Is Cystopen the right medicine for frequent urination problem?

Hi,

Welcome to icliniq.com. I understand your concerns and have reviewed your sister's reports (attachment removed for privacy). The uroflow study indicates an average flow rate of 13.5 mL per second (normal being more than 15 mL per second), with low bladder capacity and a desire to micturate, as stated in the reports. The urodynamic study findings suggest a likelihood of interstitial cystitis (IC) or bladder pain syndrome. While IC diagnosis primarily relies on clinical symptoms, the urodynamic study provides valuable insights. To address this, bladder training is recommended-she can gradually extend the time between micturitions, for example, waiting 45 minutes instead of 30. Consulting a physiotherapist for pelvic muscle exercises to ease muscle tension and pain is advised. Application of local heat or cold to the bladder (pubic area) or perineum can potentially alleviate symptoms. Regarding the medication Cystopen (Pentosan polysulfate sodium), it's an appropriate choice, but if relief isn't achieved, discussing alternatives like tablet Atrax (Hydrochloride) with the doctor is reasonable. Any changes in symptoms after treatment initiation should be noted, and sharing urine culture and blood sugar reports would be helpful. Additionally, inquire about pain, prior pelvic surgeries or radiation exposure, and blood in urine. Recommended investigations include urine culture and blood sugar levels. Among the differential diagnoses, consider bladder pain syndrome (interstitial cystitis) and detrusor muscle weakness. To minimize disease flare-ups, advise her to avoid exacerbating foods/drinks and activities and promptly address bladder infections.