Bladder pain syndrome (BPS), also called interstitial cystitis, is a condition that causes bladder pain. The pain can be severe. It also causes an urgent, frequent need to urinate. The pain and other symptoms can make it hard for a person to function and have a good quality of life.
Doctors do not know what causes BPS. But they do know that it is not caused by an infection. Your doctor may do tests to make sure that you do not have an infection, kidney stones, or bladder cancer.
People with BPS often also have another condition, such as irritable bowel syndrome, painful menstrual periods, or fibromyalgia.
It may take several weeks or months to find a treatment that works. If diet and lifestyle changes do not help, you may need medicine. Your doctor may also put liquid or medicine into your bladder for a short time to treat the pain.
Pain from BPS can get worse the longer you wait before urinating. It's common to have more pain as the bladder fills and some relief after you urinate. Other symptoms include urinating often, feeling a constant urge to urinate, having pain during or after sex, and having pain in your belly or pelvis.
Treatment may include:
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).
A physical therapist can teach you exercises to relax the muscles in your lower belly, groin, and buttocks. You may want to look for a physical therapist who is specially trained in pelvic floor therapy.
A professional counselor can help you cope with pain, stress, and depression. It may also help to join a support group for people with BPS or chronic pain.
These include botulinum toxin injections in the bladder and acupuncture. These have been helpful for some people.
If no other treatments help, surgery may be needed. It might be done to stop nerve pain or help with a problem like bladder distension. As a last resort, surgery may be done to remove the bladder.
Your doctor may have you use a bladder diary to record how often you urinate and about how much urine is released.
To diagnose bladder pain syndrome (BPS), your doctor may do a test called cystoscopy that uses a thin, lighted tube to see the inside of your bladder. You may also get a urine test to rule out other problems, such as a urinary tract infection.
Your doctor will help you manage your pain, but there are also things you can do. Here are some ideas:
Bladder pain syndrome (BPS), also called interstitial cystitis, is a condition that causes pain in the bladder or pelvis. The pain can be severe. It also causes an urgent, frequent need to urinate.
Some doctors think BPS may be caused by abnormal changes in the lining of the bladder. But the cause isn't clear.
Call your doctor now or seek immediate medical care if:
Watch closely for changes in your health, and be sure to contact your doctor if:
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