If you feel that you constantly "gotta go" or you are always looking for a bathroom, you may be suffering from overactive bladder, or OAB. According to the Urology Care Foundation, as many as 30% of men and 40% of women live with OAB symptoms.
"The condition affects both men and women and the prevalence increases with age," Dr. Meghan Schimpf M.D., associate professor of Obstetrics and Gynecology at the University of Michigan, tells Newsmax. "BUT it is not normal to have OAB as you age. YOU should control your bladder, not the other way around."
Generally, OAB is caused by bladder muscles that are overly sensitive or overactive, says the expert. "If you are bothered or embarrassed by urine leakage or the frequency of your bathroom visits, you should definitely see a doctor."
Schimpf says that once a bladder infection has been ruled out, your doctor can work with you to devise a personal treatment plan. He or she may suggest behavioral treatments such as decreasing fluid intake, eliminating food or beverages that irritate the bladder, or following a bathroom schedule.
"We tell many patients to cut back on what they drink," she says. "You really don't need to have eight glasses of water daily! In addition, reducing or eliminating caffeine or artificial sweeteners can have a big improvement in bladder function."
The nicotine in cigarettes can cause bladder spasms, and smoking is the No. 1 risk for bladder cancer. You doctor may suggest pelvic floor exercises like "Kegels" with the help of a physical therapist to strengthen the muscles around the bladder.
Some new options to treat OAB are available. One is called Percutaneous Nerve Stimulation (PTNS) and is a non-surgical treatment done in the doctor's office which indirectly stimulates the nerves responsible for bladder function. During a 12-week series of treatments, an acupuncture-like needle is inserted just behind your ankle bone.
"It's a very low risk, pain free option for almost every OAB patient," says Schimpf. "Another option is to surgically implant a device more directly to stimulate these nerves. This therapy, called Sacral Neuromodulation (SNS), has long-lasting results but requires a bigger commitment and risk."
A third option is injecting Botox into the bladder wall, which can be done as an office procedure, For most patients, they will get results for six months as the bladder muscle relaxes and holds more urine.
"However, although this is highly successful there have been side effects such as the risk of urinary or bladder infections," says Schimpf, who specializes in pelvic floor disorders and urinary incontinence.
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