Thursday, September 21, 2023

How To Cope With Overactive Bladder

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Can Overactive Bladder Be Controlled

How to Cope with an Overactive Bladder (FCL Nov. 17)

Overactive bladder therapy can be challenging to manage. However, many people are very satisfied with the treatment they receive and they often see a dramatic improvement in their quality of life. Your doctor will guide you to the best steps to begin with and give you options for any additional treatments you may need over time.

Tips For Easing Stress And Anxiety From Overactive Bladder

Dealing with OAB? You arent alone

According to the National Association for Continence, about 17 percent of women and 16 percent of men over the age of 18 have overactive bladder . It becomes even more common with age, affecting 1 in 5 adults over the age of 40. The Urology Care Foundation emphasizes that not all people experience OAB as they age. For those that do, there is always a treatment that will help.

OAB causes a sudden urge to urinate. The urge is so strong its often difficult to control. Symptoms include:

  • frequent urination
  • difficulty sleeping through the night

OAB can also contribute to mental health issues, including:

  • stress

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.

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What Happens With Oab

When you have OAB, however, this sensitive process goes wrong. Your detrusor muscle gets stimulated too soon, so you get the urge to pee when there isnt much pee in your bladder. Scientists are still trying to understand exactly how and why this happens. But thankfully, there are lifestyle steps that can help.

Ask A Doctor About Behavioral Therapy

What Causes Overactive Bladder

Behavioral therapy can improve bladder control by providing a person with strategies to help manage their OAB symptoms. These strategies may include doing pelvic floor exercises and using a bladder diary to understand the triggers and patterns of OAB.

In a clinical trial involving more than 200 men with OAB symptoms, adding behavioral therapy to pharmaceutical treatment was associated with significant improvements in symptoms and quality of life compared with either behavioral therapy or medication alone.

Cognitive behavioral therapy focuses specifically on the psychological aspects of OAB. CBT often involves strategies such as reshaping thinking about OAB and learning to calm the mind and body.

In a involving 10 women with drug-resistant OAB, CBT improved urinary symptoms and led to significant improvements in both anxiety and depression.

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Seek Treatment For Oab Symptoms

Many people believe that bladder leaks are a normal and inevitable part of aging. However, although urinary incontinence and OAB are common, people do not just have to deal with them. Various treatment options are available to help manage or prevent the symptoms of OAB, including:

  • lifestyle and dietary changes
  • pelvic floor exercises
  • medications and surgery

A 2019 study found that women who received medical treatment for OAB symptoms also experienced improvements in their anxiety and depression symptom scores.

What Is Overactive Bladder

Overactive bladder is a condition where you feel the need to frequently urinate regardless of if you have a full bladder or not.2 Some people with OAB experience incontinence, making their days more unpredictable. However, OAB is a common urinary condition that affects close to 33 million Americans and its nothing to be ashamed about.1 There are numerous treatments to help you manage your symptoms and reduce the negative impacts that OAB may cause in your life. The first step involves understanding your symptoms.

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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.

What Is Overactive Bladder Syndrome

Dealing with Overactive Bladder on the Job!

Overactive bladder syndrome means that the bladder, which is a bag made of muscle, squeezes suddenly without you having control and when the bladder is not full. OAB syndrome is a common condition where no cause can be found for the repeated and uncontrolled bladder contractions.

Overactive bladder syndrome is more common in women than in men, so is included in our women’s health information. However, this problem can affect men as well as women.

OAB syndrome is sometimes called detrusor instability or overactivity or an irritable bladder.

Recommended Reading: How Can I Stop My Bladder From Leaking

Specific Antidepressants May Suppress Symptoms

Specific antidepressants such as Tofranil, Tyramine and Norfranil may help to suppress overactive bladder symptoms. Which one your doctor chooses to prescribe will depend on your particular symptoms.

For example, the SSRI class of antidepressants works better for stress incontinence than for urge incontinence, although its not clear how it helps. Alternatively, tricyclic antidepressants are known to have anticholinergic side effects, which relax the bladder muscle and cause the muscles of the bladder neck to contract.

Tips For Oab When You’re Out And About

  • Worried about leaks at the gym? A tampon or pessary can offer support to pelvic tissues, helping you control leaks.
  • Going out to a restaurant, grocery store, or shopping mall? Time your fluids carefully, and check bathroom locations as soon as you arrive.
  • Eating out tonight? You may want to cut back on the cocktails. Alcohol can aggravate your OAB symptoms.
  • Buy concert or sports seats near bathrooms. Cut liquid intake three to four hours before leaving the house. Once there, take a bathroom break before lines get long.
  • A little embarrassed about going to the store to buy adult pads or briefs? Remember, you can order products easily online.
  • Passionate about those jalapeno poppers at the local bistro? It may be time to go cold turkey — spicy foods can stimulate the bladder.
  • Reaching for the artificial sweetener when you order out? Such sweeteners may irritate your bladder — increasing OAB symptoms.
  • Have a lot to do today? Schedule in some rest breaks. Doing too much can overtire muscles — leading to urine leakage.
  • When you’re out, don’t forget scheduled toileting . This routine can help control OAB symptoms.
  • OAB affects one out of every 11 people in the U.S. Look around you at the mall, the restaurant. You’re not alone. Talk to your doctor get help — today!
  • Always looking for a bathroom when you’re out? Don’t just accept OAB. Talk to your doctor — infections and other problems can cause OAB symptoms.
  • Recommended Reading: Surgery For Prolapsed Uterus And Bladder

    Get More Oab Management Tips With A Visit To Norman Urology

    There are many things that can affect bladder health. Theres no need to suffer needlessly, either physically or mentally. Whether youre suffering from OAB or just want more advice to keep your bladder healthy, Norman Urology has the answers and the most current treatments. You can count on superior, specialized care from experienced, compassionate professionals.

    How Your Doctor Can Help

    Losing bladder control at night: Urinary Incontinence at Bedtime ...

    If lifestyle measures dont work, there are several things your doctor can offer. The first step is usually a course of bladder training, which helps you learn how to increase the amount of time between when you first get the urge to go to the toilet and actually peeing.

    Pelvic floor training may also help improve bladder control read about how to do pelvic floor exercises. There are medicines that can help, too.

    In some specialist cases, your doctor may suggest injections of Botox into your bladder, to help it relax. Read more about Botox injections and other procedures for urge incontinence.

    Read Also: How To Fix Bladder Leakage Naturally

    How To Deal With Urinary Incontinence

    Urinary incontinence can be painful, embarrassing, and even debilitating. Whether it is you, a member of your family, or even a close friend, this is an issue many will have to deal with.

    Often people assume that urinary incontinence will only affect the elderly, but in fact, individuals of any age can suffer. Due to the diversity of people affected, potential causes and their treatments are highly varied.

    Care and nursing at home specialists, Helping Hands says, No two people are going to have exactly the same need, which is why its extremely important the care you or your loved one receive is tailored to the individual. If the symptoms listed below seem familiar, it may be time to see your doctor.

    What Foods And Drinks To Avoid

    While you may want to drink less liquid so you dont have to urinate as often, you should still make sure you stay hydrated. More concentrated urine, usually darker in color, can irritate your bladder and cause more frequent urination.

    Other foods and drinks can contribute to OAB symptoms, including:

    • alcohol
    • tea
    • tomato-based foods

    You can test which drinks or foods irritate your bladder by eliminating them from your diet. Then reincorporate them one by one every two to three days at a time. Permanently eliminate the particular food or drink that worsens your symptoms.

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    Tips For Oab And Diet

  • If you have OAB, it’s important to enjoy a fiber-rich diet to avoid complications like constipation.
  • Sometimes extra weight can lead to overactive bladder. Talk with your health care provider to learn if this might be the cause of your OAB.
  • Some medications — especially those with caffeine or diuretics in them — can worsen OAB. Consult with your doctor to know for sure.
  • Chocolate, coffee, tea, and cola — food and drinks with caffeine — can make your OAB symptoms worse. Try cutting back.
  • OAB can be very stressful at times. Don’t go it alone: Talk to your health care team, get treatment, and find support.
  • Some medications, like prescription diuretics, sedatives, and antidepressants, can lead to OAB symptoms. Talk to your doctor before stopping any medication.
  • Use waiting time to manage OAB: Kegel exercises can improve, and even prevent, overactive bladder symptoms. Perform them 30 to 80 times daily for four to six weeks.
  • Pelvic muscle rehabilitation can improve pelvic muscle tone and prevent leakage. Talk to you doctor or look online to learn more.
  • Did you know smoking can irritate your bladder? This may be the motivation you need to quit at last!
  • Is your over-the-counter allergy medicine aggravating your OAB symptoms? Discuss the possibilities with your doctor.
  • Never stop taking a medication because you think it might be aggravating your OAB. Talk with your doctor to know for sure — there could be other causes.
  • When To See A Physician

    Living with Overactive Bladder (OAB) – Urology Care Foundation

    While it might be tempting to chalk up frequent urination as part of getting older, its time to see the doctor if:

    • You need to urinate more than eight times per day.
    • You get up two or more times during the night to urinate.
    • The need to use the bathroom disrupts your ability to work and to enjoy everyday activities.

    Dr. Greenleaf says frequent urination also could be a symptom of other conditions, such as a tumor in the abdomen, cancers of the bladder, or diseases like diabetes.

    It is best to see your physician to determine what is causing frequent urination and, if there is an underlying medical reason, partner with your physician to determine the best course of action, Dr. Greenleaf adds.

    Recommended Reading: Can Too Much Sugar Cause A Bladder Infection

    Could My Overactive Bladder Be Linked To Stress Or Anxiety

    Theres thought to be a connection, but the link isnt well understood. Its hard to know whether OAB symptoms contribute to stress and anxiety, or if theres an underlying biological reason for both bladder and psychological symptoms. But as stress and anxiety can have a negative impact on your life in all sorts of ways, its really worth taking steps to support your mental health. Speak to your doctor for advice, and get information about stress relief.

    How Your Bladder Should Work

    The walls of your bladder are mainly made up of a group of muscle fibres known as the detrusor muscle. This allows your bladder to stretch to hold pee, and to squeeze to push pee out.

    When your bladder becomes full and stretched with pee, nerve signals tell the detrusor muscle to squeeze. They also tell the ring of muscle that keeps your bladder closed to relax, to let pee flow out. After youve finished peeing, nerve signals tell your urethral sphincter to close the opening again, and your detrusor muscle to relax.

    Normally, you should first feel the urge to pee when you have about 240ml of pee in your bladder. You should then be able to hold about 480ml of pee before you really need to go. So you have some time to get to the toilet before your bladder is completely full.

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    Travel Tips For People With Overactive Bladder

    Everyone deserves to take some time off of work and enjoy life. Some people are content with staying home and simply enjoying the time to relax, while others want to pack their bags and explore. If youre one of the latter, but are suffering from overactive bladder , it might seem like traveling is impossible. Were here to tell you that its not.

    Traveling with OAB is possible and doesnt have to ruin your trip. While it will be a bit more difficult than managing your regular day-to-day routine, you can do it. With a few preparations and some strategic planning, youll be able to enjoy your vacation time without embarrassing mishaps. In this article, well explore some great travel tips for people with overactive bladder.

    Blame A Small Bladder

    Overactive Bladder in Chennai

    Just like some people are short and others are tall, some people are born with a smaller bladder. However, when your bladder is full it can stretch to hold more fluid.

    You dont have to run to the bathroom every time you feel the urge. Depending on how long you hold it, you can stretch out the bladder and be able to hold more, says Dr. Greenleaf.

    If you give in to the urge too often, that can actually exacerbate your problem.

    Recommended Reading: Treatment After Bladder Tumor Removal

    What To Do About Overactive Bladder In Children

    Talk to your doctor if you suspect your child has an overactive bladder. In many cases, the condition goes away on its own. If not, treatments and at-home measures can help your child overcome or manage this condition.

    Overactive bladder symptoms do not have to limit your activities or negatively impact your quality of life, says pediatric urologist Lynn Woo, MD, Chief of Pediatric Urology at UH Rainbow Babies & Childrens Hospital.

    It is important to rule out any underlying problems with the bowels or bladder first, but overactive bladder can be a very treatable condition, she says.

    Treatment options for overactive bladder include behavioral strategies as well as medications that regulate bladder function.

    Often, children with overactive bladder have underlying or unrecognized constipation and may need further evaluation by a gastroenterologist, who specializes in digestive health issues.

    Pediatric psychological support also can help children and adolescents cope with challenges of overactive bladder.

    How To Cope With An Overactive Bladder

    1. Do Kegel Exercises Every Day

    These exercises strengthen the pelvic floor muscles, which help control the release of urine. Kegels can often be more effective than medication at improving some types of incontinence particularly effective in men who have undergone surgery for prostate issues.

    These exercises can be done anytime and anywhere as no-one knows youre doing them. First, figure out which muscles to target by stopping in midstream when youre urinating. The muscles you use to do this are your pelvic floor muscles. To perform Kegels, squeeze those muscles and hold for a count of ten. Relax, then repeat. Perform at least three sets of ten contractions a day.

    2. Eat Small Portions

    Studies find that losing weight is one of the most effective ways, next to pelvic floor exercises, to prevent incontinence.

    3. Train Your Bladder

    Doctors think one cause of incontinence is that some people tend to urinate too often. This can reduce the amount your bladder is able to hold and teaches your bladder muscles to send must go signals even when the bladder isnt full. Bladder training, a programme of gradually increasing the time between each visit to the toilet, helps you strengthen bladder muscles and increase the amount of urine you can comfortably hold.

    Read Also: Malignant Neoplasm Of Overlapping Sites Of Bladder

    Incontinence And Alzheimers Disease

    People in the later stages of Alzheimers disease often have problems with urinary incontinence. This can be a result of not realizing they need to urinate, forgetting to go to the bathroom, or not being able to find the toilet. To minimize the chance of accidents, the caregiver can:

    • Avoid giving drinks like caffeinated coffee, tea, and sodas, which may increase urination. But dont limit water.
    • Keep pathways clear and the bathroom clutter-free, with a light on at all times.
    • Make sure you provide regular bathroom breaks.
    • Supply underwear that is easy to get on and off.
    • Use absorbent underclothes for trips away from home.

    For more ways to deal with incontinence and other common medical problems in someone with Alzheimers, visit Alzheimers Disease: Common Medical Problems.

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