Signs of Interstitial cystitis (Bladder inflammation)

Description

Characterized by an inflammation of the bladder wall with symptoms similar to those of a urinary tract infection. The range of symptoms can be mild to severe and debilitating. Women are most commonly affected with 40 being the most common age. The cause of this disorder is unknown.

Symptoms

Pain during intercourse, pelvic pain, urinary discomfort, urinary frequency, urinary urgency.

Tests

A history and physical exam will be performed. Tests to measure the function of the bladder and diagnose the disorder will be done including cystoscopy and a bladder biopsy.

Standard Workup

Treatment

There is no cure for the disorder, and treatment is not standard but depends on the individual and their response to the therapy. Elmiron is the only medication taken by mouth that is specifically approved for treating interstial cystitis. It coats the bladder and relieves symptoms. Other medications that may be used include: pain medicines, tricyclic antidepressants (amitriptyline/Elavil), and hydroxyzine (Vistaril). Other therapies include: bladder hydrodistention (filling bladder with fluid), and bladder training (using relaxation techniques to train the bladder to go only at specific times). Pelvic relaxation techniques can also help reduce the discomfort. If severe and unresponsive to any medical treatment surgery may be necessary.