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What is an overactive bladder, or what is known as an irritation of the bladder?

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It is considered one of the annoying diseases for women, so it sometimes leads to social isolation, or chronic lack of sleep due to

Frequent waking during the night to urinate.

Bladder irritation is considered a symptom and not a diagnosis, until it is established that there is any cause of irritation, or that the condition is associated with an increase in the frequency of the bladder muscle, Detrusor overactivity

Symptoms of bladder irritation or hyperactivity:

  • Urgent need to urinate, difficult to curb. Sometimes urinary incontinence leads to urge to urinate more than eight times during the day (it may be more than that and the situation is normal, more important than the number is the effect of the symptom on the patient's quality of life)

  • Night-time urination two or more times (urinating more than twice is considered normal at age, 60 and over)

Causes of a nervous bladder or an overactive bladder:

Cystitis may be responsible for these symptoms, and treatment with antibiotics (especially with burning in the urine, unpleasant odor in the urine, or pain in the bottom of the abdomen).

Some diseases of the nervous system may also be behind these symptoms (neurogenic bladder).

In most cases, the cause is unknown.

First visit the doctor when you experience symptoms of bladder irritation:

When you visit the doctor, he will ask in detail about the symptoms and accompanying symptoms. It is also very useful to bring the medicines that you are taking, as there are some medicines that may lead to the emergence of these symptoms, and it is sufficient to stop or change them to feel better.

I would like to note in this course that overactive bladder and stress incontinence often accompany, and of course their treatment is vastly different.

It is also very helpful to write down the number of times you urinated, the type of drink that day, and whether there was any occasional involuntary urination. Bladder chart

Overactive bladder treatment:

Conservative treatment of bladder irritation:

  • Reducing caffeinated drinks such as coffee, green tea and tea, soft and alcoholic drinks

  • Enhance pelvic floor muscle strength with Kegel exercises

  • Improve diabetes if found (high blood sugar leads to frequent urination)

  • Some medications that reduce bladder activity

  • In some cases, we resort to injecting Botox into the bladder to improve symptoms

Some medications that reduce bladder activity:

  • Anticholinergics is one of the medicines that can be used to improve bladder function

  • In some cases, we resort to injecting Botox into the bladder to improve symptoms

  • Pelvic floor muscle Kegel exercises to relieve symptoms of urinary incontinence and overactive bladder

How to do kegel exercises

  • Lie on your back with your knees bent, hands on the pelvis or belt area.

  • Raise the lower back area slightly by resting the hands on the floor.

  • Contract the muscles

  • Hold for two seconds

  • Then relax the muscles for three seconds

  • Exercise contractions for 5 seconds, then 10 seconds each time

  • Do this exercise three sets daily, repeating it 10 times with each set

Some of the side effects of the most commonly used treatments are bladder irritation:

  • Dry throat and mouth

  • Dry eyes

  • Constipation

  • Not recommended for patients with high intraocular pressure

  • Be careful with the elderly

Click on this link:

Dr. Qassem Shehab , consultant of advanced laparoscopic surgery, gynecology and obstetrics. Subspecialty specialization in the treatment of urinary incontinence and gynecological edema

Abdali Hospital , Boulevard, 24th floor

Oman Jourdan

For reservations and inquiries



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