Are you are someone you know suffering from pelvic pain? Do you feel that you are always running to the restroom because you have the urge to urinate or urinate frequently? If you answered yes to any of these questions, you may be suffering from a disease known as interstitial cystitis (IC). Before you panic, you should know that this disease is treatable, and you are not the only one suffering from it.
Throughout the course of this paper, you will learn everything you need to know about IC. First, we will talk about diagnosing the disease, what causes IC, medical conditions associated with IC, the various types of oral medications, and medications that are introduced into the bladder. In the second half of the paper, you will learn about the male with IC, surgery and the patient, sex, conservative therapies, and support.
To begin, what exactly is interstitial cystitis? It is a disease of the urinary bladder marked by inflammation and ulceration (interstitial cystitis means inflammation (cystitis) within (interstitial) the bladder wall). (Robert Moldwin). This is not a disease that can be detected by blood or urine. The only way that this disease is able to be recognized is by the symptoms that you are experiencing. A person with IC usually experiences symptoms between 30-50 years old, although it can occur earlier in life. It is said that 90% of IC patients tend to be women. (ICA)
You're probably thinking to yourself, "Do I have interstitial cystitis"? Your doctor can make the ultimate decision of whether or not you have IC. Providing a medical history will help eliminate and bring about possibilities. Tests will also be used to help determine the decision some of which include: a urinalysis, a urine culture, urine cytology, a pelvic ultra sound, and an urodynamic evaluation (Moldwin).
No one really knows what causes interstitial cystitis. Researchers have identified the causes by the complaints that the patients provide (ICA). Patients that have IC are said to have abnormalities on the bladder surface, abnormalities of the bladder's blood supply, undiagnosed microorganisms, and autoimmunity (ICA).
Today, there are many medical conditions that are associated with interstitial cystitis. In a 1997 study by Alagiri, Chottiner, Ratner, Slade, et al, described the following seen in IC patients: allergies 40.6, irritable bowel syndrome 25.4, and skin sensitivity 22.6 (Moldwin). Other conditions associated with IC include vulvodynia, pelvic floor dysfunction, fibromyalgia, urethral syndrome, and urinary tract infection (UTI) (WHC).
A 54 year old female was presented with complaints of lethargy, excessive thirst and diminished appetite. Given the fact that these symptoms are very broad and could be the underlying cause of various diseases, the physician decided to order a urinalysis by cystoscope; a comprehensive diagnostic chemistry panel; and a CBC with differential, to acquire a better understanding on his patient health status. The following abnormal results caught the physician’s attention:
Symptoms for urethritis are mild including frequency of urination and pyuria (presence of white blob cells in the urine). Cystitis (bladder infection) symptoms are easier to distinguish and include back pain, concentrated appearance, urgency, hematuria (presence of red blood cells in the urine), a...
or any issues with her urine production. Mrs. L stated that she does not urinate excessively and that she has never noticed an extreme change in color of her urine. A urinary tract infection or yeast infection is not something that Mrs. L said she has experienced in the past. Mrs. L stated that she is not currently sexually active because of her age and it is more difficult than it used to be. She has never had any sexually transmitted infections or other issues with her genital health. Mrs. L stated that she does have arthritis in her feet and hips. She has never had a muscle tear or tore a ligament or tendon. Mrs. L also said that she has never had any issues with her ACL. Her back surgeries are the only things Mrs. L stated that have been
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
5), many hospitals in conjunction with the Joint Commission's 2012 National Patient Safety Goals has been rallying for hospitals to use evidenced-based practices (EBP) to the prevention of CAUTIs because evidence is growing showing that many are avoidable. Such practices such as utilizing a nurse-driven protocol to assess and evaluate the appropriateness and use of urethral catheter to determine how long a patient should have an indwelling catheter and when to discontinue it. Several factors have been identified that pose as risk factors to CAUTI which include but not limited to drainage bag not being below the level of the bladder, healthcare personnel not practicing standard precautions and utilizing aseptic techniques during insertion of catheters, unsterile equipment, and unnecessary placement of urinary
Kidney stones, a very common urinary tract disorder that is now really rampant in humans especially. Some causes of kidney stones are still being argued from whether it is due to what is consumed or having a history in the family. There are some common kidney stones which are phosphate, oxalate and calcium. This kidney stones may vary in sizes, in other words if the kidney stones in one that is small then there is a less tendency to notice. Although, most people would notice when they starting filling pains that feel like cramps on the back and the side in area around the kidney or lower abdomen. Due to the blockage of urine by the insoluble salt this causing more concentrated urine.
The scientific name of a kidney infection is known as pyelonephritis. There are two types of pyelonephritis infections, acute and chronic. Acute pyelonephritis is sudden and limited and can be cured/treated using antibiotics. However, if it is a chronic infection, it is long-lasting and occurs due to birth defects; it can lead to scarring in the kidneys, as well. Kidney infections can occur in both men and women. Although, according to Chih-Yen’s study of chronic infection, “Females (36.1%, 60/166) were more prone to have upper UTIs than males (11.8%, 13/110)” (Chih-Yeh, 2014; Chih-Yeh et al., 2014). In addition, age is not an important number due to the presence of Escherichia coli present in everyone’s body. It is dependent on time and health of an individual for the infection to present itself. Moreover, a study on children and adolescent transplantation concluded that, “UTI was uncommon in children after the first month of transplantation. Two significant risk factors for UTI were female gender and neurogenic bladder in this transplant population” (Fallahzadeh, 2011; Fallahzadeh et al., 2011). From the peer-reviewed papers, it is clear that females are more prone to UTI infection, overall, than
Urolithiasis is the process of forming stones in the kidney, bladder, and/or urinary tract.1 1,200 to 1,400 per 100,000 people will develop a urinary stone each year. Urinary stones are formed when there is a decrease in urine volume or an excess of stone forming substances are present. The use of diagnostic imaging plays a vital role in the diagnostic and treatment processes of a stone in the urinary track. This paper will discuss the signs, symptoms, diagnosis, treatment, and prognosis of Urolithiasis.
Loening-Baucke V. Urinary incontinence and urinary tract infection and their resolution with treatment of chronic constipation of childhood. Pediatrics 1997;100: 228-232
After further multidisciplinary team meetings with the involvement of John the treatment option of automated peritoneal dialysis was implemented (NSF 2004). Once the Tenchkoff catheter had been inserted, education and training completed John was ready for discharge home.
Bacterial vaginosis is identified with patient with high incidence of endometritis and pelvic inflammatory disease status post abortion and/or gynecological procedures (Hainer & Gibson, 2011). This vaginal infection, bacterial vaginosis, has been associated with status post and postpartum endometritis, pelvic inflammatory disease (PID), and during pregnancy, late fetal loss and spontaneous preterm birth (Verstraelen, Verhelst, Vaneechoutte, & Temmerman, 2010).
Genitourinary system: He doesn’t have pain during urinating and no increase of passing urine and he doesn’t need to get up in the middle of the night to pass urine. There is no blood in the urine.
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
Cystitis is the medical term for inflammation of the urinary bladder. Most of the time, the inflammation is caused by a bacterial infection, and it’s called a urinary tract infection. A bladder infection can be painful and annoying, and it can become a serious health problem if the infection spreads to your kidney.
It takes years for most women to be diagnosed with this mysterious disease, says Ghadir. Unfortunately, that's because the only definitive way to diagnose it is with a surgical biopsy of the tissue. Still, Ghadir urges women to tell their doctor if they have any of the symptoms: chronic pelvic pain, severe menstrual cramps, spotting before your period, painful bowel movements or urination especially during your period, and discomfort or pain during sex especially during deep