People with interstitial cystitis (IC) have repeat discomfort, pressure, tenderness or pain in the bladder, lower abdomen, and pelvic area. Symptoms vary from person to person, may be mild or severe, and can even change in each person as time goes on.
In the early phase of IC the symptom flares are intermittent in most patients. Over time symptoms increase and pain cycles may appear and last for 3-14 days. When these cycles become more frequent and last longer they are likely to be referred to a specialist.
Nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), to relieve pain. Tricyclic antidepressants, such as amitriptyline or imipramine (Tofranil), to help relax your bladder and block pain.
In fact, aside from dehydration, drinking too little water can result in more acidic urine and more pain. So even if it seems counterintuitive, finding ways to drink more water can actually result in happier IC bladders.
Common treatments for interstitial cystitis
Amitriptyline is the medication most commonly prescribed for interstitial cystitis. Elmiron is the only oral drug approved by the FDA specifically for interstitial cystitis. It improves the bladder lining, making it less leaky and therefore less inflamed and painful.
Ural Daily Supplement High Strength Cranberry 60,000 mg capsules support urinary tract health. This concentrated cranberry extract supplement helps reduce the occurrence of medically diagnosed cystitis, assists in the flushing of the urinary tract and the maintenance of urinary tract health.
End-stage interstitial cystitis is defined as a hard bladder that triggers intense pain and possesses very low bladder capacity. Many cases of end-stage interstitial cystitis involve Hunner's ulcers. Also known as “end-stage IC”, only about 5% of IC patients develop this severe condition.
The most proven treatment for interstitial cystitis is natural. Pelvic floor physical therapy resolves IC symptoms naturally and gets to the underlying 'why' of symptoms for lasting relief. Natural supplements and remedies have also been tested and proven to help those with IC.
Genetic and immune disorders, recurrent bacterial infections, and pelvic floor dysfunction are possible factors that can lead to this condition. Excessive frequency of urination, urinary urgency, and urethra, bladder or pelvic pain are common symptoms.
Coffee, soda, alcohol, tomatoes, hot and spicy foods, chocolate, caffeinated beverages, citrus juices and drinks, MSG, and high-acid foods can trigger IC symptoms or make them worse.
As your bladder starts to fill, you may feel pain—rather than just discomfort—that gets worse until you urinate. The pain usually improves for a while once you empty your bladder. People with IC rarely have constant bladder pain. The pain may go away for weeks or months and then return.
If you have interstitial cystitis, you'll receive the message to pee much more frequently, sometimes up to 60 times in a day, and the process of holding and releasing urine becomes very painful. For women, the pain in the pelvic region can increase in severity during the menstrual cycle.
There is no best way to diagnose IC. A variety of tests may be needed. These include urine tests, imaging tests, and biopsy.
Interstitial cystitis (IC) is a chronic and painful condition of the bladder. People with IC have a bladder wall that is tender and easily irritated, leading to uncomfortable symptoms. Although IC currently has no cure, the symptoms can be managed to help you feel better and live more comfortably.
Pentosan polysulfate sodium is the only FDA-approved oral medication for interstitial cystitis. The drug binds to the walls of the bladder, helping replace and repair the lining. Symptom improvement can take up to six months, but several studies have shown moderately positive results.
Antacids for Interstitial Cystitis
Calcium Glycerophosphate (Prelief) - A mineral supplement and antacid, Prelief is the most common brand name for IC patients. Calcium glycerophosphate is taken before meals, particularly before eating or drinking a known trigger, to try and mitigate the dietary trigger.
Dimethylsulfoxide — Dimethylsulfoxide (DMSO) is a liquid medication that has been approved by the US Food and Drug Administration (FDA) to treat interstitial cystitis/bladder pain syndrome (IC/BPS).
The antihistamine (such as Zyrtec®) is used because biopsies in patients with IC show an increased number or Mast cells, which are a particular type of white blood cell that are attracted to the site of injury by histamine. The mast cells further increase the local inflammation and pain.
Aspirin (Bufferin, Ecotrin) Acetaminophen (Tylenol, Datril)** Non-steroidal anti-inflammatory drugs (NSAIDs) Ibuprofen (Advil, Motrin and Nuprin)
Okay to try: white chocolate, non-aged cheeses such as cottage or American, frozen yogurt and milk. Vegetables Avoid: fava beans, lima beans, onions, tofu, soy beans & soy-based products, and tomatoes.