Overactive bladder causes a sudden urge to urinate. The urge may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine (urge incontinence).
If you have an overactive bladder, you may feel embarrassed, isolate yourself, or limit your work and social life. The good news is that a brief evaluation can determine whether there's a specific cause for your overactive bladder symptoms.
Management of overactive bladder often begins with behavioral strategies, such as fluid schedules, timed voiding and bladder-holding techniques using your pelvic floor. If these initial efforts don't help enough with your overactive bladder symptoms, medications are available.
Overactive bladder care at Mayo Clinic
Source: http://www.mayoclinic.com
With an overactive bladder, you may:
Although you may be able to get to the toilet in time when you sense an urge to urinate, unexpected frequent urination and nighttime urination can disrupt your life.
Although it's not uncommon among older adults, overactive bladder isn't a normal part of aging. If your symptoms distress you or disrupt your life, talk to your doctor. Treatments are available that might help you.
Discussing such a private matter with your doctor might not be easy, but it's worthwhile to take that risk â especially if your symptoms disrupt your work schedule, social interactions and everyday activities.
Source: http://www.mayoclinic.com
The kidneys produce urine, which drains into your bladder. When you urinate, urine passes from your bladder through an opening at the bottom and flows out a tube called the urethra (u-REE-thruh).
In women, the urethral opening is located just above the vagina. In men, the urethral opening is at the tip of the penis.
As your bladder fills, nerve signals sent to your brain eventually trigger the need to urinate. When you urinate, nerve signals coordinate the relaxation of the pelvic floor muscles and the muscles of the urethra (urinary sphincter muscles). The muscles of the bladder tighten (contract), pushing the urine out.
Overactive bladder occurs because the muscles of the bladder start to contract involuntarily even when the volume of urine in your bladder is low. This involuntary contraction creates the urgent need to urinate.
Several conditions may contribute to signs and symptoms of overactive bladder, including:
The specific cause of an overactive bladder may be unknown.
Source: http://www.mayoclinic.com
If you have an abnormal urge to urinate, your doctor will check to make sure that you don't have an infection or blood in your urine. Your doctor may also want to make sure that you're emptying your bladder completely when you urinate.
Your doctor will look for clues that might also indicate contributing factors. The work-up will likely include a:
Your doctor may order a simple urodynamic test to assess the function of your bladder and its ability to empty steadily and completely. These tests usually require a referral to a specialist, and may not be necessary to make a diagnosis or begin treatment. Tests include:
Measuring urine left in the bladder. This test is important if your bladder doesn't empty completely when you urinate or experience urinary incontinence. Remaining urine (postvoid residual urine) may cause symptoms identical to an overactive bladder.
To measure residual urine after you have voided, your doctor may request an ultrasound scan of your bladder or pass a thin tube (catheter) through the urethra and into your bladder to drain and measure the remaining urine.
Testing bladder pressures. Cystometry measures pressure in your bladder and in the surrounding region during bladder filling. During this test, your doctor uses a thin tube (catheter) to fill your bladder slowly with warm water. Another catheter with a pressure-measuring sensor is placed in your rectum or, if you're a woman, in your vagina.
This procedure can identify whether you have involuntary muscle contractions or a stiff bladder that's not able to store urine under low pressure.
Your doctor will review the results of any tests with you and suggest a treatment strategy.
Source: http://www.mayoclinic.com
Any type of incontinence can affect your overall quality of life. If your overactive bladder symptoms cause a major disruption to your life, you might also have:
Your doctor might recommend treatment of associated conditions, to see if effective treatment of an associated condition will help with your urinary symptoms.
Some women also may have a disorder called mixed incontinence, when both urge and stress incontinence occur. Stress incontinence is the loss of urine when you exert physical stress or pressure on your bladder, such as during activities that include running or jumping. Treatment of the stress incontinence is not likely to help the overactive bladder symptoms.
Older people may have a common combination of bladder storage problems and bladder-emptying issues. The bladder may cause a lot of urgency and even incontinence, but it doesn't empty well. A specialist may be able to help you with this combination of bladder problems.
Source: http://www.mayoclinic.com
These healthy lifestyle choices may reduce your risk of overactive bladder:
Source: http://www.mayoclinic.com
No complementary or alternative therapies have been proved to successfully treat overactive bladder. But treatments that might be helpful include:
Complementary treatments may not be covered by insurance, so check with your insurance company first.
Source: http://www.mayoclinic.com
These lifestyle strategies may reduce overactive bladder symptoms:
Source: http://www.mayoclinic.com
Living with overactive bladder can be difficult. Consumer education and advocacy support groups such as the National Association for Continence can provide you with online resources and information, connecting you with people who experience overactive bladder and urge incontinence. Support groups offer the opportunity to voice concerns, learn new coping strategies and stay motivated to maintain self-care strategies.
Educating your family and friends about overactive bladder and your experiences with it may help you establish your own support network and reduce feelings of embarrassment. Once you start talking about it, you may be surprised to learn how common this condition really is.
Source: http://www.mayoclinic.com
As you age, you're at increased risk of developing overactive bladder. You're also at higher risk of diseases and disorders, such as enlarged prostate and diabetes, which can contribute to other problems with bladder function.
Many people with cognitive decline â for instance, after a stroke or with Alzheimer's disease â develop an overactive bladder. Incontinence that results from situations like this can be managed with fluid schedules, timed and prompted voiding, absorbent garments, and bowel programs.
Some people with an overactive bladder also have bowel control problems; tell your doctor if this is a problem for you.
Source: http://www.mayoclinic.com
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