Overactive Bladder

Overactive bladder (OAB) condition poses a major impact in every aspect of a person’s life. Being diagnosed with this condition means no more vacations, dinner outside the house and social activities. Valuable time bonding with friends and family is often missed out as it can embarrass someone in front of people.

The good news is there are ways to combat these problems. The treatment for an overactive bladder has a lot of options a person can choose. A thorough evaluation and discussion with the physician can help a client decide which treatment is best to get back to the normal routine in no time.

Natural Approach to Treatment

Research suggests that non-pharmacological treatments for an overactive bladder are actually effective and what’s nice about this approach is the fact that it offers no side effects. Under this category, bladder training and pelvic floor exercises are included. Let’s discuss them briefly.

  1. Bladder training – this is the most common form of treatment for OAB. The approach does not involve use of any medication. With this technique, a person’s usual way of using the bathroom is modified and instead of following the urge when felt, a scheduled voiding is followed. The schedule includes several times of voiding for the entire day. The urge is controlled by simply delaying urination. At first, the delay may take for about a few minutes. As the training progresses the delay period also increases to an hour or two between urination.
  2. Pelvic floor exercises – people exercise to strengthen certain body parts. Pelvic floor exercises are performed to strengthen the muscles that regulate voiding. Kegel’s exercise is usually use during the treatment to gain back the strength of the muscles. To locate which muscles to squeeze when performing Kegel’s, a biofeedback can be incorporated into this approach. To start the training, start with a few Kegels in a day then work it up to three sets of 10. Another way to strengthen the muscles of the pelvic floor is through electrical stimulation. In this procedure, a small electrical pulse is sent on the area using electrodes which is placed in either the vagina or rectum.

Medication for OAB

  • Anticholinergic drugs – these drugs combat the problem by blocking some nerve signals that causes bladder contraction. In addition to the known benefit, anticholinergic medications also increase the capacity of the bladder while decreasing the urge to void. The list of anticholinergic drugs are enumerated below:
  1. Fesoterodine (Toviaz)
  2. Oxybutynin (Ditropan)
  3. Solifenacin (Vesicare)
  4. Darifenacin (Enablex)

Causes, Risk factors, Signs and Symptoms of Overactive Bladder

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Daisy Jane Antipuesto RN MN

Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.

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