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 1Murray et al. · 1998Encyclopedia 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.

Turmeric

Curcuma longa

Zingiberaceae
Anti-InflammatoryAntioxidantCholereticCholagogue +12

References:

  1. Murray, M. T., & Pizzorno, J. E. (1998). Encyclopedia of natural medicine. Three Rivers Press.