Burning sensation

[ari265]

Im 36yrs old, I have in the past been diagnosed with IC by my Urologist. I tought it was gone, but this weekend a started feeling the terrible sympt. again. The burning when urinating and after voiding. I feel in my vagina area and rectum. I took Benadryl, Prelife and another antiacid med. What else can I do? The burning sensation weaks me up at night. I know it is not an UTI because last month when I had the same sympt. my Dr. said it was not an UTI. Im tired and don't know what else to do. Help.

[David A Burks, MD]

Hi,  Unfortunately, until we find a cure,  if you have IC you have it for life. Patients commonly undergo exacerbations and remissions.  The burning sensation in the vagina is common.  Step 1 is to find a Urologist/Urogynecologist  who specializes in female urology or IC.  They have the up to date knowledge about the treatment options.  Step 2, start on the IC diet, eliminating caffein, alcohol, citris fruits and juices.  You can go to "ichelp.org", the official website of the Interstitial Cystitis Association.  A common first line treatment plan is the diet and behavioral modifications listed on the website, plus a low dose of amitriptyline 10mg X 7 days then 25mg and increase slowly to tolerance.  For patients in an IC flare there is a bladder instillation of buffered lidocaine, a local anesthetic, than can help relieve symptoms immediately.  Its injected into the bladder thru a catheter in the doctor's office by a nurse.  There are a number of treatment options for you.  Start with the website and a visit to your urologist to discuss your options.  The website can help you locate an IC specialist in your area.    Good Luck.

[ari265]

Thank you very much for your answer. Too bad you are so far away from were I live. I would go see you.

Thanks and I will follow your instructions.

Ari