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2.1
Allergic Cystitis
Allergic Inflammation of the Bladder

Presentation

The problem with yeast and bacteria is that they are normally present in the gut and they are normally present in our food. Please see Urine MULTISTIX analysis interpretation also. [drmyhill.co.uk]

Abstract A case of intractable cystitis induced by Tranilast (Rizaben ® ) is presented. A 3 year-old boy was referred to our hospital for recurrent bladder irritability for 1 month which had not been relieved by antibiotic therapies. [jstage.jst.go.jp]

The clinical presentation with dysuria and/or hematuria, and gross appearance of polypoid masses in bladder lumen mimicks bladder carcinoma. [jpatholtm.org]

As the disease progresses it may continue until the urgency is present all of the time and then, in addition, have the associated pain. Other patients may present with periods of absolute normality followed by periods of what we term “flares.” [fwcenterforpelvicmedicine.com]

Since other conditions can present with the same symptoms (including bladder cancer, chronic prostatitis in men, endometriosis, kidney stones, STDs, urinary tract infection, and vaginal infections), a diagnosis is made after other possible causes are [zurology.com]

Entire Body System

  • Inflammation

    Inflammation Inflammation is part of the healing and the immune response, but when it becomes chronic or out of control, its effects are harmful. Allergic shiners and IC show the classic signs of inflammation. [allergic-shiners.blogspot.com]

    Inflammation is a protective reaction of the body tissue to irritation, injury, or infection. Inflammation of the bladder is called cystitis. [emedicinehealth.com]

    Cystitis: The medical term for “inflammation” of the urinary bladder. The bladder is a balloon-type organ that holds the urine produced by the kidneys until it can be expelled from the body through the urethra. [pinesvet.com]

    Estrogen plays a major role in inflammation, and during times of hormonal imbalance your body may be more susceptible to the inflammation that can lead to interstitial cystitis. [womenshealthnetwork.com]

    Because the inflammation that produces the symptoms is within the wall of the bladder (hence its name), it is out of reach of the usual diagnostic tests for bladder disease. [healthcentral.com]

  • Sepsis

    Exceptions include immunocompromised or elderly patients who have a UTI manifesting as a sepsis syndrome with circulatory insufficiency. [emedicine.medscape.com]

    The proportion of IC/BPS patients who experience relief from hydrodistention is currently unknown and evidence for this modality is limited by a lack of properly controlled studies. [5] Bladder rupture and sepsis may be associated with prolonged, high-pressure [en.wikipedia.org]

Gastrointestinal

  • Suprapubic Pain

    Interstitial cystitis symptoms usually fall into one of two patterns: significant suprapubic pain with little frequency or a lesser amount of suprapubic pain but with increased urinary frequency. [10] Association with other conditions [ edit ] Some people [en.wikipedia.org]

    Patients usually present with dysuria, urinary frequency, urinary urgency, and/or suprapubic pain. Treatment regimens for uncomplicated cystitis in nonpregnant women are provided in Table 1, below. Table 1. [emedicine.medscape.com]

Neurologic

  • Hyperactivity

    […] hoarseness, asthma (bronchitis) middle ear trouble pulmonary infiltrates tonsil and adenoid enlargement Skin: rashes/ atopic dermatitis /eczema/ hives seborrhea hair loss dermatitis herpetiformis (a gluten sensitivity) Mood: irritability /restlessness / hyperactivity [interstitial-cystitis-diet.blogspot.com]

Urogenital

  • Pelvic Pain

    Referrals for pelvic pain are common in urological and gynaecological practice; and may lead to varied diagnoses such as interstitial cystitis/bladder pain syndrome, chronic prostatitis/chronic pelvic pain syndrome, pelvic floor dysfunction, chronic orchialgia [books.google.de]

    Abstract Interstitial cystitis (IC) is a chronic disorder diagnosed by symptomatology of pelvic pain and urinary frequency, which are extremely variable and unpredictable fluctuating among patients. [ncbi.nlm.nih.gov]

    […] floor treatments [ edit ] Urologic pelvic pain syndromes, such as IC/BPS and CP/CPPS, are characterized by pelvic muscle tenderness, and symptoms may be reduced with pelvic myofascial physical therapy. [37] This may leave the pelvic area in a sensitized [en.wikipedia.org]

    Although not approved for pelvic pain, there are many publications including our own from Beaumont demonstrating improvement in interstitial cystitis and pelvic pain symptoms. Beaumont urologists helped developed pudendal neuromodulation. [beaumont.org]

    Also known as painful bladder syndrome, interstitial cystitis is a chronic condition that causes discomfort and pressure, and sometimes mild to severe pelvic pain. [healthform.org]

  • Bladder Pain

    Bladder pain syndrome (also called interstitial cystitis or painful bladder syndrome) is a chronic (long-term) pain condition that affects the bladder. Bladder pain syndrome affects more women than men. [womenshealth.gov]

    Referrals for pelvic pain are common in urological and gynaecological practice; and may lead to varied diagnoses such as interstitial cystitis/bladder pain syndrome, chronic prostatitis/chronic pelvic pain syndrome, pelvic floor dysfunction, chronic orchialgia [books.google.de]

    Interstitial cystitis Synonyms Bladder pain syndrome (BPS), [1] painful bladder syndrome (PBS), IC/BPS, IC/PBS, Hunner ulcer [2] Pronunciation IN -tər- STISH -əl si- STY -tis Specialty Urology Symptoms Chronic pain of the bladder, feeling the need to [en.wikipedia.org]

    Status of international consensus on interstitial cystitis/bladder pain syndrome/painful bladder syndrome: 2008 snapshot. Neurourology and Urodynamics 28: 274(2009). 3. [webmedcentral.com]

    Overview Interstitial cystitis (IC), also known as bladder pain syndrome (BPS), painful bladder syndrome (PBS) or hypersensitive bladder syndrome (HBS), is a condition that results in “an unpleasant sensation (pain, pressure, discomfort) perceived to [washington.edu]

  • Incontinence

    Urology, Sidney Kimmel Medical College at Thomas Jefferson University Click here for Patient Education Interstitial cystitis is noninfectious bladder inflammation that causes pain (suprapubic, pelvic, and abdominal), urinary frequency, and urgency with incontinence [msdmanuals.com]

    PFD is usually related to too much tension or “high-tone”—the opposite of the too-relaxed state or “low-tone” that contributes to incontinence—of the muscles that support the pelvic floor. [fmcpaware.org]

    Sleep difficulties Depression Urinary incontinence (leakage) Symptoms of some people with IC become worse after consumption of certain foods or drinks. [emedicinehealth.com]

  • Nocturia

    Daytime frequency of urination Night time voiding (nocturia) Burning Pressure Pain during or after intercourse There are other types of medication that may be used in combination with the medications for interstitial cystitis listed above. Dr. [drjkm.com]

    People with severe cases of IC/PBS may urinate as many as 60 times a day, including frequent nighttime urination (nocturia). Pain levels can range from mild tenderness to intense, agonizing pain. [washington.edu]

    They also cause drowsiness and deepen REM sleep, which helps in decreasing nocturia. Antihistamines can be helpful in treating IC. [emedicinehealth.com]

    Hydroxyzine has been found to decrease: nocturia, frequency and pain. Someone posted a video about IC with a dr who talked about it's allergic component & antihistamines.... I take Zyrtec, which helps me sleep at night. [inspire.com]

    […] cystitis population • the eight items of the index configured differently and formed two subscales of a newly developed Fibromyalgia Bladder Index • the two subscales of this index include the Bladder Urgency and Pain Subscale and the Bladder Frequency and Nocturia [painful-bladder.org]

  • Urinary Urgency

    Reports show decrease in urinary urgency and urinary frequency, as well as decreased need for medications. [beaumont.org]

    Variable symptoms The onset of IC is usually gradual, with bladder pain and urinary urgency and frequency developing over a period of months. [health.harvard.edu]

    They include decreased bladder capacity resulting in frequent urination of smaller amounts of urine day and night, referred to as urinary frequency; a strong, urgent need to urinate when the need to urinate arises, referred to as urinary urgency; bladder [medicinenet.com]

    Patients usually present with dysuria, urinary frequency, urinary urgency, and/or suprapubic pain. Treatment regimens for uncomplicated cystitis in nonpregnant women are provided in Table 1, below. Table 1. [emedicine.medscape.com]

    To clarify the diagnosis, the National Institutes of Health created diagnostic criteria for IC in the late 1980’s: bladder and pelvic pain urinary urgency and frequency diminished bladder capacity identification of Hunner’s ulcers (only affects about [womenshealthnetwork.com]

Workup

Like many urologists, Hubbard uses cystoscopy and hydrodistention under anaesthesia as part of his workup to exclude other conditions that may cause IC-like symptoms. [foodsmatter.com]

Like many urologists, Hubbard uses cystoscopy and hydrodistention under anesthesia as part of his workup to exclude other conditions that may cause IC-like symptoms. [news-medical.net]

Urine

  • Pyuria

    Repeated urinalysis showed sterile pyuria with hematuria and ultrasound examination revealed only edema of the bladder wall. From these findings, diagnosis of tranilast induced allergic cystitis was made and its administration was discontinued. [jstage.jst.go.jp]

Treatment

The text is richly illustrated with multiple diagrams, figures, and tables, making it the “go to” and “how to” reference for patient treatment. [books.google.de]

What is the treatment for interstitial cystitis/painful bladder syndrome (IC/PBS)? There are many different treatments available for this condition. Many people need a combination of treatments. [patient.info]

Continued Third-Line Treatments for Interstitial Cystitis If second-line treatments don’t work, your doctor will likely turn to the third-line treatments. [webmd.com]

VAS values of both pain and urgency were reduced to 1 and 0, respectively, when evaluated at the first trimester after starting treatment, and remained unchanged until treatment completion 12 months after (Fig.1). [webmedcentral.com]

Approach Considerations Appropriate antibiotic treatment leads to significantly higher symptomatic and bacteriologic cure rates and better prevention of reinfection in women with uncomplicated cystitis. [25] Unfortunately, treatment also selects for antibiotic [emedicine.medscape.com]

Prognosis

What is the outlook (prognosis)? You may need to try different treatments (or often combinations of treatments) until you have relief of your symptoms. It is important to know that none of the treatments usually work right away. [patient.info]

What Is the Prognosis for Interstitial Cystitis? Outlook IC is a condition with a variable course. For many people, the severity of symptoms fluctuates. For some, the condition goes into periods of remission. [emedicinehealth.com]

[…] aimed at helping people control functions of the autonomic nervous system, has shown some benefit in controlling pain associated with IC/BPS as part of a multimodal approach that may also include medication or hydrodistention of the bladder. [45] [46] Prognosis [en.wikipedia.org]

Etiology

"Interstitial Cystitis: Etiology". MedScape Reference. Archived from the original on 24 June 2011. Retrieved 1 April 2011. ^ "Understanding Interstitial Cystitis". MD Conversation / peer-reviewed. Archived from the original on 18 July 2013. [en.wikipedia.org]

A hypothesis for the etiology of interstitial cystitis based upon inhibition of bladder epithelial repair. Med Hypotheses 51:79–83(1998). 11. Keay SK, Szekely Z, Conrads TP, et al. [webmedcentral.com]

Epidemiology

The book offers state-of-the-art information on basic immunology, fetal-neonatal immunology, genetic and environmental predisposing factors, epidemiology and natural history of atopic diseases, and allergy diagnosis. [books.google.de]

Epidemiologic studies show the prevalence of allergies in IC patients to be higher than in people in general. Anti-allergy medications seem to ease IC symptoms, especially when patients have seasonal allergies. [fightingfatigue.org]

"Epidemiologic studies show the prevalence of allergies in IC patients to be higher than in people in general. Anti-allergy medications seem to ease IC symptoms, especially when patients have seasonal allergies. [news-medical.net]

In recent years, the scientific community has achieved a much deeper understanding of the epidemiology of interstitial cystitis. [en.wikipedia.org]

Interstitial cystitis: epidemiology, pathophysiology, and clinical presentation. Obstetrics and Gynecology Clinics of North America ; 41(3): 395-95. Nutt, D., Wilson, S., Paterson, L. (2008). Sleep disorders as core symptoms of depression. [womenshealth.gov]

Pathophysiology

Cause is unknown, but pathophysiology may involve loss of protective urothelial mucin, with penetration of urinary potassium and other substances into the bladder wall, activation of sensory nerves, and smooth muscle damage. [msdmanuals.com]

The Mast Cell in Interstitial Cystitis: Role in Pathophysiology and Pathogenesis Urology 2007 [Volume 69, Issue 4, S34 – S40] http://www.goldjournal.net/article/S0090-4295(06)02239-4/fulltext Xu Wang et al Evidence for the Role of Mast Cells in Cystitis-Associated [bladder-help.com]

Interstitial cystitis: epidemiology, pathophysiology, and clinical presentation. Obstetrics and Gynecology Clinics of North America ; 41(3): 395-95. Nutt, D., Wilson, S., Paterson, L. (2008). Sleep disorders as core symptoms of depression. [womenshealth.gov]

The role of glycosaminoglycans in normal bladder physiology and the pathophysiology of interstitial cystitis. In G. Sant (Ed.), Interstitial Cystitis, 93–100. Philadelphia: Lippincott–Raven Publishers. [womenshealthnetwork.com]

Prevention

Finally, a chapter on prevention of the atopic march indicates how effective early intervention may greatly decrease the upsurge in atopy. [books.google.de]

You can’t always prevent acute cystitis. [healthline.com]

Omalizumab was used for her allergic symptoms and possible prevention of anaphylactic reaction to SIT. Interestingly, she reported that her urogenital symptoms had subsided since omalizumab had been started. [ncbi.nlm.nih.gov]

Causes of inflammation can include injury, stones, polyps, tumors, nerve damage preventing total emptying of the urine and infections. Infections can occur through the blood stream or ascend through the urethral opening. [pinesvet.com]

If you're taking trimethoprim to prevent an infection, take it at bedtime. [beta.nhs.uk]

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