How Can Modifying My Diet Help Interstitial Cystitis, Painful Bladder Syndrome

One thing that 98% of interstitial cystitis/bladder pain patients agree on is that following an IC Diet does help, and it is one of the things we have in our control. Sometimes we ask, “Why me?” But think about it, almost everyone gets “something” eventually. Some people have arthritis, some have diabetes and some have even worse diseases like cancer. Having interstitial cystitis is our “thing”. Also, if you asked ten people on the street if they are supposed to be watching their diet in some way, nine out of ten would say yes….and the last one is lying.

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The good news is that an individual’s IC diet usually doesn’t have to be as strict as you may think. Most IC patients find that they can have a substantial and healthy diet if they do a little detective work to identify their personal trigger foods. That is the idea of the elimination diet. Most people do not have to be on the most restrictive diet forever. And, although other IC patients are great counsel, your diet is probably not going to look like anyone else’s.

One thing to keep in mind is that diet is rarely a treatment that is successful all alone. Most IC patients will take some medications, and some may need medical treatments like bladder instillations or pelvic physical therapy in addition to making lifestyle changes such as diet modification and stress management. BUT….my observations tell me that an IC diet can ALWAYS help other treatments work better.

Let’s look at an IC bladder in a bit different way. Think about when you were a kid and got a skinned knee. What happened next? Most likely, you or someone else washed it then put a bandage and maybe some antibiotic cream on it. You would give it some time to heal.

But what if, three times a day, you took off the bandage and scrapped some sand paper across the wound on your knee? It would take MUCH longer to heal, right?

If we eat IC trigger foods, we are compromising and possible undoing all of the good our medications are working so hard to do for us. In fact, I am willing to bet that if people watch what they eat while they take Elmiron, that the medication will have a much higher success rate…just an educated guess!

Why wouldn’t you want to give your poor bladder every chance to rebuild its lining?

Remember, treatments for interstitial cystitis, including the IC diet, take time to work. It may seem depressing now, but it can take months or even years to feel better. If you are suffering now, it is important to keep that hope alive. You WILL eventually feel better; thousands of interstitial cystitis patients are living proof of that, but you have to be patient and really take some time to help yourself. If you need support, visit a local support group or connect with other patients online in groups such as the IC Diet Facebook page.

So, if you are a new IC patient….hang in there……..ask questions……..be your own best health care provider. Keep a diary or a calendar. Write down what you eat, what is going on in your life, the medications you are trying, and how you are feeling. If you can’t figure it out, share your diary with a trusted friend or your doctor. Sometimes we are too close to a situation to see what may be hurting us.

Interstitial Cystitis – Painful Bladder Syndrome or IC-PBS

“Painful bladder syndrome” also called “interstitial cystitis” is the chronic condition that causes the symptoms of discomfort or pain in the bladder. These symptoms can vary greatly from person to person in their severity and while this condition can affect men, it is more prevalent among women.

While a definitive cause of this condition has not been found, research suggests that this condition may be caused by an allergy, infection, autoimmune disorder, or inherited. It is also thought that most people who acquire IC/PBS have some type of defect in the epithelium which is the protective lining of the bladder.

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Symptoms of Painful Bladder Syndrome

The symptoms of interstitial cystitis or PBS can vary greatly from one individual to another and some people may experience a remission of their symptoms for a length of time. This condition may also flare up in response to certain triggers that include stress, menstruation, sexual activity, or allergies. The following include the symptoms that are associated with BPS:

– Frequent urination during the day and nighttime that often consists of only small amounts of urine. In severs cases of interstitial cystitis an individual may urinate up to sixty times per day.

– Many individuals with BPS also experience a persistent urgency to urinate.

– Pelvic pain that is chronic.

– Pelvic pain may also be experienced during sexual intercourse and men may also experience pain when ejaculating.

– Women may experience pain between the anus and vagina or in the pelvic area.

– Men may experience pain between the scrotum and anus.

Treatment for Interstitial Cystitis – Painful Bladder Syndrome

There are many types of treatment that can be used for IC/PBS and a patient may have to try several different forms or combination of treatments before finding the one that is right for them. These include oral medications for pain such as ibuprofen (“Motrin”, “Advil”, and others), antihistamines including “Benadryl” and “Claritin” that may relieve the symptoms of frequent urination and the urgency to urinate.

Tricyclic antidepressants may given that can block pain and relax the bladder. “Pentosan” (“Elmiron”) may also be prescribed and is the only medication that has been approved by the “Food and Drug Administration” or “FDA” for the treatment of interstitial cystitis. It is not known exactly how this medication works; however, it is thought to restore the bladders inner surface which keeps certain substances that are present in the urine from irritating it.

Another form of treatment that can be utilized for IC/PBS is nerve stimulation. This type of procedure involves administering electrical impulses that can reduce the symptoms of pain or frequency of urination.

There are surgical procedures that can also be done to treat painful bladder syndrome, however, this is rarely done as these procedures have a potential to cause serious complications. If you are experiencing any type of bladder pain that is chronic, have urinary urgency or frequency, it is essential that you contact your primary care physician for a medical evaluation.