Interstitial cystitis

Interstitial cystitis (IC) or bladder pain syndrome (BPS), is chronic pain in the bladder and pelvic floor of unknown cause. Symptoms include feeling the need to urinate right away, needing to urinate often, bladder pain (pain in the organ) and pain with sex. IC/BPS is associated with depression and lower quality of life. Some of those affected also have irritable bowel syndrome and fibromyalgia. The cause of interstitial cystitis is unknown. While it can, it does not typically run in a family. The diagnosis is usually based on the symptoms after ruling out other conditions. Typically the urine culture is negative. Ulceration or inflammation may be seen on cystoscopy. Other conditions which can produce similar symptoms include overactive bladder, urinary tract infection (UTI), sexually transmitted infections, prostatitis, endometriosis in females, and bladder cancer. There is no cure for interstitial cystitis and management of this condition can be challenging. Treatments that may improve symptoms include lifestyle changes, medications, or procedures. Lifestyle changes may include stopping smoking, dietary changes, reducing stress, and receiving psychological support. Medications may include paracetamol with ibuprofen and gastric protection, amitriptyline, pentosan polysulfate, or histamine. Procedures may include bladder distention, nerve stimulation, or surgery. Kegel exercises and long term antibiotics are not recommended. In the United States and Europe, it is estimated that around 0.5% of people are affected. Women are affected about five times as often as men. Onset is typically in middle age. The term "interstitial cystitis" first came into use in 1887.