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26.10.2014
Because IC varies so much in symptoms and severity, most researchers believe it is not one, but several diseases.
Your doctor will ask you questions and run tests to find the cause of your bladder problems.
Researchers are beginning to explore the possibility that heredity may play a part in some forms of IC.
Diagnostic tests that help rule out other diseases include urinalysis, urine culture, cystoscopy, biopsy of the bladder wall and urethra, and distention of the bladder under anesthesia. Although not commonly done, in men without a history of culture-documented urinary tract infections, the doctor might obtain prostatic fluid and examine it for signs of a prostate infection, which can then be treated with antibiotics. After a few days, you may be able to stretch the time out to 60 or 70 minutes, and you may find that the urge to urinate does not return as soon. During a bladder instillation, also called a bladder wash or bath, the bladder is filled with a solution that is held for varying periods of time, averaging 10 to 15 minutes, before being emptied.
A bothersome but relatively insignificant side effect of DMSO treatments is a garliclike taste and odor on the breath and skin that may last up to 7 hours after treatment. Some people have experienced improvement in their urinary symptoms by taking tricyclic antidepressants or antihistamines. Mild electrical pulses can be used to stimulate the nerves to the bladder—either through the skin or with an implanted device. A person may consider having a device implanted that delivers regular impulses to the bladder. People who have found adequate relief from pain may be able to reduce frequency by using bladder training techniques. Surgery should be considered only if all available treatments have failed and the pain is disabling. People considering surgery should discuss the potential risks and benefits, side effects, and long- and short-term complications with a surgeon, their family, and people who have already had the procedure. People should check with their doctor to locate a surgeon experienced in performing specific procedures. Two procedures—fulguration and resection of ulcers—can be done with instruments inserted through the urethra. Even in carefully selected patients—those with small, contracted bladders—pain, frequency, and urgency may remain or return after surgery, and they may have additional problems with infections in the new bladder and difficulty absorbing nutrients from the shortened colon. A third method to reroute urine involves making a new bladder from a piece of the patient’s colon and attaching it to the urethra. We are an organization committed to educating and helping individuals who suffer from incontinence and other urinary related conditions. If you or someone you love suffer from incontinence or any other urinary related condition, contact us today.
Please note that additional tests may be required depending on the presence of noted abnormalities. Sign-up using the form or call us at 859-854-5055 to take advantage of this exclusive offer. Lengthy bouts of vomiting and diarrhea can be a sign that your pet has gastroenteritis, a common condition that occurs when the lining of the stomach and intestines becomes irritated. If your dog shows signs of stiffness or begins limping, you may assume that arthritis is to blame. In recent years, scientists have started to use the terms bladder pain syndrome (BPS) or painful bladder syndrome (PBS) to describe cases with painful urinary symptoms that may not meet the strictest definition of IC.
Frequency, however, is not always specifically related to bladder size; many people with severe frequency have normal bladder capacity when measured under anesthesia or during urologic testing.
In a few cases, IC has affected a mother and a daughter or two sisters, but it does not commonly run in families. The most common of these diseases in both sexes are urinary tract infections and bladder cancer. During cystoscopy, the doctor uses a cystoscope—an instrument made of a hollow tube about the diameter of a drinking straw with several lenses and a light—to see inside the bladder and urethra. Your doctor or nurse will work with you to find a treatment plan that meets your special needs. People with bladder pain often get in the habit of using the bathroom as soon as they feel pain or urgency. If you usually void every 40 minutes, try to wait at least 50 minutes before you go to the bathroom. Food and Drug Administration (FDA) for bladder instillation is dimethyl sulfoxide (Rimso-50), also called DMSO. Because it passes into the bladder wall, it may reach tissue more effectively to reduce inflammation and block pain. Long-term treatment has caused cataracts in animal studies, but this side effect has not appeared in humans.
A small minority of patients experienced some hair loss, but hair grew back when they stopped taking the drug.


Because Elmiron has mild blood-thinning effects, it should be discontinued prior to planned surgery. A tricyclic antidepressant called amitriptyline (Elavil) may help reduce pain, increase bladder capacity, and decrease frequency and nocturia. A person should always consult a doctor before using any drug for an extended amount of time. The method of delivering impulses through the skin is called transcutaneous electrical nerve stimulation (TENS).
Within some guidelines, the patient decides when, how long, and at what intensity TENS will be used. A wire is placed next to the tailbone and attached to a permanent stimulator under the skin. Some people also note that their symptoms worsen after eating or drinking products containing artificial sweeteners. Methods vary, but basically patients decide to void—empty their bladder—at designated times and use relaxation techniques and distractions to keep to the schedule. Many approaches and techniques are used, each of which has advantages and complications that should be discussed with a surgeon. In most of these procedures, scarred, ulcerated, and inflamed sections of the patient’s bladder are removed, leaving only the base of the bladder and healthy tissue. Some patients become incontinent, while others cannot void at all and must insert a catheter into the urethra to empty the bladder. After healing, the patient may be able to empty the newly formed bladder by voiding at scheduled times or by inserting a catheter into the urethra. Therefore, the decision to undergo a cystectomy should be made only after testing all alternative methods and seriously considering the potential outcome. Some urologists recommend rerouting urine to a piece of bowel connected to the abdominal wall. Studies have found that people who learn about the disorder and become involved in their own care do better than people who do not. We can provide you with the guidance and resources you need to feel the freedom you deserve and live your life at its fullest. Scheele’s breakthrough book on using Power Amino Acids® to avoid “addictive taste disorders” and harness the body’s own feedback mechanisms to tame appetite, rebalance metabolism and normalize body weight. Those test may include blood pressure, eye pressure, ECG (measures beat and rhythm of heart), X-ray or ultrasound. Being overweight or obese can lead to many of the same health problems whether you are a human, dog or cat.
People may experience mild discomfort, pressure, tenderness, or intense pain in the bladder and pelvic area. Hunner’s ulcers—patches of broken skin found on the bladder wall—are present in 10 percent of people with IC. Urgency is normal if you haven't been near a bathroom for a few hours or if you have been drinking a lot of fluids.
For a clean catch, the patient washes the genital area before collecting urine midstream in a sterile container. The doctor might also distend or stretch the bladder to its capacity by filling it with a liquid or gas.
The plan may include diet and lifestyle changes, bladder retraining, activity and exercise, physical therapy, and various types of medicines. The diary might reveal that your flare-ups always happen, for example, after you eat tomatoes or oranges.
Researchers are not sure why distention helps, but some believe it may increase capacity and interfere with pain signals transmitted by nerves in the bladder. DMSO treatment involves guiding a narrow tube called a catheter up the urethra into the bladder.
Blood tests, including a complete blood count and kidney and liver function tests, should be done about every 6 months. Doctors do not know exactly how the drug works, but one theory is that it may repair defects that might have developed in the lining of the bladder. With TENS, mild electric pulses enter the body for minutes to hours, two or more times a day either through wires placed on the lower back or just above the pubic area—between the navel and the pubic hair—or through special devices inserted into the vagina in women or into the rectum in men.
It has been most helpful in relieving pain and decreasing frequency in people with Hunner’s ulcers.
The FDA has approved this device, marketed as the Inter-Stim system, to treat urge incontinence, urgency-frequency syndrome, and urinary retention in people for whom other treatments have not worked.
Eliminating various items from the diet and reintroducing them one at a time may determine which, if any, affect a person’s symptoms. A doctor may recommend consulting another surgeon for a second opinion before taking this step. As the complexity of the procedure increases, so do the chances for complications and failure.


When the area heals, the dead tissue and the ulcer fall off, leaving new, healthy tissue behind. A piece of the patient’s colon—also called large intestine—is then removed, reshaped, and attached to what remains of the bladder.
In most cases, ureters are attached to a piece of colon that opens onto the skin of the abdomen. Only a few surgeons have the special training and expertise needed to perform this procedure. Symptoms may include an urgent need to urinate, a frequent need to urinate, or a combination of these symptoms. The term interstitial cystitis, or IC, is used alone when describing cases that meet all of the IC criteria established by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). But you may have a problem if you have strong urges before your bladder has had time to fill. You may have a problem if you feel burning or sharp pain in your bladder or urethra—the opening where urine leaves the body. If you have a bladder infection, your urine will contain germs and maybe pus that can be seen with a microscope. The doctor can then see inside your bladder by looking through an eyepiece at the other end of the scope. White and red blood cells and bacteria in the urine may indicate an infection of the urinary tract, which can be treated with an antibiotic. You should expect some treatment failures along the way, but, with time, you and your doctor or nurse should find a treatment that gives you some relief and helps you cope with your disease.
Symptoms may temporarily worsen 4 to 48 hours after distention, but should return to predistention levels or improve within 2 to 4 weeks.
A measured amount of DMSO is passed through the catheter into the bladder, where it is retained for about 15 minutes before being expelled. Patients are urged to continue with therapy for at least 6 months to give the drug an adequate chance to relieve symptoms. In people with severe pain, narcotic analgesics such as acetaminophen (Tylenol) with codeine or longer-acting narcotics may be necessary. Although scientists do not know exactly how TENS relieves pelvic pain, it has been suggested that the electrical pulses may increase blood flow to the bladder, strengthen pelvic muscles that help control the bladder, or trigger the release of substances that block pain. One of the best things smokers can do for their bladder and their overall health is to quit. Most surgeons are reluctant to operate because some people still have symptoms after surgery.
While this procedure may or may not improve pelvic pain, it can decrease frequency and improve quality of life for patients who experience frequent urges to urinate.
Bladder retraining helps your bladder hold more urine before signaling the urge to urinate.
Both treatments are done under anesthesia and use special instruments inserted into the bladder through a cystoscope. At times, you may even have an accident because the urge strikes so quickly you don't have time to find a bathroom.
Taking blood pressure medicines called diuretics, or water pills, can also cause more frequent voiding.
Most people who respond to DMSO notice improvement 3 or 4 weeks after the first 6- to 8-week cycle of treatments.
Laser surgery in the urinary tract should be reserved for people with Hunner’s ulcers and should be done only by doctors with the special training and expertise needed to perform the procedure. Some urologists are using a second technique that also requires a stoma but allows urine to be stored in a pouch inside the abdomen.
If you void more than eight times a day, and you don’t take diuretics or drink large amounts of fluid, it may be the sign of a problem. Highly motivated patients who are willing to catheterize themselves may, after consultation with their doctor, be able to have DMSO treatments at home. At intervals throughout the day, the patient puts a catheter into the stoma and empties the pouch.
Self-administration is less expensive and more convenient than going to the doctor’s office. Patients with either type of urostomy must be very careful to keep the area in and around the stoma clean to prevent infection.



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