WHAT IS OVERACTIVE BLADDER?
The overactive bladder is a very common problem that can cause distressing and inconvenient symptoms in women. It can cause you to rush to the toilet many times during the day and night, and can sometimes also cause you to leak some urine before you reach the toilet.
HOW COMMON IS THIS PROBLEM IN WOMEN?
Overactive bladder is a very common problem in women. It is thought that upto one in three women will suffer from this problem in their lifetime.
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WHY DOES THIS HAPPEN?
These symptoms are usually caused by the bladder muscle squeezing to empty out urine inappropriately which often halve without warning and when you do not want it,
WHAT CAN CAUSE OVERACTIVE BLADDER?
This problem can affect women of all ages and is not simply a result of getting older. The common causes are:
• Urine infection and hence it is important to get the urine tested to rule out any infection of the urine.
• Drinks containing caffeine, citric acid juices and alcohol
• Medication like diuretics
• Constipation
• Bladder emptying problems
• Pelvic floor disorders like uterine prolapse
• Medical problems affecting the bladder nerves like long standing diabetes
• Stones or growth in the bladder
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HOW CAN I PREVENT THIS CONDITION?
It is important to maintain good bladder habits:
• Drink atleast 2 litres of water in a day
• Empty the bladder every 3 or 4 hourly
• Try to avoid trips to the toilet less than 2 hours
• Avoid caffeine, fizzy drinks, fruit juices and alcohol
• Keep conditions like diabetes under control
• Avoid constipation
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WHAT TREATMENT OPTIONS ARE AVAILABLE FOR THIS PROBLEM?
Many treatment options are available for this problem and hence seeing aurounaecologist is strongly recommended.
• Bladder training is a very useful technique which can be successful in 1 out of 2 or 3 women with overactive bladder. Bladder training involves gradually increasing the time between visits to the toilet and trying to hold on for a little longer if you experience the urge to empty your bladder.
• Medication is available to help relax the bladder muscle in women who do not have improvement with the conservative measures.
WHAT IF I DO NOT BENEFIT FROM MEDICATION?
• Further invasive test called urodynamics will be performed to confirm the diagnosis for your condition
• Minimal access surgical treatment options like injecting Botox in the bladder muscle are also options which can be considered after urodynamic studies.

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