Please Help -Is this IC

[naymays]

Late Feb- treated for a bladder infection diagnosed by dipstick- blood in urine, protein and white cells- can't remember if doc said nitrates-never cultured- took bactrim and azo for 3 days felt better on 4th day (retested 3rd day still had symptoms urine culture neg.)

Off and on i worried that it was coming back. Would have frequency but eventually cleared up. Must add I was drinking up to 100 oz of water a day and lots of coffee.

Yeast infection from antibiotics that wouldn't clear up took clotrimazole for about 10 days then developed some swelling. Doc said very tight pelvic floor muscles and spasming referred me to physical therapist.

Had first physical therapy session with lots of massage and next day felt like i had to pee constantly. This was on a Saturday. Went away in a few hours. Sat night/sun/monday had sex with no problems. Monday at 3am woke up and had to pee several times. Tuesday thought I had a uti. Tested negative. Feeling like i have had to pee for over one week now. No pain just urge to pee. Gyno said it could be because of my pelvic floor spasms.

Did a bladder diary for two days for urogyno. Sent to urogyno and regular gyno. Both said diary looked normal. That I drink way too much fluids and they could affect my cultures. That I need to cut back on a glass a day until Im under 50oz of fluids and then give another urine sample before moving on. That my bladder could just be taking time to heal from the UTI in feb. and that my over drinking could be taxing my kidneys. This relaxed me a bit and for the two days following convo with Dr. my symptoms went away. Then they came back. (only huge diff was I had a frappacino)
and I have major anxiety and I'm afraid of bladder cancer (occasional black specks in urine) and ic. equally. I'm wondering if it's all in my head. I don't really know what to do. I took a vicodin last night and the urge to pee went away/ Came back this am tho.

Does this sound like IC? Bladder cancer? Pelvic floor caused? Something else? Please help me I'm desperate.

[Rubin59]

Good advice.  Heat pad on bladder area helps as well.

[ipurr2]

it could be so many things...the blood in the urine could certainly point to severe UTI, Interstitial cystitis, endometriosis...I have blood in my urine and have IC and endometriosis...I also have pelvic floor dysfunction (the spasms) PT did not work for me but is definitely worth trying! I use vaginal valium and have an interstim placed...it helps some...could you have a bladder prolapse? since you are seeing a urogyn they would be able to tell you...in the mean time try to calm down as the stress and worry will only make the spasms worse..try epsom salt baths to relax the muscles of the pelvic floor, heat packs and elevating the knees higher then the hips as this makes the pelvis relax...if your urethra feels it's on fire...take a frozen bottle of water and place it in the area of the urethra (with clothes on between your skin and the frozen bottle-no frost bite down there please!)
these are some of my tricks...also, make sure your diet is very alkaline...stay away from acidic foods...and it never hurts to get a second opinion...so get copies of all your medical records and seek a second opinion!