Weak Bladder And Frequent Urination – Overactive bladder is a collection of symptoms that can affect how often and how quickly you urinate. Causes include stomach injuries, infections, nerve damage, medications, and other drinks. Treatment includes behavioral changes, medications, and nerve stimulators.
Overactive bladder (OAB) is a combination of symptoms that can cause you to urinate (pee) frequently, an uncontrollable urge to urinate, incontinence, and nighttime urination.
Weak Bladder And Frequent Urination
The bladder is more active in people 65 and older. Women can develop OAB at a younger age, usually around the age of 45.
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A very active bladder. It affects approximately 33 million adults in the United States, including up to 30 percent of men and 40 percent of women. However, this number may be higher, as many people may feel ashamed and will not get help.
No, an overactive bladder will not go away on its own. If you don’t treat OAB, your symptoms will get worse, the muscles in your bladder that help control urination will weaken, and your pelvic floor tissue will thin.
Disease or injury affecting the detrusor muscle can cause an overactive bladder. Your detrusor muscle is a collection of smooth muscle fibers in the wall of your bladder. This can include:
A health care provider can diagnose an overactive bladder by examining your symptoms and examining the body of the pelvis and the organs around the rectum. They may ask you questions such as:
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They may also refer you to a urologist. A urologist is a doctor who treats diseases and conditions that affect the urinary tract and fertility.
Different medications can help to regulate the bladder. Treatment may include behavioral changes, medications, and nerve stimulation (neuromodulation).
Your healthcare provider may ask you to keep a bladder diary for a few days. Writing down what happened before your accident can help health care providers determine what caused your OAB. You will use a bladder diary to track:
Constipation puts pressure on the bladder and affects bladder function. You can prevent constipation and relieve bladder symptoms by maintaining healthy habits. The following can help you maintain regular bowel movements:
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Obesity puts pressure on the bladder, which can lead to bladder control problems. Maintaining a healthy weight for yourself can reduce the pressure on your bladder.
Cigarettes and other tobacco products can irritate the bladder muscles. Coughing from a smoker’s cough can cause wheezing.
When you have OAB, your body reprograms your bladder muscles to respond in a different way. By relaxing the bladder muscles, you can have better control over urination.
Patience is very important. Retraining your bladder usually takes six to eight weeks to see results. If you have any questions or are not happy with your progress, please ask your health care provider. They can give you medications to take while you are adjusting your bladder to help you get the best results.
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Yes, neurostimulation can help improve OAB. Your nerves help tell your brain that your bladder is full. By treating your nerves, you can improve bladder control.
The health care provider will implant a small device called a neurotransmitter under the skin near the top of the buttock (buttock) area. Neurotransmitters send electrical impulses through wires near the sacral nerve. The sacral nerve is a nerve in the lower back. Exercise can help you control your bladder.
Sacral nerve stimulation can reduce the number of times you have to go to the bathroom or accidentally urinate. Everything is very successful. This is also an outpatient procedure, so you can go home afterwards.
Percutaneous tibial stimulation sends small nerve impulses to nerve branches near the leg. It helps promote bladder control.
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Percutaneous tibial nerve stimulation is an external procedure. Most require a 12-week course followed by monthly remedial courses.
Botox® is the most common type of botulinum toxin. A healthcare provider injects Botox into the wall of your bladder using a cystoscope.
This treatment is very effective, even in patients who have not responded well to other treatments. A few people may experience temporary urinary retention (difficulty urinating) after injecting Botox.
Your health care provider can give you medicine while you are doing your bladder exercises. Medicines can help restore normal bladder function. Commonly prescribed medications for an overactive bladder include:
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Beta-3 adrenergic drugs relax the bladder muscle so that the bladder can hold more urine. A health care provider may prescribe:
Lower back exercises and lifestyle changes can take six to eight weeks to start seeing results.
Most medications begin to relax the bladder muscles after a few hours. But it can take up to a month to be fully effective.
Most people begin to see improvement after six neurostimulation treatments. However, it may take up to 12 treatments to see results.
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An overactive bladder can cause severe stress. Treatment can be difficult, and symptoms may not go away completely. But most people are satisfied with the treatment they receive and often see significant improvements in quality of life.
If treatments don’t work for you, or you’re waiting for them to start working, incontinence products like disposable sanitary pads or adult diapers can help you feel in control and improve your life.
Age-related OAB can develop slowly and gradually worsen over time. If your symptoms come on suddenly and are severe, your OAB may be a sign of another medical condition, such as an infection or nerve problem. It is best to have a health care provider diagnose these symptoms immediately.
An overactive bladder is a common condition that can cause you to change your toilet habits, which can be embarrassing. Many people have a hard time talking to their health care provider about their symptoms. However, the provider can help answer any questions you may have without being judgmental. They can determine the cause of your acne and work with you to develop the best treatment plan. If you have symptoms of a bladder infection, talk to your health care provider to better manage your toileting habits and improve your quality of life.
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The Cleveland Clinic is a non-profit medical education center. Advertising on our site helps support our work. We do not endorse non-Cleveland Clinic products or services. Policy The adult bladder is a hollow organ with muscular walls. Urine enters the bladder from two ureters that run from the kidneys to the bladder. Urine leaves the bladder and exits the body through the urethra.
The detrusor muscle in the bladder is specifically designed to hold urine without increasing pressure on the bladder. The bladder acts as a reservoir, resting during filling to receive urine and only holding void during voiding.
Urethras contract during filling to keep urine in the bladder and relax during voiding to allow urination. At rest, the urethra closes and the walls come together to form a seal that keeps urine in the bladder. In the presence of increased abdominal pressure (coughing, sneezing, exercise), the stimulation of the spinal muscles and the muscles surrounding the urethra increases urethral resistance and maintains incontinence.
This video explains the pathophysiology of an overactive bladder. An overactive bladder is a common problem, affecting about one in seven women. The purpose of this video is to understand what happens when the bladder is overactive. When you understand the cause, you are more likely to respond to the treatment.
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An overactive bladder is characterized by frequency (8 or more urinations in 24 hours) and urgency (a strong urge to urinate), or no urge to urinate (involuntary urge to urinate). This disease affects 15% of adults, half of whom suffer from acute incontinence. Women are more prone to this disease than men, and the incidence increases with age.
Urinary urges or incontinence caused by improper bladder formation may be related to bladder muscle spasms. Common triggers include hand washing, leaving keys at the door, stress
Urinary urgency and/or pain or urgency occurs when the bladder does not contract. Other causes include infection, inflammation, a foreign body, or a tumor.
Doctors use history, examination, and diagnosis to diagnose the disease. Bacteria are usually ruled out by a urine test. Your doctor may ask you to complete a 24-hour urine diary. This is a good way to confirm the frequency, volume and incontinence of urine. Your water intake can also be recorded. To download the urology diary, click here. Women with an allergic bladder tend to urinate less frequently. Women with an unstable bladder may have a normal urine output but have an increased frequency of incontinence. Urodynamic studies may be required to confirm the diagnosis.
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Medicine and medical procedures are often used together. Bladder rehabilitation is the key to bladder rehabilitation, which helps you learn to overcome the urge to urinate. Pelvic floor exercises and avoiding drinking too much water are other ways to help manage an overactive bladder.
Bladder reconstruction is a surgical procedure used to help manage the bladder. This video shows how bladder retraining can help improve bladder function in women with bladder disease
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