Pelvic Floor Exercises Can Help Immensely
You cant see your pelvic floor muscles however, just like other muscles in your body they lose their strength if they are not put to use.
Pelvic floor exercises help strengthen the pelvic floor when done consistently at least twice a day. How are they done?
- Imagine you are holding back gas or urine.
- Squeeze and lift the rectal area without tightening your buttocks or belly. Try and hold it for a count of three before relaxing. Repeat this cycle 10 times. Do 10 sets of Kegel exercises, at least 3 times a day.
- Increase your contractions as your doctor recommends.
- Do not hold your breath when you do Kegel exercises. Keep your stomach, back, and leg muscles relaxed.
- Don’t use Kegel exercises to start and stop your urine stream which can lead to incomplete emptying of the bladder and an increased risk of a urinary tract infection.
Seek Help From A Qualified Physical Therapist
Talk to your doctor, who may refer you to a qualified physical therapist who specializes in pelvic floor therapy if you have any incontinence or pain that doesnt go away after giving birth. Embarking on proper rehabilitation soon after having your baby may help you avoid more serious gynecological problems later on.
Routine And Enhanced Urine Cultures
Positive samples, identified by IRIS 2000 microscopy analysis, were cultured on chromogenic media plate at 37°C for 24 hours. The 3 control samples, initially reported as positive, were subsequently reported as negative since two had growth in the range of 103-104 CFU/mL and one had mixed growth. For the 9 cultured OAB samples, 2 had mixed growth, 4 had growth in range of 103 CFU/mL and were reported as negative, and 3 were reported as positive with E. coli growth present at > 105 CFU/ml.
Enhanced culture of all samples resulted in the isolation of a significantly higher number of uropathogens from 23 OAB samples and 11 control samples. After excluding mixed growth cultures, 17 OAB and 8 controls were found to have one or two microorganisms present , including E. coli, Enterococcus faecalis, Morganella morganii, Proteus mirabilis, coliform, Streptococcus, and Staphylococcus species . Enhanced culture identified additional microorganisms in 14 samples that tested negative using routine culturing methods, with bacteria being isolated from the majority of MSU specimens and highlighting the potential limitations of routine methods for OAB screening. Samples were only reported as positive when known uropathogens were present, however interestingly, vaginal commensals including lactobacilli, corynebacteria, gardnerella, and alpha-hemolytic streptococci species were more common in control samples than OAB patient samples.
Table 4 Types of microorganisms cultured in both groups.
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Causes Of Total Incontinence
Total incontinence is when your bladder cannot store any urine at all. It can mean you either pass large amounts of urine constantly, or you pass urine occasionally with frequent leaking in between.
Total incontinence can be caused by:
- a problem with your bladder from birth
- injury to your spinal cord this can disrupt the nerve signals between your brain and your bladder
Overactive Bladder In Women
Women are more likely to report symptoms of OAB to their doctor. In fact, at least 40 percent of American women experience symptoms of overactive bladder. Many more may not report the experiences to their doctor at all.
Overactive bladder consists of a series of symptoms that cause you to need to urinate more frequently. These symptoms include
- feeling a sudden need to urinate
- not being able to control urination
- urinating at least two times every night
- urinating at least eight times every day
Its not clear what causes overactive bladder, but OAB becomes more common in women after menopause. That may be the result of estrogen deficiency. However, overactive bladder can occur at any age.
Overactive bladder is a common childhood condition, but not every accident or soiled bed is the result of OAB. Children frequently grow out of overactive bladder symptoms, but treatment can help prevent frequent urination or complications.
Symptoms of OAB in children include:
- an urgent or frequent need to urinate
- accidents or leaking urine
- urinating more than eight times in a day
- not feeling as if theyve emptied their bladder despite urinating
Symptoms of OAB become less common as children get older. With age, kids learn to properly control their bladder and recognize signals that they need to urinate. If symptoms of overactive bladder dont seem to be resolving or are getting worse, talk with your childs doctor.
Causes of OAB in children include:
- urinary tract infection
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Analysis Of Prostaglandins Inflammatory Chemokines And Cytokines
An association between inflammatory biomarkers and OAB has previously been suggested. To explore this, we investigated whether levels of these markers were altered in MSU samples from OAB and control patients. No significant differences between the OAB and control samples were noted for any of the markers evaluated , the mean values of which were within the normal physiological range for a healthy person.
Table 5 Concentrations of inflammatory prostaglandins, chemokines, and cytokines in OAB patients and controls.
Its A Real Medical Condition
OAB is a medical condition that deserves treatment. Not only is it an annoyance to live with, but not bringing it up may cause your doctor to miss other underlying conditions that could be contributing to your overactive bladder. You wouldnt not treat something like diabetes, a heart condition, or MS. Overactive bladder isnt any different.
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What Are The Treatments For An Overactive Bladder
Once tests have been done to determine the cause your overactive bladder, your doctor will suggest a solution that will alleviate your symptoms and minimise any side effects. And while the goal is obviously to find a simple, effective solution, it could be one or a combination of treatments including lifestyle changes, medications and/or surgery.
- Bladder Training and Scheduled Voiding This method teaches the bladder to steadily hold urine over time, which can help build a tolerance to the urgency that comes with an overactive bladder.
- Double Voiding This involves urinating twice within a few minutes in between to void any residual urine in the bladder.
- Kegel exercises These are pelvic exercises to help manage urge incontinence in an overactive bladder by helping strengthen the muscles of the pelvic floor and urinary sphincter.
- Fluid and Diet Management including:
- maintaining a schedule of the timing and amount of daily fluid intake
- limiting caffeine and acidic drinks such as coffee, cranberry and citrus juices
- limiting alcohol
- eating foods high in fibre, such as flaxseed, or taking fibre supplements.
Most Of The Time Its Not Going To Go Away On Its Own
OAB is not usually a condition that reverses itself with time. There may be a number of reasons that cause you to have an overactive bladder, and there are a number of ways to treat it, but if you do absolutely nothing to fix it, youre probably going to be stuck with OAB for a while. Its a chronic condition, but the symptoms can be managed.
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So Is Cranberry Juice Good For Overactive Bladder
Since cranberry juice has been shown to help prevent UTIs, you might think that it would also be good for overactive bladder. However, it seems that the opposite is true.
The problem with cranberry juice is that it is very acidic. This means that if you have an overactive bladder, it could irritate your bladder lining and aggravate your symptoms.
Cranberry juice has a diuretic effect, meaning that it could make you need to urinate more often than normal. While this might be helpful if you have a UTI, but if you have an overactive bladder it is probably the last thing you want. Therefore, cranberry juice is not the best choice of beverage for someone with an overactive bladder.
With that said, cranberry juice is less acidic than citrus juices such as orange and grapefruit juice. It may also cause less irritation than drinks such as coffee and soda. So, if you have an overactive bladder and want to drink cranberry juice, a small amount should not cause too many problems.
There are also plenty of benefits to drinking cranberry juice in general. It is high in vitamin C and natural antioxidants called polyphenols. As well as being good for UTIs, cranberry juice may help to prevent chronic diseases such as heart disease and bladder cancer.
If you take any prescribed medication or have a long-term health condition, you should talk to your doctor to make sure drinking cranberry juice is safe for you.
Overactive Bladder And Urgency Incontinence
Overactive bladder is a common type of urinary incontinence characterized by an urgent need to urinate. When your bladder is healthy, youre able to wait to urinate when your brain signals your body that your bladder is full. With overactive bladder, you cant wait and you may feel an urgent need to go even when your bladder isnt full.
Also called urgency incontinence, overactive bladder affects more than 40 percent of women and 30 percent of men in the United States. In addition to a sudden and uncontrollable urge to urinate, symptoms of overactive bladder may include:
Leaking urine when you feel a sudden need to go
Urinating frequently throughout the day
Waking from sleep to urinate more than once a night, also called nocturia.
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When You’re Drinking Too Much Water
In most people, with normal kidney function, drinking too much water can irritate your bladder increasing the risk of urine leakage. As fluid intake increases, the amount of urine made will increase along with it. Because the bladder can only hold so much fluid volume, increasing water intake will increase the frequency of urination, and may make people with an overactive bladder more likely to leak. If you have overactive bladder , more fluid intake typically equals more trips to the bathroom. If those fluids are carbonated, they may aggravate your symptoms even more.
Keep in mind that too little fluid intake also isnât ideal. If you drink too little, your urine may become concentrated and acidic, heightening bowel irritation. It is important to work with your doctor to find the amount of water right for you.
Is Cranberry Juice Good For Overactive Bladder Or Not
Cranberry juice is a popular beverage, which is well-known as a natural remedy for urinary tract infections . This has led some people to ask whether cranberry juice is also good for other problems such as overactive bladder.
So, if you suffer from overactive bladder, is drinking cranberry juice a good idea or not? We will aim to answer this question later in the article, but first, lets take a look at the difference between overactive bladder and UTIs.
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Bipoc And Overactive Bladder
The frequency and presentation of overactive bladder differs across different racial and ethnic groups, according to two recent studies.
One study, published in February 2020 in the journal Female Pelvic Medicine & Reconstructive Surgery, looked at the severity of OAB symptoms in women of different races and ethnicities.
In the study group, Black women were more likely to experience urinary urgency and frequency, while Hispanic women were more likely to have mixed urinary symptoms.
Compared with white women, Black women were 3.4 times as likely to have bladder muscle overactivity. Hispanic women tended to have significantly less urine volume than white women at the sensation of a strong desire to urinate.
Another study, published in September 2020 in the Journal of Urology, looked at OAB and urgency incontinence in men age 60 to 98 through an incontinence self-reported survey.
The study found that non-Hispanic Black men had the highest prevalence of urgency incontinence at 13 percent. Hispanic men came in at 11.3 percent, with non-Hispanic white men at 6.8 percent and men of Chinese ethnicity at 2.9 percent.
Treatment And Medication Options For Overactive Bladder
Overactive bladder may be treated with lifestyle changes, drugs, office procedures, implantable devices, or surgery.
Guidelines from the American Urologic Association to treat non-neurogenic OAB, updated in 2019, recommend asfirst line treatment behavioral therapies such as
- bladder training
- fluid management -guideline” rel=”nofollow”> 4)
If lifestyle measures arent enough, youll most likely be prescribed a small dose of a drug, which can be increased as needed to control symptoms.
If drugs dont deliver the relief you need, your doctor may give you Botox injections to help relax your bladder muscle.
Both office-based procedures and implantable devices can deliver electrical impulses to the nerves that communicate with your bladder, helping it relax.
In rare cases, your doctor may recommend surgery to increase your bladders capacity or to remove it completely.
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Anticholinergic Drugs For Oab
The largest class of drugs used to treat OAB is anticholinergic drugs. They work by blocking a chemical in your body called acetylcholine. This chemical sends a message to your bladder to contract. By blocking this chemical, these drugs reduce the contractions that cause you to release urine. In studies that compared the drugs, all anticholinergics worked in treating OAB.
Anticholinergics are sold under different brand names. Some are also available as generic drugs. These medications include:
All of these drugs except for Oxytrol come as either tablets or capsules that you take by mouth. Oxytrol is available as a skin patch.
The most common side effects of anticholinergic drugs include:
Seniors have the greatest risk of side effects from these drugs. These medications may also cause drowsiness and an increased risk of falls in seniors. Oxybutynin may cause more side effects than the other drugs in this class. However, taking oxybutynin in its extended-release form may reduce some of the side effects. Anticholinergics may also worsen dementia symptoms and should be used with caution in people with this disease.
What Behavioral Changes Can I Make To Help Fix Overactive Bladder
You can make many changes to your behavior to help fix your overactive bladder. These include:
Keeping a bladder diary
A healthcare provider may ask you to keep a bladder diary for a few days. Noting what happened before you had an accident can help the provider determine the cause of your OAB. Youll use your bladder diary to track:
- What you drink.
- Tomatoes and tomato-based products.
- Spicy and acidic foods and drinks.
- Foods and drinks that contain artificial sweeteners, such as diet soft drinks and some chewing gums.
Maintaining bowel regularity
Constipation can place pressure on your bladder and affect your bladder function. You may be able to avoid constipation and reduce bladder symptoms by keeping healthy bowel habits. The following can help you maintain bowel regularity:
- Increase your fiber intake. Incorporate foods such as beans, pasta, oatmeal, bran cereal, whole wheat bread, fresh fruit and fresh vegetables into your diet.
- Drink two to four extra glasses of water each day.
- Exercise regularly.
Managing your weight
Having overweight can put pressure on your bladder, which may contribute to bladder control problems. Maintaining a weight thats healthy for you can reduce pressure on your bladder.
Stop using tobacco products
Cigarettes and other tobacco products can irritate your bladder muscle. Coughing spasms due to smokers cough can also cause leakage.
Bladder retraining teaches you how:
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A List Of Common Foods To Avoid With Oab
Dealing with an overactive bladder can be tiring. Managing symptoms can also be frustrating and take a toll on those who are dealing with OAB. You may be tempted to avoid physical activity, social outings, and other everyday activities.
While this condition is generally chronic and there is no cure, individuals can take care of their urinary system in several ways to alleviate symptoms.
In this post, you will learn about OAB and what foods to avoid when you have overactive bladder. Take back control and feel confident that your condition wont impact your daily life.
Interstitial Cystitis And Overactive Bladder
Overactive bladder is also one of the main symptoms of interstitial cystitis , a condition with symptoms including intense pelvic pain, bladder frequency, and bladder urgency.
Interstitial cystitis is a spectrum disorder that can be mild in some patients and severe in others. While IC was once seen exclusively as a bladder condition, it is now viewed as a condition of the bladder, pelvic floor muscles, and often the nervous system. Medical professionals say that all aspects of the condition need to be addressed for healing to occur.
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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.
Causes Of Stress Incontinence
Stress incontinence is when the pressure inside your bladder as it fills with urine becomes greater than the strength of your urethra to stay closed. Your urethra is the tube that urine passes through to leave the body.
Any sudden extra pressure on your bladder, such as laughing or sneezing, can cause urine to leak out of your urethra if you have stress incontinence.
Your urethra may not be able to stay closed if the muscles in your pelvis are weak or damaged, or if your urethral sphincter the ring of muscle that keeps the urethra closed is damaged.
Problems with these muscles may be caused by:
- damage during childbirth particularly if your baby was born vaginally, rather than by caesarean section
- increased pressure on your tummy for example, because you are pregnant or obese
- damage to the bladder or nearby area during surgery such as the removal of the womb , or removal of the prostate gland
- neurological conditions that affect the brain and spinal cord, such as Parkinson’s disease or multiple sclerosis
- certain connective tissue disorders such as Ehlers-Danlos syndrome
- certain medicines
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