PATIENT HANDOUT A Common sense approach To lower urinary tract hypersensitivity in women What you can do to help relieve your symptoms The purpose of this handout is to provide information that can Dietary irritants to the urinary tract to avoid
help you discover what you are ingesting or doing that may be
contributing to your recurrent irritative voiding symptoms and what
Certain foods can contribute to urinary frequency, urgency and
steps you can take to relieve your discomfort.
discomfort. If bladder symptoms are related to dietary factors, strict
Frequency, urgency, and pain on urination are symptoms of
adherence to a diet that eliminates the food should bring significant
inflammation or irritation. These symptoms can be caused by bacterial
relief in 10 days. Once you are feeling better, your can begin to add
infections or substances in the urine causing irritation to the lining of
foods back into your diet, one at a time. If symptoms return you will
the bladder or urethra. Bacterial infections can be treated by
be able to identify the irritant. As you add foods back to your diet it is
antibiotics. But irritation of the bladder or urethra can result from
very important that you drinksignificant amount of water.
other causes that will probably not respond to antibiotics.
These foods are acidic and considered irritants to the bladder. Theyshould be avoided. What to do at the first sign of bladder or urethral discomfort
The basic treatment for irritable bladder symptoms, whether induced
by bacterial or nonbacterial irritants, is hydration. At the first sign of
discomfort, start hydration by drinking 16 oz of water mixed with 1
teaspoon of baking soda. Then drink 8 oz of plain water every 20
Repeat drinking 16 oz of water with baking soda in 3 to 4 hours.
(Baking soda contains sodium and can cause fluid retention. If you
have a history of high blood pressure, do not use more than twice in 24
You can take acetaminophen to relieve pain (two extra-strength or
*Some women report that sugar flares their symptoms.
Bladder analgesics such as phenazopyridine (Pyridium) may help and
Low-acid fruit substitutions include apricots, papaya, pears, and
will not alter the results of a urine culture should the symptoms not be
watermelon. Coffee drinkers can drink Kava or other low-acid instant
significantly relieved by diluting the urine and flushing out the bladder.
drinks. Tea drinkers can substitute noncitrus herbal and sun-brewed
A warm bath to help muscles of the pelvis relax will also help lessen
teas. Calcium ascorbate can be substituted for Vitamin C.
the discomfort. Before staring any antibiotics, a urine culture must be taken. If the
Where to get more information
conservative measures mentioned above are not helping, call the officeto arrange for a urine culture. If the specimen is contaminated with
Overcoming Bladder Disorders by Rebecca Chalker and Kristene E.
vaginal cells and bacteria and you are severely symptomatic, then a
catheterized specimen should be obtained directly from you bladder to
You Don't Have to Live with Cystitis! By Larrian Gillespie, Avon,
determine precisely whether bacterial infection is the cause of your
IMPOTENCE • INFERTALITY • LASER SERGERY • ONCOLOGIC SURGERY • INCONTINENCE • FEMALE UROLOGY
PROSTATE DISORDERS• STONE DISINTEGRATION• VASECTOMY REVERSAL• NEUROGENIC BLADDER• PEDIATRIC UROLOGY
Reduced hospital stay, morphine consumption, and pain intensity with local infiltration analgesia after unicompartmental knee arthroplasty. A randomized double-blind study of 40 patients Per Essving1, Kjell Axelsson2, Jill Kjellberg2, Örjan Wallgren1, Anil Gupta2, ___________________________________________________________________________ 1Department of Orthopedic Surgery and 2D
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