Understanding Bladder Pain Syndrome

A Comprehensive Guide to Interstitial Cystitis

Internal Medicine

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Last updated: Mar 24, 2025

What is Bladder Pain Syndrome?

Bladder Pain Syndrome (BPS), also known as Interstitial Cystitis (IC), is a chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. The pain ranges from mild discomfort to severe pain.

Key Symptoms

  • Persistent pelvic pain
  • Frequent urination (up to 60 times a day in severe cases)
  • Pain or discomfort while the bladder fills
  • Relief after urinating
  • Pain during sexual intercourse
  • Chronic pelvic pain

Risk Factors

  • Gender: More common in women
  • Age: Most often diagnosed in middle age
  • Having a chronic pain disorder
  • Having a history of bladder infections

Diagnosis

Diagnosis typically involves:

  1. Detailed medical history
  2. Physical examination
  3. Urine tests
  4. Cystoscopy (when necessary)
  5. Biopsy (in some cases)

Treatment Options

Conservative Treatments

  • Dietary modifications
  • Stress management
  • Pelvic floor physical therapy
  • Bladder training exercises

Medications

  • Oral medications (antihistamines, pain relievers)
  • Bladder instillations
  • Nerve pain medications

Advanced Treatments

  • Nerve stimulation therapy
  • Botox injections
  • Surgery (in severe cases)

Living with BPS

Lifestyle Changes

  • Avoiding trigger foods
  • Managing stress
  • Regular exercise
  • Proper hydration

Support Systems

  • Support groups
  • Mental health counseling
  • Regular medical follow-up

When to Seek Medical Help

  • Persistent bladder pain
  • Blood in urine
  • Increasing frequency of urination
  • Significant impact on quality of life

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