at an old idea. Janet g. Travell, md a pain pioneer concluded that chronic tissue pain was caused by numerous trigger points in muscle fibers causing the muscles to contract compressing nerves, vessels and alter the flow of lymphatics. The pyramidalis and pelvic floor muscles are the cause. So this is a mechanical cause and requires a manual treatment. Acupuncture! see files. ...Read moreSee 1 more doctor answer
Antibiotics: Cystitis commonly means bladder inflammation. If due to urine infection treatment is antibiotics. Interstitial cystitis is rare and considered autoimmune in nature, antibiotics are not helpful. Hemorrhagic cystitis which results in bloody urine can be from chemotherapy drugs esp cyclophosphamide. ...Read more
Unknown: Interstital Cystitis is more of a compilation of symptoms rather that a true "condition". Therefore, treating the symptoms, e.g. urinary frequency and urgency, pain in the bladder area, painful intercourse, pelvic pain, etc., is the best approach to improving outcomes. Many women remain symptom free after treatments but the natural history of this condition is intermittent symptom flares. ...Read moreSee 1 more doctor answer
Often difficult: This is not an easy condition to treat...As I have a few patients having ic...Burning/pain/frequency/urgency without a known cause. Treatments are typically focused on relieving the symptoms which often require multiple medications etc..Some may benefit from a placement of a bladder nerve stimulator etc... Consult to make sure that there are no treatabele cause before calling it ic.. Good luck.. ...Read more
Team approach: Ic management during pregnancy has not been fully studied. Pregnant ic pts for the most part need to stop their medications. However you could use some anesthetic instillations for flares, as well as some antispasmodics for the overactive bladder. Avoid constipation. Physical therapy can be used. Look for high risk OB md. Go to ichelp.Org for more info. Good luck. ...Read more
Idiopathic: Interstitial Pneumonia(IIP) is a group of non infectious pneumonias that share various clinical and radiographic findings, predominantly affect the interstitium of the lungs, and have no known cause. It is not one entity, it is a category of entities. The treatment depends on the subtype of IIP. ...Read more
Difficult: You have my sympathy. Pentosan polysulfate sodium ("elmiron") for several months is a mainstay of treatment but only helps some and will itself cause you stomach troubles. You will want to join the interstitial cystitis association and network with others. No one has looked at elimination diet as a trial of therapy for interstitial cystits. ...Read moreSee 1 more doctor answer
NSU/NGU is diagnosed: By excluding possible causes: gonorrhea, other std's, excessive alcohol or caffeine, allergy to soaps or detergents. In majority of cases, cause is std like chlamydia, trichomonas, or herpes. Testing is done via urine or a specimen swabbed from the end of the urethra. ...Read more
See answer: Emphysematous cysitis (ec) is a rare entity characterized by pockets of gas in and around the bladder wall produced by bacterial or fungal infection and fermentation. Most commonly seen in diabetics. Prompt dx, controlling one's sugars if a diabetic, insuring adequate baldder emptying, and being treated with the correct antibiotic based on urine culture (iv and/or oral) usually results in cure. ...Read more
Breakdown in GAG: There is a breakdown in the gag layer of the bladder. Gag stands for glucoseaminoglycan and it is a microscopic layer that is supposed to help with protection of the mucous layer of the bladder. There is a lot of research going into this area and there is a significant connection between interstitial cystitis and endometriosis. Right now we are managing the symptoms as best we can. No cure yet! ...Read moreSee 1 more doctor answer
A urinary tract infection, also known as an UTI, may involve the kidney, ureter, bladder, or urethra. A common cause is an intestinal bacteria, E. coli. Common symptoms include a frequent urge to urinate, and pain or burning when urinating. Antibiotics are typically ...Read more
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