Overactive Bladder Syndrome

Overactive Bladder Syndrome or OAB is a urological condition that illustrates signs of urgency, and incontinence with or without desire. In other words, the Overactive Bladder produces a spontaneous need to urinate which can be hard to resist the impulse and may contribute to the spontaneous leakage of urine. In women and older adults, Overactive Bladder Symptoms is more frequent amongst men and children.

How do you know if you have an overactive bladder?

In Overactive bladder syndrome, you will feel the urge to clear your bladder frequently. This feeling can’t be managed or overlooked by you and it happens way more than it should normally happen. Often, when you urinate it may feel like the bladder muscle is pressing to drain the bladder, but the muscle may not actually squeeze.

Overactive Bladder Symptoms

Irritable bladder or Overactive Bladder Syndrome symptoms vary but the most common ones are:

  • An unpleasant sensation in the abdomen and distension.
  • Experience urges incontinence after an urgent impulse to urinate, the spontaneous void of urine suddenly and often in large volume.
  • Urinate often, more than eight times a day typically.
  • Waking up at night, two or three times, to urinate (nocturia).

Overactive Bladder Treatments in Dubai

Overactive Bladder Syndrome or OAB is a urological condition that illustrates signs of urgency, and incontinence with or without desire. In other words, the Overactive Bladder produces a spontaneous need to urinate which can be hard to resist the impulse and may contribute to the spontaneous leakage of urine. In women and older adults, Overactive Bladder Symptoms is more frequent amongst men and children.

How do you know if you have an overactive bladder?

In Overactive bladder syndrome, you will feel the urge to clear your bladder frequently. This feeling can’t be managed or overlooked by you and it happens way more than it should normally happen. Often, when you urinate it may feel like the bladder muscle is pressing to drain the bladder, but the muscle may not actually squeeze.

Overactive Bladder Treatment Options At Bizrahmed, Dubai

At Bizrahmed, Dubai our best urologists team will provide you with guidance on understanding the condition and how to get it under control, but the complexity of the Overactive Bladder syndrome and the causes and effects are inevitable at the initial phase of understanding.

At Bizrahmed, there are several treatment choices for treating Overactive Syndrome which is discussed below:

Lifestyle Changes: Changing drinking habits, there are a variety of beverages that can irritate the bladder, such as caffeinated drinks, carbonated drinks, aspartame-containing drinks (artificial sweeteners used in diet drinks), hot cocoa, green tea, beer, orange soda, and blackcurrant juice. Water, herbal and fruit tea, milk, and filtered fruit juice are beverages that are claimed to not irritate the bladder.

Double voiding: This is when you twice empty your bladder. For people who have difficulty emptying their bladder, this could be beneficial. You should wait a couple of seconds after heading to the washroom and then try again.

Delayed voiding: This is when you practice waiting before you have the urge to urinate even when you must go. At first, you wait just a few minutes. Gradually, you may be able to wait two to three hours at a time. Only try this if your health care recommends you to do so. Some people feel worse or have urine leaks when they wait too long to go to the washroom.

 Timed urination: This suggests that you are following a normal washroom routine. You go at set times of the day instead of going as you get the desire. A realistic schedule would be established between you and your health care provider. The aim is to stop the urgent sensation and regain control of it.

 Exercises to relax your bladder muscle: You may be familiar with workouts, also called Kegel exercises, to reinforce the pelvic floor muscles. During those “got to go” moments, a special exercise using those same pelvic floor muscles can help relieve your bladder. Quick flicks are when your pelvic floor muscles are quickly squeezed and relaxed repeatedly. So, several quick flicks can help control that feeling of “got to go” when you feel the urge to go. It helps to be still, calm, and concentrate on just the workout. They will help you learn these activities from a primary care professional or a physical therapist.

Biofeedback may also help you learn about your bladder: To map your muscle activity, Biofeedback uses computer graphs and vibrations. It will help to show you how powerful your pelvic muscles move.

Prescription Medications: The next step could be to take medication if lifestyle changes are not enough. You will be told by the health care professionals about special medications for OAB. There are many types of medications that can calm the muscles of the bladder. These medications can help stop the bladder from contracting when it’s not full, such as anti-muscarinic and beta-3 agonists. As you visit us for your consultation, you will get a clear understanding of the right medicines that will work our for you.

Bladder Botox (botulinum toxin) Treatments: There are other choices if lifestyle changes and medicine doesn’t work. A competent urologist or specialist team in pelvic medicine & reconstructive surgery available in Bizrahmed may assist you with the same. They can provide Botox for the bladder. Botox operates on the bladder by calming the bladder wall muscle, reducing pressure and urgency of the urine incontinence. It can help the muscles of the bladder to squeeze too much.

Surgery: Surgery for Bladder Reconstruction or Urinary Diversion is recommended only in extremely rare cases of overactive bladder symptoms. Two forms of surgery are available. Cystoplasty augmentation enlarges the bladder and Urinary diversion re-routes urinary flow. These surgeries have many complications, but it is only provided when no other alternative can support.

Causes of an Overactive Bladder

Usually, an overactive bladder Syndrome happens as nerve impulses between the bladder and the brain signal the discharge of the bladder even when it is not full, and the muscles of the bladder and pelvic floor are not in synchronization. When the muscles in the bladder are too active or contract when they are not supposed to, OAB may also occur, causing that sudden and powerful desire to urinate. This condition is referred to as “urgency.”

There are also a variety of causes to be considered such as common OAB causes that intensify the symptoms:

  • Increased age, especially among females.
  • Back problems/surgery.
  • Diabetes and becoming overweight.
  • Neurological disorders including diabetes, multiple sclerosis, Parkinson’s disease, stroke, cerebral palsy, and spinal cord injury affect the brain and spine.
  • Tumors of the bladder, stones, and parasites
  • Any drugs, such as diuretics, sedatives, antidepressants.
  • OAB does not cause pain. You can have an infection if you feel pain when urinating.

Diagnosis of an Overactive Bladder Syndrome

You will be asked questions by your doctor about your issues and overall health. Proper assessment and an internal review is required. It will be done with a urine test to scan for infection. To monitor the voiding period and urine volumes you pass, you will be asked to complete a 4-day frequency/volume graph.

To calculate the frequency of your flow and to check whether you drain your bladder entirely, you can even have a flow test that involves transferring urine through a special machine. You may have an intrusive urodynamic test, which is a special test to assess pressure within the bladder if the symptoms fail to respond to conservative or medical treatment.

How can nerve stimulation help overactive bladder Syndrome?

Nerve stimulation, also called neuromodulation therapy, is another procedure for patients who require additional support. This method of therapy delivers electric signals to nerves that share the same bladder pathway. In OAB, nerve impulses do not coordinate properly between your bladder and the brain. These electrical pulses allow the bladder to interact with the brain and nerves so that the bladder can function better and reduce overactive bladder pain. When you face any change in the pattern of your urination, do not hesitate to get a consultation from the best urologist in your place. Book your appointment now with the best urologist team at Bizrahmed, Dubai.

Frequently Asked Questions

Medications that calm the bladder can help to reduce overactive bladder symptoms and minimize episodes of incontinence.

The good news is that there are therapies for these symptoms. This include oral medications, which could also include a patch or gel to be applied to the skin, the first over the counter (OTC) treatment for women with overactive bladder, and bladder injections for patients with severe symptoms.

Behavior interventions to overcome overactive bladder symptoms can include:

• Pelvic floor muscle workout. Kegel movements reinforce your pelvic floor muscles and your urinary sphincter.
• Biofeedback.
• Healthy weights.
• Scheduled timings of the washroom.
• Intermittent catheterization.
• Absorbing pads.
• Bladder Training.

In brief, the optimum duration of OAB pharmacotherapy and the sustenance of efficacy have not yet been determined. Based on our survey and literature review, it is recommended that OAB patients should care for their symptoms for 6–12 months and that drug therapy maintenance should be promoted.

Often OAB is a chronic condition; it may get better, but it may never go away entirely.

Causes may involve weak muscles, nerve damage, drug use, alcohol or caffeine, infection, and overweight. Lifestyle improvements will benefit.

Drinking water is probably one of the best things you can do to overcome overactive bladder symptoms. It is the best to spread out the water consumption during the day.

Cause of overactive bladder can include weak muscles, nerve damage, use of medications, alcohol or caffeine, infection, and being overweight.

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