Painful bladder syndrome dietary modification
Making alterations to diet and lifestyle can have an impact on an overactive bladder. In those with a suspicion of urinary malignancy, urinary cytology should be tested.Ĭystoscopy and referral to urology in accordance with local protocols.Share on Pinterest It is recommended to drink 6 to 8 glasses of water each day. Investigations for urinary ureaplasma and chlamydia. In symptomatic patients with negative urine cultures and pyuria. Ureaplasma is not isolated in routine culture tests, so would need to be specifically looked for. Other more common causes of sterile pyuria that should be considered are urinary tract stones, partially treated UTIs and carcinoma in situ of the bladder. Testing for acid – fast bacilli where there is sterile pyuria. Urine to rule out urinary tract infection as this is a prerequisite for diagnosis of the BPS – A dipstick should be performed and where there is suggestion of a UTI, a culture and sensitivity test. The first morning void is a useful guide to the functional capacity of the bladder.įood diary to identify if specific foods cause flare-up of symptoms.
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Patients with BPS classically void small volumes, so this is useful to identify the severity of the storage symptoms.
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The widespread definition for BPS is that proposed by the European Society for the Study of BPS (ESSIC) in 2008 as ‘pelvic pain, pressure or discomfort perceived to be related to the bladder, lasting at least 6 months, and accompanied by at least one other urinary symptom, for example persistent urge to void or frequency, in the absence of other identifiable causes’. BPS is a chronic condition with unknown aetiology.