How can you tell which infection you have? Bladder infections are one type of UTI. All UTIs may be treated with antibiotics…. An overactive bladder causes a sudden urge to urinate.
It can also trigger involuntary loss of urine. This is also known as incontinence. Learn how herbs like bladderwrack, gosha-jinki-gan, horsetail, and saw palmetto may help reduce symptoms of an overactive bladder. An air purifier may help reduce allergy or asthma symptoms by cleaning the air inside your house. Learn what to look for in an air purifier, plus find….
Health Conditions Discover Plan Connect. Overactive Bladder vs. Risks of UTIs. UTI and other symptoms. Read this next. Medically reviewed by Shilpa Amin, M. Bladder Infection vs. 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. You may be able to manage symptoms of an overactive bladder with simple behavioral strategies, such as dietary changes, timed voiding and bladder-holding techniques using your pelvic floor muscles.
If these initial efforts don't help enough with your overactive bladder symptoms, additional treatments are available. Even if you are 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. It might not be easy to discuss your symptoms, but if they are distressing you or disrupting your life, talk to your doctor.
Treatments are available that might help you. Your urinary system — which includes your kidneys, ureters, bladder and urethra — removes waste from your body through urine. Your kidneys, located in the rear portion of your upper abdomen, produce urine by filtering waste and fluid from your blood. The kidneys produce urine, which drains into your bladder. When you urinate, urine passes from your bladder through a tube called the urethra u-REE-thruh.
A muscle in the urethra called the sphincter opens to release urine out of the body. In women, the urethral opening is located just above the vaginal opening.
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, these 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.
These involuntary contractions create an urgent need to urinate. As you age, you're at increased risk of developing overactive bladder.
Urethra: the tube that carries urine from the bladder out of the body. The urethra has a muscle called a sphincter that locks in urine. After you talk about your symptoms, your health care provider may do an exam right away. Or, they may refer you to a specialist, such as a urologist who can diagnose and treat OAB. Some urologists specialize in incontinence and OAB. Your exam will begin with questions.
Your provider will want to understand your health history and experiences. A medical history will include questions about your past and current health problems. You should bring a list of over-the-counter and prescription drugs you take.
You should also tell your provider about your diet and about how much and what kinds of liquids you drink during the day and night. Your provider will examine you to look for something that may be causing your symptoms. Doctors will often feel your abdomen, the organs in your pelvis, and your rectum. You may be asked to keep a Bladder Diary for a few weeks. With this, you will note how often you go to the bathroom and any time you leak urine.
This will help your health care provider learn more about your day-to-day symptoms. The bladder diary helps you track:.
Having a Bladder Diary during your first visit can be helpful because it describes your daily habits, your urinary symptoms, and shows your provider how they affect your life.
Your doctor will use this information to help treat you. There are a number of things you can do to manage OAB. Everyone has a different experience with what works best. You may try one treatment alone, or several at the same time.
You and your health care provider should talk about what you want from treatment and about each option. OAB treatments include:. For OAB treatment, health care providers may first ask a patient to make lifestyle changes. These changes may also be called behavioral therapy. This could mean you eat different foods, change drinking habits, and pre-plan bathroom visits to feel better.
Many people find these changes help. Kegel exercises: tightening and holding your pelvic muscles tight, to strengthen the pelvic floor. Quick flicks are when you quickly squeeze and relax your pelvic floor muscles over and over again. It helps to be still, relax and focus on just the exercise. Your health care provider or a physical therapist can help you learn these exercises. Biofeedback may also help you learn about your bladder. Biofeedback uses computer graphs and sounds to monitor muscle movement.
It can help teach you how your pelvic muscles move and how strong they are. Your health care provider can tell you about special drugs for OAB. There are several drug types that can relax the bladder muscle. Some are taken as pills, by mouth. Others are gels or a sticky transdermal patch to give you the drug through your skin. Anti-muscarinics and betta-3 adrenoceptor agonists can relax the bladder muscle and increase the amount of urine your bladder can hold and empty. Your health care provider will want to know if the medicine works for you.
They will check to see if you get relief or if the drug causes problems, known as side effects. Some people get dry mouth and dry eyes, constipation, or blurred vision. If one drug you try doesn't work, your health care provider may ask you to take different amounts, give you a different one to try, or have you try two types together. Lifestyle changes and medicine at the same time help many people. They may offer Bladder Botox Treatment.
Botox works for the bladder by relaxing the muscle of the bladder wall to reduce urinary urgency and urge incontinence. It can help the bladder muscles from squeezing too much.
To put botulinum toxin into the bladder, your doctor will use a cystoscope passed into the bladder so the doctor can see inside the bladder. Then, the doctor will inject tiny amounts of botulinum toxin into the bladder muscle. This procedure is performed in the office with local anesthesia. The effects of Botox last up to six months. Repeat treatments will be necessary when OAB symptoms return. Your health care provider will want to know if the botulinum toxin treatment works for you.
If urine is not releasing well, you may need to use a catheter temporarily. Another treatment for people who need extra help is nerve stimulation, also called neuromodulation therapy.
This type of treatment sends electrical pulses to nerves that share the same path for the bladder. In OAB, the nerve signals between your bladder and brain do not communicate correctly. These electrical pulses help the brain and the nerves to the bladder communicate so the bladder can function properly and improve OAB symptoms.
Percutaneous tibial nerve stimulation PTNS. In men, the most frequent cause of stress incontinence is urinary sphincter damage sustained through prostate surgery or a pelvic fracture. Lung conditions that cause frequent coughing, such as emphysema and cystic fibrosis, can also contribute to stress incontinence in both men and women. If you feel a strong urge to urinate even when your bladder isn't full, your incontinence might be related to overactive bladder, sometimes called urge incontinence.
This condition occurs in both men and women and involves an overwhelming urge to urinate immediately, frequently followed by loss of urine before you can reach a bathroom. Even if you never have an accident, urgency and urinary frequency can interfere with work and a social life because of the need to keep running to the bathroom.
Urgency is caused when the bladder muscle, the detrusor, begins to contract and signals a need to urinate, even when the bladder is not full. Another name for this phenomenon is detrusor overactivity. Overactive bladder can result from physical problems that keep your body from halting involuntary bladder muscle contractions.
Such problems include damage to the brain, the spine, or the nerves extending from the spine to the bladder — for example, from an accident, diabetes, or neurological disease. Irritating substances within the bladder, such as those produced during an infection, might also cause the bladder muscle to contract.
Often there is no identifiable cause for overactive bladder, but people are more likely to develop the problem as they age. Postmenopausal women, in particular, tend to develop this condition, perhaps because of age-related changes in the bladder lining and muscle.
African American women with incontinence are more likely to report symptoms of overactive bladder than stress incontinence, while the reverse is true in white women. A condition called myofascial pelvic pain syndrome has been identified with symptoms that include overactive bladder accompanied by pain in the pelvic area or a sense of aching, heaviness, or burning. In addition, infections of the urinary tract, bladder, or prostate can cause temporary urgency.
Partial blockage of the urinary tract by a bladder stone, a tumor rarely , or, in men, an enlarged prostate a condition known as benign prostatic hyperplasia, or BPH can cause urgency, frequency, and sometimes urge incontinence. Surgery for prostate cancer or BPH can trigger symptoms of overactive bladder, as can freezing cryotherapy and radiation seed treatment brachytherapy for prostate cancer.
Neurological diseases such as Parkinson's disease and multiple sclerosis can also result in urge incontinence, as can a stroke. If you have symptoms of both overactive bladder and stress incontinence, you likely have mixed incontinence, a combination of both types. Most women with incontinence have both stress and urge symptoms — a challenging situation. Mixed incontinence also occurs in men who have had prostate removal or surgery for an enlarged prostate, and in frail older people of either gender.
If your bladder never completely empties, you might experience urine leakage, with or without feeling a need to go.
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