How would I treat a patient with interstitial cystitis? To me, this is like fibromyalgia of the bladder. First I want to localize the inflammatory source by addressing the gut (GALT and MALT). Of course the gut and the bladder are juxtaposed and the gut controls inflammation, so there's usually something wrong there. I do gut flora analysis, change the diet (removing allergens and inappropriate food) via the anti-inflammatory diet, and check for nutrient deficiencies. If I fi