Miss Tsai is 30-year-old and has been engaged in nail art for several years. She has a lot of experience in nail painting. Through her skillful hands, the customers’ nails can always be renewed and become shiny and pastel. In addition, Miss Tsai participated in the national nail painting competitions and won many awards.
However, Miss Tsai has always felt like peeing all the time in the past six months. The number of times to go to the toilet can be as high as 20 to 30 times a day, and Miss Tsai has to get up 4~5 times at night. Even when helping guests paint their nails, Miss Tsai must frequently say sorry to the guests and leave to go to the bathroom temporarily. Although Miss Tsai always tries to hold urinating, the painful sensation of lower abdominal cramps will continue to come up until the urine is expelled. The symptom of frequent urination also made Miss Tsai afraid of not going out with friends. She also went to see doctors. The doctors told her that inflammation of the bladder or overactive bladder might be the underlying causes, but her symptoms could not be improved after taking the medicine. The symptoms of urination interrupted the work and night sleep. Miss Tsai could only stay at home after work. She was really bothered by the urination……
Miss Tsai then came to our hospital for help. Through the detailed consultation and urine examination to rule out urinary tract infection. During the cystoscopic bladder distension examination, multiple bleeding spots and ulcerations in the bladder mucosa were noted, which were compatible with the characteristics of interstitial cystitis. Miss Tsai received oral medication and hyaluronic acid bladder infusion therapy, her urinary frequency and lower abdominal pain gradually improved. Not only did she no longer suffer from urinary frequency, she could also go out with friends after work. She could sleep better at night and lead a colorful life~
Interstitial cystitis is a very unfamiliar disease to many people. It occurs mostly in women, especially at the age between 30 and 40. Its’ main symptoms include urinary frequency, urgency, and lower abdomen pain or perineal pain, especially when holding back urine, the pain will be particularly obvious, and the pain will decrease after urination. In the long run, these symptoms not only cause physical discomforts, but also have a great impact on mood, spirit, and even sexual life. Patients often have symptoms of anxiety and depression.
Interstitial cystitis is not like the urinary tract infection, which is caused by bacterial infection. Scientists find that the cause of interstitial cystitis is the damage of the bladder mucosal layer. Some inorganic materials, such as potassium ion, penetrate the bladder wall through the mucosal defects, the symptoms of interstitial cystitis can then occur. There will be unique signs during the cystoscopic bladder distension examination (such as: multiple bleeding points and mucosal ulcers). The symptom of interstitial cystitis and overactive bladder is also very similar. Urinary frequency is the major compliant in both diseases. However, patients with interstitial cystitis will have pain in the lower abdomen when the bladder is full with urine, but patients with overactive bladder do not.
The treatment of interstitial cystitis is aimed at restoring the integrity of the bladder mucosa. At present, the main treatment drugs are hyaluronic acid. In addition, heparin or botulinum can also be injected into the bladder. Endoscopic bladder water distension or bladder mucosal ulcer resection can also be helpful for some patients. It is recommended that patients avoid eating potassium ions rich citrus fruits, fried foods, spicy foods, coffee, strong tea, wine and carbonated beverages.
Interstitial cystitis is a chronic disease. Patients must be patient, receive treatment continuously, and adjust their daily routines to restore health to the bladder!