bladder frequency and urgency

Hysterectomy, Ovary Removal, SIJD, Piriformis Syndrome etc

bladder frequency and urgency

Postby April » Sat Apr 29, 2017 5:20 am

Hi Everyone,

I’m wondering if others have experience with bladder frequency and urgency problems. When I do not use ice, I go to the bathroom very often and often only go a tablespoon or two (suggesting I really do not need to go!). I’m trying very hard to go for short periods without ice. Currently, I keep a frozen condom wrapped in a paper towel on a pad below my pelvic floor *all* the time. I get several hours a night without ice (I wake up every 2-3 hours and have to re-ice, but the condoms melt in about an hour, so while I’m sleeping I get several hours without ice), but that is it. As you can imagine, this is damaging my pelvic floor tissue. So, I’m trying to go without it for an hour or two early in the day when my burning isn’t yet off-the-charts, but when I try this, I am constantly going to the bathroom (and, of course, urinating is painful too). So, this problem is making this effort to reduce my icing even harder. I think I’ve heard others mention these bladder issues, so I thought I’d pose a few questions in case others have suggestions.

(1) Does this sound like a byproduct of the pn (e.g., my physical therapist said the nerves cross-talk, which could explain it.)?

(2) If you’ve had this problem, how did you deal with it? Was there a medication you found helpful? I am on 600 mg of gabapentin, and I take tramadol when the ice won’t eliminate the pain (once a week or so). I think I remember reading on here that the tricyclic anti-depressants help with this. Does anyone have experience with those meds helping with this problem? (I have been on both amitriptyline or nortriptyline, but I can't draw on that experience to determine if they would help because I was not having significant bladder issues when I went on them.)

Many thanks,
April
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Re: bladder frequency and urgency

Postby Violet M » Sun Apr 30, 2017 5:30 am

Yes, I had similar problems, April. Tricyclic antidepressants helped (imipramine) but I had too many side effects with it so I switched to an SSRI (lexapro) which also helped. It didn't take away the problem completely but it helped. Since you can tolerate tricyclics that might be the place to start.

Violet
Last edited by Violet M on Sun May 21, 2017 5:26 am, edited 1 time in total.
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
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Re: bladder frequency and urgency

Postby April » Mon May 01, 2017 4:21 am

Thanks, Violet. I thought I remembered you saying you'd had this problem and that tricyclic antidepressants helped. Thanks for confirming that. I will talk to my pain doctor about adding one of those two to my med list. After trying to go without ice again today, I'm starting to doubt that I'll be able to deal with the burning (even if I can reduce the bladder problems), but I have to give it shot. But, I think that my frequent wake-ups (and re-icing) at night may be more about bladder urgency than burning, so at the very least the medication may help me sleep for longer periods at night, giving my pelvic floor a longer break from the ice.

Thanks again,
April
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Posts: 112
Joined: Fri Jun 19, 2015 9:59 am


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