Materiały źródłowe

• #1 Interstitial Cystitis/Bladder Pain Syndrome | Manchester Urology Associates, PA

  https://www.manchesterurology.com/patient-education/interstitial-cystitis-bladder-pain-syndrome/

  IC can be especially challenging for people with other chronic pain conditions, such as irritable bowel syndrome (IBS), fibromyalgia, endometriosis, and prostatitis. Sometimes, IC symptoms flare when these other conditions flare. […] You can lower the chances of IC returning or flaring by sticking with your treatment program, avoiding foods and drinks that irritate your bladder, and managing stress as best as you can.

• #1 Ask the Doctors – What can be done for bladder pain syndrome? | UCLA Health

  https://www.uclahealth.org/news/article/ask-the-doctors-what-can-be-done-for-bladder-pain-syndrome

  Interstitial cystitis is a chronic condition of the bladder thats five times more common in women than men. […] The first treatment step is to eliminate behaviors and foods/drink that irritate the bladder, meaning stopping all consumption of caffeine, alcohol and tobacco. You can also consider the restriction of spicy foods and citrus. […] One study, published in the Journal of Urology, showed that diet and behavioral changes decreased symptoms in 45 percent of patients. […] Physical therapy with a therapist who specializes in interstitial cystitis can relieve some of the pain in the pelvic region by working on tender areas and increasing muscle stability in the lower abdomen. […] Pentosan polysulfate sodium, which seems to protect the lining of the bladder, may help as well, and the sedating antihistamine hydroxyzine can help patients who have symptoms of pain and frequency of urination during the night.

• #1 Interstitial Cystitis/Painful Bladder Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0515/p1175.html

  Certain dietary products including, but not limited to, coffee, alcoholic beverages, citrus fruits, tomatoes, carbonated drinks, and spicy food have been associated with exacerbation of symptoms of interstitial cystitis/painful bladder syndrome by patient survey. A trial of elimination of such foods may be worthwhile, but this has not been rigorously studied. […] Physical therapy may be used in select cases of interstitial cystitis/painful bladder syndrome, especially for treatment of associated pelvic floor muscle spasm.

• #1 Bladder pain syndrome (interstitial cystitis)

  https://www.nhs.uk/conditions/interstitial-cystitis/

  Things that may help improve your symptoms include: […] keeping a food diary if you notice certain foods or drinks (like citrus fruits and alcohol) make symptoms worse, avoid them, but ask for medical advice first […] stopping smoking the chemicals in cigarettes can irritate your bladder.

• #1 Bladder Pain Syndrome (Interstitial Cystitis) | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bladder-pain-syndrome-interstitial-cystitis.hw55613

  Bladder training. To help your bladder get used to comfortably holding more urine, you can slowly increase the time between when you urinate during the day (not while sleeping). […] Try bladder training. Set certain times to go to the bathroom and slowly increase the time between visits. This may help lengthen the time your bladder can hold urine. […] Avoid any food or drink that makes your bladder pain worse, such as high-acid foods. […] Smoking can irritate the bladder. If you smoke and need help quitting, talk to your doctor.

• #1 Interstitial Cystitis/Bladder Pain Syndrome – Urogynecology & Pelvic Health | UCLA Health

  https://www.uclahealth.org/medical-services/womens-pelvic-health/conditions-treated/interstitial-cystitisbladder-pain-syndrome

  Lifestyle and Dietary Changes: There are many self-care practices and behavioral modifications that can be used to improve symptoms. Stress management has been shown to help some patients with IC/BPS. For some women, symptoms can be triggered by certain activities of food/drinks. If these can be identified, reducing or eliminating them can be very helpful. Some patients respond well to an IC diet where many acid foods are eliminated. […] Cystoscopy with hydrodistension: In some women, the bladder can be filled under anesthesia for a period of time under low pressure. This has been found be relieve symptoms is some patients who have not responded to behavioral therapy, physical therapy or medication. […] Cystoscopy with fulguration of a Hunner’s lesion: If a Hunner’s lesion or ulcer is identified with cystoscopy fulguration with laser or electrocautery may be recommended. This has a high likelihood of resolving pain.

• #1 Prevention – Voices for PFD

  https://www.voicesforpfd.org/interstitial-cystitis/prevention/

  GOOD NEWS! There are certain things that can reduce the likelihood or severity of incontinence. […] Eat healthy with plenty of fiber and fluids […] Decrease caffeine intake […] Move – exercise your body and your pelvic muscles […] Lose weight if you are overweight or obese […] Quit smoking.

• #1 Most Effective Treatment for Bladder Pain

  https://www.theoriginway.com/blog/the-most-effective-treatment-for-bladder-pain-interstitial-cystitis

  Pelvic floor physical therapy is the most effective treatment option, strongly supported by evidence, for managing symptoms of interstitial cystitis / painful bladder syndrome. […] Education on diet and lifestyle changes that may help manage the symptoms of painful bladder syndrome is recommended. For example, you may learn to avoid certain foods and drinks that may irritate the bladder, such as caffeine, alcohol, and spicy foods. […] Don’t wait to treat your bladder pain! Improving interstitial cystitis often is a process of trial and error, as what works for one person may not work for another. But for anyone experiencing bladder pain, scheduling an evaluation with a pelvic floor physical therapist is an important way to start.

• #1 Interstitial Cystitis / Bladder Pain Syndrome Treatment Guidelines

  https://feminapt.com/blog/an-update-to-interstitial-cystitis-bladder-pain-syndrome-treatment-guidelines

  The guidelines suggest that Urologists (doctors that specialize in the bladder) and all medical professionals involved in the care of these patients, should include manual physical therapy techniques to patients who present with pelvic floor tenderness. […] Pelvic floor physical therapy also involves pain management, education on pain neuroscience and a multimodal approach using varying modalities to further decrease bladder pain. […] An important point made under this category is that no one treatment has been effective for the majority of patients and acceptable symptom control may require trials of multiple therapeutic options. […] Additionally, a nod to the role of stress in exacerbation of symptoms in this patient population, the guidelines suggest to practitioners that patients should be encouraged to implement stress management practices to improve coping techniques and manage stress-induced symptom exacerbations.

• #1 How to Calm an Interstitial Cystitis Flare – Advanced Gynecology

  https://www.advancedgynecology.com/blog/how-to-calm-an-interstitial-cystitis-flare

  To prevent flares from intimacy, try taking pain-reducing and anti-spasmodic medications prior to sex, use lubricant during intercourse, and after sex take a sitz bath or ice your perineum. […] If you have a flare, journal what you ate prior to it. This will help you identify foods that could be causing your IC flares and allow you to avoid these in the future. […] Sometimes, despite making lifestyle modifications and implementing strategies to cope with interstitial cystitis flares, symptoms become so severe they prevent you from participating in daily activities and can affect your quality of life. […] Your doctor will work with you to create the best course of treatment for your individual needs.

• #1 Interstitial Cystitis/Painful Bladder Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0515/p1175.html

  Multimodal therapy that includes pentosan polysulfate sodium (Elmiron), a tricyclic antidepressant, and an antihistamine is proposed to relieve symptoms of interstitial cystitis/painful bladder syndrome via complementary pathophysiologic mechanisms. Pentosan polysulfate sodium is the only oral agent approved by the U.S. Food and Drug Administration for the treatment of interstitial cystitis. Oral cimetidine (Tagamet) can improve suprapubic pain and nocturia in patients with interstitial cystitis/painful bladder syndrome. Intravesical irrigation with 50% dimethyl sulfoxide solution is used for the relief of painful symptoms of moderate to severe interstitial cystitis/painful bladder syndrome. A combination of oral and intravesical pentosan polysulfate sodium can be used to treat moderate to severe interstitial cystitis/painful bladder syndrome.

• #1 Interstitial Cystitis – Zero To Finals

  https://zerotofinals.com/surgery/urology/interstitialcystitis/

  Interstitial cystitis can be difficult to manage. Symptoms are often resistant to treatment and persist long-term, having a significant impact on quality of life. […] Supportive management is used initially: Diet changes such as avoiding alcohol, caffeine and tomatoes, Stopping smoking, Pelvic floor exercises, Bladder retraining, Cognitive behavioural therapy, Transcutaneous electrical nerve stimulation (TENS). […] Oral medications may be helpful, including; Analgesia, Antihistamines, Anticholinergic medications (e.g., solifenacin or oxybutynin), Mirebegron (beta-3-adrenergic-receptor agonist), Cimetidine (histamine-2-receptor antagonist), Pentosan polysulfate sodium, Ciclosporin (an immunosuppressant). […] Intravesical medication may be helpful, given directly into the bladder: Lidocaine, Pentosan polysulfate sodium, Hyaluronic acid, Chondroitin sulphate.

• #1 The Emerging Ways to Treat Bladder Pain | Cedars-Sinai

  https://www.cedars-sinai.org/blog/emerging-ways-to-treat-bladder-pain.html

  Some women regularly contract UTIs during perimenopause and menopause or when they have sex. Urologists generally treat these cases with vaginal estrogen replacement or preventive antibiotics before sex. […] Experts emphasize the role diet plays in bladder pain. Acid, spice and citrus-heavy foods and drinks all aggravate your bladderas do caffeinated and sparkling drinks, milk and even chocolate. Try to cut back. […] Physical therapists also treat the pelvic floor. They provide therapy that relies on stretching and manual pelvic massage to release knots in supporting muscles and, in turn, the bladder. With pelvic floor therapy and other strategies to protect the bladder, patients often progress to the point where they no longer worry about bladder pain or urination. […] Wherever you are in your treatment journey, Christensen encourages you to seek a referral to a physical therapist. It can help you feel better more quickly and avoid unneeded testing.

• #1 Interstitial Cystitis – Zero To Finals

  https://zerotofinals.com/surgery/urology/interstitialcystitis/

  Hydrodistention involves filling the bladder with water, to high pressure, during a cystoscopy. It requires a general anaesthetic. This can give a temporary (3-6 month) improvement in symptoms. […] Surgical procedures may be used, including: Cauterisation of Hunner lesions during cystoscopy, Butulinum toxin injections during cystoscopy, Neuromodulation with an implanted electrical nerve stimulator, Augmentation of the bladder, using a section of ileum, to increase the capacity (ileocystoplasty), Cystectomy (removal of the bladder).

• #1 Interstitial Cystitis Specialist New York | Pelvic Pain Doc | New York, NY

  https://www.pelvicpaindoc.com/conditions/interstitial-cystitis/

  The exact cause of interstitial cystitis is unknown, but doctors believe the condition is associated with the following factors: […] Since there is no apparent cause for interstitial cystitis, you may need to try several treatments to find the best way to alleviate your symptoms, including: […] Every patient treated at Pelvic Pain Doc in NYC will have a customized treatment plan to address the unique factors contributing to pain and discomfort. […] A customized treatment plan will be developed to improve the condition significantly. […] Many patients achieve long-term relief with BOTOX injections.

• #2 Ask the Doctors – What can be done for bladder pain syndrome? | UCLA Health

  https://www.uclahealth.org/news/article/ask-the-doctors-what-can-be-done-for-bladder-pain-syndrome

  Interstitial cystitis is a chronic condition of the bladder thats five times more common in women than men. […] The first treatment step is to eliminate behaviors and foods/drink that irritate the bladder, meaning stopping all consumption of caffeine, alcohol and tobacco. You can also consider the restriction of spicy foods and citrus. […] One study, published in the Journal of Urology, showed that diet and behavioral changes decreased symptoms in 45 percent of patients. […] Physical therapy with a therapist who specializes in interstitial cystitis can relieve some of the pain in the pelvic region by working on tender areas and increasing muscle stability in the lower abdomen. […] Pentosan polysulfate sodium, which seems to protect the lining of the bladder, may help as well, and the sedating antihistamine hydroxyzine can help patients who have symptoms of pain and frequency of urination during the night.

• #2 How to Calm an Interstitial Cystitis Flare – Advanced Gynecology

  https://www.advancedgynecology.com/blog/how-to-calm-an-interstitial-cystitis-flare

  To prevent flares from intimacy, try taking pain-reducing and anti-spasmodic medications prior to sex, use lubricant during intercourse, and after sex take a sitz bath or ice your perineum. […] If you have a flare, journal what you ate prior to it. This will help you identify foods that could be causing your IC flares and allow you to avoid these in the future. […] Sometimes, despite making lifestyle modifications and implementing strategies to cope with interstitial cystitis flares, symptoms become so severe they prevent you from participating in daily activities and can affect your quality of life. […] Your doctor will work with you to create the best course of treatment for your individual needs.

• #2 The Emerging Ways to Treat Bladder Pain | Cedars-Sinai

  https://www.cedars-sinai.org/blog/emerging-ways-to-treat-bladder-pain.html

  Some women regularly contract UTIs during perimenopause and menopause or when they have sex. Urologists generally treat these cases with vaginal estrogen replacement or preventive antibiotics before sex. […] Experts emphasize the role diet plays in bladder pain. Acid, spice and citrus-heavy foods and drinks all aggravate your bladderas do caffeinated and sparkling drinks, milk and even chocolate. Try to cut back. […] Physical therapists also treat the pelvic floor. They provide therapy that relies on stretching and manual pelvic massage to release knots in supporting muscles and, in turn, the bladder. With pelvic floor therapy and other strategies to protect the bladder, patients often progress to the point where they no longer worry about bladder pain or urination. […] Wherever you are in your treatment journey, Christensen encourages you to seek a referral to a physical therapist. It can help you feel better more quickly and avoid unneeded testing.

• #2 Bladder Pain Syndrome (Interstitial Cystitis) | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.bladder-pain-syndrome-interstitial-cystitis.hw55613

  Bladder training. To help your bladder get used to comfortably holding more urine, you can slowly increase the time between when you urinate during the day (not while sleeping). […] Try bladder training. Set certain times to go to the bathroom and slowly increase the time between visits. This may help lengthen the time your bladder can hold urine. […] Avoid any food or drink that makes your bladder pain worse, such as high-acid foods. […] Smoking can irritate the bladder. If you smoke and need help quitting, talk to your doctor.

• #2 Interstitial Cystitis – Zero To Finals

  https://zerotofinals.com/surgery/urology/interstitialcystitis/

  Interstitial cystitis can be difficult to manage. Symptoms are often resistant to treatment and persist long-term, having a significant impact on quality of life. […] Supportive management is used initially: Diet changes such as avoiding alcohol, caffeine and tomatoes, Stopping smoking, Pelvic floor exercises, Bladder retraining, Cognitive behavioural therapy, Transcutaneous electrical nerve stimulation (TENS). […] Oral medications may be helpful, including; Analgesia, Antihistamines, Anticholinergic medications (e.g., solifenacin or oxybutynin), Mirebegron (beta-3-adrenergic-receptor agonist), Cimetidine (histamine-2-receptor antagonist), Pentosan polysulfate sodium, Ciclosporin (an immunosuppressant). […] Intravesical medication may be helpful, given directly into the bladder: Lidocaine, Pentosan polysulfate sodium, Hyaluronic acid, Chondroitin sulphate.

• #2 Interstitial Cystitis / Bladder Pain Syndrome Treatment Guidelines

  https://feminapt.com/blog/an-update-to-interstitial-cystitis-bladder-pain-syndrome-treatment-guidelines

  The guidelines suggest that Urologists (doctors that specialize in the bladder) and all medical professionals involved in the care of these patients, should include manual physical therapy techniques to patients who present with pelvic floor tenderness. […] Pelvic floor physical therapy also involves pain management, education on pain neuroscience and a multimodal approach using varying modalities to further decrease bladder pain. […] An important point made under this category is that no one treatment has been effective for the majority of patients and acceptable symptom control may require trials of multiple therapeutic options. […] Additionally, a nod to the role of stress in exacerbation of symptoms in this patient population, the guidelines suggest to practitioners that patients should be encouraged to implement stress management practices to improve coping techniques and manage stress-induced symptom exacerbations.

• #2 Interstitial Cystitis / Bladder Pain Syndrome Treatment Guidelines

  https://feminapt.com/blog/an-update-to-interstitial-cystitis-bladder-pain-syndrome-treatment-guidelines

  The IC/ bladder pain syndrome treatment guidelines also make an important point about the Kegel: pelvic floor strengthening exercises should be avoided. […] The above suggestions on what should and shouldn’t be done for these patients were given a level of evidence strength: grade A. This means the suggestion is based on a systematic review of many high quality randomized control trials, which is considered to be the best form of clinical research design.

• #2 Interstitial Cystitis – Zero To Finals

  https://zerotofinals.com/surgery/urology/interstitialcystitis/

  Hydrodistention involves filling the bladder with water, to high pressure, during a cystoscopy. It requires a general anaesthetic. This can give a temporary (3-6 month) improvement in symptoms. […] Surgical procedures may be used, including: Cauterisation of Hunner lesions during cystoscopy, Butulinum toxin injections during cystoscopy, Neuromodulation with an implanted electrical nerve stimulator, Augmentation of the bladder, using a section of ileum, to increase the capacity (ileocystoplasty), Cystectomy (removal of the bladder).

• #2 Bladder pain syndrome/ interstitial cystitis – Medical Independent

  https://www.medicalindependent.ie/clinical-news/urology/bladder-pain-syndrome-interstitial-cystitis/

  To date, there is no curative treatment, and the primary goal of management is to provide symptom relief to achieve an adequate quality-of-life. […] There are many therapeutic approaches for bladder pain syndrome, none of which have been proven helpful for all patients. […] Effective pain management is an essential component and may require a multidisciplinary, multimodal approach. […] The decision to start pharmacological treatment must be individualised after shared decision-making considering the severity of symptoms, the frequency of flares, patient preference, and the potential adverse effects of continued reliance on analgesic use. […] Self-care and lifestyle modification dietary modification: Avoid acidic foods, coffee, tea, soda, spicy foods, artificial sweetener, and alcohol. […] Treatments are aimed at easing symptoms. […] Lifestyle changes may be advised, and various medications and procedures are there.

• #2 Interstitial Cystitis/Bladder Pain Syndrome | Manchester Urology Associates, PA

  https://www.manchesterurology.com/patient-education/interstitial-cystitis-bladder-pain-syndrome/

  IC can be especially challenging for people with other chronic pain conditions, such as irritable bowel syndrome (IBS), fibromyalgia, endometriosis, and prostatitis. Sometimes, IC symptoms flare when these other conditions flare. […] You can lower the chances of IC returning or flaring by sticking with your treatment program, avoiding foods and drinks that irritate your bladder, and managing stress as best as you can.

• #3 Interstitial Cystitis/Painful Bladder Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0515/p1175.html

  Certain dietary products including, but not limited to, coffee, alcoholic beverages, citrus fruits, tomatoes, carbonated drinks, and spicy food have been associated with exacerbation of symptoms of interstitial cystitis/painful bladder syndrome by patient survey. A trial of elimination of such foods may be worthwhile, but this has not been rigorously studied. […] Physical therapy may be used in select cases of interstitial cystitis/painful bladder syndrome, especially for treatment of associated pelvic floor muscle spasm.

• #3 Bladder pain syndrome/ interstitial cystitis – Medical Independent

  https://www.medicalindependent.ie/clinical-news/urology/bladder-pain-syndrome-interstitial-cystitis/

  To date, there is no curative treatment, and the primary goal of management is to provide symptom relief to achieve an adequate quality-of-life. […] There are many therapeutic approaches for bladder pain syndrome, none of which have been proven helpful for all patients. […] Effective pain management is an essential component and may require a multidisciplinary, multimodal approach. […] The decision to start pharmacological treatment must be individualised after shared decision-making considering the severity of symptoms, the frequency of flares, patient preference, and the potential adverse effects of continued reliance on analgesic use. […] Self-care and lifestyle modification dietary modification: Avoid acidic foods, coffee, tea, soda, spicy foods, artificial sweetener, and alcohol. […] Treatments are aimed at easing symptoms. […] Lifestyle changes may be advised, and various medications and procedures are there.

• #3 Ask the Doctors – What can be done for bladder pain syndrome? | UCLA Health

  https://www.uclahealth.org/news/article/ask-the-doctors-what-can-be-done-for-bladder-pain-syndrome

  Interstitial cystitis is a chronic condition of the bladder thats five times more common in women than men. […] The first treatment step is to eliminate behaviors and foods/drink that irritate the bladder, meaning stopping all consumption of caffeine, alcohol and tobacco. You can also consider the restriction of spicy foods and citrus. […] One study, published in the Journal of Urology, showed that diet and behavioral changes decreased symptoms in 45 percent of patients. […] Physical therapy with a therapist who specializes in interstitial cystitis can relieve some of the pain in the pelvic region by working on tender areas and increasing muscle stability in the lower abdomen. […] Pentosan polysulfate sodium, which seems to protect the lining of the bladder, may help as well, and the sedating antihistamine hydroxyzine can help patients who have symptoms of pain and frequency of urination during the night.

• #4 Bladder pain syndrome (interstitial cystitis)

  https://www.nhs.uk/conditions/interstitial-cystitis/

  Things that may help improve your symptoms include: […] keeping a food diary if you notice certain foods or drinks (like citrus fruits and alcohol) make symptoms worse, avoid them, but ask for medical advice first […] stopping smoking the chemicals in cigarettes can irritate your bladder.

• #5 Bladder pain syndrome/ interstitial cystitis – Medical Independent

  https://www.medicalindependent.ie/clinical-news/urology/bladder-pain-syndrome-interstitial-cystitis/

  To date, there is no curative treatment, and the primary goal of management is to provide symptom relief to achieve an adequate quality-of-life. […] There are many therapeutic approaches for bladder pain syndrome, none of which have been proven helpful for all patients. […] Effective pain management is an essential component and may require a multidisciplinary, multimodal approach. […] The decision to start pharmacological treatment must be individualised after shared decision-making considering the severity of symptoms, the frequency of flares, patient preference, and the potential adverse effects of continued reliance on analgesic use. […] Self-care and lifestyle modification dietary modification: Avoid acidic foods, coffee, tea, soda, spicy foods, artificial sweetener, and alcohol. […] Treatments are aimed at easing symptoms. […] Lifestyle changes may be advised, and various medications and procedures are there.

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