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CUA: Interstitial Cystitis (2016)
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===== History ===== * '''<span style="color:#ff0000">Signs and Symptoms''' **'''<span style="color:#ff0000">Characteristic presentation includes a combination of pain, frequency, nocturia, and urgency''' *** '''<span style="color:#ff0000">Pelvic pain is the main descriptor of IC/BPS''' **** '''Pain that occurs only during voiding is not consistent with IC/BPS''' ***** Vulvar disorders, which cause pain when urine makes contact with the vulva, should instead be considered **** In early or milder IC/BPS, patients may not describe frank pain, but rather describe sensations of “pressure,” “burning,” “sharp,” or “uncomfortable sensation of having to urinate.” Typically, this sensation is felt in the supra-pubic area, but it can be referred to areas located in the pelvis, including the urethra, vagina, labia, inguinal area, perineum, and/or lower abdomen or back *** '''Frequency is the most common presenting symptom i.e. patients seek medical attention for frequency, not the pain''' ** '''Patients may describe periods of worsening symptoms, which may be triggered''' by stress, intercourse, menses, or consumption of coffee, alcohol, citrus fruits, tomatoes, carbonated beverages, and spicy foods *** '''Symptoms of IC/BPS are generally worse a few days prior to menses, in contrast to endometriosis, which is worse during menses'''
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