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Have Interstitial Cystitis. Suffering From Pain And Frequent Urination. Suggestions?

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Posted on Mon, 10 Jun 2013
Question: This morning, I asked the following question to Dr. Patel: I have interstitial cystitis, a condition related to the lining of the bladder and I wanted to know if I could take antihistamines since I take sleeping pills and I have a thyroid problem.(under) Dr. XXXXXXX indicatd that it was ok to do so. This is a follow up to my question to Dr. Patel: 1. What medications are good for frequency and urgency? 2. I live in Florida (Cape Coral) and I have not found a good doctor that can help me. Could you recommend a good doctor? 3. My condition is fine during the day, however my nights are terrible with frequency/ urgency and pain. Thank you for your time
doctor
Answered by Dr. Dr. P. T. Patil (6 hours later)
Hello
Thanks for follow up.I would like to answer your question point to point
1) The medication for frequency depends upon the underlying pathology .In your case frequency of micturition is due to nocturnal reduced capacity of bladder and may be secondary to sleep apnea.
This can be reduced by restricting your fluid intake after evening and avoiding taking coffee and beverages which have diuretic effect.
Elevate your legs while sleeping This helps to reduce fluid accumulation and thereby to reduce urine production..
Urgency and frequency can be controlled by anti cholinergic drugs like Darifenacin or Solifenacin under guidance of a qualified Urologist.

2)I do not have personal contacts with any Urologist in Florida.So unable to recommend any one.

3) Your problem seems to me to be due to sleep apnea which is common at this age.Getting a good sound sleep will help you to resolve your problem to some extent.If you have any breathing problems during sleep please consult qualified Pulmonologist .or chest Physician.
Thanks and Regards
Dr.Patil
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10582 Questions

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Have Interstitial Cystitis. Suffering From Pain And Frequent Urination. Suggestions?

Hello
Thanks for follow up.I would like to answer your question point to point
1) The medication for frequency depends upon the underlying pathology .In your case frequency of micturition is due to nocturnal reduced capacity of bladder and may be secondary to sleep apnea.
This can be reduced by restricting your fluid intake after evening and avoiding taking coffee and beverages which have diuretic effect.
Elevate your legs while sleeping This helps to reduce fluid accumulation and thereby to reduce urine production..
Urgency and frequency can be controlled by anti cholinergic drugs like Darifenacin or Solifenacin under guidance of a qualified Urologist.

2)I do not have personal contacts with any Urologist in Florida.So unable to recommend any one.

3) Your problem seems to me to be due to sleep apnea which is common at this age.Getting a good sound sleep will help you to resolve your problem to some extent.If you have any breathing problems during sleep please consult qualified Pulmonologist .or chest Physician.
Thanks and Regards
Dr.Patil