Dr. Romanzi offers advice to a patient suffering from overactive bladder (OAB), interstitial cystitis (IC), and ulcerative colitis. The doctor suggests trying transdermal OAB medications or older antidepressant drugs approved to treat incontinence. If those don't work, the doctor recommends pelvic floor physical therapy, bladder retraining, or electrical stimulation. Alternative IC treatments are also discussed. The patient is advised to see a specialist for a second opinion and try dietary and lifestyle changes to help manage their conditions.

1. Dr. Romanzi
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Can you tell me if you have helped any patients suffering
Three (Unhappy) Musketeers
from OAB/IC with Ulcerative Colitis? Every medication I
– Prolapse, Bladder Outlet
Obstruction and Overactive take for OAB is giving me a colitis flare up and I am
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Bladder desperate for help. I cannot take Elmiron b/c of the Colitis
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Ask Dr R: overactive bladder, also. Can you offer any advice? Thanks, L
interstitial cystitis, and Hello L,
ulcerative colitis
You may benefit from transdermal OAB medications, of
An obstructed bladder is a which there are 2 options, one gel and one patch. If SEARCH
cranky bladder – the story of
you’ve tried these already, you may do well with an old- To search, type and hit enter
prolapse and the badly
behaved bladder school treatment regimen using tri-cyclic antidepressants,
medications approved for depression, one of which has a
Dr R Talks About Prolapse, BLOGROLL
Part 1 track record as a successful incontinence medication. Or
it may be time to give electrical stimulation, pelvic floor Heal India e-Newsletter
Does Betty need
hysterectomy for prolapse? physical therapy with biofeedback and bladder retraining Seek Wellness
We think not. Dr R guest a try. With regard to Elmiron for interstitial cystitis (IC),
Womens Voices for Change
blog on Women’s Voices for there are other treatment options for IC. Therapies for
Change
OAB and IC are fundamentally different, although
therapies may overlap in certain patients such as yourself LINKS
CATEGORIES who suffer both syndromes. Women with your mix of
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conditions often need a lot of tweaking and frequent follow
Ask Dr. R. JonasWeb – Webmaster
up in order to find the individual regimen that works for
Blog you, no small task as you are well aware. SearchTROOP
Breaking News and To find a consultant for second opinion evaluation (be Seek Wellness
Research Reviews ready to repeat tests you may have done in the past), see
Fistula and Childbirth Injury www.augs.org patient section, and www.ichelp.org.
Lastly, I trust you’ve already looked at dietary and lifestyle GOOGLE CONNECT
Hysterectomy and
Alternatives to Hysterectomy factors that may be exacerbating your conditions. If not,
Pelvic Organ Prolapse
start with a nutritionist skilled with IC and UC management.
Best Regards,
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Dr R
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