Painful bladder syndrome is the pain or discomfort in the bladder or in the lower abdomen that gets worse or better with filling the bladder or emptying the bladder. It is quite common. You can have frequency with it.
You can have urgency with it. It gets– the pain and discomfort get worse, particularly around periods or after sexual intercourse. Your doctor will diagnose it on the basis of the symptoms.
If you have a bladder symptom and the discomfort in the bladder, your doctor should be able to diagnose the painful bladder syndrome. Your doctor will also do a urine test to make sure that it’s not a urinary tract infection, because the symptoms overlap quite a bit.
Unless you have any other symptoms like blood in the urine, you do not need any further investigations. Only occasionally you will need cystoscopy, which your doctor will decide if there is a need. The most important thing for bladder syndrome and the first thing that you can initiate at home is diet.
You need to avoid diets like alcohol, tomatoes, carbonated drinks, citrusy fruit, citrusy fruit juices, caffeinated tea and coffee and chocolate. If you avoid these drinks, you will see that there is a significant improvement in your pain. If that does not resolve the pain, then we can give you some painkillers.
There is some evidence that acupuncture helps, but I’m not very sure how much it helps. Or we can give you bladder installations where we put a small catheter inside your bladder, and instill a fluid medication inside your bladder. In my experience, I find bladder installations to be very helpful.