Interstitial Cystitis/painful Bladder Syndrome
Interstitial cystitis, also referred to as bladder pain syndrome, is a chronic condition that causes painful urinary symptoms. It affects mostly women, according to the . The cause of the condition is currently unknown, but certain factors may trigger symptoms, such as infections, physical or emotional stress, diet, bladder injury, or certain medications.
Symptoms of interstitial cystitis
The symptoms can range from mild to severe and vary from person to person. Symptoms can include:
- urinalysis to check for infection
- cystoscopy to view the lining of your bladder
- urinary function tests
- potassium sensitivity test
Your doctor may also perform other tests to help rule out cancer as the cause of your symptoms, such as a biopsy, which is usually performed during cystoscopy or urine cytology to check for cancer cells in your urine.
Treatments for interstitial cystitis
There is no one specific treatment for interstitial cystitis. Your doctor will recommend treatments for your individual symptoms, which may include:
Preventing Frequent Or Painful Urination
Whenever possible, physicians treat frequent or painful urination by determining what underlying problem is causing the symptoms, and treating that problem. For example:
- If diabetes is the cause of a persons frequent urination, the physician will work with the patient to control blood sugar to minimize the urinary issue.
- If a mans frequent urination is due to benign prostatic hyperplasia or prostatitis, the physician will treat that issue to relieve urinary symptoms.
- For women who have painful or frequent urination due to urinary tract infections, the physician will prescribe antibiotics or suggest other treatments to eliminate the infection.
Sometimes, behavioral treatments may also help alleviate symptoms of painful or frequent urination. These are activities the patient can do to minimize or eliminate symptoms for conditions such as OAB. Behavioral treatments might include:
Preventing Pressure On Bladder
The best way to treat bladder pressure is to avoid experiencing it in the first place. Below are some tips to help prevent infections, and in turn, pressure on the bladder.
Underwear: Wearing loose, comfortable, cotton underwear prevents bacteria from being trapped near the urethra and causing an infection.
Shower: Showering rather than bathing reduces your risk of getting an infection, as the warm water of the tub is great for bacteria and the soap can wash away any protective mucous membranes.
Dont hold it: If you have the urge to urinate, do so as soon as you can. Holding urine in your bladder can create a breeding ground for bacteria, which leads to infection.
Water: Drinking plenty of water helps to flush your system and can reduce the risk of getting a bacterial infection.
While pressure on the bladder has a variety of causes that can vary by sex, most are not very serious and can be treated easily. However, it is important to seek the advice of a healthcare professional if you are experiencing bladder pressure so that its cause can be accurately diagnosed and appropriately treated before your condition worsens.
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When To See A Doctor About Urinary Retention
Sudden, severe urinary retention can be life-threatening. You should seek emergency medical attention if you haven’t been able to urinate for more than four hours, Dr. Ramin recommends.
Less severe symptoms warrant a call to your doctor. The NIDDK recommends contacting your primary care provider or urologist if you experience trouble urinating, frequent urination or urine leakage.
Treatment Options For A Prolapsed Bladder
There are many treatment options for a prolapsed bladder. One of the most common forms of treatment, and one that many people opt for first, is physical therapy. The pelvic floor is a muscle, and just like other muscles in the body, it can be strengthened with the appropriate exercises.
A physical therapist who specializes in pelvic floor therapy can work with you to determine the extent of your prolapse, gauge the strength of your pelvic floor muscles, and set you up on a routine to ensure the pelvic floor is working as it should.
Finally, if your prolapse is greatly affecting your life, keeping you from things you like to do, or causing you a lot of pain and discomfort, surgery may be an option for you. Reconstructive surgery helps to restore the organs to their original position and is the most common type of surgery for pelvic organ prolapse. Be sure to talk with your doctor about all the pros and cons of surgery. While successful for many women, there are always risks associated with surgical procedures, and some women may see their organ prolapse again even after surgery or may find that the surgery has created problems in another part of their pelvic floor. Women wanting to have more children should hold off on surgery until they are sure they are finished.
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How Is Bladder Pain Syndrome Diagnosed
There is no one test to tell whether you have bladder pain syndrome. Your doctor or nurse will do a physical exam to look at your lower abdomen and lower back and ask you questions about your symptoms. Your doctor may give you tests to rule out other health problems, such as urinary tract infections, sexually transmitted infections , bladder cancer, or kidney stones.
Some tests your doctor may do include:
Causes Of Painful Urination
Several kinds of infection or inflammation can cause painful urination. These include:
- Urethritis and prostatitis. These two inflammatory conditions are the most frequent causes of painful urination in men.
- Vaginal infection, such as a yeast infection. Women who have a vaginal infection may notice vaginal odor, discharge and painful urination.
- Sexually transmitted infections. STIs such as chlamydia, genital herpes and gonorrhea can cause painful urination.
- Can be caused by:
- Irritation of the urethra from sexual activity or activities like bicycling or horseback riding.
- Irritation from douches, spermicides, bubble baths, soap or toilet paper with fragrance.
- Side effects of certain medications, supplements and treatments.
- Stones in the urinary tract.
- Vaginal changes related to menopause .
- Tumor in the urinary tract.
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What Is The Latest Research On Bladder Pain Syndrome Treatment
Researchers continue to search for new ways to treat bladder pain. Some current studies focus on:
- New medicines to treat bladder pain
- Meditation as a way to control bladder pain
- The role of genetics in bladder pain
- Acupuncture treatment
To learn more about current bladder pain treatment studies, visit ClinicalTrials.gov.
The Best Way To Prevent Pinching Pain Entirely
No matter how your catheter is inserted, there is a way to completely eliminate the pinching/sucking of the catheter tip. And that is to use a new type of catheter called The Duette. You can read more details about it here: The Duette A Better Catheter Than The Foley. But the bottom line is unlike the standard Foley catheter , the Duette has 2 balloons with the inlet holes in between them. This means there is no tip at the end to stab the interior of your bladder and to suck on the bladder wall. With the Duette, the little inlet holes cant make contact with your bladder wall , and so not only will you not get the pinch pain, but your risk of catheter induced UTI is reduced due to the reduced trauma. See the video on my article about the Duette.
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Why Does My Bladder Feel Full After I Pee
Pressure in the bladder causes this feeling, which should disappear after a person urinates. However, some people experience this pressure constantly, and it may feel like an ache. This is not normal and is likely caused by interstitial cystitis. This condition is sometimes known simply as bladder pain syndrome.
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Am I Drinking Too Much
This is possible, especially if you consume diuretics like caffeinated tea, coffee, or alcohol. Drinking these beverages late at night may cause you to wake up needing to pee. For a better nights sleep, avoid these drinks for around 4 hours before going to bed.
Feeling worried or uneasy might sometimes trigger the need to pee, even if youve already gone. Focusing on something else to divert your attention away from the urge can help it pass. Using soothing breathing techniques can also be beneficial.
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What Not To Do
Steer clear of at-home bladder-emptying methods such as the CredÃÂ© maneuver, which involves putting manual pressure on the bladder. These tactics, while widely circulated online, can do more harm than good.
“The additional pressure will cause transmission of pressure to the kidneys and cause damage,” Dr. Ramin says.
These methods also don’t address what’s causing the retention in the first place.
“Without addressing the underlying causes, the disease may progress to cause kidney failure, sepsis, stone formation in the urinary tract and possible other complications,” warns Dr. Ramin.
How Is Interstitial Cystitis Diagnosed
No single test can diagnose IC. And symptoms of IC are a lot like those of other urinary disorders. For these reasons, a variety of tests may be needed to rule out other problems. Your healthcare provider will start by reviewing your medical history and doing a physical exam. Other tests may include:
Urinalysis. Lab testing of urine to look for certain cells and chemicals. This includes red and white blood cells, germs, or too much protein.
Urine culture and cytology. Collecting and checking urine for white blood cells and bacteria. Also, if present, what kind of bacteria there are in the urine.
Cystoscopy. A thin, flexible tube and viewing device, is put in through the urethra to examine the bladder and other parts of the urinary tract. This checks for structural changes or blockages.
Bladder wall biopsy. A test in which tissue samples are removed from the bladder and checked under a microscope to see if cancer or other abnormal cells are present.
Lab exam of prostate secretions . This is done to look for inflammation and/or infection of the prostate.
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So How Do You Get A Duette
As I alluded to above, Poiesis Medical cannot ship outside the US. There are a lot of legal hurdles they need to clear to make it practical. And they are working on it hard. But if you are in the US, all you need to do is contact your nearest DME supplier. The Duette does not require a prescription. So you CAN simply purchase them directly from the DME for about $13 apiece. If you are getting your supplies through your medical insurance though, just contact the DME for how to set up billing for that.
What Is A Prolapsed Bladder
Pelvic organ prolapse is a surprisingly common condition. In fact, its estimated that about half of women over 50 have some level of prolapse. The pelvic floor is a web of muscles and tissues that supports your pelvic organs, including the bladder, bowel, and uterus. When these muscles and tissues become weakened or damaged, one or more of these pelvic organs can drop or collapse, causing uncomfortable symptoms.
While any of the organs listed above can drop, the most common type of prolapse is a dropped bladder, also known as a cystocele.
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Why Do I Pee So Much Even When I Dont Drink Anything
A few other conditions make you need to pee more often, such as an overactive bladder, an enlarged prostate, and urinary tract infections. They can make you feel like you have to go all the time, even if there isnt much in your bladder. But polyuria makes you have to go more often because your body makes more urine.
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Symptoms Of Interstitial Cystitis
The symptoms associated with painful bladder, or interstitial cystitis syndrome include:
- Frequency day and night
- Urgency the need to urinate straight away, in some cases followed by pain, pressure or spasms
It is most important that you go to see your GP first because PB/IC is a diagnosis of symptoms plus exclusion of other serious possibilities such as cancer.
Your GP may refer you to a Urologist who may perform tests such as urodynamics or cystoscopy. A cystoscopy uses a cystoscope, which is a long tube that can be inserted into the urethra. It has a camera attached to the end so that an image can be shown on a monitor. It can take time to obtain a correct diagnosis as symptoms of PB/IC can be similar to other conditions for example, Overactive Bladder or Bacterial Cystitis.
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Diagnosis Of Frequent Or Painful Urination
The physician will study the symptoms and take a complete medical history to determine the cause of the frequent or painful urination. He or she may order additional tests, such as:
- A laboratory examines and tests a urine sample to determine its contents and whether infection is present.
- Cystometry or Urodynamics. This measures the pressure within the bladder and assesses how well the bladder is working. This test allows physicians to understand if nerve or muscle problems may be interfering with bladder function.
- Using a thin, lighted instrument called a cystoscope, the physician can view inside the urethra and bladder to look for physical problems.
- Neurological tests. A physician might request tests to confirm or eliminate the possibility of a nerve disorder that affects bladder function.
- This imaging test uses sound waves to make a picture of the organs inside the body to check for issues affecting urinary function.
What Is Frequent Or Painful Urination
Urination is the process of passing liquid waste from the body in the form of urine. For most people, the bladder holds urine until it is convenient for them to use the toilet. Urination is normally painless.
Most people urinate four to eight times a day depending on fluid intake. Frequent urination is when a person needs to urinate much more often, experiences an urgent need to urinate or when a person urinates more frequently than is normal for him or her.
Painful urination is more common in women than in men. In both men and women it results in pain, discomfort, burning or stinging. Pain may be felt at the spot where urine leaves the body or inside the body at the prostate , bladder or behind the pubic bone at the lower part of the pelvis.
Frequent urination or painful urination can indicate another physical problem and should be evaluated by a physician.
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What Does Bladder Pressure Feel Like
The most noticeable symptom of IC is pain and pressure in the bladder. The pain you experience may range from mild to severe. For some, the pressure can come and go. For others, the feeling doesnt let up.
These symptoms may lead you to think that you have a bladder infection, but IC isnt an infection at all. Its a chronic condition, which means that there isnt cure.
Other symptoms of IC include:
- pain while bladder is full and relief when its emptied
- pain during sex
Signs and symptoms vary. Some people may need to urinate up to 60 times each day. You may also experience periods of time when you have no symptoms.
Although IC isnt a UTI, getting an infection can make your symptoms worse.
Further Help For Bladder Pain
If you are concerned about your problem and it is starting to affect your day-to-day life make an appointment to see your doctor as you may need to be referred to a specialist.
If you are experiencing bladder pain you can contact a continence nurse or specialist physiotherapist, who are healthcare professionals who specialise in bladder and bowel problems.
Information on this page has been updated with the help of www.painful-bladder.org. If youd like to read their information sheet on painful bladder / interstitial cystitis please click here.
You can also find information about painful bladder / interstitial cystitis on the Bladder Health UK website bladderhealthuk.org, Email , Telephone 0121 702 0820
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What Causes Feeling Of Bladder Fullness After Urination
Bladder fullness is a feeling that arises when your bladder gets filled with urine and it produces an urge to urinate. Feeling of fullness of urinary bladder is normal in every person as the bladder gets filled to its maximum capacity. It gives an indication that a person needs to void urine. Although the bladder can stretch to a certain point if you want to delay urination for some time, the feeling intensifies to an extent that the person cannot bear it any longer and may pass urine involuntarily.
The sensation of bladder fullness in some people may occur even after urination.
Some underlying causes are similar in both males as well as female however, due to their different genitourinary structures some causes are specifically related to females or males.
How The Urinary Tract Works And What Happens With Oab Your Browser Does Not Support Html5 Audio Playback You May Download The Audio File Directly Here
The urinary tract is the important system that removes liquid waste from our bodies:
- kidneys: two bean-shaped organs that clean waste from the blood and make urine
- ureters: two thin tubes that take urine from the kidney to the bladder
- bladder: a balloon-like sac that holds urine until itâs time to go to the bathroom
- urethra: the tube that carries urine from the bladder out of the body. The urethra has muscles called sphincters that lock in urine. The sphincters open to release urine when the bladder contracts.
When your bladder is full, your brain signals the bladder. The bladder muscles then squeeze. This forces the urine out through the urethra. The sphincters in the urethra open and urine flows out. When your bladder is not full, the bladder is relaxed.
With a healthy bladder, signals in your brain let you know that your bladder is getting full or is full, but you can wait to go to the bathroom. With OAB, you canât wait. You feel a sudden, urgent need to go. This can happen even if your bladder isnât full.
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