Suggest Remedy For Chronic Bladder Pain After Taking Antibiotics

Posted on Thu, 18 Jun 2015

Question: After an uti that didn't respond to antibiotics, I developed chronical bladder pain and frequenty. For halfyear i'm experiencing this problems. Urologist and specialist in IC ruled out IC, since my capicity is good and there is no mast cells found in biopsy. But my problems are still here, making me crazy. Urologist says its a chronical aspecific infection, wich will disappear in time, and has given me a low dose of AB as profylaxe. What to do? When will this be over? Is it because of an occasional wine or coffee? My life is on hold and i feel a prisoner of my bladder.

Answered by Dr. Shafi Ullah Khan (7 hours later)

Brief Answer:
Abacterial Cystitis likely. Need management

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. As your urologist have ruled out interstitial cystitis the only likely suspicion is of non bacterial cystitis also called Abacterial cystitis. SHort dosages of antibiotics is wise.

With passage of time these symptoms will resolve. Also you should know that avoiding caffeine or reducing its intake with many other stimulants like alcohol, tea beverages or smoking etc will also help the symptoms.

Antispasmodics to reduce bladder motility like solifenacin, darifenacin or any other anticholinergic will help. Bladder training exercises like void diary and kegel exercises will help as well.

DO as directed by your doctor and hope for the best.

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (3 hours later)

I did take vesicare, it didn't help me. I drink 1 decaf coffee a day, once a week 1 beer or whine, eat very healthy. I smoke 4 cigarettes a day and stay away from spicey food and acid fruit and drinks. How long will this take? Lost 20 pounds due to worrying and diet. Also i sometimes have white flakes in my urine. Is this normal? Thanks

Answered by Dr. Shafi Ullah Khan (22 minutes later)

Brief Answer:
Hope for the best, months likely

Detailed Answer:
Thank you for getting back to me

I am afraid i wont be able to give you exact time frame of healing and recovery but in average a few months. Continue vesicare it has solifenacin. Also quit smoking. Decaf coffee one cup is alright. Add pelvic floor physiotherapy exercises to help the bladder.

Right now all we need to worry about is over activity of bladder. Avoid fluids and reduce intake by 25 % that is drink only 6 glasses of water in a day. Dont drink fluids after 3 pm in the afternoon . It will help your nights comfort.

Losing that weight actually might have helped as maintenance of healthy weight is quite helpful.

Biofeedback and acupuncture have shown some benefits from alternative medicines. Sign up for national association of continence, there you will find many like you. They train people for such troubles.

If vesicare has not helped following list of medications also are helpful for such complaints. Discuss these options with your doctor.

Tolterodine (Detrol)
(Ditropan XL)
Oxybutynin as a skin patch (Oxytrol)
Oxybutynin gel (Gelnique)
Trospium (Sanctura)
Darifenacin (Enablex)
Mirabegron (Myrbetriq)
Fesoterodine (Toviaz)

I hope it helps.
Regards
Khan

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar