| If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case. Regarding diagnosis:
- Has individual had previous urinary tract infections?
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Does individual have an autoimmune disorder? Hormonal disturbances? Endometriosis?
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Does individual have a toxic substance in their urine? Spine abnormality?
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Has individual had a hysterectomy?
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Does individual experience pain, burning, or cramping with urination?
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Does individual have urinary frequency and urgency?
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Does individual report that antibiotics have failed to resolve the problem?
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Does individual report symptoms worsening during the menses?
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Does individual have dyspareunia?
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Was a pelvic exam done?
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Were the prostate, testes, and urethral opening examined?
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Have a urinalysis and culture been done? Prostatic fluid examined?
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Has individual undergone cystoscopy? Was a biopsy done?
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Have conditions with similar symptoms been ruled out?
Regarding treatment:
- Has the new drug, Elmiron, been tried? Oral pain relievers? Tricyclic antidepressants?
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Has individual tried dimethyl sulfoxide directly into the bladder through a catheter?
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Was hydrodistention tried?
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Has individual avoided spicy foods, citrus, tomatoes, coffee, tea, and chocolate in diet?
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Does individual avoid alcohol?
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Has individual quit smoking?
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Did a cystectomy become necessary?
Regarding prognosis:
- Is individual's employer able to accommodate any necessary restrictions?
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Does individual have any conditions that could affect his or her ability to recover?
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Does individual have urinary reflux or chronic pelvic pain?
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Is individual involved in a support group or counseling?
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Source: Medical Disability Advisor