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Can Anxiety Cause Overactive Bladder

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Chronic Urinary Tract Infections and Overactive Bladder: Is Anxiety a Contributing Factor?

Youll need some time after youre diagnosed with OAB to figure out the best treatments. Meanwhile, you may continue to struggle with symptoms. Dont let that stop you from enjoying social interactions.

You can always plan ahead to accommodate any potential urge to go. Meet a friend at a museum or theater where the bathrooms are easily available. Limit your time together to reduce anxiety. Gradually, as you start treatment and experience success, youll be able to expand your outings.

Losing Weight May Help To Improve Your Bladder Control

Excess weight puts extra stress on your pelvic floor muscles and contributes to an overactive bladder and loss of bladder control. If you can lose even a small amount of weight, it will help with bladder control.

The best weight loss plans are always those that set realistic goals combined with healthy eating habits and physical activity. Fad diets, although often successful short-term, rarely achieve sustainable weight loss, because once you tire of the diet, you often revert to ingrained unhealthy eating habits.

Check out our Obesity and Weight Loss guide for more information.

Treatment Of Urinary Retention

Treating urinary retention will depend on whether the condition is acute or chronic. For the acute form, a catheter is put into the urethra to drain the bladder. Treatment of the chronic form of urinary retention will depend on the specific cause. This can include changes in medication, physical therapy, or certain procedures.

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Oab/incontinence Symptoms In Oab Patients With Both Anxiety And Depression

Since there was a strong correlation between anxiety and depressive symptoms , we studied the influence of depression on the results. We compared the OAB/incontinence symptoms and quality of life measures among OAB subjects who had both anxiety and depression versus those who had anxiety but no depression . OAB subjects with both anxiety and depression reported higher ICIQ-UI and IIQ-7 scores than those who had anxiety but no depression . However no difference was noted in ICIQ-OAB, UDI-6 or OAB-q.

Other Ways Our Body Reacts To Anxiety

Can Anxiety Cause an Overactive Bladder?

And besides frequently peeing, there are other ways our bodies react to anxiety.

Demian Brown, a Toronto-based psychotherapist and registered clinical social worker, previously told Global News twitching of your face and body is a common symptom of anxiety.

When youre under stress, physiological things start to happen to the body, Brown said. Your adrenaline and noradrenaline levels increase as if your body is preparing for some kind of danger. That takes more blood away from your extremities, and puts it more in the middle of your body.

Brown added this type of response increases your muscle tone and prepares your body for what is perceived to come in its way.

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For some, anxiety or stress can also cause diarrhea. According to Verywell Health, when were stressed, diarrhea is our bodys response to handling it.

When you come across something that you perceive as threatening, your body reacts with a variety of physical changes: heart rate and respiration increase, your muscles tense up, blood is directed toward your extremities, and most relevant to the current discussion, your colon contractions speed up. In some cases, this increase in colon activity can result in the symptom of diarrhea, the site noted.

Folk added anxiety or stress can even shut the digestive system down, and some people can feel constipated as well.

Another common response is tightness in the throat.

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Take Charge: Seek Your Doctors Advice

Approximately 80% of those affected by urinary incontinence can be cured or improved, yet only one in 12 people with incontinence issues seek help. Talk to your doctor about your bladder control as it can dramatically improve your lifestyle.

Your doctor can investigate and establish a cause for your overactive bladder. Treatment can then be tailored to this cause and may involve medications, bladder retraining, pelvic floor exercises, absorbent products, surgery, or combinations of these options.

Plus, consider joining the Overactive Bladder Support Group. Here, you can connect with people with similar questions and concerns, share your experiences, and keep up with the latest new drug approvals, ongoing research, and medical news.

When Anxiety Leads To Urinary Problems

  • Urinary problems are rarely associated with anxiety, but they are surprisingly common
  • Anxiety takes resources away from the area of your brain that controls holding urine
  • Certain types of severe anxiety can lead to a complete lack of bladder control
  • Concerns over urinary issues can lead to self-sustaining anxiety
  • Treatment specifically for urinary difficulties isnt necessarily possible. But anxiety treatment helps

Also Check: How Long Does It Take To Cure A Bladder Infection

Assessment Of Psychotropic Medication Use

The NorPD is a national health register containing information about all prescriptions dispensed at Norwegian pharmacies. Each time a drug is dispensed, the generic name, Anatomical Therapeutic Chemical – code, strength, number of packages and defined daily dose are registered. DDD is the average maintenance dose per day for a drug used for its main indication in adults. The DDD reflects the total amount of drug prescribed and dispensed, and the overall amount of the actual drug during the last 6months was calculated. We defined drug use as dispensed prescription during the last 6months. In the dose-response analysis, we used four different degrees of DDD: no use, low DDD, medium DDD and high DDD. The cut-offs were set separately for each drug, due to different user profiles. The following drug groups were used in the analyses: Opioid analgesics , other analgesics , antiepileptic drugs , lamotrigine , antiparkinson drugs , antipsychotics , anxiolytics , hypnotics and sedatives , antidepressants and selective serotonine reuptake inhibitors , urologics , estrogens and progesterons and estrogens in combination . We selected drug groups due to literature indicating possible association with UI .

Variables selected from HUNT3 and NorPD were linked, using the identification number assigned to everyone living in Norway.

What Is An Overactive Bladder Symptoms To Look For

Dr. Yaser Bassel Discusses Hyperactive Bladder and Stress Incontinence – BayCare Health System

Overactive bladder is a syndrome, or a set of symptoms, that is believed to be due to sudden contractions of the muscles in the wall of the bladder. When you have overactive bladder syndrome, the muscles controlling bladder function start acting involuntarily. This often leads to urinary incontinence or loss of bladder control. The urine leakage experienced by someone with OAB can be as little as several drops to up to several ounces. Sometimes, incontinence can be a sign of something simple like drinking way too many caffeinated beverages on a daily basis. Other times the underlying cause can be something more serious.

An overactive bladder is said to account for 40 to 70 percent of incontinence. What is incontinence? Incontinence is a lack of voluntary control over urination or defecation. When you have overactive bladder, you can experience urinary incontinence or loss of control over urination.

There are actually two different types of overactive bladder. Dry is when you have a sudden, urgent need to urinate many times during the day. Wet means you have the sudden, urgent need to urinate and you experience bladder leakage, which is also referred to as urge incontinence. Both dry and wet can occur without any underlying health condition. An estimated 60 percent of OAB patients have dry OAB while 40 percent have wet OAB .

OAB symptoms can differ on an individual case basis. Common symptoms of an overactive bladder include:

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How Can Nerve Stimulation Help Overactive Bladder

There are several treatments that involve stimulating your nerves to help improve overactive bladder. Your nerves help communicate the message that your bladder needs to be emptied to your brain. By treating the nerves, your healthcare provider can improve your bladder control. Nerve stimulation is a reversible treatment that is considered when conservative treatments have not worked or have not been tolerated. Conservative treatments include behavioral therapies and medications.

There are several types of nerve stimulation treatments. These can include:

What Could Be Pressing On My Bladder

Pressure in the bladder causes this feeling, which should disappear after a person urinates. However, some people experience this pressure constantly, and it may feel like an ache. This is not normal and is likely caused by interstitial cystitis. This condition is sometimes known simply as bladder pain syndrome.27-Mar-2018

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Overactive Bladder And Depression

An overactive bladder can lead to a loss of self-esteem and social withdrawal. You may fear leaving the security of your own home and avoid social situations at all costs. You may also limit you work life in order to avoid interaction with your workmates and questions about your frequent bathroom trips. The anxiety, distress and exhaustion that an overactive bladder may cause you, in combination with social isolation, can all lead to feelings of depression.

Try Pelvic Floor Exercises

can stress cause overactive bladder

The muscles in the bottom of the abdomen that support the pelvis, bladder, and urethra are known as the pelvic floor muscles. These muscles can become stretched or weakened as a result of surgery, pregnancy, or childbirth, reducing their ability to control the pelvic organs effectively.

Pelvic floor exercises can help restrengthen these muscles and improve the symptoms of urinary incontinence and OAB. A physical therapist can work with an individual to come up with an exercise plan that works for them.

In a review of 31 clinical trials, researchers found an association between participation in pelvic floor muscle therapy and significant improvements in not only the symptoms of urinary incontinence but also in quality of life. The measures of quality of life included a score of anxiety and depression symptoms.

People of all sexes can benefit from pelvic floor exercises. A found that following prostatectomy, which is the removal of part or all of the prostate gland, participation in pelvic floor exercises led to significant improvements in urinary incontinence, anxiety, and depression.

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How Do Stress And Anxiety Impact The Bladder

Anxiety and an overactive bladder can occur simultaneously. Stress and anxiety affect the bladder in several ways. Both cause muscles in your body to tense up , and the bladder is essentially a muscular sac that also tightens with stress. Additionally, your pelvic floor is comprised of muscles that can tighten, compressing your bladder. Chances are that when your body tenses up, so does your pelvic floor and bladder. This triggers the need to urinate, and if youre anxious often, you might need to go too often.

What Can You Do To Manage Urinary Frequency

First of all, it is extremely important to ensure there isnt a medical problem causing it, and your doctor will discuss any other symptoms with you and look at your medical history. Examples of conditions that can cause urinary frequency include diabetes, MS, Parkinsons, dementia, stroke, bladder tumours and bladder stones.

If your urinary frequency is determined to be secondary to your experience of anxiety, it can help to visit a licensed counsellor to look at both the underlying cause of your anxiety as well as getting cognitive behaviour tips for the management of secondary symptoms.

Other simple lifestyle changes can reduce your need to visit the bathroom so frequently, such as removing bladder irritants like caffeine and alcohol, reducing your weight if you are overweight, and stopping smoking.

Finally, since humans are able to learn new behaviours and responses, it is possible to train your bladder to not respond to your emotional nervous systems signals. Bladder training, for example, is a reliable technique that has been shown to improve symptoms,6,7 and involves bringing back your desire to pee into voluntary control. It is done in a stepwise fashion over time.

If you are finding you need to pee all the time, and believe it could be related to anxiety, then it is important to visit your GP, as there are plenty of solutions that can help. Incontinence is a very common condition, and there is no need to just put up with it.

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What Medications Can I Use For Overactive Bladder

Your doctor may suggest trying behavioral techniques before having you use a medication to treat overactive bladder. However, medications can work very well to return normal function to the bladder. Ask your doctor about the risks and benefits of using the following commonly prescribed medications:

Anticholinergic medications

These medications control muscle spasms in the bladder:

  • Oxybutynin , oxybutynin XL , oxybutynin TDDS .
  • Tolterodine .
  • Mirabegron .

Stress And Oab: A Two

Frequent urinating , overactive bladder , insomnia , depression , anxiety and bowel issues

Overactive bladder and stress share a strong and intimate relationship. Its obvious that increased OAB symptoms will lead to increased stress, but what people may not realize is that higher levels of stress also create more OAB symptoms.

This bidirectional relationship between OAB and stress is quite common between physical and mental health symptoms. Some other conditions with this two-way relationship include:

  • Depression

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Practice Pelvic Floor Exercises

Pelvic floor exercises like Kegels can help strengthen the muscles that support your bladder, thus improving symptoms of overactive bladder and urinary incontinence. Pelvic floor exercises are beneficial to both men and women and can help battle anxiety and depression in those suffering from disruptive urologic conditions.

Is Turmeric Good For Overactive Bladder

A substance called NF kappa-B is one of the primary triggers for bladder inflammation and turmeric stops the body from making it. Not only is turmeric effective in treating bladder infections but it may also be used to combat Crohn’s disease and ulcerative colitis thanks to its anti-inflammatory nature.

Read Also: Does Bladder Infection Cause Incontinence

Anxiety Urination: An Inconvenient Symptom

  • Anxiety has the ability to affect urination in many ways
  • Those with severe anxiety may find they cannot control their urine
  • Anxiety can be overwhelming enough to the brain that it weakens its urination response
  • Relaxation exercises for anxiety can reduce some of the urges
  • Often the only way to stop anxiety related urination problems is by treating anxiety

Understanding The Link Between Anxiety And Overactive Bladder

Understanding the Link Between Anxiety and Overactive ...

If you experience urinary frequency or bladder leaks, then you probably realize that anxiety and overactive bladder are close friends. After all, who isnt a little anxious about leaking or finding a bathroom in time? The fact that OAB causes some anxiety isnt at all surprising. But did you realize that the reverse can also be true?

A study published in the U.S. National Library of Medicine found that 48% of OAB patients participating in the study had anxiety symptoms and 24% had moderate to severe anxiety. Those with OAB reported notably higher instances of anxiety than the control group. While its true that there are several causes for overactive bladder , anxiety is a key component for some people and might be exacerbating existing issues.

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Keeping A Bladder Diary May Help Identify Triggers

Keeping a diary may sound time consuming, but it will help both you and your doctor identify any triggers for your overactive bladder and establish just how often you visit the bathroom each day.

How should you keep a diary for your overactive bladder?

  • Document exactly what kind of fluids you drink and their volume.
  • Write down the type and quantity of food you eat.
  • Record the number of trips to the bathroom and rate your trips as successful or not.
  • Indicate what you were doing when leakage or the urge to urinate occurred

What Are The Specific Symptoms Of Overactive Bladder

Overactive bladder represents a collection of symptoms that can include:

  • Urinary urgency: This is a failure to be able to postpone the need to urinate. When you feel you need to urinate, you have a limited amount of time to get to a bathroom.
  • Frequency of urination: People who experience this symptom need to urinate very often. Typically its an increase in the number of times you urinate compared to what you previously experienced.
  • Urge incontinence: In this case, there can be a leakage of urine when you get the urge to urinate.
  • Nocturia: This symptom is characterized by the need to get up and urinate at least two times each night.

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Correlation Between Perceived Stress Levels And Urinary Symptoms Among Oab Patients

Among OAB patients, high perceived stress levels on the PSS was positively correlated to total scores on ICIQ-UI , UDI-6 , IIQ-7 , and quality of life subscale on the OAB-q , see Table . No significant correlation between perceived stress levels and the following instruments was observed: ICIQ-OAB, symptom bother subscale on the OAB-q, USS, and the numeric ratings of their urgency or frequency .

How To Recover From A Loss Of Bladder Control

What causes overactive bladder and what can be done about it?

This type of response tends to only occur in those that are faced with extreme fear. Its unfortunately not something you can control if you still experience that level of fear. You cannot tell your limbic system to control your bladder because its reacting to what it perceives as a dangerous threat, and if you ever were in danger you would want your limbic system to act the same way.

There are two important factors for overcoming the loss of bladder control:

  • Preventing yourself from experiencing any shame or embarrassment.
  • Controlling anxiety from becoming that severe.

Your anxiety is going to make it very hard for you to not care about something like a loss of bladder control. You are going to need to do whatever it takes to remind yourself that no one is judging you no one cares that you lost control of your bladder from fear, and no one would care if it happened again in the future. Fear of losing control of your bladder contributes to further fears and anxiety. You have to make sure that you do whatever it takes to prevent it from affecting you further.

Youll also need to learn to control your anxiety so that it is not severe enough to cause that level of fear. Those with phobias should strongly consider desensitization therapy. Its an effective and widely used to way to reduce overall phobias.

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