How Does Bladder Pain Syndrome Affect Pregnancy
Some women find that their bladder pain symptoms get better during pregnancy. Others find their symptoms get worse. During pregnancy, you need to urinate more often and are at higher risk for urinary tract infections and constipation. This can make symptoms worse for some women. Make sure you drink plenty of fluids, especially water.
If you are thinking about becoming pregnant, talk to your doctor about your bladder pain syndrome and any medicines you might be taking. Some medicines and treatments are not safe to use during pregnancy.
Urinary Symptoms Of Irritable Bladder Syndrome
The main symptoms of an irritable bladder are urinary in nature. A person who is affected by this syndrome may have a sudden urge to urinate but find that she does not put out very much urine each time she tries. A patient with interstitial cystitis may have pain when urinating that can be described as sharp or burning. The pain felt when urinating usually subsides to some degree as the bladder empties, though some people do not find this kind of relief. The frequent urges to use the bathroom can last throughout the day and night.
How To Manage Bladder Irritation In The Meantime
The amount of involuntary urine loss from Irritable Bladder Syndrome can be substantial as control is significantly compromised. While you seek treatment or if bladder retraining is underway, you may find an absorbent product specifically designed to handle the thin, fast flow caused by a bladder contraction practical.Take advantage of TENAs Free Samples to find which product and level of absorbency that best suits your requirements. You can order up to three free samples at a time.For social situations, consider something from the TENA Pants range for women and men
. Designed to look and feel just like regular underwear, theyre very absorbent, keeping you dry and comfortable. Theyre also close fitting so incredibly discreet under clothing.And again, if you are suffering from any symptoms associated with an Irritable Bladder, you must see your doctor.
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Treatments For Interstitial Cystitis
Unfortunately, there’s currently no cure for interstitial cystitis and it can be difficult to treat, although a number of treatments can be tried.
But no single treatment works for everyone, and there’s disagreement about how effective some of them are.
You may need to try several treatments to find one that works for you.
Medicines and other therapies may be used if lifestyle changes not help, and surgery may be necessary as a last resort.
Overactive Bladder In Men: Causes Diagnosis And Treatment
What is an overactive bladder?
Overactive bladder is a relatively common condition. Typical symptoms include frequent urination, frequent nighttime urination, persistent urge to urinate, and urine leakage or incontinence.
An estimated 33 million Americans have OAB, reports the Urology Care Foundation, and as many as 30 percent of men experience symptoms. Its possible that even more men have the condition, but never seek help. If you suspect you have OAB, talk to your doctor. There are a variety of treatments options that may help.
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What Is The Outlook
You may need to try different treatments until you have relief of your symptoms. It is important to know that none of the treatments usually works right away. It can often take weeks to even months before you notice an improvement in your symptoms. Even with successful treatment, your IC/PBS may not be completely cured.
However, most patients can have significant relief of their symptoms and lead a normal life with the right treatment. You may find that you still experience some symptoms, however, and may find that you constantly have to pass urine more frequently. It is likely that you will always have to avoid certain types of food that have made your symptoms worse in the past.
Side Effects Of Antimuscarinic Drugs And Safety Precautions
Dry mouth and constipation are the most common and bothersome side effects of antimuscarinic agents. In addition constipation may potentiate symptoms due to the effect of the presence of excessive stool in the rectal ampulla. This may decrease the bladder capacity and therefore, should constipation appear, an early use of fiber and stool softeners is recommended .
Constipation may lead to the discontinuation of medication in up to 50% of patients . Another reason for not following the recommended oral drug regime during the first 2 to 3 months may be that improvement appears gradually or only to a small degree.
Contraindications for the use of antimuscarinic agents are patients with closed angle glaucoma, myasthenia gravis, severe ulcerative colitis, a toxic megacolon, or intestinal obstruction because of their anticholinergic effects on the bowel. However, treatment decisions should be individualized and their prescription might need approval from the clinician caring for these disorders.
Compliance in using antimuscarinic may not be sufficient, as shown in a 2011 systematic review of 149 papers that found discontinuation rates of 4383% in the first 30 days of treatment, and more than half of patients never refilled the initial prescription . Regular follow-ups are important in monitoring treatment effects and adherence. All available antimuscarinic drugs come as an oral preparation.
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What Is Irritable Bladder
Irritable bladder is not a formal medical diagnosis. It is a broad term that is used to refer to any form of bladder irritation symptoms due to various bladder conditions like cystitis . However, most of the time irritable bladder is a term used to describe bladder spasms. It should not be confused with irritable bowel syndrome which is a medical diagnosis for a functional bowel disorder.
Bladder spasms are a specific medical condition where the muscles of the bladder contract suddenly and often forcefully. However, most bladder conditions present with similar signs and symptoms. From a non-medical perspective, this may be referred to as an irritable bladder. Therefore the various conditions that could be broadly referred to as irritable bladder have been discussed under the causes of irritable bladder, including bladder spasms.
How Is Bladder Pain Syndrome Diagnosed
There is no one test to tell whether you have bladder pain syndrome. Your doctor or nurse will do a physical exam to look at your lower abdomen and lower back and ask you questions about your symptoms. Your doctor may give you tests to rule out other health problems, such as urinary tract infections, sexually transmitted infections , bladder cancer, or kidney stones.
Some tests your doctor may do include:
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Are Bladder Problems Common In People With Ibs
When someone is suffering from IBS, in addition to the symptoms of bloating, cramping and changes in bowel patterns, symptoms can also start appearing outside of the digestive system.
Its been indicated that issues such as migraines, depression, fibromyalgia and bladder issues can also co-exist with IBS.
Can Overactive Bladder Be Controlled
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.
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Nonsurgical And Surgical Procedures
If medication isn’t effective at treating your overactive bladder, you may be a candidate for certain procedures.
Nerve stimulation, also known as neuromodulation therapy, sends electrical impulses to nerves that connect the bladder and the brain to help them communicate more effectively.
There are two main types of nerve stimulation: percutaneous tibial nerve stimulation and sacral neuromodulation . The first involves a series of in-office treatments, while the second involves surgically implanting a bladder pacemaker.
In very rare and serious cases, surgery may be considered to enlarge the bladder or change the flow of urine.
Overactive Bladder Symptoms Within Nervous System: A Focus On Etiology
- Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, China
Overactive bladder is a common debilitating condition characterized by urgency symptoms with detrimental effects on the quality of life and survival. The exact etiology of OAB is still enigmatic, and none of therapeutic approaches seems curative. OAB is generally regarded as a separate syndrome, whereas in clinic, OAB symptoms could be found in numerous diseases of other non-urogenital systems, particularly nervous system. The OAB symptoms in neurological diseases are often poorly recognized and inadequately treated. This review provided a comprehensive overview of recent findings related to the neurogenic OAB symptoms. Relevant neurological diseases could be mainly divided into seven kinds as follows: multiple sclerosis and related neuroinflammatory disorders, Parkinsons diseases, multiple system atrophy, spinal cord injury, dementia, peripheral neuropathy, and others. Concurrently, we also summarized the hypothetical reasonings and available animal models to elucidate the underlying mechanism of neurogenic OAB symptoms. This review highlighted the close association between OAB symptoms and neurological diseases and expanded the current knowledge of pathophysiological basis of OAB. This may increase the awareness of urological complaints in neurological disorders and inspire robust therapies with better outcomes.
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How Are Bladder
Determining if a food irritates your bladder is a process of elimination. Not all people sensitive to bladder irritants are affected by the same foods. Your healthcare provider can help you identify bladder-irritating foods.
To test bladder discomfort by eliminating foods, you can:
- Keep a food diary to track foods that are and arent irritating.
- Remove the foods listed above from your diet for a few days.
- Once your symptoms are gone, you can begin to add foods in. Start with a small amount of one food, increasing the portion size over several days. If irritation returns after reintroducing a food, stop eating it completely. Repeat food reintroduction slowly to identify your bladder-irritating foods.
Lab tests cannot diagnose foods that cause bladder irritation. But a urologist may examine your bladder to diagnose or rule out IC.
How Bad Is It
Your doctor may ask you questions to help figure out how much OAB is affecting your life. For example, you could rate on a scale of 1 to 5 how much you’ve been bothered by things like accidental leaks, lots of daytime bathroom breaks, and waking up at night to go. Your doctor might also ask you to keep a voiding diary of your bathroom trips.
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Impact On Quality Of Life
OAB significantly impairs QoL, increases depression scores, and reduces quality of sleep. OAB that involves urgency incontinence is associated with the most severe impairment. Persons with OAB who have poor sleep quality report chronic fatigue and difficulty performing daily activities. An increased number of hip fractures due to falls in elderly persons have been attributed to OAB because of the nocturia component. Many such falls involve the individual tripping or losing balance while getting out of bed.
Individuals with OAB develop coping strategies to manage or hide their problems . These coping strategies, along with the OAB symptoms themselves, commonly affect interactions with friends, colleagues, and families and thereby have an adverse impact on QoL.
Notable psychological effects of OAB and urinary incontinence include fear, shame, and guilt. In elderly people with OAB and incontinence, the need for assistance with toileting, shopping for protective undergarments, and laundry may place an additional burden on family members.
Worries and concerns regarding odor, uncleanliness, and leakage during sexual activity may lead individuals to refrain from intimacy. Frequent urination and the need to interrupt activities may affect the persons work and ability to travel. Studies of the impact of OAB and urinary incontinence demonstrate decreased levels of social and personal activities, increased psychological distress, and an overall decrease in QoL.
References
Main Causes Of Bladder Pain
he exact causes of Painful Bladder Syndrome are unknown, with a number of theories being put forward. One such theory suggests an event may act as a trigger to bring on the pain.
Some of these triggers may be:
- Bacterial infection
- Bladder overextension due to long periods without going to the bathroom
- An injury to the nerves in or surrounding the bladder or spinal cord
- Problem due to a surgical procedure or physical injury
Others theorise the symptoms of PBS may arise from several different abnormalities in the bladder itself specifically: the bladder surface, the blood supply to the bladder or to microorganisms present in the bladder.
> And yet more suggest bladder pain bladder may result from autoimmunity , or from the release of histamine from elevated numbers of mast cells in the bladder.
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Signs And Symptoms Of Overactive Bladder
Symptoms of overactive bladder vary from person to person, and may include:
- Sudden, urgent need to urinate
- Difficulty holding in urine
- Frequent urination
- Unintentional loss of urine with urgent need to urinate
- Waking up more than once or twice at night to urinate
The defining symptom of overactive bladder is sudden, strong urges to urinate. You may fear that youll leak urine on the way to the bathroom.
Even if you dont actually leak urine, OAB can disrupt your life and may cause significant distress.
How Is It Treated
Treatment usually includes making changes in your diet and lifestyle, such as avoiding foods that trigger your symptoms, getting regular exercise, and managing your stress.
If diet and lifestyle changes don’t help enough on their own, your doctor may prescribe medicines for symptoms such as pain, diarrhea, or constipation.
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What Is Irritable Bowel Syndrome
Irritable bowel syndrome is a disorder of the intestines. It causes belly pain, cramping or bloating, and diarrhea or constipation. IBS is a long-term problem, but there are things you can do to reduce your symptoms.
Your symptoms may be worse or better from day to day, but your IBS will not get worse over time. IBS doesn’t cause more serious diseases, such as inflammatory bowel disease or cancer.
What Is Overactive Bladder
Overactive bladder syndrome is characterized by the occurrence of urinary urgency which is a sudden compelling desire to urinate that is difficult to postpone. It is usually accompanied by frequent urination and nocturia . It is also commonly accompanied by urgency incontinence, where urine is accidently lost with urgency. This commonly manifests as the inability to get to the bathroom on time once urgency starts. OAB is quite common and affects about 11-16% of adults to varying degrees. Although it is common, that does not mean that a person who is affected by OAB should simply live with the condition, as many do. For some OAB can have a profound effect on quality of life causing disruptions at work, curtailing of social activities, reduction of sexual intimacy, and interfere with sleep. However, it is important to know that there are effective treatments for the symptoms of OAB.
There are other conditions such as urinary tract infections , polyps or tumors in the bladder, and excessive drinking of fluids that can cause similar symptoms and these conditions should be ruled out by your health care provider before embarking on OAB treatment.
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Sexual Differences In Incidence
In the NOBLE study, the prevalence of OAB was similar in women and men . However, the prevalence of incontinence associated with OAB differed. Among women, 9.3% reported having OAB with incontinence 7.6% reported having OAB without incontinence. In contrast, more men reported having OAB without incontinence than with incontinence . In women, the prevalence of OAB with urgency urinary incontinence increased with increasing body mass index , whereas in men, no difference was found.
Milsom et al, in a population-based survey of 16,776 men and women aged 40 years or older from the general population in Europe, found the overall prevalence of OAB symptoms to be 16.6%. The main outcome measures included the prevalence of urinary frequency , urinary urgency, and urgency incontinence.
Frequency was the most common symptom , followed by urgency and urgency incontinence . The prevalence of OAB increased with age, and rates in men and women were similar. Symptoms of urinary urgency and frequency were similar between both sexes, but urgency incontinence was more prevalent in women than in men.
OAB in men is often related to obstruction therefore, it may be important to differentiate between obstruction and irritative symptoms before the initiation of treatment.
How Is The Diagnosis Made
The diagnosis is helped by completing a frequency volume chart .
An examination is carried out to identify underlying or contributory causes, such as neurological disease, enlarged uterus or pelvic organ prolapse.
Investigations to detect underlying problems include urine dipstick, culture and sensitivity and / or cystoscopy .
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What Are The Symptoms Of Ic
People with interstitial cystitis have repeat discomfort, pressure, tenderness or pain in the bladder, lower abdomen, and pelvic area. Symptoms vary from person to person, may be mild or severe, and can even change in each person as time goes on.
Symptoms may include a combination of these symptoms:
What Is Irritable Bladder Syndrome
Irritable Bladder is the term used for the ongoing issue of the bladder suddenly and uncontrollably contracting. Despite best conscious efforts, this often leads to a significant urine void and can happen when youre awake or asleep.
Its important to understand some of the symptoms of this condition and what causes it so you can be prepared to manage any unwelcomed leaks.
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