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All Posts Tagged: frequent urination

Painful Bladder symptom, Interstitial Cystitis

Painful Bladder Syndrome

Interstitial cystitis (IC), commonly called as painful bladder syndrome is a condition that leads to acute pain and discomfort in the bladder and the pelvic region surrounding the bladder. Its symptoms vary widely from person to person.

Symptoms

People may experience tenderness, pressure, mild discomfort or even an intense pain in the bladder and surrounding region. Other common symptoms include urgent need to urinate, frequent urge to urinate or a combination of both the conditions. Also, the intensity of the pain changes as the urine gets filled with the bladder or get emptied.

In the case of women, these symptoms may often get worse at the time of menstruation. Women may sometimes experience pain during vaginal intercourse too. Because of such varied symptoms and severity, most of the researchers believe that it is not a single disease but several diseases. Hence, scientists started using term painful bladder syndrome (PBS) instead of interstitial cystitis (IC). PBS includes all cases of urinary pain that cannot be attributed to other reasons or causes like urinary stones or infection.

Causes

Symptoms of PBS resemble those of bacterial infection, but when medical tests are done no organisms were found in the urine of the patients with PBS. Also, such patients do not respond to antibiotics. In recent studies, researchers have isolated a substance, which is found exclusively in the urine of PBS patients. That exclusive substance is termed as antiproliferative factor or APF. It is concluded that it appears to block normal growth of the cells of the lining of inside wall of the bladder.

When to visit a doctor?

If you are experiencing chronic bladder pain or urinary urgency and frequency, contact your doctor.

Meet London gynaecologist, Dr. Sarah Hussain, having expertise in urogynaecology, who can listen to your query and provide an accurate treatment to all your queries.

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What is Voiding Dysfunction?

Voiding dysfunction is a condition where there is poor coordination between the bladder muscle and the urethra which results in incomplete relaxation or over activity of the pelvic floor muscles during voiding. In voiding dysfunction condition, the urethra does not relax when the bladder muscle contracts, making it difficult for urine to pass.

Symptoms

  • Urinary hesitancy
  • Slow or weak urine stream
  • Urinary urgency and/or increased frequency
  • Difficulty in emptying the bladder
  • Dribbling urine after urination is complete
  • Blood in the urine
  • Constipation and faecal soiling

 

Bladder

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Causes

Voiding dysfunction may be caused by

  • Nerve dysfunction
  • Non-relaxing pelvic floor muscles or both
  • Endocrine or kidney diseases that affect the urinary tract (e.g. diabetes, chronic kidney disease)
  • Genetic diseases that affect the urinary tract (e.g. Ochoa syndrome, Williams syndrome)
  • Infections or irritations that affect the urinary tract (e.g. urinary tract infections, urethritis, pin-worms, foreign bodies)
  • Stress incontinence

Types of voiding dysfunction?

Daytime wetting (also called diurnal enuresis): Daytime wetting can consist of either small urine leaks that spot or dampen underwear to the complete soaking of undergarments.

Urge syndrome: This is frequent attacks of the need to void (at least seven times a day) countered by hold manoeuvre’s, such as squatting. Urine loss is mild, represented by a dampening of undergarments.

Giggle incontinence: This is the complete emptying of the bladder that occurs with vigorous laughter or giggling.

Bed-wetting (also called nocturnal enuresis): This is when a sleeping child cannot control his/her urination at night. It is not considered as problem or abnormal condition till the child reaches the age of five. But it is an abnormal condition if patients age is more than five.

Have you encountered any of the symptoms listed above? Contact Sarah Hussain for better treatment to solve any type of voiding dysfunction related issues. We are just a Click away! 

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