Editing CUA: Interstitial Cystitis (2016) (section)

=== First-line: conservative (5): ===
# '''<span style="color:#ff0000">Patient education'''
# '''<span style="color:#ff0000">Dietary modifications'''
#* '''Common food triggers include''' '''coffee, tea, citrus fruits, carbonated and alcoholic beverages, bananas, tomatoes, spicy foods, artificial sweeteners, vitamin C, and wheat products'''.
#* Dietary modifications, such as a steady intake of water to dilute urine and reduce constipation, and an elimination diet trial have been advocated. No standardized protocol exists, but common practice is to instruct patients to avoid all foods on the list for a period varying from 1 week to 3 months and then methodically re-introduce one item at a time, with a waiting period of 3 days to identify potential offenders.
#* Only one placebo-controlled, RCT on the effect of diet in IC/BPS has been published, which failed to report any significant association.
# '''<span style="color:#ff0000">Bladder retraining'''
#* The goal is to reduce voiding frequency, potentially increase bladder capacity, and reduce the need to void in response to urgency or pain. Options include timed voiding and urge suppression.
# '''<span style="color:#ff0000">Stress management and psychological support (select patients)''' in patients with stress or psychological dysfunction
# '''<span style="color:#ff0000">Physical therapy techniques (select patients)'''
#* '''Pelvic floor physiotherapy can be recommended for patients identified with pelvic floor dysfunction'''
#* '''Massage techniques, acupuncture, and trigger point injections are options for patients with pelvic floor tenderness.'''