Hey Doc…

I am a 42 year old woman with a chronic interstitial cystitis.  I have been told that they do not know the cause of this condition or how to cure it.  I am on a drug called Elmiron that gives me very little relief. Help!

M.J.B. in Indio-


Dear M.J.B.,

Your condition is fairly common – they estimate 750,000 to 1,000,000 women have this condition. You are correct in saying they do not know the cause or the cure. This is a condition that is manifested by a gnawing discomfort in the bladder that is persistent and is associated with painful urination.

Let me start with the good news – it is definitely curable. However, as with most conditions you have to approach it from the causation. I refer to this condition as “fibromyalgia of the bladder,” because it is caused by a buildup of lactic acid in the bladder muscle which causes pain.

It is always associated with high adrenaline levels. This hormone increases circulation to the kidneys creating more urine volume and it also increases the urge to urinate. Since most of these women do not have the luxury of urinating frequently, the bladder muscles are continuously being kept tense. This creates a buildup of lactic acid in the bladder muscles which creates pain as well as burning on urination. To effectively improve this condition, it is necessary to reduce adrenaline levels.  This can be achieved with a combination of utilizing natural bio-identical hormones in conjunction with a dietary approach specifically geared to reduce adrenaline.

For those who might be interested, I address adrenaline in my book, “The Miracle of Bio-Identical Hormones.”

 “Hey Doc” is a weekly series of questions & answers pertaining to common medical issues. It was published in the Palm Springs area, as well as the Beverly Hills Courier, not too long ago. The answers are strictly my beliefs and are intended to inform the reader of possible alternative approaches. Obviously, all questions regarding your health should be discussed with your own physician. ~Michael E. Platt M.D.