Interstitial Cystitis (cont.)
Are lifestyle modifications of value in the management of interstitial cystitis?
Diet
There is no scientific evidence linking diet to interstitial cystitis, but doctors and patients
believe that certain foods including alcohol, spices, chocolate, and caffeinated
and citrus beverages may contribute to bladder irritation and inflammation. Foods containing acid,
for example, carbonated beverages, tomatoes, vitamin C, citrus
fruits and beverages, vinegar, cranberries, strawberries, grapes, guava, mango,
and pineapple also are believed to aggravate interstitial cystitis. Other foods
that may increase symptoms because they contain the natural chemical tyramine
include wine, beer, cheese, nuts, yogurt, bananas, soy sauce, chicken livers,
raisins, sour cream, avocados, canned figs, corned beef, fava beans, brewers'
yeast, and chocolate.
Some patients with interstitial cystitis also have noticed a worsening of symptoms after eating or
drinking products containing artificial sweeteners. Patients may try eliminating
such products from their diet and, if there is a reduction of symptoms, they can
reintroduce them one at a time to determine which product seems to be
aggravating their symptoms.
Smoking
Many interstitial cystitis patients feel that smoking
worsens their symptoms. (Because smoking is the major known cause of bladder
cancer, one of the best things a smoker can do for the bladder is to quit smoking.)
Exercise
Many interstitial cystitis patients feel that regular
exercise helps relieve symptoms and, in some cases, hastens remission.
Bladder Training
People who have found some relief from pain may then be able to reduce
frequency using bladder training techniques. Methods vary, but basically the
patient decides to urinate at designated times and uses relaxation techniques
and distractions to help keep to the schedule. Gradually, the patient lengthens
the time between urinations. A diary usually is helpful in keeping track of
progress.
Next: Are there any special concerns about interstitial cystitis? »
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