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overactive bladder
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The New Way To Manage Your Overactive Bladder

Manju, a 64-year-old woman was facing issues that were bugging her for a lengthy duration indeed. She was frequently having an urge to urinate and was unsure about attending social engagements as a result. She was frequently going to the bathroom and even started waking up to urinate at night-time. Once she consulted the doctor, she found out that she was suffering from overactive bladder syndrome.

overactive bladder

Overactive bladder talks about a fusion of various symptoms including a frequent urination urge, waking up every night for this purpose and so on. There are several causes behind overactive bladder including excessive medication usage, consumption of excessive caffeine or alcohol, nerve damage, weaker muscles, infections and obesity. This fuses several symptoms which lead towards the urge to frequently urinate along with witnessing leakage/incontinence along with the urge to urinate at night. These symptoms may also lead to severe stress and negatively impact the overall quality of life of individuals.

Overactive Bladder Symptoms and Causes

Some of the main symptoms of this syndrome include the following: 

  • Urgency to Urinate People suffering from this syndrome cannot postpone their urination urge. 
  • Urination Frequency Those witnessing such symptoms keep urinating throughout the day, with a marked increase in the number of times that they go to the bathroom for this purpose. 
  • Incontinence Urine leakage is sometimes witnessed whenever there is an urge to urinate. 
  •  Nocturia This is the pressing requirement to wake up at night and urinate for at least 2-3 times. 

The causes include the following: 

  • Weaker Pelvic Muscles Childbirth and pregnancy may lead to the pelvic muscles weakening and stretching. This may lead to a sagging bladder which goes out of its regular position. These aspects may lead to leakage. 
  • Nerve Damages Signals are dispatched to the brain at times and also the bladder gets the signal to empty itself in an irregular manner. Diseases and trauma may lead to such scenarios including back/pelvic surgery, radiation, herniated disc, stroke, multiple sclerosis and Parkinson’s disease. 
  • Excessive Usage of Alcohol, Medication and Caffeine All these products may lead to the nerves getting dulled, impacting the signals dispatched to the brain. This may lead to the bladder overflow since caffeine and other elements may lead to the bladder quickly filling up and leaking. 
  • Infections UTIs or similar infections may lead to the bladder’s nerves getting irritated and squeezed without any warnings. 
  • Extra Weight Obesity leads to higher pressure put on the bladder, leading to incontinence urges. 
  • Deficiencies in Estrogen Post Menopause This change may lead to urine loss owing to urgencies. 


Read More: Learn How To Cure Urinary Incontinence

Overactive Bladder Treatment and Management

There are several treatment methods used by doctors. It includes specialized overactive bladder medication and other lifestyle changes. Some of these include the following: 

  • Tracking daily fluid intake and urination. 
  • Tracking daily dietary regimes and eliminating coffee, tea, chocolate, alcohol, fruits and citrus juices, soft drinks, tomatoes, items with artificial sweeteners and acidic/spicy food and drinks. 
  • Maintaining healthy bowel habits and scaling up consumption of fiber. 
  • Maintaining suitable weight levels and stopping habits like smoking. 
  • Bladder retraining is also required for holding urine in a better way and resisting urgency-like feelings. 
  • Bladder training and control is also required in such cases. 


The Bottom Line

Never take an overactive bladder lightly, as it may lead to further complications. Besides, sometimes home remedies do work, so look for them along with a treatment from a doctor. An overactive bladder can become a batter of embarrassment for you if not treated on time. 


What medications are required for overactive bladder? 

Doctors may recommend certain behavioral techniques prior to using specific medication for fixing the issue. Some medicines may also work in an appropriate manner for treating the condition. They include anticholinergic medication which helps in controlling bladder muscle spasms. 

What are some anticholinergic medications for overactive bladder? 

Some of the medication options include the following: 

Oxybutinin Gel (Gelnique®).
Solifenacin (Vesicare®).
Oxybutynin (Ditropan®). 
Tolterodine (Detrol®).
Darifenacin (Enablex®).
Fesoterodine (Toviaz®).
Trospium (Sanctura XR®).

There is also Beta-3 adrenergic medication like the Mirabegron or Myrbetriq. 

How is overactive bladder helped by nerve stimulation? 

There are many treatments which cover nerve stimulation for enhancing the overactive bladder. The nerves help in communicating messages of the bladder having to be emptied to the brain. By treatment of the nerves, the healthcare provider may enhance bladder control. Nerve stimulation is also reversible and some conservative treatment measures include specific medication and behavioral therapies. 

What are the various types of nerve stimulation treatment? 

Some of the nerve stimulation treatments may include the following: 

Sacral nerve stimulation- This is a specific therapy which enables electric stimulation of the nerves controlling the bladder. A small device is positioned in the upper buttock under the skin. This sends impulses via a lead in proximity to the sacral nerve. The impulses also help with bladder control. 
Percutaneous tibial nerve stimulation- This stimulation is mainly an outpatient medical procedure where nerve impulses are sent to a branch near the ankle which stimulates overall bladder control. 
 Botox injections in the bladder muscles- This treatment covers Botox A injections into the wall of the bladder with a miniscule telescope. This therapy is highly effective, particularly for those patients who have not always had success with other kinds of therapies. 

Can you actually control overactive bladder? 

This therapy is sometimes challenging and many people may be satisfied with the treatment that they get. They often witness steady improvements in their overall lifestyle as a result. The doctor will help with the best possible steps and any added treatments that may be needed over a period of time. 

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