Medical Treatments For Nocturia
Your doctor may prescribe medications when preventive measures and lifestyle changes fail to reduce the frequency of your nighttime urination. Doctors prescribe a class of drugs called anticholinergics to treat symptoms of OAB, if thats the cause of your nocturia. They reduce bladder spasms that create the urge to go.
Your doctor may suggest you take a diuretic for regular urine production. A diuretic can itself cause nocturia. But if you take it early enough in the day, it may help you get rid of excess fluid while youre awake. This should decrease your urine production at night.
Other drugs that may help are:
- desmopression in cases of diabetes insipidus to cause the kidneys to produce less urine
- tamsulosin , finasteride , or dutasteride to treat prostate enlargement
- antibiotics if you have a urinary tract infection
Your doctor may also adjust your diabetic medications to lower your blood sugar if theyre causing nocturia.
Dietary Changes And Fluid Management
One of the most straightforward methods in the treatment of OAB involves making dietary changes. This involves cutting out several known food irritants from the diet and limiting fluid intake.
Foods to avoid
Foods and drinks, which are known to cause or worsen the symptoms of OAB include:
As triggers from food vary from person to person, it can be helpful for people to keep a diary detailing food intake and bladder symptoms. A diary can help people work out which foods are causing the greatest problems.
Manage fluid intake
Drinking enough water is essential for health. Too little water can lead to concentrated urine, which can irritate the bladder lining, increasing urgency. Too many liquids may worsen frequency symptoms. Fluid intake before bed can contribute to urinating during the night.
A , published in Research and Reports in Urology, recommends limiting fluid intake to 6 to 8 glasses of water daily, and avoiding liquids for 2 to 3 hours before bedtime.
Herbal Remedies For Urinary Tract Infection
- Buchu is a South American herb prescribed by herbalists to treat recurring urinary tract infections and support overall bladder health. Buchu is a soothing diuretic that also has mild antiseptic properties. Known to have an antibacterial effect, Buchu may also help with prevent bladder inflammation.
- Cornsilk is hair-like thread found atop ears of corn and beneath cornhusks. High in flavonoids, it can be an effective solution for women who get frequent urinary infections. Cornsilk reduces inflammation and can reduce the accompanying urge to urinate. It can also have a soothing effect on the urinary tract.
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Vitamin A For An Overactive Bladder
Vitamin A is a fat-soluble vitamin, which helps to improve immune system function, and decrease the risk of interstitial cystitis, bladder infections and bladder cancer.
According to medical experts, vitamin A also helps in the healing process, supports bladder health, repairs bladder damage, prevents urine leakage, strengthens weak pelvic muscles and reduces bladder inflammation. The RDI of vitamin A for men and women are 900 mcg and 700 mcg, respectively. Cod liver oil, milk, butter, eggs, baked sweet potatoes, broccoli, mangoes, squash, raw carrots, canned pumpkin and spinach are some vitamin A rich foods which can be consumed to overcome the problem of overactive bladder.
How To Cope With Side Effects
What to do about:
- feeling sick â try taking mirabegron with a meal or snack. It may also help if you stick to simple meals and avoid rich or spicy food.
- constipation â eat more high-fibre foodsâ¯such as fresh fruit, vegetables and cereals, and drink plenty of water.â¯Try to exercise more regularly, for example, by going for a daily walk or run. If this does not help, talk to your pharmacist or doctor.â¯Watch this short video about how to treat constipation.
- diarrhoea â drink lots of fluids, such as water or squash, to avoid dehydration. Signs of dehydration include peeing less than usual or having dark strong-smelling pee. Do not take any other medicines to treat diarrhoea without speaking to a pharmacist or doctor.
- urinary tract infection â if you think you have a UTI, ask a pharmacist or doctor to recommend a treatment. Tell them that you are taking mirabegron.
- headache â make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Ask a pharmacist to recommend a painkiller. Talk to your doctor if the headaches continue or are severe.
- feeling dizzy â stop what youre doing and sit or lie down until you feel better. Do not drive, ride a bike or operate machinery until it passes. If you are still having dizzy spells after a week, speak to your doctor.
- fast heart rate â lie down and try to relax. This is usually nothing to worry about and will pass. Contact 111 if your heart beat does not slow down after resting, or if you have chest pain.
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Preparation Of Capsicum Frutescens Extract
Fresh samples from Capsicum frutescens pepper were sectioned to collect seeds and fruit skin. These products were dried at 55 °C for 24-30 h in a stove, ground and passed through a 60-mesh sieve. The obtained pepper powder was weighed and placed in separate tubes, each containing 3 g pepper powder and 10 mL acetonitrile, which were sonicated for 1 h. Finally, the material was filtered, and the solvent evaporated.
Capsaicinoids were quantified according to the method published by Karnka et al. . A C-8 precolumn was conditioned with 0.5 mL MilliQ water, then with 0.5 mL methanol followed by 0.5 mL acetonitrile. Next, 0.5 mL aliquots were diluted in the conditioned precolumn and washed three consecutive times with 0.5 mL acetonitrile. The material obtained in this process was filtered through a membrane with 0.45 mm porosity ) and placed in vials. The samples were then analyzed by HPLC using a C-8 column and 20 mL samples, which were eluted with acetonitrile as the mobile phase.
Overactive Bladder Treatments: 9 Ways To Take Control Of Your Bladder
Did you know that over 33 million people in the United States deal with the frustrations that come with having an overactive bladder? This embarrassing condition impacts more women than men.
When you have an overactive bladder, you may end up going to the bathroom too often or even have accidents. While some people have a neurological disorder causing frequent urination, many times the doctor cant find a specific cause.
Luckily, you have many options to live a more fulfilling life with this condition. Read on to learn about several overactive bladder treatments you can try.
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Adverse Effect Of General Treatment
- Dry mouth
- Urinary Retention
This disease can be treated with allopathic medicines but it results in many health complications whereas ayurvedic medicine provides excellent health benefits with the treatment of disease and the main purpose of ayurvedic medicine is to diminish a disease with its roots. The concepts of universal interconnection, the bodys constitution , and Doshas are the primary basis of ayurvedic medicine. Goals of treatment aid the person by eliminating impurities, reducing symptoms, increasing resistance to disease, reducing worry, and increasing harmony in life as described by Acharyas Charak and Shusruta in samhitas. Certain medications which are used in treatment of overactive bladder are described below
Make Regular And Controlled Visits
Double void is another approach to dealing with OAB. This technique involves relieving yourself and then, a few minutes later, going again. This deliberate approach to bathroom visits helps you to make sure that after passing urine a second time, your bladder is mostly or completely empty. The main benefit of this approach is that you can avoid having to return to the bathroom just a few minutes after your initial visit, which is both a nuisance and sometimes embarassing.
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Altering The Bladder With Bladder Augmentation Surgery
When all other approaches to strengthen and retrain the bladder have failed, you may need to alter the bladder itself. This surgery is typically used as a last resort and in only the most severe cases of an overactive bladder.
Bladder augmentation involves enlarging the bladder with a section of your large intestine, so theres more physical space to store urine in and less pressure to urinate frequently. The surgery is the most invasive and complicated procedure for solving overactive bladder problems, and includes a long recovery time and possible lasting consequences. Once you have bladder augmentation surgery, you will cease to be able to urinate naturally you will have to use a catheter or stoma.
The good news is that many, if not most cases of an overactive bladder can be very well controlled with healthy lifestyle changes, and natural and traditional medical treatments. Its important to remember that not all of the listed treatment options may work for everyone.
Remember to discuss the above overactive bladder treatment options with your doctor before beginning them.
Herbal Remedies For Overactive Bladder
If youre curious about herbal remedies for overactive bladder, youre hardly alone. The CDC says about 75% of people with the condition have turned to a complementary treatment at some point.
Why do people go natural? Because their medical treatments dont work, or they may have unpleasant side effects, says Bilal Chughtai, MD, an assistant professor of urology at Weill Cornell Medical College.
But are herbal treatments worth it? Its hard to know for sure. Theres very little scientific research on the topic, says Linda Brubaker, MD, a professor at Loyola University Chicago Stritch School of Medicine. Without quality studies, doctors cant say if these remedies work, or if theyre safe to use either alone or with other medications.
Chughtai, who studies how herbs affect the urinary tract, agrees. Were still in the very early stages of uncovering how herbs may treat overactive bladder, he says.
But even without solid proof that they work, a number of these remedies are on the market. Some have been used to treat OAB for centuries.
Heres what we know about 10 common herbal treatments.
Gosha-jinki-gan: This blend of 10 herbs is one of the most studied products. Japanese researchers found that people who took it daily for 8 weeks went to the bathroom less. Other studies confirm that it lowers the urge and helps with incontinence. Chughtai says it may work by stopping nerve signals to the bladder.
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Search Plot Information Sources And Screening Process
The search plot based on PRISMA guidelines, which includes identification, screening, eligibility, and inclusion as its key determinants. A systematic search of published research studies from January 2004 to December 2019 was carried out. An inclusive search plot based on Google Scholar, PubMed, MEDLINE, EMBASE and Scopus databases was used. The authors conducted the search using the following search terms: âoveractive bladder syndromeâ OR âdevelopment of OAB formulationsâ OR âdrug delivery routes for OABâ OR âpharmacological treatment of OABâ OR âpolymers used for OAB formulationsâ. Titles and abstracts of the resultant studies were screened, and studies irrelevant to the scope of the current systematic review were removed. The full texts of the remaining studies were then screened to determine eligibility. Additional studies which were not aligned with the rationale were further removed.
Seven Effective Treatments For Overactive Bladder
Overactive bladder occurs when sudden or frequent urges to urinate become hard to control, and can often lead to leakage .
In order to best treat overactive bladder, a urologist must pinpoint the underlying cause. Treatment will depend on symptom severity and the degree to which they impact someone’s quality of life. In general, there are three approaches to treatment: medication, behavioral interventions, and surgery.
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Prescription Treatment Vs Natural Remedies For Overactive Bladder
Just like any medication, natural remedies like these can have a negative impact if taken incorrectly and may have unwanted side effects. If possible, to avoid complications, consult your doctor to ask about any known side effects of natural remedies that can counteract with any of your current medications.
There are benefits to both natural and prescribed treatment options. Fortunately, there are so many avenues of treating the symptoms of OAB, which means that there are countless different ways to combat OAB, many of which can be done in conjunction with one another.
Things like lifestyle changes can be incorporated into any natural or prescription treatments. Choose what is right for you. Because there are so many treatments, it means that there is not one universal fix to oneâs OAB.
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Kegel Exercises And Muscle Training
You can also do special pelvic floor exercises, or Kegel exercises, in addition to regular exercise. Kegel exercises strengthen the muscles to minimize involuntary contractions and improve posture. Its also one of the safest behavioral therapies without side effects and complications.
To do Kegel exercises:
You can also talk to a physical therapist to see if youre squeezing the right muscles.
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Drink Normal Quantities Of Fluids
It may seem sensible to cut back on the amount that you drink so the bladder does not fill so quickly. However, this can make symptoms worse as the urine becomes more concentrated, which may irritate the bladder muscle. Aim to drink normal quantities of fluids each day. This is usually about two litres of fluid per day about 6-8 cups of fluid, and more in hot climates and hot weather.
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Urinary Incontinence In Middle Tennessee
If you are suffering from urinary incontinence, overactive bladder syndrome, or enlarged prostate, it may be worth it to try natural supplements. Of course, you need to consult your physician before starting vitamins or supplements, to ensure they will not react with your medications or have any adverse effects. If you live around Nashville, Tennessee our team of expert physicians would love to help. Contact our discreet, dedicated Medical Concierge by phone or private message today.
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Go To The Toilet Only When You Need To
Some people get into the habit of going to the toilet more often than they need. They may go when their bladder only has a small amount of urine so as not to be caught short. This again may sound sensible, as some people think that symptoms of an overactive bladder will not develop if the bladder does not fill very much and is emptied regularly. However, again, this can make symptoms worse in the long run. If you go to the toilet too often the bladder becomes used to holding less urine. The bladder may then become even more sensitive and overactive at times when it is stretched a little. So, you may find that when you need to hold on a bit longer , symptoms are worse than ever.
Weight Loss & Health Improvements To Reduce Your Symptoms
Studies suggest that losing excess weight can reduce the symptoms of stress incontinence and an overactive bladder.
What does this mean exactly? If you can lose about 8 percent of your body weight thats typically around 15 to 20 pounds you will likely see remarkable results. In fact, even just a few pounds of weight loss can reduce incontinence episodes by over 25%.
Aside from all the other health benefits, by losing weight the abdomen will alleviate pressure on all the organs in the area, including the bladder.
As well as weight loss, getting regular exercise can reduce overactive bowel symptoms. Exercise can help to reduce the strain on your bladder which ultimately means less urine leaks.
Stopping smoking can also help with OAB problems since the smoke from cigarettes can irritate your bladder. Smoking can also lead to hacking cough a loud, dry cough which can cause further leaks.
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Symptoms Causes & Risk Factors
When you feel like you have lost control of your bladder to the point that is so frequent that it adversely affects your quality of life, its probably time to see a doctor.
Age and gender have a big role to play in determining urinary incontinence risk.
Urinary incontinence in women is much more common than it is in men, and the risk of urinary incontinence increases with age .
Other risk factors for urinary incontinence include:
There are a number of different types of urinary incontinence, each brought about by different causes. Three of the most common types include:
- Stress Incontinence Despite what it sounds like, stress incontinence does not actually have to do emotional stress. Rather, it means that the muscles of your pelvis may be weakened or damaged and may leak urine as a result of the strain from coughing or physical activity.
- Urge Incontinence Sometimes referred to as an overactive bladder, this type of urinary incontinence arises when you consistently feel the need to use the washroom even your bladder is essentially empty. It can occur in both men and women, especially postmenopausal women and men who have prostate issues.
- Overflow Incontinence This type of urinary incontinence is more common in men with prostate issues and occurs because of a blockage in the bladder which means it does not empty properly and eventually leads to urine leaking out because it remains too full.
So what can be done about it?