Interstitial cystitis is a chronic inflammatory condition in the bladder. At this time any cause isnt definitive and researchers are continuing to investigate reasons for the condition. Because a definitive causative agent isnt known treatment protocols are based more on case study and experimentation than scientific fact.
More common cystitis is also known as urinary tract infections. This common cystitis is caused by a bacterial infection and is effectively treated by antibiotics. Because interstitial cystitis isnt cause by bacteria there is disagreement about treatment with antibiotics. Researchers do know that it isnt a psychosomatic disorder and isnt caused by stress.
People who suffer from interstitial cystitis (IC) will complain of urgency and frequency in the day or night. They feel the urge to urinate frequently and urgently. They can also complain of pain in the lower abdominal or vaginal area. It is also associated with sexual intercourse. Men can experience testicular, scrotal or perineal pain and painful ejaculation.
Other patients report muscle and joint pain, increased migraines, allergic reactions or gastrointestinal disorders.
The diagnosis of IC can be difficult and is done by negative urine cultures, other diseases or conditions are ruled out, a cystoscopy with bladder distention under anesthesia to see the pinpoint hemorrhages on the bladder wall the hallmark of this condition. A biopsy at this time will rule out bladder cancer and assist in the diagnosis of IC.
At this time there is no one effective treatment for all sufferers of IC but a vast majority of people are helped by one or more of the following treatments:
*Elmiron received FDA approval in 1996 as the only medication to treat IC.
*Antidepressants the tricyclic antidepressants have been shown to help with the pain and frequency of urination. They are used for the pain relief properties.
*Other anti inflammatory medications, antispasmodics, bladder analgesics and antihistamines can be used to improve the results of the first two medical choices.
Other treatments include instilling medications or water into the bladder. Done under general anesthesia during diagnosis the stretching of the bladder wall may be therapeutic as well as diagnostic. Another anti-inflammatory medication that can be instilled into the bladder during diagnosis is DMSO wich can be mixed with steroids, heparin or a local anesthetic to increase pain control.
At this time bacillus Calmette-Guerin (BCG) is under trial phase of experimental treatment and not yet approved but appears to boost the immune system of the individual.
Other treatments for IC include eliminating certain foods from the diet that irritate the bladder such as caffeine, smoking, alcohol, coffee, tea, chocolate and spicy foods. Other self help things that individuals can attempt are stress reduction (which will help with coping with the discomfort of the condition and the severity of the flare ups), biofeedback, bladder retraining and exercise.
Antibiotic treatment for interstitial cystitis isnt one of the recommended treatment protocols to help decrease pain, discomfort, frequency and urgency for the individual suffering from the condition. Instead sufferers must turn to other means of treatment.Free PDF Health Ebook...