TOUGH PROBLEM. Ic pain is difficult to control. Articles talk about d-mannose supplements to cranberry juis/dried fruit form/capsules/pyridium, etc. Lots of water and avoiding caffeinated /carbonated products may help, as it eliminates the acidity fluctuations that lead to inflammation and bacterial overgrowth. Hope this helps, it's a tough one to have and very frustrating to treat.
See an expert. Ic is a complex pain syndrome that is less abladder disease and more a pain disorder with difficulty in processing and dampening pain. Palliative care/pelvic pain teams are of some benefit. Treatments include physical therapy, dietary changes, oral medication (elmiron), local injections (botox, lidocaine), nerve stimulators for pain control. Every patient has a different need.
Find an experienced. Urologist or urogynecologist to help you manage this syndrome.
There are many. Pain from interstitial cystitis can improve with a lot of treatments. Hydrodistension and bladder instillations can help. Medications like Elmiron (pentosan) and antihistamines may work. Medications for neuropathic pain like Amitriptyline and Gabapentin are often effective. While not fda approved for pain, sacralneuromodulation (interstim) works well for some people. Discuss options with your doctor.
Lining breakdown. It is a condition thought to be caused from the breakdown of the gag layer in the bladder. It is associated with frequency and pain in the bladder.
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.
Check out this link. Take care! Http://www. M.Webmd. Com/a-to-z-guides/interstitial-cystitis.
Both men and women. It has a tendency to run in families which suggests a genetic factor. It is diagnosed more commonly in women.
30-40 yr old women. It is disease of unknown cause and affect women more than men and is more common around the age of 30-40 years. See this site for more info. Http://www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0001508/.
Bladder inflammation. The bladder has several layers, starting from the lining, through the muscle to the serosa (outer lining). The "interstitium" is between the muscle bundles. An inflammation of this area, results in "cystitis". It does not mean an infections, but it often is.
Painful Bladder. Ic is a condition that has multiple symptoms. Most common symptoms are frequent urination, urinary urgency and pain in the bladder and pelvic area. There is no definitive test to diagnose ic, but there is usually inflammation of the lining of the bladder that produces the symptoms. Treatments include dietary changes, medication, and possibly bladder instillation of various compounds.
Autonomic Disorder. Interstitial Cystitis, IC, as Dr. Villa stated. I had two patients with IC, both w. sacroiliac joint, SIJ, hypermobility & chronic low back pain. After SIJ fusion symptoms resolved. Medical literatures states that 10-30% persons w. chronic low back pain have non-inflammatory primary SIJ disorder. I posit that IC is caused by SIJ laxity & pelvic presacral plexus parasympathetic irritation.
Pathologic lesion. There are distinctive anatomic changes in the vessels and mast cells in the bladder, going deep into its wall. We pathologists have been slower to understand and charaterize these than we have with other lesions, and we hope that eventually this puzzling disorder can be explained and some effective treatment found.
IC/Bladder Pain. Interstitial cystitis is also now referred to as bladder pain syndrome. There is a decrease in, or absence of, a 'slime layer' in the bladder, which normally protects the bladder from being irritated by urine. It can be diagnosed in several ways. For most people, using a bladder pain questionnaire is a good start. A cystoscopy may show glomerulations (bleeding) or in advanced ic, hunner ulcers.
Ic. If not treated properly could be progressive.
Very often. More often than not is progressive if mild when diagnosed and subject fails to adjust diet, alkalinize urine, avoid caffeine and alcohol or fail to take prescribed medications if and when they helped to relieve symptoms.
Personal Approach. Interstitial cystitis is a very difficult diagnosis to treat, or provide a simple treatment that works for everyone. Diet modification, elmeron, certain antidepressants and even pelvic floor physical therapy have demonstrated to improve symptoms. Don't get frustrated and work with your urologist to find a treatment that works for you!