@dks I'm having a really hard time with bladder spasms now, and I'm taking d-mannose, too. People have to be sure it doesn't contain any additives. I take the powder you mix in water 2X day. That seems to work better for me than capsules. Something I haven't seen mentioned is Kegel exercises. Before I started doing them, I couldn't make it to the bathroom in time, and the urine flow would begin. Then, I had clean up to do. This happened well before I had any pain at all. I chalked it up to getting older. The Kegels didn't help with pain, but they did help with holding my urine till I was on the toilet. And they stopped the bladder spasms after emptying my bladder.

D-mannose can help us avoid a bladder infection that might go unnoticed during a flare, as well as giving some of us, at least, some relief from the flare, itself. Good luck to everyone. This thing steals our life.