Khashayar Shakiba, MD, FACOG, FPMRS
Interstitial Cystitis& Painful Bladder Syndrom 2017-10-16T17:51:15+00:00

 

What is interstitial cystitis?

Interstitial cystitis is a condition characterized by chronic pain in the bladder with associated symptoms of frequent urination and pain with urination. There is no specific cause or risk factor in developing interstitial cystitis, but there are factors that may aggravate the preexisting condition.

How can I treat and/or manage my interstitial cystitis?

Interstitial cystitis or “bladder pain” can occur on an ongoing basis or come in waves. There are certain aggregates that may cause or worsen an interstitial cystitis flare up. For example, bladder or vaginal infections can cause a flare up and therefore should be treated as soon as possible. By allowing these infections to linger, it has the potential for the pain to grow greater and take longer to subside.

For some women, activities such as exercise, intercourse, or sitting for a prolonged period of time may cause worsened interstitial cystitis. Activities does not always worsen the condition, but it is suggested that calming activities on the pelvic area may prove to be more beneficial such as walking or yoga.

An interstitial cystitis diet is also available for patients suffering from the chronic pain syndrome. Although it is not universal to all women, it is thought that certain foods, drinks, and seasonings can cause and/or aggravate flare ups, while others are “safe” foods. An example of a “bladder friendly” beverage would consist of chamomile tea versus black or iced tea which are cautionary drinks to those with I.C. Another example would be in the category of nuts, where the bladder may be unaffected by almonds or peanuts while pecans and pistachios can cause a flare up. An extensive version of this type of diet is available to Dr. Shakiba’s patients when evaluated and diagnosed with interstitial cystitis.

For women whom which the behavioral therapy of adjusting daily activities and food intake do not suffice, the option of prescription medication is also available to alleviate the chronic pain. Amitriptyline is a type of medication that can decrease the receptiveness of pain in the area, and when taken in low doses has improved women’s pain.

For those who do not respond to behavioral therapy or medications, the option of minimally-invasive surgery is also available to Dr. Shakiba’s patients. Bladder instillation and Botox injections directly into the bladder are feasible options to help improve pain on a semi-permanent basis.

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