As I get older, my patients get older. One common complaint of the older female patient is frequent urination. In medicine since the 19th century this is termed interstitial cystitis. Most of the time there is no underlying pathology ( disease) and NO urinary tract infection detectable. I have had a pleasant woman describe her condition as 'the nervous bladder' condition. Psychosocial stress, anxiety and depression do play a role. There are signs and symptoms:
1. no evidence of urinary tract infection
2. frequent urination; progressive as the years go on
3. suprapubic pain
4. chronic pelvic pain
5. blood in the urine ( hematuria) sometimes
6. pain in the urethra, relieved when competed urination
I have not seen any conventional treatment work completely. Whether you try amitriptyline ( an anti depressant), intravescicular treatment with DMSO or even have a surgical treatment ( hydrodistention) , I do not see significant improvement in all patients. So what do you do ? Some women seek other forms of medical treatment. Some try acupuncture, massage, and herbal or botanical treatment. I feel if conventional medicine does not offer a solid treatment, or the treatment does not agree with you --you have the right to seek other means. After all this is your body. Let's go back to Mother Earth.
The botanical treatment for interstitial cystitis is beyond my wildest dreams. There are five or six therapeutic goals for treating IC with herbs or botanicals
1. Soothe the inflammation
2. Relieve pain
3. Relieve inflammation
4. Relieve stress
5. Improve bladder circulation
6. Improve bladder tone
For each of the above, there is a botanical activity. Respectively, these are
1. mucilage for soothing
2. spasmolytic or analgesic for pain
3. anti inflammatory for inflammation
4. anxiolytic for anxiety
5. lymphagogue for bladder circulation and
6. astringent tonics for bladder tone
Until tomorrow…