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INTERSTITIAL CYSTITIS Screenshot_20190908_170038 REF: MayoClinic.com…
INTERSTITIAL CYSTITIS
REF: MayoClinic.com
DEFINITION
Bladder syndrome of unknown etiology.
PATHOPHYSIOLOGY
Bladder syndrome characterized by
Pelvic pain and irritative voiding symptoms
With multifactorial cause
including genetic and environmental factors.
INVESTIGATIVE PROCEDURES
Medical history and bladder diary
Pelvic exam
Urine test
Cystoscopy
Biopsy
Urine cytology
CLINICAL MANIFESTATIONS
Bladder or pelvic pain.
Frequent urge to urinate.
Excessive nocturia.
Bladder spasm.
Pain during urination or sexual intercourse.
MANAGEMENT
PHYSICAL THERAPY
Nurse stimulation
Transcutaneous electrical nerve stimulation.
Sacral nerve stimulation.
Surgery
Fulguration.
Resection.
Bladder augmentation.
DIETARY MODIFICATIONS
Avoid bladder irritants such as
Carbonated beverages.
Caffeine.
Citruc products.
High conc of vitamin C.
Also
Tomatoes.
Alcohol.
Pickled foods.
Artificial sweeteners.
Spices.
LIFESTYLE MODIFICATIONS
Exercise.
Wear loose clothing.
If you smoke, stop.
Reduce stress.
PHARMACOLOGY
Non-steriodical anti-inflammatory drugs.
Ibuprofen.
Naproxen sodium.
Tricyclic antidepressants.
Antihistamines.
Loratadine
Pentosan polysulfate sodium.
NURSING INTERVENTION
Provide emotional support.
Give medication as prescribed by Dr.
Encourage exercise.
Allay enxiety before surgery.
Bladder training to the patient.
Monitor fluid balance, intake and output.
Monitor vital signs
Promote hygiene and grooming for infection control.
REF: MayoClinic.com