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Interstitial cystitis is a long-term
(chronic) inflammation of the bladder wall. 
Treatment results vary. Some people respond well to simple treatments
and dietary changes. Others may require extensive treatments or surgery.

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  1. 1. Fitango Education Health Topics Cystitis
  2. 2. Overview Interstitial cystitis is a long-term (chronic) inflammation of the bladder wall. Treatment results vary. Some people respond well to simple treatments 1
  3. 3. Overview and dietary changes. Others may require extensive treatments or surgery. 2
  4. 4. Symptoms Common symptoms of interstitial cystitis include: -- Pain during intercourse -- Pelvic pain -- Urinary discomfort 3
  5. 5. Symptoms -- Urinary frequency (up to 60 times a day in severe cases) -- Urinary urgency Many people who have long-term interstitial cystitis are also depressed because of the 4
  6. 6. Symptoms pain and changes to their lifestyle. 5
  7. 7. Diagnoses The diagnosis is made by ruling out other causes. Tests include: -- Bladder biopsy -- Cystoscopy 6
  8. 8. Diagnoses (telescopic examination of the bladder) -- Urinalysis -- Urine culture -- Urine cytology -- Video urodynamics 7
  9. 9. Diagnoses (shows how much urine must be in the bladder before you feel the need to urinate) 8
  10. 10. Treatment There is no cure for IC, and there are no standard treatments that are known to be effective for most patients. Results vary from person to person. Treatment is based on trial and error until you 9
  11. 11. Treatment find relief. Elmiron is the only medication taken by mouth that is approved for treating IC. This medicine coats the bladder like Pepto-Bismol coats the stomach. Other medicines may include: 10
  12. 12. Treatment -- Narcotic painkillers for severe pain -- Tricyclic antidepressants such as amitriptyline to relieve pain and urinary frequency 11
  13. 13. Treatment -- Vistaril (hydroxyzine pamoate), an antihistamine that causes sedation, helps reduce urinary frequency Other therapies that may be tried include: -- Over-filling the 12
  14. 14. Treatment bladder with fluid while under general anesthesia (bladder hydrodistention) -- Bladder training (using relaxation techniques to train the bladder to go only at specific times) -- Medicines placed 13
  15. 15. Treatment directly into the bladder, including dimethyl sulfoxide (DMS), heparin, Clorpactin, lidocaine, doxorubicin, or bacillus Calmette-Guerin (BCG) vaccine -- Physical therapy 14
  16. 16. Treatment and biofeedback (may help relieve pelvic floor muscle spasms) -- Surgery, ranging from cystoscopic manipulation to bladder removal (cystectomy) 15
  17. 17. Treatment **Dietary changes** Some patients find that changes in their diet can help control symptoms. The idea is to avoid foods and beverages that can cause bladder irritation. Below are some of the foods that the Interstitial 16
  18. 18. Treatment **Dietary changes** Cystitis Association says may cause bladder irritation. -- Aged cheeses -- Alcohol -- Artificial sweeteners -- Chocolate 17
  19. 19. Treatment **Dietary changes** -- Citrus juices -- Coffee -- Cranberry juice (Note: Although cranberry juice is often recommended for urinary tract infections, it can make IC symptoms worse.) 18
  20. 20. Treatment **Dietary changes** -- Fava and lima beans -- Meats that are cured, processed, smoked, canned, aged, or that contain nitrites -- Most fruits 19
  21. 21. Treatment **Dietary changes** except blueberries, honeydew melon, and pears -- Nuts except almonds, cashews, and pine nuts -- Onions -- Rye bread 20
  22. 22. Treatment **Dietary changes** -- Seasonings that contain MSG -- Sour cream -- Sourdough bread -- Soy -- Tea 21
  23. 23. Treatment **Dietary changes** -- Tofu -- Tomatoes -- Yogurt Experts suggest that you do not stop eating all of these foods at one time. Instead, try eliminating one at a time to see 22
  24. 24. Treatment **Dietary changes** if that helps relieve your symptoms. 23
  25. 25. Causes Interstitial cystitis (IC) is a painful condition due to inflammation of the tissues of the bladder wall. The cause is unknown. IC is often misdiagnosed as a urinary 24
  26. 26. Causes tract infection. Patients can go years without a correct diagnosis. On average, there is about a 4-year delay between the time the first symptoms occur and the diagnosis is made. The condition is most common around ages 30 25
  27. 27. Causes to 40, although it has been reported in younger people. Women are 10 times more likely to have IC than men. 26