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Doctor insights on: What Can I Use Other Than Narcotics To Treat The Interstitial Cystitis Pain

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Dr. William Harris
185 doctors shared insights

Painful Bladder Syndrome (Definition)

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


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Is it common to have chronic pain with multiple sclerosis? What are some ways besides narcotics to treat it?

Is it common to have chronic pain with multiple sclerosis?  What are some ways besides narcotics to treat it?

Yes: There maybe others to treat it, but it depends on whether the pain is due multiple sclerosis or things like osteoarthritis. Talk to your doctor and see what other options there may be. ...Read more

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How often can you use vagifem to treat symptoms of interstitial cystitis? 3 to 4 day intervals is not sufficient, also using Marvelon. Many thanks!

How often can you use vagifem to treat symptoms of interstitial cystitis? 3 to 4 day intervals is not sufficient, also using Marvelon. Many thanks!

Atrophic Vaginitis: Vagifem is used to treat thinning of the vagina or off label for pH changes in the vagina. It can be used daily for 1-2 weeks and then twice weekly. It can take up to 3 months before improvement is seen. As for a specific treatment for interstitial cystitis, it is not specifically great for treating IC Depending on your IC symptoms, there is a range of treatment options. ...Read more

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How can interstitial cystitis be managed? Can it be the cause for reoccurring pyelonephritis? Any drugs for interstitial cystitis that can help?

How can interstitial cystitis be managed? Can it be the cause for reoccurring pyelonephritis? Any drugs for interstitial cystitis that can help?

Elm iron: Ic is a chronic inflammation in the "wall" (interstitium) of the bladder resulting in pain, frequency and blood in the urine. Reportedly more common in women, it is probably well under diagnosed in men. Best managed with dietary/lifestyle (hydration), there is only 1 medication approved by the fda - elmiron, (pentosan) to "fill the cracks" in the bladder lining. Intravesical (in the bladder) txs available. ...Read more

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What is the best treatment for costochondritis if I cannot take anti-inflammatory medications due to chronic kidney disease?

What is the best treatment for costochondritis if I cannot take anti-inflammatory medications due to chronic kidney disease?

Topical Ice: Initially topical ice is probably the best choice. If after a few days this is not resolving, a doctor with the appropriate training could consider doing a steroid injection in the affected cartilage. ...Read more

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Is there any kind of vaginal numbing cream a doctor can give to someone to take at home if they suffer from pelvic pain due to Interstitial Cycitus?

Is there any kind of vaginal numbing cream a doctor can give to someone to take at home if they suffer from pelvic pain due to Interstitial Cycitus?

Sorry but no: Interstitial cystitis is an inflammation of the muscular wall of the bladder. Can be very difficult to treat. Vaginal "numbing" cream would not be helpful. This condition makes sexual intercourse very painful. I am assuming since you have this diagnosis you are being seen by a urologist. If so, please discuss with them further treatment options for your condition. Sorry can't be more help ...Read more

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What is better to treat peripherial neuropathy or help with the intense pain dilaudid in pill fotm or 20mg oxycontin?

What is better to treat peripherial neuropathy or help with the intense pain dilaudid in pill fotm or 20mg oxycontin?

If you start>>>>>>>>: If you start Dilaudid or oxycontin, you will never get off. Try either Lyrica (pregabalin) and/or Cymbalta alone or in combination. You should get better results with both. They work differently! why are you having neuropathy at 31? Info is needed! ...Read more

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What other medicine besides narcotics can I use to help pain after an upper spinal surgery?

What other medicine besides narcotics can I use to help pain after an upper spinal surgery?

There may be muliple: Options depending on your age and other medical conditions as well as the type of surgery (fusion involved or not) ranging from tylenol, (acetaminophen) nonsteroidal anti inflammatories, neurontin, lyrica, cymbalta, amytriptyline for a few more common ones with some used in combination. Talk to your surgeon about your options or a pain management specialist in conjunction with your surgeon. ...Read more

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My Dr is pressuring me to try methadone to treat my chronic pain in place of my usual narcotics. Is methadone effective for chronic pain and what are the risks?

My Dr is pressuring me to try methadone to treat my chronic pain in place of my usual narcotics. Is methadone effective for chronic pain and what are the risks?

Effective: Methodone is commonly used for chronic pain. Your prescriber believes it would be effective for you. But it has its risks. Both the benefit and the risks should be discussed in detail by you and your prescriber. ...Read more

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Best medication for pain due to intertitial cystitis?

Best medication for pain due to intertitial cystitis?

Elmiron (pentosan): Also known as pentosan polysulfate sodium, this medicine can bring relief. It is usually helpful to receive this medicine in conjunction with a medicine for overactive bladder (ex: ditropan, detrol, vesicare, (solifenacin) enablex, sanctura, toviaz, etc). ...Read more

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What could be the best treatment for TMJ chronic arthritis in case ibuprofen pills and heat packs don't work any more?Then you very much =o)

What could be the best treatment for TMJ  chronic arthritis in case ibuprofen pills and heat packs don't work any more?Then you very much
=o)

Dentist evaluation: Tmj issues can be complex. If you have a displaced articular cartilage, you may need a splint designed to recapture it. If the issue is primarily musculo skeletal, you may need a regimen of physical therapy. It's possible surgery may be required but these decisions require diagnosis by an experienced dentist. The usual process starts with minimal invasiveness and progresses under supervision. ...Read more

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To diagnose interstitial cystitis, does the patient have to have pain in urethra or pain when peeing? Or can the pain just be pelvic/vaginal?

All of the above: Ic can manifest in different ways for each person. Most common symptoms are burning/discomfort with urination (dysuria) and feeling that you need to use the restroom urgently (urgency). Diagnosis is made based on symptoms, but sometimes cystoscopy is also needed (camera to look inside bladder). ...Read more

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What pain meds can b used to treat chronic migraine that dont cause rebound? Did Botox already still in pain.

What pain meds can b used to treat chronic migraine that dont cause rebound? Did Botox already still in pain.

Nerve blocks: It depends if you got some relief. I would ask your neurologist or medical headache doctor about nerve blocks. A response to either botox or nerve blocks would mean that you are a candidate for surgical headache treatment. Talk to your neurologist about these options, and seek out an experienced surgeon to talk about the procedures with you. ...Read more

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I have intercystitial cystitis and would like to know if prescription meds can lead to flareups?

I have intercystitial cystitis and would like to know if prescription meds can lead to flareups?

Flare-ups in IC: Certain prescription medications are known to be contra-indicated in pts with ic - eg Nitrofurantoin ( a commonly rx'd antibiotic in women). Potassium (as in bananas) can trigger a "flare" of ic. ...Read more

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What would u say is the best medication for fibro type symptoms is with the least side effects? Also does chronic pain or fibro ever just go away

What would u say is the best medication for fibro type symptoms is with the least side effects? Also does chronic pain or fibro ever just go away

The best is you.: The best medicine is to work on becoming well. Normalize your sleep, eating, exercise, learn to breathe through the pain, and seek joy in the moment. Surround yourself with loving positivity, and learn to separate who you are from the way your body feels. You can make pain go away, but since we do not know what causes the conditions, we have no cure. Your mind is the most powerful medicine. ...Read more

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I'm addicted to pain killers, what are the possible effects and treatment?

I'm addicted to pain killers, what are the possible effects and treatment?

There are Detox: Detox programs. It is possible to safely rapidly with medical help to get off pain killers. http://my.clevelandclinic.org/psychiatry/services/drug_recovery/default.aspx. ...Read more

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Can interstitial cystitis symptoms be worsened by fibromyalgia? I was going to get botox treatment, but can't, any ideas to help other than diet

Can interstitial cystitis symptoms be worsened by fibromyalgia? I was going to get botox treatment, but can't, any ideas to help other than diet

Yes; associated: ? If Fibromyalgia, FM, worsens Interstitial Cystitis, IC. Urinary frequency & urgency, aka IC, common symptoms of FM, wherein pelvic girdle sacroiliac joint subluxation impinges overlying presacral neural plexus/parasympathetic nerves responsible for urinary bladder smooth muscle contraction & bladder evacuation. Rational therapy of IC includes pelvic girdle stabilization via Prolotherapy/fusion. ...Read more

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Dr. Jeffrey Stevens
2 doctors shared insights

Interstitial Cystitis (Definition)

Also called interstitial cystitis, this 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. Ongoing research by urogynecologists and urologists are trying to better understand what causes it and how to treat it. Diet has ...Read more


Narcotic (Definition)

A natural or synthetic alkaloid compound that has morphine-like qualities. Other examples are codeine, heroin, Meperidine (demerol). They are classified based on their intrinsic activity & where they interact in the central nervous system. They are involved in pain transmission ...Read more