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Hello, I'm Dr Manos MD, board certified obgyn. IC is a chronic problem with what seems to be the bladder. The urine usually doesn't show wbc's or grow consistent bacteria. I had a customer in the last week or so concerned with her IC. I've been studying the herpes simplex virus that gains entrance to sensory nerve cells in the pelvic area and could this be a manifestation of an uncommon herpes problem. I advised the customer to get blood drawn looking for antibodies to the herpes virus. Millions of people have history of herpes and millions have antibodies with no obvious infections. You asked if something was missing with your care? What's missing is knowing what's really going on. You might ask your doctor to check for antibodies to the herpes virus and place you on Valtrex 500 mg twice per day if positive. I may be totally off base but maybe not.
I've not heard back from you. I've discussed my theory with other doctors and they agreed the link with the common herpes virus is possible. Waiting for your input
The test I'm referring to is the test for IgG antibodies to herpes simplex virus type 1 (found mostly in oral lesions ) and Herpes Simplex Virus type 2 found in genital outbreaks. If you had herpes in the past, the tests would be positive even if the virus is dormant. If positive then go with Valtrex and if negative then I can't justify the drug. IgG antibodies is a simple blood test and inexpensive
You might check IgG antibodies now. If your given keflex take as directed. There is no protocol for IC treatment with various antibiotics. I can't add anything to this topic. Valtrex is a consideration but speculative without IgG antibodies.
I only accessed your information on my screen. Your name doesn't appear anywhere except on your latest text. The only info I get is thru my password ***** personal email that I erase after it directs me to Justanswer where I read the chronology of texts. No names except what names the experts text which, of course, are not used for username and password.
I'm sorry I fell short of providing an answer to your question about length of time you can take keflex. Usually, antibiotics are taken for specific lengths of time for what is being focused on. With most uti's we prescribe for 7-10 days and that is it. IC doesn't respond in a predictable manner and has been the most frustrating condition in all the issues I dealt with in my many years of practice. My advice in the past was to refer to a urologist and that was that. You put all sorts of meaning in my response, including Justanswer.com. having some type of motivation to swindle the customer. There are many opinions about JA both positive and not. I guess I get frustrated evaluating each question I take on and if it doesn't fit the answer the customer wants there is a point of no answer back from the customer. I'm truly sorry about your level and frequency of pain and trying JA to add to what you've been told by healthcare providers over time
I was off base bringing up the topic. IC is a entity that has no workable theories and that is so frustrating in this day and age. I have discussed IC with urologists and there is no agreement about it. I've not seen genital herpes with IC. Cold sores are common in the lips of the mouth and the virus has been considered in other parts of the body but not observed to be obvious. I was bringing up the virus but not the meaning that surrounds it. I apologize and will be sensitive to the scope of the subject and speculate privately about IC
If I had a patient with what appeared to be IC, I referred them to a Urologist and I breathed a sigh of relief. The relief was in not knowing what was going on. The yeast angle I think I've heard of. I remember listening to a theory that the urinary bladder had a lining very much like an inner tube of an old fashion tire and infection was between the inner lining and the bladder wall. They speculated that overfilling the bladder would cause tears in the lining cells and the infection would drain. That was twenty years ago and I guess it didn't pan out.