509188?1211228331
David A Burks, MD  
Male
Detroit - MI

Specialties: Interstitial Cystitis, Urology

Interests: Interstitial Cystitis, cystitis
Henry Ford Health Systems
313-916-2075
2799 West Grand Blvd.
Detroit - MI
Nov 29, 2009 11:44PM in the Interstitial Cystitis Expert Forum
Hi, The hallmark of IC is pain, pressure or discomfort in the bladder, usually related to bladder filling. You complained ot frequency and incontinence (I assume incontinence with the sudden urge to void). If you don't have a pain component then it's unclear whether you have IC or overactive bladder. There can be a lot of overlap between the two condition...
Nov 08, 2009 08:41AM in the Interstitial Cystitis Expert Forum
Hi Again, I reviewed the postings above. With no frequency or urgency, voiding only 3 times per day, the diagnosis of IC is still in question and other causes of chronic pelvic pain must be ruled out. If you haven't had one, you need a laparoscopy by a gynecologist experienced in pelvic pain to rule out endometriosis, and other GYN causes of chronic pain. ...
Oct 10, 2009 12:38PM in the Interstitial Cystitis Expert Forum
Hi, Some patients have acute prostatitis which usually occurs once and is cleared with antibiotics. Others have chronic prostaitis (CP), which often recurs off antibiotics. Cipro is probably the best antibiotic because it gets good penetration in the prostate. Patients often need 4-6 weeks of treatment to eradicate the chronic infection. Flomax can he...
Oct 10, 2009 12:24PM in the Interstitial Cystitis Expert Forum
HI, The question is-- what is the diagnosis?? You've been treated with antibiotics for many months with no resolution of symptoms. I assume you have cultures of your urine during symptoms that show no infection. I agree with your ER doctor that more antibotics is not necessary. You may have Interstitial Cystitis (IC). It's an inflammation of the bladde...
Oct 10, 2009 12:13PM in the Interstitial Cystitis Expert Forum
HI, To have IC you have to have pain, pressure or discomfort in the bladdder, and either urinary frequency or the constand urge to void. If you have endometriosis then you have a reason for the pelvic pain. It doesn't sound like you have frequency or urgency, so the diagnosis of IC is in doubt. You need a kidney x-ray or CAT scan to rule out a kidney stone...