Bladder Syndrome/Interstitial Cystitis
Katrina Davis M.D., F.A.C.O.G. &
Sprock, M.D., F.A.C.O.G., F.P.M.R.S board certified
Cindy always felt like
she had a bladder infection. She would go to the
bathroom frequently, but only a little urine came out
each time. It was so embarrassing to get up several
times during a movie and she was always looking for the
bathroom. She had burning and pain in her bladder but
all tests on her urine came back negative. She was
finally diagnosed with Interstitial Cystitis/Painful
Bladder Syndrome (IC/PBS).
IC/PBS affects up to
6.5% of women in the United States. It is 5 times
more common in women than men. The exact cause is not
yet well understood. It is likely that it has multiple
causes including a possible reaction to foods and
drinks. The bladder lining and maybe even the urethra
(tube through which you urinate) become red and
irritated. This causes pain and makes the bladder
contract or spasm making someone feel an urge to urinate
all the time even though the bladder may be empty.
Symptoms are usually frequent urination, burning with
urination and pain. The pain typically worsens as the
bladder fills and gets better with bladder emptying.
IC/PBS can be confused with a urinary tract infection,
but the urine culture won’t grow bacteria. It typically
starts slowly and progressively worsens over time.
Frequently it causes
pain with sex and can decrease quality of life and
result in frustration.
Very commonly people
who have IC/PBS also have a history of other pain
syndromes like fibromyalgia, irritable bowel syndrome or
endometriosis. Sometimes other problems like bladder
stones, bladder cancer and even vaginal dryness
following menopause can have similar symptoms to IC/PBS.
So it is important to be evaluated by a physician to be
sure of the diagnosis.
interstitial cystitis can include a change in diet or
decrease in how much fluid you drink. Most people with
interstitial cystitis drink minimal fluids, since any
bladder filling causes an urge to go to the bathroom
again. These people sometimes go to the bathroom 20
times a day.
There are oral
medications to heal the bladder and help to prevent
future bladder irritation. Medications placed in the
bladder are also helpful. A lot of people with
interstitial cystitis have bladder washings on a regular
basis to prevent the bladder from getting red and
irritated. The urge and frequency can often be helped by
oral medications or other treatments.
Cindy was evaluated at
Central Florida Urogynecology and noticed that her main
problem was that she reacted to tomatoes. She had
bladder washing treatments that helped heal the redness
in her bladder. She also decreased the amount of foods
that she ate containing tomatoes and she can now
sleep all night and watch a movie without having to go
to the bathroom.
If you are getting
frustrated since you feel you spend your day in the
bathroom, call Central Florida UroGynecology for an
evaluation. IC/PBS is a condition affecting many women.
No need to suffer in silence. See us at Central
Florida Urogynecology so that help can be obtained.
Marja Sprock, M.D and
Katrina Davis M.D. are board certified in OB/GYN and
Female Pelvic Medicine and Reconstructive Surgery (Urogynecology)
and are offering academic level medicine in a private
Florida UroGynecology in Rockledge 321-806-3929 to
schedule your consultation.
Florida UroGynecology where high tech and common sense