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BT2008
10-01-2008, 09:38 AM
For years I have been “potty dependent,” in that I often had a frequent need to urinate, usually every 20-30 minutes. This symptom had just become a part of my life; my hubby and friends all knew that I would always have to ‘go pee’ before leaving for even a short car ride. It never occurred to me to seek medical attention for this problem.

On June 14, 2008, I was sitting in my easy chair reading a book and enjoying a glass of iced tea. Suddenly, I had acute pain in my lower pelvic area. Initially, I thought it was a bad yeast infection. After seeing my GYN, however, that was not the case. Nor was it any other bacteria or virus that she could isolate. It felt like I was having a really bad period everyday. My most pressing symptoms were constant cramping right above and behind my pubic bone radiating into my groin area, pain and pressure in my perineum region, achy pain and discomfort in my upper thighs, pressure and pain when urinating or having a bowel movement. After a few weeks of this—everyday, all day long—I knew there was something really wrong.

The following represents a long-story made short. Over the following three months I had the following tests:

•Ultrasound of pelvic area to check for possible problem with ovary regrowth (I had a partial hysterectomy in 1985, and the final ovary removed in 2002). The ultrasound was negative.
•CT scan, with contrast medium, of both abdomen and pelvic areas. No tumors or other abnormalities were indicated.
•Because they found extensive abdominal adhesions when I had my final ovary removed in 2002, a surgery that was also driven by pain, I thought I had adhesions again. After another laparoscopy, however, there were no adhesions to be found, and no other abnormalities were indicated. The surgeon suggested I see a Gastro doc for a colonoscopy.
•I had a colonoscopy 2 weeks later. No polyps or other abnormalities were found.
•After reading about “referred pain” I even went to see my orthopedist about a possible worsening of a sciatica problem I have had for years. I had two MRI’s performed on my lumbar and sacral region as well as my pelvis. Other than finding moderate Spondylolisthesis, which my orthopedist did not think was causing my pain, there was no other discernible reason evident for my problem.

At this point, I had stopped drinking coffee, tea, juice—anything except water and milk. A heating pad was my constant companion and a life-saver. I think I would have gone “nutsoid” without at least the comfort that the heating pad offered. Of course, as soon as I was away from the heating pad for even just a few minutes, the pain came roaring back. Now I was not only “potty dependent” but also “heating pad dependent.” (A long extension cord allows me to move around from place to place!!)

At this point, I must admit, it had never occurred to me (or my GYN) to see a Urologist. I had no symptoms of a UTI or anything that I (or she) connected with a UT problem, except—that the painful cramping in my pelvic region worsened with a full bladder, plus extreme pain at the onset of urination (no burning with flow, however), followed by extreme pain after my bladder was emptied. So, as a last resort, my GYN referred me to a urologist. Four days after my initial appointment, he performed a cytoscopy and bladder distention. He diagnosed me with IC.

Over the following two weeks, I had no relief of symptoms (apparently the bladder distention didn’t help in my case). I was still in extreme pain most of the time. I have not had a good day—a totally pain-free day—in over 3 ½ months; I am lucky enough to have a few good hours everyday.

I found this website and modified my diet according to the IC diet—yep, NO CHOCOLATE even—and waited for my next appointment (he had already given me a prescription for Percocet for the pain, but this only brought relief for 1-2 hours after each dose, and he had not given me enough to take more than 1 per day). So, I still suffered most of the time.

I went back for a two-week follow-up this past Monday. He prescribed for me the standard stock prescriptions (as I have learned about here):

Elmiron Cap 100mg three times a day
Amitriptyline Tab 50mg to take before bed
Percocet Tab 5-325mg to take as needed for pain (but encouraged to use sparingly)

I had read, of course, that the Elmiron might take up to six-months to work, so I started taking it as soon as I returned home (even with my insurance, it cost $104.00, so I thought, this stuff better work!). I am choosing not to take the Amitriptyline just yet; I want to give the Elmiron time to get in my system before I add the Amitriptyline. I also do not like what anti-depressants do to my brain, so on principle I am not looking forward to taking it. But, if needs be, I will.

Yesterday (Tuesday), I actually had a pretty good day—which surprised me because I thought it would take much longer for the Elmiron to work. I was really hopeful that I had finally found a solution to this horrible ongoing problem! Unfortunately, the pain came roaring back in the wee hours of this morning, and I am miserable once again, even as I sit here and write this post.

I have rarely left my house this entire summer; walking for more than just a few minutes makes the pain worse, as well as driving my car, or even riding very far with my hubby driving; sexual intercourse is very painful after the fact, and having an orgasm by any means really sets it off :(.

I had resigned my position as a book editor right before this devastating disease hit me in order to finish a book I have been working on and to free-lance on the side. As it turns out, my resignation was just as well, because I wouldn’t have been able to work anyway—my pain level is that debilitating. I am now in great need of contributing to my husband’s income because my insurance deductible went up to $5000 on August 1, and now I am overwhelmed with medical bills. As soon as I get this pain under some modicum of control I must generate some free-lance work out of my home.

This is, needless to say, a horrible disease. I have felt my share of hopelessness, frustration, and anger throughout the past few months. And, I am still not looking forward to the future.

I have found a lot of answers to my many questions on this website; so Jill, et al, thank you very much for providing this very valuable resource. While I do have a few more questions, I will post them in the appropriate threads. I hope my story will help others experiencing these symptoms to seek urological help. Being able to "put a name to it" has helped a great deal intellectually, if not physically.

Another sister in pain,
~Beth Thompson

SharonA
10-01-2008, 10:57 AM
:welcome: to the IC Network. :):):)

elamar
10-01-2008, 11:48 AM
If you are having frequency and urge problems, you really should ask your doctor to put you on an anti-spasmodic medication. The 2 most common ones here are urelle or prosed. There is also pyridium which turns your urine organge, but that doesn't work for me. I take the generic for urelle which is called utira-c. Prosed does not have a generic so is very expensive. There is also ditropan xl. I suffered with terrible non stop urgency and had to take high doses of ditropan and utira-c together for several weeks before things finally calmed down. Your urologist should have free samples of urelle and prosed for you to try. My doctor gave me a two week supply of each one to see if one worked better than the other. You should check with your doctor about that. Another med that is commonly used is an anti-histimine called atarax. I also take the generic of that. You might want to check with your uro on that also. It makes you very sleepy, even at a low dose - I take 10 mg at bedtime. That along with low dose valium helps me sleep much better at night. I hope this helps. I know some others might chime in with suggestions. One other med that lots use, but didn't work for me was Elavil. This helps with nerve pain and for some, helps reduce their frequency. That is something else to ask your doctor about. It does make you extremely sleepy and if you do take it, you would start at a low dose (usuallly 10 mg) and take it early in the evening or you'll have trouble getting out of bed in the morning. There are several more meds in the same class as Elavil, so there is also nuerotin and tofranil to mention a few. We all react so different to meds that what works for one, may not work for you. I just wanted to give you some ideas to ask about with your doctor. Good luck to you.

sickofmybladder
10-02-2008, 03:44 AM
I could have written the first part of your post word for word and it was me - boy how I remember that initial "attack" and the numerous doctor visits and tests - it took almost 2 years before I finally found out what was wrong with me - Now for some words of encouragement:

I was diagnosed in August of last year - for the remainder of that year - I wasn't sure if I was really going to be able to continue to work and I was absolutely worthless at home - now I am happy to say I have good days - now I have bad days as well - but it is wonderful to be able to count good days instead of good hours. It took alot of trial and error - and eventually I went to see an IC specialist - but it was all worth it.

I'm thrilled that you are already experiencing some relief - that's wonderful - I hope you continue to improve -

noble1
10-02-2008, 09:02 AM
Beth,
The amitryptaline is what my GP gave me to help me sleep at night for my fibro pain. I only took it one time per day and just before bedtime. However, I found that when I was taking tramadol (pain med) that the tramadol interfered with the amitryptaline and I still got up numerous times in the night to go potty. So, perhaps that is why I don't take it anymore...

I agree the aching, stabbing, jabbing pains can be just awful! I take 15 mg enablex for the spasms and the urgency/frequency issues. I think it helps most of the time, but can really tell at the end of the day when it wears off. May need to up the dose or try another med. Glad I go back to see the urologist on the 15th!

jameson77
10-02-2008, 09:42 AM
:welcome:

welcome beth! i hate we had to meet this way, but this is a wonderful place to be --- so much information and wonderful people to share our stories, vents, etc with. it felt like i was reading a near repeat of my own story while reading yours! i was so frustrated and i too was passed around to docs before it even dawned on me to go to a Uro. it took a little over a year for me to get a diagnosis, which came for me only this week. i didn't want to be diagnosed with anything, but at the same time, i knew something was wrong and i just wanted a name for it, because i knew i wasn't crazy!!

i hope you are feeling well and hope your meds work well for you. i am just starting to follow the IC diet in addition to taking my meds. welcome, again, and i'll see ya around in the forums!

leelee88
10-02-2008, 09:54 AM
Hello and Welcome to the ICN

Sounds like you do have a good URO!

If you are still in pain and you are worried about the Elavil, you can ask for him to lower the dose. Elavil is really NOT considered an antidepressant at a low dose. And SO many ICers get relief from it.. Most if us started at a dose of 10 or 25 mg..I am not try to push this on you I just know how much of a pain relief it gave me.. I did have to discontinue it due to some side effects but I was put on Tofranil which is another medicine almost just like it. But I did not have any reaction to it. I just know where you are at and I know you are tired of the pain. And would hate for you to be missing out on something that could really help you. And yes Elmiron can take awhile to work, if it even does. Some have success with it some do not..

But again welcome and I hope you checked the Patient Handbook out..

massagedoula
10-02-2008, 10:55 AM
Your story sounds very similar to mine a few years ago. I remember that first year, and the first summer. I barely left the house, it was agony to do anything. I just wanted to give you some hope that while there is no doubt that this disease SUCKS and is probably one of the worst non-fatal chronic pain diseases out there...You have a really good chance to feel much better once you are on the IC diet for awhile and your medication kicks in. When I first started Elmiron I didn't see any difference for the first few weeks. After about 6 weeks I saw a teeny tiny change. At about 3 months I remember driving and feeling a feeling of hope for the first time in a year...That was when I knew I was getting better. At about 1 year I felt so much better, and last year (3 years on Elmiron) I was able to start mountain climbing again, hiking, went to Italy for 3 weeks...I felt like I had my life back! Then things went downhill once I got pregnant (but you don't have to worry about that right now!) I just wanted to let you know that most people do get better with time, diet and the right meds, and some even go into a remission! I never had a remission myself, but I hope to oneday. I hope you feel better soon.

aleet7
10-02-2008, 11:52 AM
Welcome Beth!
Your story is a very familiar one! It sounds a lot like mine. I'm glad that you are starting to get some results from the Elmiron! I also get flares from intercourse and I have not had an orgasm in a year because that is how I first discovered that something was wrong!

I hope that you continue to feel better. And please don't be a stranger around here!
Best Wishes,
Teela

BT2008
10-11-2008, 08:09 AM
Thank you all for your replies!:)

Well, out of desperation, I finally tried the Amitriptyline (Elavil), and sure enough, I had a bad reaction to it. I felt extremely dissociated (where my mind felt separated from my body--which was really freaky). It took 23 hours for that one pill to get out of my system and leave me clear headed once again. I called the doc and he said that I should definitely not take it--at least at that dose. He suggested we go to a lower dose, but also said that he understood if I didn't want to try it again right away. And he is right! I will need some time before I want to try that again!

I also have suffered from IBS (specifically spastic colon) for many years now. When I had that colonoscopy, the gastro doctor had given me some Dicyclomine (Bentyl) for colon spasms, but I never started taking it because I didn't know what was causing me so much pain; I had stopped taking all old meds until I could get to the bottom of my problem (except, of course, wearing my estrogen patch--my world is a much happier place as long as I do!!:lmao:)

Anyway, when the Amitriptyline (Elavil) proved to be out of my options, I started taking the Dicyclomine (Bentyl). I think it really helps with my painful pre-urination bladder spasms. It does nothing, of course, for my post-urination pain, but at least one source of pain seems to have calmed down a lot! I take 10mg three times a day along with my Elmiron 100mg (also three times a day). Note: Ironically, the Bentyl doesn't seem to help the painful colon spasms of IBS at all! Go figure...

As I stated in my opening story, I have grown so accustomed to the frequency problem that this is something I can live with--its just the degree of pain upon emptying my bladder that I must get under control.

Yes, even though I have only seen him a few times, I do think I have a good urologist. He definitely "believes" in IC, and really seems to take me seriously (even when I am babbling!:loco:)

I have had a few relatively good days over the past week; but I still have a good deal of pain at some point every day (can't quite isolate a sure pattern yet). And that is my quandary at the moment.

I have figured out, easily enough, that even short-term standing, walking, driving, pushing, and/or pulling, can really bring on the pain (sitting doesn't seem to bother me, but even laying down can hurt: a fetal position is the most comfortable). And something else--lifting anything over 2-3 lbs can really get it going! What is up with that?

How am I supposed to have a life when even the most simple things cause me pain?? :help:How much longer is it going take before I can be a real person again?

It will be four months next week since this whole pain-thing started! I know I should truly count my blessings, because four months is nothing compared to the 'years' that it took for some of you to find relief. I cannot begin to imagine being in this kind of pain for 'years' without a diagnosis or any kind of relief!

My diet is officially trimmed down to the basics of the IC diet. I think when I have a brave moment :pray: I will try to begin re-introducing into my diet some of my favorite foods that I have cut out over the past month (one at a time of course). Maybe I can get some pleasure out of eating again!

Again, my biggest problem is that I cannot do even the simplest of things (stand, walk, for even a short while, or lift a gallon of milk or an iron skillet, etc) without my pain increasing. Any suggestions?

Thanks for all the support! Truly, it is great to know that I am not alone in all of this! (Although I wish we were all acquainted for a much more pleasurable reason!--like knitting or something...does anyone knit? I have always wanted to learn how--and with all of this time on my hands, it might be a good time to learn!:))

Sincerely,
Beth

amaranthe
10-11-2008, 08:42 AM
Dear Beth,

Hello! Just wanted to add my welcome to the others. So sorry that you have this too. Like many others have told you, I too can very much relate to your post and history. It was very similar for me too. But, I can tell you that there is hope.

For me, rescue instillations and pain meds helped me so much. I ended up going on round the clock pain meds (15 mg Morphine every 12 hours). I also take Percocet 10/325 up to 3x a day for breakthru pain. Also, I tried rescue instillations at my Drs office and since they helped so much, he taught me to self-cath so I can do them at home when I need them. They give me alot of relief and help me to use much less of the breakthru meds, often going for days at a time now without needing them at all.

Elmiron often takes several months to work, so dont give up on it yet. I know it is so hard to have hope when you are hurting so much every day, but I can tell you that most patients do get better. Though, admittedly, it can take a while to find the right combo of meds and treatments that is right for each individual.

The ladies here have given you some excellent advice. I can only add that some patients are helped alot when they are hurting by taking Prelief or other antacids or even drinking baking soda mixed with water. (Doesnt work for everyone, but certainly helps quite a few, so it might be worth a try.) Also, some patients seem to have a neuropathic component to their pain. (They may describe the pain as shooting, stabbing, burning, etc.) Often they benefit from neuropathic type of meds such as Neurontin, Topamax, Lyrica, Keppra or others. If the pain persists, you might discuss this with your Dr. and see if he thinks a trial of one might be appropriate for you. Alot of ICers get great relief from them.

Also, if the Elavil doesnt work out for you, Cymbalta has been helpful for many ICers. It is also an antidepressant, however it has been shown to be helpful in neuropathic type of pain. I take it and it helps me alot, (along with my other meds, of course.) It also doesnt make me tired, foggy headed, and didnt make me gain weight, like Elavil did.

I noticed someone above mentioned Pyridium, Utira C, and some of the others like that. I take Utira C, and it helps alot with the bladder spasms and burning. There is an over the counter med, AZO Standard that is like Pyridium (only weaker), and it is something that might help if you dont have an RX for anything like that right now.

I hope that you get relief soon. I know how miserable it can be. But, I just want to encourage you not to give up hope. It takes time, but I believe you are on the right track and hope you feel better very soon. Meanwhile you have come to the right place. Everyone here has been so kind and helpful to me. Every day, I see people here reaching out to others to help them, even though many are in indescribable pain themselves. That says alot about a person and a group of people! I am so glad you found us!

Kind regards,
Amaranthe