Hello dear understand your concern Following are the cause of your problem: Interstitial cystitis, bladder pain syndrome and urinary tract infections. Constipation also a associated minor factor. Consult the urologist and undergo USG scan, urine routine, microscopic and culture Urea, creatinine, CBC, ESR, Cystoscopy to confirm the above cause. Doctor will give following advice: Pain relieving medication: ibuprufen, duloxentine, cimetidine Antibiotics: Septran /nitrofurantoin, Tablet prednisolone Avoid stress and do regualr relaxation exercises. Diet modification: take diet diary and avoid diet that aggravate symptoms. Avoid coffee, tea, alcohol, citrus fluid, chocolate, soda, artificial sweetners. Drink plenty of fluids, do not delay in empty the bladder and empty the bladder completely. maintain pelvic hygiene. Take stool softner and dulcolax for constipation Hope this may help you Contact HCM for further health query Best regards Dr. Sagar