Bladder pain syndrome
Interstitial cystitis (IC) is a condition that causes discomfort or pain in the bladder and a need to urinate frequently and urgently. It is far more common in women than in men. The symptoms vary from person to person. Some people may have pain without urgency or frequency. Others have urgency and frequency without pain. Women's symptoms often get worse during their periods. They may also have pain with sexual intercourse.The cause of IC isn't known. There is no one test to tell if you have it. Doctors often run tests to rule out other possible causes of symptoms. There is no cure for IC, but treatments can help most people feel better. They includeDistending, or inflating, the bladderBathing the inside of the bladder with a drug solutionOral medicinesElectrical nerve stimulationPhysical therapyLifestyle changesBladder trainingIn rare cases, surgeryNIH: National Institute of Diabetes and Digestive and Kidney Diseases
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Fibroid uterus *Chief Complaints* Noticing mass per abdomen. Heavy menstrual bleeding *History* 45 year old para 2 previous 2 normal vaginal deliveries presented with history of heavy menstrual bleeding for 6 months with usage of 7-8 pads/ day and passage of clots . Also she had complaints of noticing mass in lower abdomen. Patient complaint of generalised weakness, lassitude, fatiguebility. *Vitals* Pulse 106/ min. BP 124/90 mmHg *Physical Examination* Per abdomen examination revealed uterus irregularly enlarged to 20 weeks size of Gravid uterus with multiple fibroids. Mobile from side to side. No tenderness Per vaginal examination cervix long os parous and uterus enlarged with multiple fibroids palpable *Investigations* Patient had severe anemia HB of 6 gm % she had received blood so now hb was 10 gm% Ultrasound revealed multiple fibroids indenting the endometrium *Diagnosis* Multiple fibroids in uterus *Management* Patient underwent hysterectomy. OT findings were uterus irregularly enlarged to 20 weeks size with fibroids. Bilateral fallopian tubes and ovaries normal Patient is fine post op
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