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Suggest treatment for interstitial cystitis

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Posted on Fri, 6 May 2016
Question: Good morning. I am a patient with Interstitial Cystitis. I had a horrendous flare last night, as well as some constipation. I took Metamucil to relieve the constipation and it worked too well. I have diarrhea now, and excruciating pai, n in my urethra. I have been awake for over 24 hours now and am exhausted. None of the usual remedies are working( ie baking soda and water, water alone, itbuprofens )
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Answered by Dr. Matthew J. Mangat (26 minutes later)
Brief Answer:
How was diagnosis of IC established.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist, i can fully understand your concern.

Before i advise you on further medication, i would like to know few details :

1. How was the diagnosis established.Has a biopsy been done.?
2. What were the initial symptoms you had.
3. What all tests have you undergone.
Kindly send the reports.
4. What medications have you taken so far.

For the time being,you can take alkaline citrate syrup, twice or thrice daily.
Drink 10-12 glasses fluids daily.

Wish you good health.
Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Matthew J. Mangat (38 minutes later)
1. I had a cystoscope in 2009 which was inconclusive, but the symptoms I continue to have led my urologist to diagnose me at having Interstitial Cystitis
2. Initial symptoms- frequency, urgency and occasional pain. I am currently on my 6th week of Elmiron 100g twice daily, somedays I feel quite well, but last night I don't know what happened
3. I don't know if I have my urology reports,
4. Elmiron is the only medication I am taking at present. What is alkaline citrate syrup?
doctor
Answered by Dr. Matthew J. Mangat (14 minutes later)
Brief Answer:
Urology tests essential.

Detailed Answer:
Hi XXXXXXX

Elmiron is the usual treatment for IC.

Diagnosis is usually after a cystoscopic biopsy.
Your Urology reports are very important for further advice.

You can repeat the following tests :
1.urine routine and culture.
2.Blood routine, creatinine, RBS,platelets and LFT.
3.Ultrasound abdomen and residual urine.

Wish you good health.

Dr.Matthew J. Mangat,


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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Suggest treatment for interstitial cystitis

Brief Answer: How was diagnosis of IC established. Detailed Answer: Hello XXXXXXX and welcome to HCM. As an Urologist, i can fully understand your concern. Before i advise you on further medication, i would like to know few details : 1. How was the diagnosis established.Has a biopsy been done.? 2. What were the initial symptoms you had. 3. What all tests have you undergone. Kindly send the reports. 4. What medications have you taken so far. For the time being,you can take alkaline citrate syrup, twice or thrice daily. Drink 10-12 glasses fluids daily. Wish you good health. Dr.Matthew J. Mangat.