Dianne
11-12-2006, 08:32 PM
I posted this before but didn't get any answer. Does anyone know what this meant when Dr. Brookoff said:
As an example, I had a very nice lady come see me who had terrible pelvic pain since she was 12. She had been diagnosed with everything and was now told she had “end-stage” IC. My first question when assessing IC is “How often do you get up at night to go to the bathroom?” She said she usually didn’t get up at all at night - maybe once at the most. Another thing I noticed is that as we spent time talking she didn't have to get up and go to the bathroom. This tells me that her discomfort does not appear to be related to hypersensitivity of her bladder to the presence of small amounts of urine – which is a definition of “classic IC”. She ended up having a bowel-related problem.
What bowel related problem could mimic end stage IC? How can I find out?
As an example, I had a very nice lady come see me who had terrible pelvic pain since she was 12. She had been diagnosed with everything and was now told she had “end-stage” IC. My first question when assessing IC is “How often do you get up at night to go to the bathroom?” She said she usually didn’t get up at all at night - maybe once at the most. Another thing I noticed is that as we spent time talking she didn't have to get up and go to the bathroom. This tells me that her discomfort does not appear to be related to hypersensitivity of her bladder to the presence of small amounts of urine – which is a definition of “classic IC”. She ended up having a bowel-related problem.
What bowel related problem could mimic end stage IC? How can I find out?