Interstitial Cystitis…Things That Help!

This is how I approach an interstitial cystitis (IC) patient and some approaches that have consistently helped reduced pain and discomfort in these complex patients.

– I take a history of each decade .
– Antibiotics – chronic infections with frequent antibiotic use several times per year Infections – ear, throat, sinuses, bronchitis, bladder, vaginal or stomach.
– Stomach problems – irritable bowel, gas, bloating, pain, constipation, diarrhea
– Birth control pill use – increases sex hormone binding globulin, can reduce free testosterone and effect vaginal pain
– Menopausal or post menopause hormone status – vaginal dryness, painful intercourse, urinary incontinence –  check for low DHEA, estrogen, testosterone
– Trauma to that vaginal or bladder area (i.e. bicycling, horseback riding, sex, etc.)

Cravings for –  sweets, alcohol, coffee, dairy foods, cheese, bread products, spicy foods

Food Elimination – Eat from BED Diet List and…
– Eliminate known aggravating foods – coffee/tea, spicy foods, alcohol, baked goods, dairy, wheat, sugar, alcohol, citrus, etc. or any foods you know that aggravate symptoms for at at least one month
– Supplements – vitamin C

– Antibiotics if specific bacterial overgrowth is found and culture and sensitivity done
– Antifungal treatment (or for intestinal bacterial overgrowth or parasites) – anti-fungal medicines (Fluconazole,
Nystatin powder)
– Antiparasite medications if parasite identified
– Digestive aids some times
– Food elimination
– Herbs/botanicals like caprylic acid, berberine, plant tannins, uva ursi unless known to aggravate symptoms.
– Probiotics

Testosterone / estriol perivaginally or vaginally in a “natural base” cream DHEA orally, topically or perivaginally if low

– Probiotics – Culturelle 1-2/d
– Vitamin A – 2500-5000 IU/d
– Vitamin D – 2000-5000 IU/d
– Zinc 20-40 mg/d

– Food Allergy Screen (IgG/IGE) – sometimes use, not often (BED – Diet  List is main food intolerance approach)
– Salivary Hormones (Labrix or ZRT Labs) Estrogen, Progesterone, DHEA, Testosterone
– Serum vitamins D & A and zinc levels
– Stool exams (Genova and/or Doctors Data)

Call Kirk for BRIEF medical or health questions at (916) 489-4400 8-9 A.M. PST Monday through Friday at Health  Associates Medical Group where he sees patients daily.


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