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Cara03
10-09-2010, 04:20 PM
I've been feeling really good lately, I don't want to call it "remission", especially since I am on medication, but I think it's as close as I'm going to get. Whenever I was feeling my worst, I would come here and constantly check for any nugget of information that I could get in regard to getting rid of these annoying symptoms, so I will share what I did in hopes that it might give some others some ideas, and so you know that it is definitely possible to feel good!

Everything started last Feb., I had the CONSTANT urge to urinate that was so obnoxious. I could hold it for a couple of hours but it was so frustrating and it was all I could think about. Sometimes I would have some dull pain, nothing too serious typically, but enough to notice, but the urgency was the worst symptom by far.

I made an appointment with a great uro./gyn. and he immediately put me on hydroxizine 25 mg. once a day and I also started pelvic floor physical therapy. I didn't notice much difference from the hydrox. so the next time I went in I asked if he could add a low dose of elavil to the regimen, and I left my appointment with an Rx for 25mg. I noticed some improvement (probably a mix of the elavil and PT), and he said I could up my dose of elavil to 50mg. I tried that for a week and it made me extremely moody so I decided to go back down to 25 mg. A month later, I went into the office and told him that I had about a 25% improvement in symptoms but was not where I wanted to be, especially since I was going on a big 16 day backpacking trip the following month. He told me I should consider a hydro. for a quick but not permanent fix. He also had me start on Elmiron 3X's daily so that could start working and hopefully provide more long-term results.

I was scheduled to come in for the hydro. the next week and I was so nervous because I had never had anything done under anesthesia before. But honestly, it was nothing at all- everything went smoothly, and yes it burned while I pee'd and I had some spasms for a few days, but the following week I felt pretty good. Finally, I felt nearly normal- my trip went great and I started thinking that maybe this was all a fluke and nothing was wrong! But alas, after about a month the symptoms came back.

I was so frustrated that I felt the urge again, much like when I was first diagnosed, but I tried to stay positive. I really enjoy running and wanted to start training again for some distance races, but I stopped as a result of my diagnosis and because it was uncomfortable. But I decided to get into it again because I figured I felt bad either way so I might as well feel like I have to pee while I'm running and getting a workout rather than feeling like I have to pee but just sitting on the couch.

Slowly, over the course of about 2 months, I noticed the urgency lessening more and more. I was able to run longer and longer and my symptoms decreased substantially. Now I lead a completely normal life, I no longer worry about going out or searching for bathrooms, or being consumed by stress and worry. Most days I go to the restroom 5-6 times (as opposed to about 10-12 before), and sometimes even less. I almost never go at night anymore, and after I urinate I don't have the immediate urge that I used to get. One of the best things is that I can eat most anything now. I do have minor "flares" when I eat too much chocolate or tomato sauce (which I know I shouold avoid but sometimes I can't help it!). But when my symptoms do flare up they only last a day or two at most and they are far less severe.

So I think it has been a combination of things, but I'm pretty certain that the Elmiron is doing it's job, and the Elavil and Hydrox., are a good compliment. I don't know how much PT did in the end-I went for about 4-5 months once a week, but I'm sure it didn't hurt. But most of all, I think exercise is a must. It may not be possible to go out and run for miles, but taking it slow, like I did, and then building up has helped me immensely. I am able to run 10-12 miles at a time, and yes, sometimes I have to pee but I ignore it and eventually the sensation diminishes or goes away completely. I truly think that pushing through those urges and not letting the IC symptoms take over my life are what is making me feel good again. These things may not work for everyone, and I realize there are varying levels of severity with IC, but I hope my sharing this can give some of you something to think about while your building the best treatment regimen for you! When I was first diagnosed with this, I was quite depressed and kept thinking that I would never feel good again, but it does get better for a lot of, if not most people. Hang in there!

Wow, sorry this is so long!

ICNDonna
10-09-2010, 04:53 PM
What good news! I'm glad you're doing well.

Huge hugs,
Donna

lonely sole
10-12-2010, 11:38 AM
Thanks so much for sharing your great news!

I hope your good days continue indefinitely :)

Tura
10-13-2010, 08:41 PM
Wonderful news Cara. You had the exact symptoms i had. Urgency rather than pain. Unfortunately the elmiron did not help me and i tried holding my urine for longer than 1 hour and it only made things worse and would put me in bad flares. I also workout too and that hasnt helped. I was on a med imipramine for quit awhile and it didnt help. You are one of the lucky ones Congrats!! Tura

Cara03
10-15-2010, 04:27 PM
Hi Tura,

Just a quick question, how long did you take Elmiron for? And do you take Elavil and Hydroxyzine? MY urogyn. says that taking those two drugs along with Elmiron may enhance the effects of Elmiron. Also, have you ever had a hydro? It actually really helped me for over a month. My symptoms were a little bit worse for a couple of days after (which is normal), but then I had a lot of relief. I still have some flares from time to time (like this week for some reason) and it's tough to stay positive sometimes, but I think and hope that if you hang in there you will find the right combo. for you :-)

Tura
10-15-2010, 06:40 PM
Hi Cara,
I had a Hydro years ago and it didnt help. Was on Elmiron with Imipramine for a number of years, (Imipramine much longer) and I saw no relief in my symptoms. I read that Elmiron can affect your liver levels so i had mine checked and sure enough it did so that's also why i went off of it.

I have a new doc and he took me off the Imipramine since i told him i didn't think it was helping and he put me on Pyridium. Well after taking that for over 2 weeks i suddenly got bad side affects extreme nausea and itching of my legs also depression bad, but i think that's from having gone off of the imipramine which is an antispasmodic and antidepressant. So i stopped taking it. I wasn't sure it was helping anyway.
My new doc is having me do DMSO installations. I just had my third one. Hope to see relief after my 6th which is the last one. He wants to put me on Elavil but if its also an antidepressant then i don't want to be on it.
Id like to be able to go 3 hours without having to pee not 1 hour on a good day. Oh and be off of this restricted diet.

Mytita
10-17-2010, 12:48 PM
Elavil is an antidepressant, but it helps IC by changing the pain threshold. It is also used to treat IC in cats. I take it and I believe it has helped a lot. If I take 1/2 the dose, I have more pain the next day. If you increase the dose very slowly, you will not have so much drowsy side effects. You may have to start with 1/2 a tablet or less.

Jo Jo
10-19-2010, 02:26 AM
Hi Cara,
I have had sort of the same experience with the hydro. Last time it actually helped me for about 8 months. I just had one in Oct and hope this does the same. The pain was terrible for about two weeks and with the VV that I have that does not make it better. I am starting to feel better little by little. Accupuncture has also given me some relief.
I do have a pres for Hydrox but did not start it yet. I did have a pap smear the other day and that kind of sturred things up a bit but hope to get back on track soon.
Well wishes to you.

Jo JO

HeatherP
10-26-2010, 07:02 AM
Thanks for your update.
I think exercise helps me too. I do yoga every morning (mostly exercises from Heal Pelvic Pain) and walk when I can. I was much better for about 3 months, but the past couple of months it has been worse again, and I am bummed!
Wish I could figure out what makes the difference.

Julie B
10-26-2010, 01:25 PM
Fantastic, Cara! I really appreciate that you shared the history of what worked and didn't work for you. I know your post will help a lot of patients!

lamthomps
11-02-2010, 03:03 AM
My adult daughter is afraid of her doctor, they have not had the best relationship and she was taken off her percocet, and sent to an addictions specialist as a result of a positive drug screen. The addictions specialist cleared my daughter, however the doctor is not willing to perscribe percocet to my daughter because it is addictive. Percocet seems to be the most effective. Her current medications are elmiron, hydroxyzine, flexaril, fentanly 50mcg., birth control continuous, uracyst instills every 2 weeks, trigger point injections, algonot, aloe vera and a plethora of naturapathic medications. Also she attends, physio for pelvic floor dysfunction. My daughter is only in her early 20's and her life has been severly compramised, I am afraid that if her pain is not managed that she may self medicate. Her drivers license was suspended because of the positive drug screen which is also causing alot of stress and has really imobalized her as she cannot get around that easily due to pain and frequency. I feel like she is being held prisoner by this disease and by her family doctor who refused to consider percocet for her. I ask you, is it not important to be able to function, even if it means being dependent on narcotics for this? Quality of life means being able to function at a reasonable level does it not? I would like her to be referred to a pain clinic but my daughter is afraid of making her doctor mad. Please can anyone give me some advise.

ICNDonna
11-02-2010, 04:47 AM
Asking for a referral for pain management will not anger an ethical physician. Is she seeing a urologist? If not, I think that would be a good idea. She might also want to have a serious look at the natural things she's taking --- "natural" does not necessarily mean safe --- and there could be some conflicts between natural remedies and prescriptions.

Donna

bob04951
11-06-2010, 11:21 AM
I totally agree with you Donna, no doctor worth his/her salt should be angry or have any kind of problem trying to help a patient find relief from this. And if he is, you should probably find a new doctor anyway. Having a good, honest relationship with your doc and anyone else involved is of the utmost importance. If your insurance does not require a referral, do your own shopping, and if it does, shop around first and then ask the doc for a referral to that specific professional. Wish you all good luck and keep the faith.

Cara03
11-08-2010, 05:21 AM
Hi Heather, This is weird, but sometimes when I feel particularly bad I go out for a fairly vigorous exercise session (which I know may not be possible depending on a person's IC severity). Sometimes while I'm doing this I feel worse. Like if I'm running I feel that intense feeling of having to pee, but that evening and the next day I feel really good. This good feeling usually lasts for a while which is awesome. It's almost like the endorphins released during the exercise make things better- crazy! I work in research and I keep telling my uro/gyn. to conduct a study looking at the physiological effect of exercise on IC symptoms- there's gotta be something going on there! I'm sure some of it has to do with the stress relief that a person gets from working out. If nothing else, it's at least helping me maintain an ok weight, especially since my taking Elavil is not helping the love handles!
Good luck with every thing and I hope you start to feel better soon!!

severtt
12-04-2010, 02:19 PM
After a blood transfusion (a lot of blood) due to a non-life threatening condiiton that caused me to slowly lose blood over time , I had one short flare, and then everything related to IC ceased! I slowly discovered that I could eat anything I wanted, even chocolate, coffee, you name it.

I had been in a pitiful shape, and the pain was so bad that I had to see a mental health professional to deal with it since I live in Arkansas, and as far as I could determine, no doctors here prescribe pain meds for IC. I was very angry about this, but there was nothing I could do. I would go to my bedroom, bury my face in my pillow and cry and scream for hours.

Should the condition every return, I plan on moving away from Arkansas. As far as I can get, and I don't every want to come back. I have met the most ignorant, misinformed, malignant-minded, short-sighted, fools this side of the Mississippi River. (I am referring to some of the healthcare professionals I dealt with, not the people of Arkansas) I love the people here. It's just that a person with IC as painful as mine was is in a heck of a lot of trouble here.:hi:

musiclover
12-04-2010, 04:22 PM
Wow, your story is a lot like mine! I have the exact same symptoms you described. I am also on Elmiron, Elavil and Hydroxyzine. And I have noticed that I feel best when I am at the gym doing cardio. I go almost every day only because that is my only temporary escape from IC! I do about half an hour of cardio and then I lift weights for about 20 minutes. About 10 to 15 minutes into my cardio is when the need to go feeling starts to dissipate. I talked to my husband about this and we both were thinking maybe it's the natural pain killers your body releases during a workout that makes the sensation go away. That's one possibility. But exercise also reduces inflammation I think, so that's a possibility also. Either way, it has really made me pick up the exercise in order to feel like that. I want to get to the point where I can exercise for a very long time, like you do. I think that would really help my IC.

severtt
12-04-2010, 07:09 PM
Each case is different, so puzzling. Not long after being diagnosed with IC, I talked to my cousin, a nurse, who was best friends with a nurse who had IC and the nurse said that she had a terrible time of it, it just about devastated her life.
It was about 20 years ago, and she was given horse serum which she injected into her bladder. She claimed that it completed cured her. I tried to find out any similar treatments, but was not successful.

The blood transfusion I received may give some credence to this since I also received serum. It might be a good research project. What worked though for her or for me might not work at all for anyone else. But it is good that you are finding things that help, and if you keep at it, somehow, someway, something will eventually click. Good luck. Email anytime.

Mytita
01-01-2011, 12:35 PM
The elavil is good, but I am now finding the pelvic floor physical therapy to be even better!