5 doctors weighed in:

Is there a diagnostic test available for interstitial cystitis?

5 doctors weighed in
Dr. Alfredo Nieves
Gynecology
3 doctors agree

In brief: IC

There are 3 basic ways of diagnosing ic, history of urgency/frequency, pain with full bladder and on exam pain over the bladder in the abscence of infection.
A potassium sensitivity test done in the office and a cystoscopy with hydrodistension of the bladder done in the operating room under anesthesia.

In brief: IC

There are 3 basic ways of diagnosing ic, history of urgency/frequency, pain with full bladder and on exam pain over the bladder in the abscence of infection.
A potassium sensitivity test done in the office and a cystoscopy with hydrodistension of the bladder done in the operating room under anesthesia.
Dr. Alfredo Nieves
Dr. Alfredo Nieves
Thank
Dr. George Klauber
Pediatrics - Urology
1 doctor agrees

In brief: Diagnosis is complex

We still do not understand the cause/s of ic, diagnosis could be considered more art than science so i take many features into account: pain with bladder distention and relieved with voiding, pain provoked by acid producing foods or beverages (oj/tomato paste/caffeine) reiieved with bland non-fried foods or prelief.
Cystoscopy with hydrodistension can help, bladder biopsy for >mast histamine cells.

In brief: Diagnosis is complex

We still do not understand the cause/s of ic, diagnosis could be considered more art than science so i take many features into account: pain with bladder distention and relieved with voiding, pain provoked by acid producing foods or beverages (oj/tomato paste/caffeine) reiieved with bland non-fried foods or prelief.
Cystoscopy with hydrodistension can help, bladder biopsy for >mast histamine cells.
Dr. George Klauber
Dr. George Klauber
Thank
1 comment
Dr. George Klauber
Potassium stimulation test has both protractors as well as detractors, I personally don;t like it. A reasonable test is to try such medications as anticholinergics to relax bladder muscle such as oxybutinin or Detrol, Elavil can both provide central relaxation plus stabilize histamine in bladder. Elmiron, although used to treat, can together with other meds can be considered a test if it works
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Dr. Steven Seres
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