Hyperactive bladder

Excessive activity of the bladder causes the sudden desire to urinate. It may be difficult to stop this urgent desire, and excessive bladder activity may lead to involuntary urination (Urinary incontinence).

If you have bladder hyperactivity, you may be embarrassed or isolated or limit your work and social life, but a brief assessment can determine if there is a specific cause of symptoms of bladder hyperactivity.

Sometimes bladder hyperactivity may begin with behavioral strategies, such as scheduling fluid intake, emptying the bladder at a specific time, and bladder-holding techniques using the pelvic floor. If these initial efforts are not enough to treat symptoms of bladder hyperactivity, medications are available.

Symptoms of bladder hyperactivity

In cases of bladder hyperplasia,

Feeling of sudden need to urinate and difficulty controlling.

Urinary incontinence experience, which is involuntary urination immediately after the urgent need to urinate.

Frequent urination a lot, usually eight times or more in 24 hours.

Waking twice or more at night to urinate (night urination).

Although you may be able to access the toilet at the right time when you feel the need to urinate, unexpected frequent urination and night urination can lead to insomnia or disability.

When to consult a doctor?

Although this condition is common among older people, bladder hyperactivity is not a normal part of the aging process. If the symptoms interfere with life or cause anxiety, talk to your doctor, where different treatment options may be available.

Discussing such a private matter with your doctor may not be easy, but it is worth the risk, especially if the symptoms disrupt your work program, social interactions, and daily activities.

Causes of bladder hyperactivity

Normal bladder function

Urinary kidneys are excreted, which pours into the bladder. When urinating, urine passes through the bladder from the bladder through a hole in the bottom and flows from a tube called the urethra. In women, the urethra is directly above the vagina. In men, the urethra is located at the tip of the penis.

When the bladder is filled, nerve signals sent to the brain eventually lead to urination. When urinating, nerve signals regulate the relaxation of pelvic floor muscles and urethral muscles. The bladder muscles tighten, and the urine is pushed out.

Involuntary bladder contractions

Bladder hyperplasia occurs because the bladder muscles begin to contract even when the urine volume in the bladder is low. This involuntary contraction creates the urgent need for urination. Several cases may contribute to signs and symptoms of bladder hyperactivity, including:

Neurological disorders, such as stroke and multiple sclerosis.

diabetic.

Drugs that cause a rapid increase in urine production, or require ingestion with plenty of fluids.

Acute urinary tract infections that can cause symptoms similar to bladder hyperactivity.

Abnormal factors in the bladder, such as tumors or bladder stones.

Factors that block bladder flow such as, prostate enlargement, constipation or previous operations to treat other forms of incontinence.

Excessive consumption of caffeine or alcohol.

Decreased cognitive function due to aging, which may make it more difficult to understand the bladder for the signals it receives from the brain.

Difficulty walking, which can lead to bladder urgency if you are not able to get to the bathroom quickly.

Empty the unfinished bladder, which may lead to the symptoms of hyperactive bladder, as the storage area of ​​urine is few.

The specific cause of bladder hyperplasia may be unknown.

Risk factors of bladder hyperactivity

With age, the risk of bladder hyperactivity increases. The risk of diseases and disorders, such as prostate enlargement and diabetes, can also contribute to other problems with bladder function.

Many people with cognitive impairment, for example after a stroke or Alzheimer's disease, develop hyperactive bladder. The resulting smoothness can be controlled by such positions through time scales for fluid intake, specific emptying of time and absorbent clothing, and intestinal programs.

Some people with bladder hyperplasia also have bowel control problems. Tell your doctor if you have this problem.

Complications of bladder hyperactivity

Emotional pressure or depression.

Anxiety.

Sleep disorders and intermittent sleep cycles.

Problems with sexuality.

Your doctor may recommend treating the associated conditions to see if effective treatment of the condition will help your urinary symptoms. Some women may also experience a disorder called mixed incontinence, which occurs when both Urinary Urinary incontinence and Ejaculatory Urinary Tract Disorder are present.

Urinary incontinence is the leakage of urine when you exert physical pressure or pressure on the bladder, such as during activities that include running or jumping. Treatment of urinary incontinence is unlikely to help relieve symptoms of bladder hyperactivity.

Older people may have a common set of bladder storage problems and bladder discharge issues. The bladder causes a lot of urgency and even smoothness, but it does not discharge well. A specialist may be able to help with this combination of bladder problems.

Prevention of bladder hyperactivity

The following lifestyle options may reduce the risk of bladder hyperactivity:

Maintain a healthy weight.

Get daily physical activity and exercise.

Reduce the consumption of caffeine and alcohol.

Quit Smoking.

Managing chronic conditions, such as diabetes, which may contribute to symptoms of bladder hyperactivity.

Identify where the pelvic floor muscles are located and then strengthen them by doing Kegel exercises.

Diagnosis of bladder hyperactivity

If you have an abnormal desire to urinate, your doctor will check to see if there is no infection or blood in your urine. The doctor may also want to make sure that the bladder is completely emptied when urinating. The doctor will look for evidence that may also indicate contributing factors. The work is likely to include:

Medical History.

Physical examination, focusing on the abdomen and genitals.

Urine sample to test for infection, blood effects or other abnormalities.

Centralized nerve testing may identify sensory problems or abnormal reactions.

Special tests

Your doctor may ask for a simple urine urine test to evaluate the function of the bladder and its ability to discharge consistently and fully. These tests usually require referral to a specialist, and may not be necessary for diagnosis or treatment initiation. Tests include:

Measure remaining urine in the bladder.

Measuring urine flow rate.

Test bladder pressure.

The doctor will review the results of any tests and suggest a therapeutic strategy.

Treatment of bladder hyperactivity

A combination of treatment strategies may be the best way to relieve symptoms of bladder hyperactivity.

Behavioral interventions

Behavioral interventions are the first choice in helping to manage hyperactive bladder. Often the results are effective, and they do not carry any side effects. Behavioral interventions may include:

Perform pelvic floor muscle exercises (Kegel exercises).

Get healthy weight.

Set a schedule for urination, where urination helps at the same times every day, rather than waiting until you feel the need to urinate.

Using the catheter periodically to empty the bladder, can help the bladder to do what it can not do on its own.

Wear absorbent cotton diapers or underwear that protect clothing and help avoid embarrassing incidents.

Train the bladder to delay discharge when you feel the need to urinate.

pharmaceutical

Medication that relaxes the bladder can help relieve excessive bladder symptoms and reduce urinary incontinence episodes. These drugs include:

Tolterodine.

Oxypotinin. Oxyputinin skin patch.

Oxypotinin Gel.

Trussium. Sullivinacin.

Darifenasin.

Merapigrone.

Fezoterodine.

Common side effects of most of these drugs include dry eye and dry mouth, but drinking water to quench thirst can aggravate bladder symptoms.

Constipation, another possible side effect, can aggravate bladder symptoms. Prolonged forms of these medications, including skin or gel patches, may cause fewer side effects.

Your doctor may recommend sucking a sugar-free candy or chewing sugar-free chewing gum to relieve dryness of the mouth, and use eye drops to keep your eyes moist. Non-prescription preparations, such as biotin, can be useful in long-term dry mouth. To avoid constipation, your doctor may recommend a diet rich in fiber.

Bladder injection

Unaputiolinamoxin A, also called Botox, is a protein of bacteria that causes toxin poisoning. This protein works in part to paralyze the muscles when used in small doses injected directly into the bladder tissue.

Clinical research shows that it may be useful for severe urgency urinary incontinence. The temporary effect generally lasts for five months or more, but repeated injection is necessary.

About half of people have side effects of these injections, including 9% have urinary retention. So, if you are thinking of Botox treatments, you should be prepared and able to do a catheter for yourself if Paul's retention occurs.

Nerve stimulation

The regulation of nerve impulses in the bladder can improve the symptoms of hyperactive bladder. One procedure uses a high wire placed near the sacral nerves, which carry the signals to the bladder, passing near the bone of the sinus.

Promise The doctor uses a device connected to the wire to deliver electrical impulses to the bladder, such as what the heart pacemaker does. If this successfully reduces the symptoms, the wire is eventually connected to a small battery that is placed under the skin.

Surgery

Surgery is limited to patients with severe symptoms of bladder hyperactivity, and do not respond to other treatment options. The goal is to improve bladder capacity to store urine and reduce pressure in the bladder. However, these procedures will not help relieve bladder pain. Interventions include:

Surgery to increase bladder absorption.

Remove the bladder and construct a surgically replacement bladder (new bladder) or open an opening in the body (vagina) to attach the sac to the skin to collect the urine.

Lifestyle and home remedies

The following lifestyle strategies may reduce symptoms of bladder hyperactivity:

Maintain healthy weight.

Do not reduce liquids.

Minimize foods and beverages that may irritate the bladder.

Alternative Medicine

No complementary or alternative therapies have been shown to treat bladder hyperactivity, but treatments that may be useful include:

Biofeedback.

Acupuncture.

Prepare for a doctor appointment

For an overactive bladder, you may start seeing the primary doctor. After your first appointment, you may be referred to a specialist in urinary disorders in men and women (urologist), a specialist in urinary disorders in women (gynecologist), or a physiotherapist for diagnosis and treatment.

Here's some information to help you prepare for your appointment:

Keep a diary for a few days to record the type and amount of fluids you consume and when to take them.

Tell your doctor how long you have experienced the symptoms and how they affect your daily activities.

Note any other symptoms you experience, especially those related to bowel function.

Tell your doctor if you have diabetes or have a neurological disease, pelvic surgery or radiotherapy.

Make a list of all the medications, vitamins or supplements you are taking, because many medications can affect your bladder function.

For hyperactive bladder, the basic questions you may ask your doctor may include:

What are the possible causes of my symptoms? Is the urine transparent?

Is bladder emptying good?

Is the strength of the pelvic floor muscles good enough for me, to prevent the bladder from contracting when I have an abnormal urge to urinate?

Do you recommend any other tests? Why?

What treatment options are available, and which ones do you recommend?

What side effects do I expect from treatment?

Are there any dietary restrictions that can help?

How can my other health problems affect my bladder symptoms?

If you need to see a specialist, what do I expect?

Is there a general alternative to the drug you prescribe?

Are there brochures or other publications that I can get?

What sites do you recommend?

What do you expect from your doctor?

Your doctor may use a bladder hyperactivity test to evaluate your symptoms and ask questions such as:

How long have you experienced these symptoms?

Do you experience sudden leakage of urine?

How many times?

What do you like to do and symptoms prevent you from doing it?

During the exercise of daily activities, such as walking or bending, do you suffer from leakage of urine?