If you’re constantly in the washroom have a nagging urge to urinate, wake up during the night to go – or worse – you don’t even make it to the washroom in time, you might have an overactive bladder (OAB). It’s a common problem among men and women and in Asian sub continent,its prevalence is 53.1%. Globally, 22nd June to 28th June is observed as world continence week.
OAB can be caused by various conditions, including Neurological disorders, poor kidney function, high fluid intake, abnormalities of bladder such as bladder stone, excess consumption of Caffeine or alcohol, pregnancy, nerve damage caused by surgery, other condition like diabetes, Urinary tract infection, inflammation in Prostate in men.
Asha Agarwal, 51 noticed overactive bladder symptoms about five years ago, as she found herself constantly worrying if there would be a b nearby. “It interrupts your life, because you have to go to the bathroom all the time,” she said.
“No matter what you call it, experiencing frequent urination problems and having an overactive bladder can be very difficult to deal with, and is very embarrassing for many people.” Informs Dr. Sirish Yande, Consultant Urologist, ratna memorial hospital, Pune. Overactive bladder can wreak havoc on a patient’s life by disrupting work, sleep and social outings he adds.
Despite progressive and effective treatments, people are still hesitant to talk about urinary issues such as urgency, frequency and associated leakage.
“Women who urinate eight or more times a day or more than two times at night with or without urine leakage are part of this group. Many women affected by this disorder never get the help they need. They are often either embarrassed, hold an incorrect assumption that it’s a natural part of aging, or just hope the problem will go away on its own.” Informs Dr. R. K. Shimpi, Consultant Urologist, Ruby Hospital, Pune. However, there are effective treatment options available and some may be easier than people think
There are some simple first steps people can make on their own to take control of their urinary habits. If these methods don’t work, Antimuscarinics are main stay of managing over active bladder symptoms aside there are many effective non-surgical and minimally invasive surgical treatment options that can offer significant and often dramatic relief from these symptoms. Some of the options include a new class of medication with far fewer side effects than prior medications, including pelvic floor rehabilitation and tibial nerve stimulation.
When Incontinence Strikes Young
Urinary incontinence is often considered a problem of middle and old age. But childbirth, injuries, and certain medical conditions, such as spina bifida, can lead to bladder control issues in young adults, too. Frequent urinary tract infections, obesity, smoking, and diabetes can also cause urinary incontinence at a young age, say city doctors. Globally, 22nd June to 28th June is observed as world continence week.
“Many women who suffer from bladder control problems often feel embarrassed and alone. Some women even shy away from daily activities they enjoy including exercise, socializing and even sexual activity,” says Dr. Sirish Yande, Consultant Urologist, ratna memorial hospital, Pune. “Women need to know that there are many promising drugs and treatment options available to help them regain control over their bladder, and their lives.”
Sheetal, who is only 28, has a dozen bladder contractions a day from urge incontinence. Even a small amount of urine can give her contractions, and going to the washroom doesn’t always help.
The prevalence of OAB is similar in women and men however, the prevalence of incontinence associated with OAB is higher in women as compared to in men. “The prevalence of OAB increases with age and in women it increases with increasing body mass index (BMI).” Informs Dr. R. K. Shimpi, Consultant Urologist, Ruby Hospital, Pune
Overactive bladder is a condition where patients experience urgent sensation in passing urine, frequent urination, and may leak urine before they are able to reach the bathroom. These symptoms may appear singly or in combination, in the absence of identifiable causes such as bladder infections or tumours. Overactive bladder is also known as urge incontinence and is actually a form or urinary incontinence or an unintentional loss of urine.
Symptoms of overactive bladder can include, aside from and urgency in urination, increased frequency in urination that is usually eight or more times in 24 hours, urge incontinence which is the involuntary leakage of urine immediately following an urgent need to urinate and needing to wake up two or more times in the night to urinate (nocturia).
A lot of people never speak to their doctors about any symptoms of an overactive bladder. “Though, discussing the problem may be difficult because it is considered by many as a very private issue, it is very important that a doctor be consulted. This is especially true if there is urge incontinence or if the other symptoms of overactive bladder are beginning to cause disruption to social interactions, work schedules and normal daily activities say the doctors.
There are times when people consider bladder problems as something that is a normal part of aging and simply go about wearing adult diapers and pads. However the symptoms of overactive bladder are not an inevitable part of aging and there are treatment options available. Also, it is crucial to speak with a doctor because urge incontinence or an overactive bladder may be a result of a serious issue like a tumor that could be cancerous.
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