Brief Answer:
Other medications are available like Amitriptyline and immuno-suppressants

Detailed Answer:

Hi,

Thanks for sharing your concerns with us. We will try to help you in the best way possible. First of all, it's sad to know what you had been going through lately.

Based on the history you have shared, Elmiron is helpful as it may cause rebuilding the bladder walls. That takes us to the second part of your query that it helps to cure permanently. However, the cause needs to be evaluated as immunosuppressive therapy may also be needed alongside if other options fail. So far second-line drugs for symptomatic relief are amitriptyline.

Meanwhile, workup like cystoscopy and urine cultures as well as the biopsy may be needed. Avoid stressful activities or heavy exercises.

Intake of caffeine, carbonated beverages, oxalate-containing foods like tomatoes and acidic foods like citrus should all be avoided. Alkalinizing agents of urine like citrosoda XXXXXXX may also help. Keep close liaison with a urologist as repeated visits may be needed.

Wishing you a speedy recovery. Hope this has answered your query.
If you have any more questions please feel free to ask.

Regards

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