Womens Health

Symptoms of interstitial cystitis

Over a period of about a week I started feeling like I had to go to the bathroom all of the time. It got worse as the week went on. I seen a Dr. and had urine cultures for a UTI but everything came back fine.

I don't have any pain. Just the feeling of a full bladder? Can Interstitial cystitis (IC) come on all of a sudden or is it a gradual thing? Is there always pain associated with I.C.? What else could this be?

Usually there is always pain with interstitial cystitis. The pain is relieved by voiding. The symptoms of interstitial cystitis can come on subacutely but usually over several weeks or so. Then it stays at the same level.

Urinary frequency can sometimes be from something pressing on the bladder like the uterus or an ovary. It could still be that there is some infection there even though the urine dip test was negative.

Mycoplasma and ureaplasma are not always picked up on standard dip test screens and many doctors will give a treatment with tetracycline or an equivalent to see if these relatively acute symptoms go away before starting an expensive work-up for IC.

If your symptoms persist, you will need to go back for re-exam.

Can endometriosis cause urinary frequency?

My bladder does not feel like it completely empties. I do not have an STD or UTI; I've been checked. I do not urinate a large amount it is small amounts all day long. I do not have leakage during the night or when I wake up.

I have a past history of 2 operations for endometriosis. Each time my doctor removed endometriosis off the bladder. I am bleeding in my urine. How would you check to see if you have cancer, endometriosis, etc. on the inside of the bladder?

Urine can be collected and sent for cytological analysis to look for possible cancer cells. Also, a cystoscopy can be performed to look on the inside of the bladder for cancer or endometriosis or any inflammatory process that can produce blood in the urine. Usually this is done by a urologist or a urogynocologist.

I was hoping you could expand on cystoscopy. Just by looking at the bladder w/cystoscope a doctor can tell if you have bladder cancer?

The doctor can suspect it because cancer may often have a characteristic appearance in the bladder but the proof is in a biopsy which has to be done and then read by a pathologist. Endometriosis of the bladder would also need to be biopsied.

Can endometriosis get on the inside of the bladder?

Is there any way that if you had endometriosis and had a laparoscopy that showed that you didn't have endometriosis on the outside of your bladder, could there be endometriosis on the inside of your bladder? How could a doctor check for this? MRI? What types of tests would one need to check?

The current thinking as to how endometriosis develops is from retrograde menstruation. That means that when you menstruate, a portion of the uterine lining bleeds back through your tubes and enters the abdomen, settling often on ovaries and in the dependent portions of your pelvis.

Therefore, any endometriotic implants would normally be on the outside of your bladder rather than the inside.

Table of Contents
1. Gotta pee!
2. Pressure on your bladder?
3. Cystitis symptoms
4. Bladder nerve irritation
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