Interstitial Cystitis and Incontinence

Interstitial cystitis (IC) is one of those conditions that’s often misunderstood—even by people who have it. It’s sometimes called painful bladder syndrome, and it affects more than just the bladder. If you or someone you care for is living with IC, you already know how disruptive it can be. The pain, the urgency, and the constant bathroom trips can take over your day. But one symptom that doesn't always get enough attention? Incontinence.

Let’s break down what’s really going on with IC and how it can contribute to bladder leaks, plus practical tips to help manage both at home.

What is interstitial cystitis and how does it affect bladder control?

Interstitial cystitis is a chronic condition that causes bladder pressure, bladder pain, and sometimes pelvic pain. Unlike a UTI, there’s usually no infection involved. But that doesn’t mean the symptoms are any less frustrating. One of the hallmark signs of IC is a frequent and urgent need to urinate, often dozens of times per day—and even during the night.

Over time, the bladder becomes irritated and inflamed, which can make the muscles more sensitive. That urgency can lead to accidental leaks, especially if the bladder starts reacting to even the smallest amount of urine. In short: IC can make the bladder feel full when it isn’t, and that false signal can trigger incontinence episodes.

Can interstitial cystitis cause incontinence?

Technically, IC doesn’t always cause incontinence directly. But many people with IC do experience urge incontinence—when the need to go is so sudden and strong, they can’t get to the bathroom in time. This happens because the bladder sends a signal that it needs to empty right now, even if there’s very little urine inside.

And if someone is already dealing with other issues—like mobility challenges, aging, or nerve damage—that urgency can easily lead to leaks. Add in the stress and pain of a flare-up, and it’s a perfect storm.

Living with IC and bladder leaks

Managing IC is already tough enough. Add in bladder leaks, and it can start to feel impossible to leave the house or get a good night’s sleep. Many people limit their activities, avoid travel, or stay close to bathrooms out of fear. But it doesn’t have to be that way.

Using comfortable, absorbent incontinence protection—like SPC reusable underwear or breathable underpads—can help bring back some normalcy. These products are designed to handle leaks discreetly and comfortably, so you can go about your day without constantly worrying about accidents or changing clothes.

Tips for managing interstitial cystitis with incontinence

First, it’s important to follow any treatment plan your doctor recommends. This might include bladder training, physical therapy, medications to calm bladder nerves, or an elimination diet to avoid triggers. But there are also simple day-to-day things you can do:

• Stay hydrated, but skip bladder irritants like caffeine, citrus, alcohol, and artificial sweeteners.
  

• Use SPC absorbent pads or underwear to manage leaks without sacrificing comfort.
  

• Track flare-ups and symptoms to identify patterns or foods that trigger your symptoms.
  

• Consider relaxation techniques like yoga or mindfulness to reduce pelvic tension.
  

• Keep an emergency kit with wipes, liners, and clean undergarments when you’re out.
  

If you’re a caregiver, these small habits can go a long way in helping someone you love stay comfortable and confident.

How SPC products can help during an IC flare-up

During a flare, the bladder becomes even more sensitive—and that means leaks can happen more often. It also means comfort is essential. SPC’s reusable incontinence underwear is soft, breathable, and designed for discreet all-day wear. No bulky pads. No stiffness. Just protection that feels like regular underwear.

For overnight support or seated comfort, SPC quilted underpads (30 x 36) protect bedding and chairs from leaks while being gentle on irritated skin. They’re especially helpful when flare-ups cause more frequent urination at night, leading to interrupted sleep and wet sheets.

Emotional impact and support

Let’s not overlook the emotional toll. IC is invisible, and incontinence is deeply personal. That can make the experience feel isolating. Whether you’re living with IC or supporting someone who is, know that you’re not alone. Compassion, patience, and a bit of planning can make everyday life feel a lot more manageable.

And remember, incontinence doesn’t define you—or your loved one. It’s just one part of a larger picture, and with the right tools, you can handle it.

At San Pablo Commercial, we're a family-run business dedicated to supporting seniors and caregivers by offering dependable, affordable incontinence supplies. From SPC disposable underpads to reusable underwear and sanitary pads, our range is designed for comfort and confidence. We understand the challenges of managing incontinence and strive to make it easier for you to stay clean, dry, and independent every day.