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.
Some Of It Is Part Of Aging
Its true that as we age, our bodies make less of the hormone that allows us to retain fluids. Because of this, our bladders fill more rapidly. Also, our bladders are unable to hold a lot of urine as we get older.
Between these two factors, adults beyond age 60 should expect to wake to use the bathroom at least once each night. But even so, these tips can help minimize the nightly excursions for people of any age.
Tips For Getting Your Groove Back
There are some things you can do to ward off discomfort or embarrassment during sex.
Talk about it. First, know that your partner will probably be a lot more understanding than you expect. Then bring it up before you have intercourse. âDonât wait until it happens and say, âOh, guess what?ââ Denson says. âItâs better to be upfront and honest ahead of time.â
Plan. Prepare for sex, just as you do for bedtime. Double-void, cut back on fluids, and avoid foods and beverages that are likely to irritate your bladder.
Keep up the Kegels. Doing these several times a day — and even during intercourse — will help prevent urine leakage during sex.
All of these approaches can help you manage your overactive bladder at night, letting you get a better nightâs sleep and have a more active and satisfying sex life. But Sanz adds that if your overactive bladder is really causing you problems, thereâs no reason you need to live with it.
âThere is hope. There is treatment,â he says. You need to be evaluated by a urogynecologist, who will talk to you about three types of treatment: behavioral modification, medication, and surgical procedures are available, he says. âYou donât have to let an overactive bladder interfere with your life.â
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Treatment For Urinary Incontinence
Today, there are more treatments for urinary incontinence than ever before. The choice of treatment depends on the type of bladder control problem you have, how serious it is, and what best fits your lifestyle. As a general rule, the simplest and safest treatments should be tried first.
Bladder control training may help you get better control of your bladder. Your doctor may suggest you try the following:
- Pelvic muscle exercises work the muscles that you use to stop urinating. Making these muscles stronger helps you hold urine in your bladder longer. Learn more about pelvic floor exercises and how to do them.
- Biofeedback uses sensors to make you aware of signals from your body. This may help you regain control over the muscles in your bladder and urethra. Biofeedback can be helpful when learning pelvic muscle exercises.
- Timed voiding may help you control your bladder. In timed voiding, you urinate on a set schedule, for example, every hour. You can slowly extend the time between bathroom trips. When timed voiding is combined with biofeedback and pelvic muscle exercises, you may find it easier to control urge and overflow incontinence.
- Lifestyle changes may help with incontinence. Losing weight, quitting smoking, saying no to alcohol, drinking less caffeine , preventing constipation and avoiding lifting heavy objects may help with incontinence. Choosing water instead of other drinks and limiting drinks before bedtime may also help.
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:
These medications control muscle spasms in the bladder:
- Oxybutynin , oxybutynin XL , oxybutynin TDDS .
- Tolterodine .
- Mirabegron .
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How Is Nocturia Treated
Nocturia is treated on a case-by-case basis under the direction of a physician. This treatment may contain lifestyle modifications, medication, or both.
Lifestyle modifications to improve nocturia include:
Treatment Of Urge Incontinence
The anticholinergic agents oxybutynin and tolterodine are used widely to treat urge incontinence. These medications are not, however, the most effective therapies. Behavior therapies are more effective, and theynot medicationsshould be first-line treatment.
Behavior therapies for urge incontinence include bladder training and pelvic floor muscle exercises. Bladder training is more effective than oxybutynin and improves incontinence in more than 50 percent of patients.6 Kegel exercises are even more effective. In a randomized controlled trial 7 comparing Kegel exercises with oxybutynin in patients with urge incontinence, patients performing Kegel exercises had an 81 percent reduction in incontinence episodes compared with a 69 percent decrease in oxybutynin-treated patients, a statistically significant difference.
Although biofeedback commonly is used to help patients learn effective Kegel technique, evidence suggests that biofeedback training does not result in decreased frequency of incontinence episodes compared with Kegel exercises alone.8 Physicians should keep in mind that successful use of Kegel exercises is dependent on a patients motivation and ability to cooperate with the exercise routine.
One patch twice weekly
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Home Care And Support
Changes in your childs routines and behavior may greatly improve daytime wetting, even without other treatments. Encourage your child to
- use the bathroom whenever the urge occurs.
- drink more liquid, mainly water, if the doctor suggests doing so. Drinking more liquid produces more urine and more trips to the bathroom.
- take extra time in the bathroom to relax and empty the bladder completely.
- avoid drinks with caffeine or bubbles, citrus juices, and sports drinks. These drinks may irritate the bladder or produce extra urine.
Children need plenty of support from parents and caregivers to overcome daytime wetting, not blame or punishment. Calming your childs stresses may helpstresses about a new baby or new school, for example. A counselor or psychologist can help treat anxiety.
When You Should See A Doctor
You should contact your healthcare provider if you experience the following:
- Frequent nighttime urination
- Burning sensation when urinating
Your doctor will be able to properly diagnose your frequent nighttime urination by determining its root cause. You may be asked how often you urinate at night, how long you have been experiencing excessive nighttime urination, and what type of activities you conduct before you go to bed.
You may also be required to take some tests to further determine the cause of your frequent urination. Tests include:
- Urinalysis: Analyzes the chemical compounds in your current urine.
- Urine concentration: Determines if the kidneys are properly discharging water and waste products.
- Post-void residual urine measurements: During this test you will have an ultrasound taken on the pelvis to see how much urine remains in the bladder after urination.
If the doctor suspects an underlying medical condition, further tests may be needed, such as:
- Blood sugar
- Creatinine clearance
- Serum electrolytes
Excessive urination at night can interfere with an individuals sleep patterns, which can affect the ability to function throughout the day. Its imperative that you contact your doctor if it continues to occur on a regular basis.
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Beta Agonists For Bladder Problems
This class of medication, mirabegron , works by relaxing the bladder muscle during the storage phase, thus increasing the capacity of bladder to hold more urine. They can be used for the treatment of overactive bladder . Mirabegron is the first drug in this category.
- How beta-agonist drugs work: They work by relaxing the bladder muscles and reducing bladder overactivity.
- Who should not use this medication: Individuals with the following conditions should not use mirabegron or a similar class of drugs:
- Allergy to this drug
- Advanced kidney disease
Etiology Of Urinary Incontinence In Children
Urinary incontinence in children has different causes and treatments than urinary incontinence in adults Urinary Incontinence in Adults Urinary incontinence is involuntary loss of urine some experts consider it present only when a patient thinks it is a problem. The disorder is greatly underrecognized and underreported. Many… read more . Although some abnormalities cause both nocturnal and diurnal incontinence, etiology typically varies depending on whether incontinence is nocturnal or diurnal, as well as primary or secondary. Most primary incontinence is nocturnal and not due to an organic disorder. Enuresis can be divided into monosymptomatic and complex .
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What To Expect From Your Doctor
In terms of an assessment, your nurse or doctor will ask you about your general health and in particular, about your OAB problem. You may be examined orally and internally, and you might be asked to give a urine sample to see if you have any obvious problems.
As part of your treatment programme, you may be asked to keep a bladder diary for roughly 3 days, which typically involves making a record of the time of each time you pass urine and how much urine was passed.
You may also be asked to take a flow test, and in some cases a post-flow ultrasound test. This involves using a special machine which checks whether you completely empty your bladder and also measures how strong your flow is.
Here is a short list of possible questions your doctor may ask and the tests they may ask you to complete:
- An overview of your medical history.
- A physical examination, which could include a rectal exam and a pelvic exam in women.
Loss Of Bladder Control At Night
The material provided below is for informational purposes only. It is not intended to replace the diagnosis or treatment by a qualified healthcare professional. You should always seek medical advice before consuming any new medicines or supplements. AZO products referenced on this website are not intended to treat, cure, or prevent any disease such as overactive bladder, urinary tract infections, or vaginal infections.
A large percentage of adults wake up more than once at nightand some of us may also experience occasional frequent urinary urgency or bladder leakage that can exacerbate sleeplessness.
The potential causes for occasional bladder leakage are many and varied, including anything from stress to dietary habitslike acidic foods and too much caffeine or alcohol. Occasional bladder control issues are more than just frustrating, they can impact your quality of life, your daily routine, your sleep quality, your self-confidence and even your mental state.
While there are many potential causes of losing bladder control at night, there are techniques that can help you deal with the problem and make it less common.
Urinary Incontinence In Older Adults
Urinary incontinence means a person leaks urine by accident. While it may happen to anyone, urinary incontinence is more common in older people, especially women. Incontinence can often be cured or controlled. Talk to your healthcare provider about what you can do.
What happens in the body to cause bladder control problems? The body stores urine in the bladder. During urination, muscles in the bladder tighten to move urine into a tube called the urethra. At the same time, the muscles around the urethra relax and let the urine pass out of the body. When the muscles in and around the bladder dont work the way they should, urine can leak. Incontinence typically occurs if the muscles relax without warning.
Effective Ways To Stop Frequent Urination At Night
Disclaimer: Results are not guaranteed*** and may vary from person to person***.
Frequent urination at night is called nocturia. Keep in mind that its different from bedwetting .
At nighttime, our bodies produce lower amounts of urine, and it is more concentrated, meaning the average adult doesnt need to wake up as often to urinate in the middle of the might.
Researchers believe that one to two events per night is averagepeople who suffer from severe nocturia can get up an average of five to six times a night to urinate.
Nocturia is actually a very common contributor to sleep loss, mainly for older adults. Nearly two-thirds of adults between the ages of 55 and 84 who responded to the National Science Foundations 2003 Sleep in America poll reported experiencing reoccurring nocturia at least a few nights a week.
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Why You May Have Bladder Leaks At Night
Often times, bladder leakage at night is a form of overflow incontinence. If you experience overflow incontinence, the involuntary release of urine from an overly full bladder, you likely experience urine leaks â a lot! Even at night. You naturally have to use the bathroom less while youâre sleeping than when youâre awake. This is because your body produces a hormone called ADH â anti diuretic hormone â that signals to your kidneys to produce less urine. However, some people donât produce the appropriate amount of ADH at night, leading to too much urine production.
Alternatively, even if your body produces enough ADH, your kidneys may not respond to the hormone. This means that your body will still produce too much urine, leading to maximum bladder capacity and leakage at night.
Often times, bedwetting in adults is genetic. If one of your parents wets the bed, you have a 40 percent chance of wetting the bed at some point in your adult life as well.
Control Your Urge To Urinate
You may be able to control, or suppress, the strong urge to urinate, which is called urge or urgency suppression. With this type of bladder training, you can worry less about finding a bathroom in a hurry. Some people distract themselves to take their minds off needing to urinate. Other people find that long, relaxing breaths or holding still can help. Doing pelvic floor exercises to strengthen your pelvic floor also can help control the urge to urinate. Quick, strong squeezes of the pelvic floor muscles can help suppress urgency when it occurs, which may help you get to the toilet before you leak.
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Natural Treatment For Overactive Bladder
Bladder training and pelvic floor exercises are just two natural treatments for overactive bladder. Research suggests that these nondrug remedies can be very effective for many women, and they have almost no side effects.
Another way to strengthen pelvic floor muscles is electrical stimulation, which sends a small electrical pulse to the area via electrodes placed in the vagina or rectum.
Until you get your overactive bladder under control, wearing absorbent pads can help hide any leakage.
Other lifestyle tips for preventing incontinence include:
How Is Nocturia Diagnosed
The key diagnostic tool for nocturia is the frequency-volume chart , a simple test that can effectively guide diagnosis and treatment. This is a 24-hour record of the time of urination and volume of urination, requiring a clock, pencil, paper and measuring cup. Typical bladder capacity is 1012 ounces with 46 urinations per day.
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Oab And Your Sex Life
OAB can interfere with that other bed activity, too. Thereâs nothing that can shut down an intimate moment faster than realizing youâve lost control of your bladder — something that happens for many people with OAB. âSexual activity itself is irritating to the bladder, and you can lose urine during intercourse,â Sanz says. âAbout 15% of my patients report having incontinence during sex.â
âWhen youâre being intimate, youâre used to secretions and moistness, but the thought that itâs actually urine leakage is really upsetting and uncomfortable,â Denson says. âUsually itâs the female patient who has the leakage, and itâs actually more bothersome for her than for her partner.â