Report on Interstitial Cystitis: Diagnosis, Management, and Treatment

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Running head: INTERSTITIAL CYSTITIS
Interstitial Cystitis
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INTERSTITIAL CYSTITIS
Interstitial cystitis (IC) or painful bladder syndrome is a chronic condition, which
cause immense pain in urinary bladder via increasing the bladder pressure. The level of pain
ranges from mild to severe discomfort and at times chronicity of the pain extends up to the
pelvic. Under normal condition, when the urinary bladder is full, signal is transmitted from
the bladder through the pelvic nerves to the brain, creating an urge to urinate. However,
during IC, there occurs an imbalance in the signal transmission thus creating frequent urge to
urinate even when the urinary bladder is not full. This condition is more common among
women and has a long-lasting impact on quality of life (Hanno et al., 2015).
Laboratory test used for the detection of IC
1. Urine sample test
Urinary tract infection (UTI) is a cause of IC and hence any signs of UTI, which is causing
IC, can be detected via urine culture. If the urine culture test detects presence of bacteria then
the test is positive for UTI.
2. Biopsy
Bladder cancer can be a cause of IC. Biopsy of the bladder or urethra helps in the detection of
bladder cancer and thereby assisting to elucidate the reason behind the bladder pain.
Treatment for IC
1. Physical therapy: Mild to moderate physical exercise like stretching and working in order
to relieve pelvic pain
2. Oral medication
Non-steroidal anti-inflammatory drugs
Tricyclc antdepressants
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INTERSTITIAL CYSTITIS
Antihistamines
Pentosan polysulfate sodium
(O’Hare et al., 2013)
3. Nerve stimulation
Transcutaneous electrical nerve stimulation (TENS): Helps to reduce the urinary frequency
via reducing the pelvic pain through transmitting electrical pulses. TENs also help to increase
the flow of blood into the bladder and thereby strengthening muscles that help to control and
co-ordinate the bladder functions.
However, the most effective approach for a particular patient is best determined via
active conversation with the healthcare physician and the patient (Hanno et al., 2015).
Referral doctors
Urologist: specialized in bladder disease
Gynecologist and urogynecologists (especially for women)
(Hanno et al., 2015)
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INTERSTITIAL CYSTITIS
References
Hanno, P. M., Erickson, D., Moldwin, R., & Faraday, M. M. (2015). Diagnosis and treatment
of interstitial cystitis/bladder pain syndrome: AUA guideline amendment. The Journal
of urology, 193(5), 1545-1553.
O’Hare, P. G., Hoffmann, A. R., Allen, P., Gordon, B., Salin, L., & Whitmore, K. (2013).
Interstitial cystitis patients’ use and rating of complementary and alternative medicine
therapies. International urogynecology journal, 24(6), 977-982.
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