If your overactive bladder symptoms cause disruption to your life, you might also have:. Women who have an overactive bladder may also have a disorder called mixed incontinence, when both urgency and stress incontinence occur.
Stress incontinence is the unintentional loss of urine prompted by physical movement or activity that puts pressure on your bladder, such as coughing, sneezing, laughing or exercising. Treatment of stress incontinence is not likely to help overactive bladder symptoms.
Similarly, treatment of overactive bladder is not likely to improve stress incontinence symptoms. Some people may have a common combination of bladder storage problems and bladder-emptying issues. The bladder may cause a lot of urgency and even incontinence, but it doesn't empty well.
A specialist may be able to help you with this combination of bladder problems. Overactive bladder care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version.
Overview Overactive bladder, also called OAB, causes a frequent and sudden urge to urinate that may be difficult to control. Request an Appointment at Mayo Clinic. Female urinary system Open pop-up dialog box Close. Female urinary system Your urinary system — which includes your kidneys, ureters, bladder and urethra — removes waste from your body through urine. Male urinary system Open pop-up dialog box Close.
Male urinary system Your urinary system — which includes your kidneys, ureters, bladder and urethra — removes waste from your body through urine. Share on: Facebook Twitter. Show references Urinary incontinence. Timed voiding is where a person keeps a bladder diary and works with a doctor to determine a regular schedule for using the toilet.
People can gradually increase the time between toilet visits to train the bladder to hold urine for longer and reduce the frequency of urinary urgency. It is common for a doctor to prescribe physical therapy.
This therapy will involve strengthening the pelvic floor muscles to support the urethra, the tube that carries urine out of the body. Strengthening these muscles can lead to a reduction in the number of times that urinary urgency occurs.
Several medications can treat urinary urgency. Some drugs, including antimuscarinics such as oxybutynin and tolterodine, aim to relax the bladder. Different medications will help with different causes. For example, if the cause is a urinary tract infection, a course of antibiotics will be necessary. In severe cases, a person may need surgery or a medical device, such as a catheter, to help them empty the bladder.
Another option for more persistent cases is electrical nerve stimulation, which involves the use of electrical pulses to stimulate bladder function.
Urinary urgency can disrupt daily functioning. Without proper management, frequent bouts of urinary urgency can make daily tasks more challenging and even affect work performance.
Some people may become more physically inactive as a result of urinary urgency. A doctor can diagnose the underlying cause and recommend treatment to manage the symptoms.
People can also make some lifestyle changes and try bladder training to minimize urinary urgency. A person may need to use a urinary catheter if they have problems passing urine. Updated by: Kelly L. Editorial team. Frequent or urgent urination. Common causes of these symptoms are: Urinary tract infection UTI Enlarged prostate in middle-aged and older men Swelling and infection of the urethra Vaginitis swelling or discharge of the vulva and vagina Nerve related problems Caffeine intake Less common causes include: Alcohol use Anxiety Bladder cancer not common Spine problems Diabetes that is not well controlled Pregnancy Interstitial cystitis Medicines such as water pills diuretics Overactive bladder syndrome Radiation therapy to the pelvis, which is used to treat certain cancers Stroke and other brain or nervous system diseases Tumor or growth in the pelvis.
Follow the advice of your health care provider to treat the cause of the problem. When to Contact a Medical Professional. Call your provider right away if: You have fever, back or side pain, vomiting, or shaking chills You have increased thirst or appetite, fatigue, or sudden weight loss Also call your provider if: You have urinary frequency or urgency, but you are not pregnant and you are not drinking large amounts of fluid. You have incontinence or you have changed your lifestyle because of your symptoms.
You have bloody or cloudy urine. There is a discharge from the penis or vagina. If urinary frequency is present, patients are asked about acuity of onset, presence or absence of irritative symptoms eg, irritation, urgency, dysuria Dysuria Dysuria is painful or uncomfortable urination, typically a sharp, burning sensation. Some disorders cause a painful ache over the bladder or perineum.
Dysuria is an extremely common symptom Review of systems should cover symptoms suggestive of a cause, including fever, flank or groin pain, and hematuria infection ; missed menses, breast swelling, and morning sickness pregnancy ; and arthritis and conjunctivitis reactive arthritis Reactive Arthritis Reactive arthritis is an acute spondyloarthropathy that often seems precipitated by an infection, usually genitourinary or gastrointestinal. Common manifestations include asymmetric arthritis Past medical history should ask about known causes, including prostate disease and previous pelvic radiation therapy or surgeries.
Drugs and diet are reviewed for the use of agents that increase urine output eg, diuretics, alcohol, caffeinated beverages. Any urethral discharge or any lesions consistent with sexually transmitted diseases Overview of Sexually Transmitted Diseases Sexually transmitted diseases STDs , also termed sexually transmitted infections STIs , can be caused by a number of microorganisms that vary widely in size, life cycle, the diseases and symptoms Rectal examination in men should note the size and consistency of the prostate and rectal tone; pelvic examination in women should note the presence of any cystocele Anterior and Posterior Vaginal Wall Prolapse Anterior and posterior vaginal wall prolapse involve protrusion of an organ into the vaginal canal.
Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele when the Patients should be instructed to cough while the urethra is observed for signs of urinary leakage. The costovertebral angle should be palpated for tenderness, and the abdominal examination should note the presence of any masses or suprapubic tenderness. Lower-extremity weakness or signs of spinal cord damage eg, loss of sensation at a segmental level, loss of anal sphincter tone and anal wink reflex.
Dysuria Dysuria Dysuria is painful or uncomfortable urination, typically a sharp, burning sensation. Prior pelvic surgery suggests incontinence Urinary Incontinence in Adults Urinary incontinence is involuntary loss of urine; some experts consider it present only when a patient thinks it is a problem.
Weak urine stream, nocturia, or both suggests benign prostatic hyperplasia Benign Prostatic Hyperplasia BPH Benign prostatic hyperplasia BPH is nonmalignant adenomatous overgrowth of the periurethral prostate gland. Urinary frequency in an otherwise healthy young patient may be due to excessive intake of alcohol or caffeinated beverages.
0コメント