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您的膀胱压力不会消失吗？这种类型的慢性膀胱疼痛与您可能患有过度活跃膀胱或尿路感染（UTI）等状况的痉挛不同。
Bladder pressure feels more like constant ache rather than a muscle contraction. Doctors typically attribute bladder pressure to interstitial cystitis (IC). IC is also known as bladder pain syndrome.
Here’s more about this syndrome, its causes, and how to get relief from the pressure.
IC最明显的症状是膀胱中的疼痛和压力。您所经历的疼痛可能从轻度到重度不等。对于某些人来说，压力可能会来来去去。对于其他人来说，这种感觉不会放松。
These symptoms may lead you to think that you have a bladder infection, but IC isn’t an infection at all. It’s a chronic condition, which means that there isn’t cure.
IC的其他症状包括：
- 骨盆疼痛
- 排尿少量，全天经常
- constant need to urinate
- 膀胱饱满时疼痛，清空时缓解
- pain during sex
体征和症状各不相同。有些人可能需要小便60次each day. You may also experience periods of time when you have no symptoms.
Although IC isn’t a UTI, getting an infection can make your symptoms worse.
医生不确定是什么原因导致IC。他们所知道的是，膀胱通常会填充，然后告诉您的大脑使用浴室。它通过您体内的神经来传达这一点。
With IC, these signals get mixed up. You may feel like you need to urinate more frequently but without a lot of urine at each bathroom trip.
膀胱压力也可能是：
- 膀胱衬里的缺陷
- 自身免疫反应
- 遗传学
- infection
- allergies
IC是more commonin women than in men. Some people who have IC, also have other health issues such as irritable bowel syndrome (IBS) and fibromyalgia. Other pain syndromes are also possible.
既有皮肤又白发的人也有一个更大的风险IC。
IC是primarily diagnosedin people in their 30s or older.
Learn more: The connection between menopause and overactive bladder syndrome »
If you have bladder pressure and feel like you need to urinate frequently, it’s a good idea to make an appointment with your doctor. In some cases, these symptoms may be signs of a UTI. If you truly have IC, your doctor should still be able to help.
你的医生可能会要求你做记录your symptoms to bring to your appointment. You should write down how much you drink, how much you urinate, and any pain or pressure you experience.
At your appointment, you will first assess your medical history. They’ll also perform a pelvic exam and test a urine sample to rule out infection.
Other tests include:
膀胱镜检查：Your doctor will insert a thin tube into your urethra to look at the inside of your bladder. You’ll be numbed beforehand, so this procedure shouldn’t hurt.
Biopsy: Your doctor will put you under anesthesia. Then, they’ll take some tissue from your bladder and urethra for examination. Your doctor will check the tissue for symptoms of bladder cancer and other causes of pain.
尿液细胞学：该尿液样品测试使您的医生可以检查细胞是否有癌症。
Potassium sensitivity test:After placing water and potassium chloride into your bladder, your doctor will ask you to rate your pain and need to urinate on a scale from 0 to 5. People with “normal” bladders usually can’t tell a difference between the two solutions. If you’re more sensitive to the potassium chloride, it may indicate IC.
There are a variety of treatment options that you may try alone or in combination:
First-line treatments
Physical therapy:Working on muscle tenderness and connective tissue issues in your pelvic floor may help relieve pain.
非处方药: Options such as ibuprofen (Advil) or acetaminophen (Tylenol) can help relieve pain.
处方药: Your doctor may prescribe a tricyclic antidepressant to help relax your bladder or an antihistamine to help with urgency.
高级疗法
Nerve stimulation:这包括经牙性电神经刺激（TENS）和sa骨神经刺激的选择。这些程序可以帮助从疼痛到紧迫性到排尿频率的任何事情。
Bladder distention:This is a fancy way of saying that your doctor may stretch your bladder with water. Similarly, some people notice that their symptoms improve after having a cystoscopy test, which fills the bladder with liquid.
Instilled medications:These medications are put directly into your bladder through a tube inserted into your urethra. The medication is usually left inside your bladder for around 15 minutes. You repeat this process weekly for six to eight weeks.
Alternative therapies
针灸和引导imagery are alternative medicine routes that show promise. They haven’t been tested enough to show their true effectiveness, but your doctor may have more information if they interest you.
Check out: The therapeutic capabilities of slippery elm bark »
There isn’t a cure for IC, but medications and other treatments can help improve your quality of life. If your pain, pressure, and urgency are starting to affect your everyday activities and relationships, visit your doctor.
It’s important to rule out infection because a UTI can make IC symptoms worse.
Without treatment, IC can lead to complications:
- The walls of your bladder may stiffen and lead to reduced bladder capacity. This means it will be able to hold less and less urine over time.
- Urination may become so painful that it affects your quality of life and your daily activities.
- Pelvic pain can affect your sex life and personal relationships.
- Disrupted sleep from pain and frequent urination may cause emotional issues. You may feel stressed and depressed.
Some people manage their symptoms by changing parts of their lifestyle. For example, avoiding irritating foods and beverages can improve your symptoms.
这包括：
- artificial sweeteners
- pickled foods
- tomatoes
- alcohol
You may find it beneficial to eliminate the “four Cs” from your diet. This includes carbonated beverages, caffeine, citrus fruits and foods, and high concentrations of vitamin C.
Keeping a food diary may help you discover your own unique triggers. To do this, record what you eat, and in what quantity, throughout the day. Be sure to note any symptoms you may feel afterward.
可能有助于的其他步骤包括：
Tips and tricks
- Train your bladder by timing your urination.按计划去洗手间可以帮助您更定期地训练膀胱，从而增加两次旅行之间的时间。您还可以处理帮助您控制紧迫性的技术，例如呼吸锻炼和分散自己的注意力。
- 穿松散的衣服。Belts and tight clothes may put pressure on your stomach and increase your symptoms.
- Stop smoking.It may make your body more prone to bladder cancer and can increase your pain.
- Exercise regularly.Stretching, may help reduce your IC symptoms.