Over Active Bladder
Overactive Bladder (OAB) describes the feeling of a sudden urge to urinate and can happen any time and any place. This urge may trigger the loss of bladder control or unwanted bladder muscle contraction resulting in urinary incontinence. Your bladder has pelvic floor muscles which help to prevent urine to come out until you choose to urinate when you find a bathroom. Urination occurs when you relax the pelvic floor muscles while the bladder muscle contract to push the urine out. However in OAB, you may have lost your bladder control or have weak pelvic floor muscles
- Frequent urination
- Need to urinate even when the bladder is not full
- Need to urinate at night (also known as nocturia)
Conditions contributing to OAB
- Spinal cord disorder or injury
- Bladder disorders such as stones or tumour
- Prostate disorders
- Urinary tract infections (UTI)
- Multiple sclerosis
- Diabetic neuropathy
- Parkinson’s disease
- Excessive alcohol or caffeine consumption
Certain tests need to be done to get a diagnosis and they include;
- Urine testing (to look for blood, infection, glucose or protein)
- Cystoscopy (to look for scarring, tumour or stones)
- Bladder, prostate or kidney ultrasound
- Urodynamic studies to measure your urine flow
- Reduce alcohol or coffee consumption and maintain a healthy weight
- Adult diapers to help in minor cases
Anti-Muscarinic medicines bind to specific receptors on the bladder wall and reduces the sensitivity to muscle contraction. This results in an increase in bladder capacity and reduces the need to urinate frequently. Examples include;
- Tolterodine (Detrol)
- Oxybutynin (Ditropan)
- Trospium (Sanctura)
- Solifenacin (Vesicare)
- Botox injections to the bladder wall muscle
- Bladder nerve stimulation
See a Urologist if you have any urinary issues
Disclaimer. TELEME blog posts contains general information about health conditions and treatments. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. The information is not advice and should not be treated as such.
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