Interstitial Cystitis

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What is Interstitial Cystitis (IC)?

Interstitial Cystitis (IC) is also known as Painful Bladder Syndrome (PBS), and the two terms can be used interchangeably.  IC is characterized as pain in the bladder for more that six weeks without an obvious infection, and other causes have been ruled out. It is estimated that 12 million people have IC, and women are more commonly diagnosed than men, although some feel that men are often misdiagnosed with prostatitis instead.  

What Are Symptoms of Interstitial Cystitis (IC)?

The pain associated with IC can affect the bladder, lower abdomen, legs, low back, vagina, vulva, scrotum and testes, and the pain can be constant, intermittent and can vary in intensity and feeling. Depression and anxiety often come along with IC, as the pain can be quite debilitating and life altering. Many people with IC are unable to stand or sit for long periods of time, will need constant access to a bathroom, and are unable to be intimate with their partners without pain. Because of this, the suicide rate is quite high, as many feel they are falling through the cracks of the health care system, while more information is needed for diagnosis and treatment.  

Symptoms of Interstitial Cystitis (IC) can be:

  • Pain (sharp, burning, intermittent, constant) in the bladder, during, before or after urination
  • Pressure in the bladder area or perineum
  • Frequent and urgent urination (even up to 60 times a day)
  • Difficulty voiding urine
  • Urinary incontinence
  • Painful sex during or after (even the next day)
  • Blood and white blood cells (WBC) in the urine
  • A history of chronic UTIs (urinary tract infection)

It's important to note that while IC is a chronic condition, symptoms can improve or worsen over time, or even come and go. Many people with IC find that certain triggers, such as certain foods or stress, can worsen their symptoms, and it's important to identify and avoid these triggers if possible. Additionally, it's important for people with IC to work with a healthcare professional to develop a treatment plan that is tailored to their specific symptoms and needs. This can include medications, physical therapy, and lifestyle changes. It's also important for people with IC to have a support system in place, whether it's friends, family, or a support group, as the condition can have a significant impact on a person's emotional and mental well-being. 

How is Interstitial Cystitis (IC) Diagnosed?

Diagnostic tests that may be used to diagnose IC include:

  • Pelvic exam: A physical examination to check for any abnormalities or signs of inflammation in the pelvic area.
  • Urine tests: A urine sample will be taken to check for any signs of infection or inflammation.
  • Potassium sensitivity test: In this test, a small amount of potassium is instilled into the bladder, and the patient is asked to rate their level of discomfort. A positive result on this test can help to confirm a diagnosis of IC.
  • Cystometrogram: This test measures the pressure inside the bladder and can help to identify any problems with bladder function.
  • Hydrodistention: This procedure involves filling the bladder with water and then stretching it. It can help to identify any bladder abnormalities and can also provide some relief of symptoms.

It's important to note that the diagnosis of IC can be challenging as there is no one specific test that can confirm the diagnosis. Instead, the diagnosis is often made based on a combination of signs, symptoms, and test results. Additionally, as there is no known cure for IC, treatment is often aimed at managing symptoms, which can take time and require multiple visits to a healthcare professional.

Do Patients with Interstitial Cystitis (IC) Have Other Symptoms?

Symptoms of Interstitial Cystitis (IC) can include:

  • Pain (sharp, burning, intermittent, constant) in the bladder, during, before or after urination

  • Pressure in the bladder area or perineum
  • Frequent and urgent urination (even up to 60 times a day)
  • Difficulty voiding urine
  • Urinary incontinence
  • Painful sex during or after (even the next day)
  • Blood and white blood cells (WBC) in the urine
  • A history of chronic UTIs (urinary tract infection)
  • Depression and anxiety often come along with IC
  • Many people with IC are unable to stand or sit for long periods of time
  • Difficulty in being intimate with partners due to pain
  • A feeling of falling through the cracks of the health care system
  • Difficulty in working due to the need of bathroom frequently or due to the pain being debilitating
  • Symptoms can vary dramatically person to person
  • Emotional and mental health issues like depression and anxiety
  • Co-occurring conditions such as Lupus, Lyme disease, Irritable bowel syndrome (IBS), Endometriosis, Rheumatoid arthritis, Prostatitis, Chronic fatigue syndrome, Fibromyalgia, Vulvodynia, Headaches and/or migraines, Celiac disease, Psoriasis, Sjogren’s syndrome, Constipation, Pudendal neuralgia (PN), Mast cell activation syndrome (MCAS), Allergies and sensitivities.

What Causes Interstitial Cystitis (IC)?

The exact cause of Interstitial Cystitis (IC) is not fully understood. There are several theories that have been proposed to explain the development of IC, but the true cause may be a combination of factors. Some of the most commonly proposed theories include:

  • A defect in the protective lining of the bladder (glycosaminoglycan or GAG layer) that allows irritants in the urine to irritate the bladder wall
  • A chronic infection embedded in the bladder wall that is not detectable through traditional urine cultures
  • Pelvic floor dysfunction, caused by muscles in the pelvic floor that are either too tight or too loose
  • Mast cell activation syndrome (MCAS), where the body's mast cells release histamine and cause an allergic reaction in the bladder to certain foods or substances
  • Nerve damage, caused by injury, surgery or damage to the discs/nerves in the lower back that innervate the bladder
  • Autoimmune disease, where the body's immune system attacks the bladder
  • An accumulation of oxalates, small crystals found in certain foods that some people have difficulty breaking down
  • Hormonal imbalances, as some women with IC report an increase in symptoms during changes in their menstrual cycle
  • Overgrowth of candida yeast in the body, caused by poor diet and antibiotic use
  • It's important to note that there is no evidence that stress is the cause of IC

It's important to work with a healthcare professional to determine the underlying cause of your symptoms and develop a treatment plan that is tailored to your specific needs.

Is There a Diet for Interstitial Cystitis (IC)?

The Interstitial Cystitis (IC) diet is a specific diet that aims to reduce symptoms by avoiding certain foods and ingredients that are known to irritate the bladder. The goal of the IC diet is to identify and avoid foods and ingredients that may be triggering symptoms, as well as to promote a healthy bladder environment.

The IC diet typically involves an elimination phase, where certain foods are removed from the diet for a period of time and then slowly reintroduced to see if they trigger symptoms. The foods that are commonly eliminated during the elimination phase include:

  • Processed meats
  • Carbonated beverages
  • Alcohol
  • White sugar
  • Citrus fruits
  • Tomatoes
  • Chocolate
  • Coffee
  • Spicy foods
  • Dairy (some patients may report that it can be an issue, while others report it helps)

It's important to note that everyone's body is unique and what works for one person may not work for another, that's why it's essential to work with a healthcare professional such as a dietitian or a nutritionist, to develop a personalized dietary plan that takes into account specific symptoms and triggers. Additionally, it's important to be aware that certain foods or supplements that may be triggers for one person may not be triggers for another person. Therefore, it's important to keep a food diary and to work with a healthcare professional to identify personal triggers.

It's also important to note that diet alone may not be enough to manage symptoms of IC, other treatment options such as medication, physical therapy, and lifestyle changes may also be needed.

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How is Interstitial Cystitis (IC) Treated In Conventional Medicine?

Conventional treatments for IC may include:

  • Medications: There are several medications that can be used to treat the symptoms of IC, such as pain and urinary frequency. These include antispasmodics, tricyclic antidepressants, and antihistamines. Some of these medications may have severe side effects and may not be effective in all cases.
  • Bladder instillations: This treatment involves instilling medication directly into the bladder. This can be done using a catheter or a special applicator. Medications that are commonly used for bladder instillations include dimethyl sulfoxide (DMSO) and heparin.
  • Bladder hydrodistention: This procedure involves filling the bladder with water and then stretching it. This can help to identify any bladder abnormalities and can also provide some relief of symptoms.
  • Surgery: Surgery may be considered in severe cases of IC, but it is typically only done as a last resort. Surgery can include the removal of the bladder, but this is very rare and only done in severe cases.

It's important to note that these treatments may not be effective for everyone, and in some cases, the patient may need to try multiple treatments before finding one that works. Additionally, since IC is a chronic condition, treatment is often aimed at managing symptoms and improving quality of life, rather than finding a cure.

How is Interstitial Cystitis (IC) Treated Naturally?

Ananta Health is a healthcare center that specializes in the treatment of Interstitial Cystitis (IC) and other chronic conditions. The center provides a holistic approach to treatment, which includes a combination of conventional and alternative medicine. Ananta Health's approach to treating IC includes:

  • A full history and intake assessment: Ananta Health takes a comprehensive approach to diagnosis, which includes taking a full history and performing an intake assessment to determine the root cause of the illness.

  • BioScan SRT testing: Ananta Health uses BioScan SRT testing, which is a non-invasive diagnostic tool that uses resonant frequencies to assess the body's organs, tissues, and systems. This test can help to identify underlying issues that may be contributing to the patient's symptoms.

  • Elimination diet: Ananta Health may recommend an elimination diet, which is done under the supervision of a healthcare professional, to help identify and avoid foods that may be triggering symptoms.

  • Supplementation: Ananta Health may recommend certain supplements to help reduce inflammation and improve bladder health.

  • Herbs: Ananta Health may recommend certain herbs to help soothe the bladder and reduce symptoms.

  • Acupuncture: Ananta Health may use acupuncture to reduce pain, improve bladder function, modulate the immune system and promote relaxation.

It's important to note that the treatment plan at Ananta Health is tailored to the individual patient

How Can Acupuncture Help Interstitial Cystitis (IC)?

Acupuncture is an ancient Chinese medicine technique that involves the insertion of thin needles into specific points on the body to promote healing and alleviate pain. Acupuncture can be an effective treatment option for Interstitial Cystitis (IC) as it can help to:

 

  • Reduce pain: Acupuncture can help to reduce pain associated with IC by releasing natural pain-relieving chemicals in the body, such as endorphins.

  • Improve bladder function: Acupuncture can improve the function of the bladder by stimulating the nerve pathways that control the bladder muscles, which can help to reduce urinary frequency and urgency.

  • Modulate the immune system: Acupuncture can help to modulate the immune system by reducing inflammation and promoting healing.

  • Relaxation: Acupuncture can promote relaxation by reducing stress and tension, which can help to reduce symptoms such as pain and urinary frequency.

 

It is important to note that acupuncture may not be suitable for everyone, and it's important to consult with a qualified acupuncturist before starting treatment. Additionally, acupuncture should be used in conjunction with other treatment methods, such as medication, pelvic floor physical therapy, and lifestyle changes to achieve optimal results.