Condition
Interstitial Cystitis
Interstitial cystitis is a chronic condition causing bladder pain, pressure, and urinary urgency in the absence of infection.
Overview
Aetiology
The cause of interstitial cystitis is unknown, but it has a strong prevalence in middle aged caucasian women, and those suffering from IBS. This has led to some calling the condition “IBS of the bladder”.
Factors That May be Involved in The Development Of Interstitial Cystitis:
- History of infection
- Leaky urothelium
- Autoimmune conditions
- Irritating hemicals in the urine
- Reduced nitric oxide synthase activity
- Neurogenic inflammation involving the mast cells
- Stress
- Chronic inflammation
- Lowered bladder mucosa integrity
- Mast cell degranulation
Presentation
Symptoms
Interstitial cystitis presents with chronic pelvic or bladder pain and pressure that often eases after urination, along with urinary frequency, urgency, and night-time urination. Symptoms may fluctuate and can be aggravated by certain foods, stress, or, in women, the menstrual cycle.
Assessment
Diagnostic Considerations
The average time from the onset of symptoms to diagnosis of interstitial cystitis is 5 years. 1Reference 1Encyclopedia of natural medicine.
- microbiology of urine
- E. coli
- High WBC in urine
Assessment
Differential Diagnosis
- Urinary tract infection
- Overactive bladder
- Bladder cancer
- Endometriosis
- Chronic pelvic pain syndrome / prostatitis
Herbs for Interstitial Cystitis
- vaccinum macrocarpon
- gotu kola
- aloe vera
The Herbs
Materia Medica (1)
Herbs traditionally or clinically used for interstitial cystitis.
References:
- Murray, M. T., & Pizzorno, J. E. (1998). Encyclopedia of natural medicine. Three Rivers Press.