What Cures Interstitial Cystitis

Interstitial cystitis

Chronic bladder pain syndrome

Interstitial cystitis (IC) presents itself as an initially acute, later chronically recurring cystitis. The repeated absence of bacteria in the urine makes the course and the therapy appear complicated.

The symptoms of interstitial cystitis are:

  • Burning bladder pain
  • Extreme urge to urinate
  • Very frequent urination (in severe cases up to 100 times a day)

What is noticeable among those affected by IC is the fluctuating course of the disease. The exact mechanism by which interstitial cystitis develops is largely unclear. Possible triggering factors could be: A change in the permeability of the bladder mucous membrane as well as cell-damaging substances contained in the urine. It is believed that in interstitial cystitis the protective layer of the mucous membrane in the bladder is more permeable than in unaffected people.

Urine contains a lot of aggressive substances. Usually the bladder wall is designed in such a way that the body is protected from urine by the lining of the bladder. If this is now damaged, however, constituents from the urine can penetrate into deeper layers of the bladder wall. The potassium in the urine in particular is suspected of irritating the tissue and causing swelling in the bladder wall. Chronic inflammation develops. What exactly triggers the damage to the mucous membrane is not yet known.

Often those affected also suffer from allergies and autoimmune diseases, such as B. rheumatic diseases or chronic inflammatory bowel diseases. The immune system mistakenly recognizes the body's own tissue as a foreign body that needs to be fought. Inflammatory reactions and damage to the affected organs are the result. Due to the inflammatory reaction on the bladder mucosa, bacteria also have an easy job: around 20% of patients also suffer from an accompanying bacterial cystitis. This must also be dealt with specifically. Preventive therapy, e.g. B. with sensibly combined herbal medicinal products makes sense here, so that the risk of a bacterial infection is minimized.

Chronically underdiagnosed and underserved

The diagnosis of interstitial cystitis is a diagnosis of exclusion. Diseases with similar and confusable symptoms such as bladder tumors, tuberculosis of the urinary tract, bacterial infections, irritable bladder or ureteral stones must first be ruled out in an often time-consuming and laborious diagnostic process. It is not uncommon for those affected to receive the diagnosis of interstitial cystitis only after many years of suffering.

If interstitial cystitis is suspected, a cystoscopy will be done to help confirm the diagnosis. In these cases, the cystoscopy shows tears in the bladder mucosa with bleeding. If the bladder is stretched with a saline solution during this mirroring, punctiform bleeding occurs in the mucous membrane. They are typical of interstitial cystitis.

Depending on the degree of the symptoms and the course of the disease, there are a variety of different therapy options. Here the attending physician defines an individual therapy scheme together with the patient.