Good study on treating IC (helpful for CPPS too)

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webslave
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Good study on treating IC (helpful for CPPS too)

Post by webslave »

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4080853/

This is a review study, so worth a read.

Some key points
  1. Application of either hot or cold packs to the suprapubic or perineal area or taking a warm sitz bath may relieve discomfort.
  2. Restricting consumption of coffee, citrus products, chocolate, alcohol, and spicy foods may relieve discomfort.
  3. Elimination diets help determine which foods or fluids affect each individual patient.
  4. Behavior modification therapy includes pelvic floor muscle relaxation.
  5. Watching a guided imagery compact disc that focused on bladder healing, pelvic floor muscle relaxation, and quieting nerves involved in IC/BPS improves symptoms.
  6. The bioflavonoid quercetin, in an open-label study, showed that most IC/BPS patients had some improvement in outcome measures.
  7. Calcium glycerophosphate reduces titratable acids in foods and prevented food-related flares in IC/BPS.
  8. Phenazopyridine hydrochloride is a urinary analgesic that can be helpful for the short-term management of an IC/BPS flare.
  9. Stress is the most significant flare factor for IC/BPS symptoms. Stress reduction management aids in diminution of severe symptoms and is a preventive measure for patients in remission. Higher stress levels were related to greater urgency and pain in IC/BPS patients. Behavior modification techniques such as exercise, bathing, meditation, shortening work hours, creating a nonstressful environment at home, or joining educational programs and patient support groups help to maintain a reduced stress level.
  10. Catastrophic thinking is a negative coping strategy in which one believes the worst may happen and the result will not be tolerable. Greater catastrophizing by IC/BPS patients was associated with depression, greater pain, and poorer social functioning. Patients with chronic pain who avoid catastrophizing appear to be more functional.
  11. Venting is another negative coping strategy that focuses attention on personal distress and expresses negative emotions. Venting about IC/BPS symptoms prolonged depressive symptoms and was related to higher levels of distress.
  12. Seeking emotional social support is a positive coping strategy that is associated with better health in chronically ill patients. This includes support from spouses, family, friends, IC/BPS support groups, and professionals in the health care field. Patients with IC/BPS who sought emotional support, talked about their feelings, and solicited empathy from others saw some benefits, especially during an IC/BPS flare. Patients with IC/BPS who sought advice or information from others had decreased feelings of isolation, increased sense of control, and fewer depressive symptoms.
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StefanS
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Re: Good study on treating IC (helpful for CPPS too)

Post by StefanS »

Good summary!
Age: 54| Onset Age: 53 | Symptoms: bladder discomfort/pressure most of the time | Helped By: | Worsened By: | Other comments:
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