Interstitial Cystitis Association – www.ichelp.org

Understanding the Interstitial Cystitis/Painful Bladder Syndrome Diet

Determining Your Personal Trigger Foods 3. Don't be afraid to eat. In addition to the many foods that you can enjoy from the “Bladder Friendly” list, as your symptoms Diet modification is the first line of defense for patients struggling improve, add variety to your diet by testing foods from the “Try with interstitial cystitis or painful bladder syndrome (IC/PBS). Since It” list. Some bladder patients, occasionally, may be able to sensitivity to various foods can vary among individuals, it is important consume small quantities foods from the “Caution” list. to determine your personal trigger foods. This three-column system is based on emerging research as well as information gathered from 4. Shop for fresh foods whenever possible. Processed foods patient and clinician experience. often contain ingredients that can be irritating including some preservatives, artificial flavorings, additives and or artificial vitamins. Organic foods often contain fewer additives and may be Step by Step Through the Food Categories useful in an IC diet. Always read labels to look for hidden triggers.

Bladder Friendly includes foods that rarely bother even the most 5. Try different brands. Many "brands" of the same food have sensitive IC bladders. If you are newly diagnosed, eat these foods completely different ingredients and additives and could irritate until you experience some relief from your symptoms. It may take a the bladder. few weeks, but do your best to stick with it! 6. Avoid foods that you know you are allergic to even if they Try It includes foods that are generally safe to eat though they are included in this diet guide. Pre-existing food allergies, such might bother more sensitive bladders. If your bladder is improving, as an allergy to nuts or grains, can also trigger bladder irritation these foods are safe to try. Test one food at a time, beginning with a and/or a stronger allergic reaction. small quantity such as 1/2 a piece of fruit or a dash of spice, gradually increasing portion size over the course of a few days. If you do not react to the food, you can add it to your own personal “Bladder Friendly” list. If your symptoms flare after consuming a problem food, return to the foods you know to be ok for your bladder until the flare passes.

Caution includes foods which trigger bladder discomfort. Try these foods only if your bladder is no longer sensitive.

Additional Hints

1. Keep a good food and symptoms diary while you are experimenting with your diet. It can take from minutes to hours for a problem food or beverage to trigger symptoms.

2. Avoid trigger foods when starting new therapies, such as Elmiron®. Problem foods may compromise the effectiveness of those treatments.

For more diet information, please visit: ICA Diet Information IC & Diet Books Interstitial Cystitis Association – www.ichelp.org

IC/PBS Food List

Bladder Friendly Try It Caution

Note: Foods labeled with a plus sign (+) can be especially soothing during an IC flare.

water – test to find one that works for you Juice – low-acid orange, grape, some apple, baby alcohol – not only irritating to the bladder juice – blueberry, pear coffee – herbal, low-acid decaf, roasted carob but also contraindicated with many IC + milk tea – alfalfa, roasted carob medications + milk substitutes – almond , rice, Lactaid+ soda – root beer with ice (decaffeinated, not diet) water –carbonated, vitamin, flavored + milkshake – vanilla sports drinks – test to find one that works for juice – cranberry, orange, acai + + tea – chamomile , peppermint you (e.g., blue Gatorade) milk – chocolate, soy non-dairy creamers – check label coffee – regular & decaf + eggnog – non alcoholic , without problem teas – regular, green, herbal, iced ingredients sodas – colas, citrus, orange, diet Beverages drink powders – such as Kool-aid®, lemonade, orange, or powdered ice tea drinks sports drinks energy drinks – guarana, mate

+ + breads – corn bread , oat bread , pita, breads – rye, sourdough breads – made with unsafe ingredients + + potato bread , white bread , Italian sweet cereals – instant packaged hot cereal and/or heavily processed and fortified bread, whole wheat bread (i.e. Ezekiel) crackers – without problem ingredients cereals – heavily preserved, sweetened, heavily fortified, flavored, cereals – most cereals without problem grain – amaranth flour – soy ingredients, oat cereal, rice cereal (hot or pasta – prepared or boxed pasta dishes cold) boxed dishes crackers – matzo rice –

grains – couscous, grits, millet, quinoa+, spelt flours – buckwheat, wheat Grains pasta rice+

nuts – almonds, cashews, peanuts nuts – macadamia, pecans, walnuts nuts – filberts, hazelnuts, pecans, butters – almond, peanut mayonnaise pistachios oils – canola, coconut, corn, olive, peanut, tahini oils – check label safflower, sesame, soy seeds – sunflower seeds salad dressings – most

margarine shortening – butter-flavored

lard If you have nut or other food allergies, shortening talk with your healthcare provider salad dressing – homemade without about your special diet needs. problem ingredients Fats and Nuts

For more diet information, please visit: ICA Diet Information IC & Diet Books Interstitial Cystitis Association – www.ichelp.org

Bladder Friendly Try It Caution

+ eggs garden/veggie burgers – without soy products cured meats – bologna, pepperoni, salami poultry – chicken+, turkey beef – corned beef canned crab meat + fish sandwich meats – liverwurst, ham (fresh or hot dogs + beef boiled, without heavy preservatives or flavorings.) sausage – most seafood – clams, crabmeat (not canned), bacon smoked fish lobster, shrimp anchovies soy products – soy veggie patties, protein + lamb caviar powder, tofu

pork prosciutto protein powder – whey, egg whites sausages – without problem ingredients Eggs, Meat, Fish and Poultry veal liver – beef or chicken

cheeses – American, mozzarella, cheddar cheeses – blue cheese, brie, brick parmesan, cheeses – processed, Cheez Whiz + cheese (mild), feta, ricotta+, string cheeses camembert, cheddar cheese (sharp), edam, ice cream – caution with citrus or chocolate cream cheese emmenthaler, gruyere hard jack, Monterey Jack, flavors parmesan (fresh & canned), Roquefort, stilton, + soy products – soy milk, soy cheeses cottage cheese Swiss + ice cream – most buttermilk + milk sour cream - accent on a baked potato or soup milk substitutes – Lactaid pizza - plain, chicken & garlic, veggie or made with sherbet – no citrus or chocolate flavors white sauce - no pepperoni ® sorbet Dairy, Cheeses, Frozen Rice Dream dessert – vanilla Desserts whipped cream – Cool Whip yogurt - blueberry, vanilla, plain

apples – Gala, Fuji, Pink Lady applesauce – commercial or baby berries – cranberries, most applesauce – homemade with Gala, Fuji or apricots citrus – lemons, limes, oranges, grapefruit Pink Lady apples bananas dried fruit – with preservatives + blueberries berries – blackberries, raspberries, olallieberries grapes coconut – without preservatives cherimoya guava dates – without preservatives cherries – fresh, maraschino kiwi fruit + pears citrus peels melons – cantaloupe

watermelon currants nectarines figs passion fruit Fruits mango papaya melon – Crenshaw, honeydew persimmon peaches pineapple plums starfruit raisins – brown strawberries rhubarb raisins – golden

For more diet information, please visit: ICA Diet Information IC & Diet Books Interstitial Cystitis Association – www.ichelp.org

Bladder Friendly Try It Caution

asparagus beans – fava, kidney beans, lima beans, black chili peppers avocado beans onions – raw bulb onions beans – black eyed peas, garbanzo, lentils, bell peppers – green pickles pinto, white, most dried beans olives – green sauerkraut beets greens – chicory, dandelion greens, purslane, soy beans – edamame, roasted turnip greens broccoli tomato – tomato sauces, tomato juice leeks (cooked) brussels sprouts tofu

cabbage onions – white, red, cooked bulb onion, raw green carrots+ tomatoes – homegrown, low acid Vegetables watercress and Dried cauliflower Beans celery chives corn+ cucumber eggplant green beans greens – collard greens, kale, mustard greens, okra, swiss chard, spinach, bok choy lettuce & most salad greens mushrooms+ olives – black parsley+ + peas – green , snow peas, split peas bell peppers – yellow, orange, red + potatoes – white, yams pumpkin radishes rhubarb rutabaga + squash – summer, winter, zucchini turnips

homemade soup & stock – from okay soups – canned, low sodium, organic soups bouillon – cubes, powder meats and vegetables (without problem ingredients) canned – most packaged soups – most

Soups

For more diet information, please visit: ICA Diet Information IC & Diet Books Interstitial Cystitis Association – www.ichelp.org

Bladder Friendly Try It Caution

almonds donuts – glazed, old fashioned chips – potato (seasoned, barbequed) carrots graham crackers dessert cakes – fast food restaurants celery fruit & nut bars – with safe ingredients chips (plain) – corn , potato licorice crackers – soda or soup pizza – plain, chicken & garlic, veggie or made with fruit bars – blueberry, pear white sauce - no pepperoni milkshake – vanilla

oatmeal bars peanuts Snacks peanut butter popcorn pretzels – plain

berries – blueberries artificial sweeteners – Splenda® (sucralose) artificial sweeteners – acesulfame K + + cake – homemade pound cake , angel food , candy – caramel aspartame, Nutrasweet®, saccharine, Sweet- + homemade white/yellow cakes , carrot chocolate – white N-Low, stevia frostings - homemade vanilla frosting, ice cream – caramel, coconut, mango, candy – red hot-type cinnamon homemade caramel frosting, carob, whipped peppermint, butter pecan chocolate – cocoa, milk, bittersweet, dark cream sorbet – coconut ice cream – chocolate, coffee, rocky road carob pastries – blueberry, cinnamon sorbets – with problem fruits + + cookies – oatmeal , shortbread, sugar popsicles – some pastries – with problem fruits muffins – carrot sweet bread – banana pie – pecan, mincemeat Desserts and cheesecake yogurt – frozen desserts – with problem nuts Sweets creme brûlée fruitcakes custards+ pie – custard, cream pie, homemade apple pie (with safe apples), pumpkin pie divinity + sweet breads – homemade zucchini bread candy – licorice maple syrup pastries – plain, almond, pear + ice cream – peppermint, vanilla + + pudding – tapioca, vanilla , rice + milkshake – vanilla + sweeteners – brown sugar, honey , sugar

For more diet information, please visit: ICA Diet Information IC & Diet Books Interstitial Cystitis Association – www.ichelp.org

Bladder Friendly Try It Caution

allspice black pepper ascorbic acid almond extract celery seed autolyzed yeast anise cilantro BHA and BHT + basil cinnamon – powdered benzoates caraway seed citric acid – in small quantities catsup (ketchup) coriander cumin (small amt) cayenne dill dried parsley cloves

fennel dried chervil chili powder garlic+ ginger horseradish Condiments, Seasonings, and Flavor mace lemon extract hot curry powder + Enhancers marjoram mayonnaise hydrolyzed protein oregano+ malt powder meat tenderizers poppy seed nutmeg miso rosemary+ onion powder mustard sage+ orange extract oleoresin paprika salt in small quantities turmeric paprika thyme pickles tarragon red pepper vanilla extract soy sauce tamari vinegar worcestershire sauce MSG – monosodium glutamate metabisulfites sulfites

® ® acacia fiber Colace Metamucil – orange, berry burst ® ® Benefiber Metamucil - cinnamon wafers psyllium fiber – sugar-free due to the ® Metamucil – plain psyllium presence of artificial sweeteners bulk psyllium fiber – not sugar free senna

Fiber Supplements

Publication date: September 18, 2009

© 2009 - Julie Beyer MA RD, Interstitial Cystitis Association, Beverley Laumann, Jill Osborne MA, Barbara Shorter EdD RD CDN

For more diet information, please visit: ICA Diet Information IC & Diet Books Interstitial Cystitis Association – www.ichelp.org

This document may be reproduced by patients for personal use as well as by support groups, clinicians and medical education purposes. It may not be reproduced for any commercial purposes without the explicit permission of the authors above.

For more diet information, please visit: ICA Diet Information IC & Diet Books