Overactive Bladder
Вставка
- Опубліковано 4 жов 2024
- Overactive Bladder is a condition characterized by frequent visits to the washroom. The bladder becomes overtly sensitive and signals the brain to pass urine again and again. In this video leading Urologist and andrologist - Dr. Raman Tanwar talks about bladder overactivity and how to treat this condition using lifestyle changes.
I’ve had OAB for more than 13 years. And it seems I almost cured it just a month ago.
Was trying different doctors. It took multiple years until they set a proper diagnosis. I tried electrical stimulation, Mirabegron, Solifenacin. Medication helped a bit, but after I stopped taking it, the symptoms got back to what had.
In November here were my complains:
* I went to a bathroom about 15 times a day (60ml - 130ml per one time)
* 2-3 times during night
* During mastrubation I had to make a break to pee
* If I wanted to go to a bathroom then I had to do it ASAP.
So in November another doctor recommended trying a Bladder training. As a main treatment. I adjusted it a bit my way and unbelievably I got my first results in 2 weeks: first time for maybe last 10 years I didn’t go to a bathroom at night. Then I started to go to the bathroom more rarely.
Here is what I got now:
* I go to a bathroom 5-7 times a day (200 - 300ml per one time)
* Haven’t gone to a bathroom at night last 1 month
* I can easily wait if I need
So for some reason doctors didn’t recommend trying bladder training and hence I thought it wouldn’t help, so didn’t bother.
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Here is my modification of the bladder training which helped me to get cured from Overactive bladder which I suffered from for about 13 years:
With the help of pelvic floor physiotherapist learn how to achieve these things:
How to understand that your pelvic floor muscles are contracted. The doctor might use “biofeedback” device to help you with this
How to relax pelvic floor muscles
Keep a bladder diary. Record how many millilitres you urinate every time you go to a bathroom. While at home you can have a plastic bottle at the toilet with the volume marks. While not at home you can use a zip-bag which you also have to mark. Like 50 ml, 100 ml, 150 ml and so on.
Analyse the reason why you might want to urinate. Be aware that sometimes the reason is caused by some patterns. For example, here are some patterns that I have: when getting up from a chair/bed; when sitting with my legs bent underneath me; when coming back from outside to home; when feeling depressed; when taking shower; when pooping.
Then every time you want to urinate ask yourself: “Why do I want to urinate? Is it caused by a pattern? If so, what can I change? Can I wait a bit more?“. F.e. if the urge is caused by a body position like when sitting with my legs bent underneath me, then take a position when pelvic floor muscles are not contracted. If the urge is caused by a pattern like when you get up from a chair, then recognize that it’s just a pattern and try to ignore the urge for some time.
When you are already at the toilet and about to urinate. Do these steps:
Try to analyse how badly you want to urinate. Is it 10/10 or 5/10?
Do you feel that sometimes your stomach is a bit stretched when you want to urinate and sometimes the urge is just in the head?
If the urge is not that intense, can you try to not to urinate and postpone it a little bit? Like 15 minutes?
After you urinate, write down in the diary how many millilitres you urinated.
Next time you at the toilet play a game: Based on your feelings and urge evaluation, try to guess how many millilitres you are going to urinate. This was the key technique for me. After some time you’ll learn to understand by your feelings/sensations how many mls you’re going to urinate. Use this prediction skill and when you feel that the volume is going to be below 200 ml, try to relax the pelvic floor muscles and just ignore the urge. Go to the bathroom only when you think it’s going to be above 200 ml.
The only exception when you go to the bathroom to urinate and you feel it’s going to be less than 200 ml is before going to bed at night.
During the night try not to go to the bathroom right away. Try to resist as much as you can, but don’t torture yourself. Just make a bit of effort.
Don’t drink like 3 hours before bed. Try to see if reducing the coffee intake helps.
Don’t bother with how often you go to urinate. For me if I drink a litre of cola then at the very beginning of the training I can urinate within a 15 minutes interval. That doesn’t matter. What matters is to be above 200 ml.
The doctor advised me to try the bladder training for 1 month and if I don’t see any changes, then we can add the medication like Mirabegron to help following the training.
After 2 weeks of the training I didn’t go to urinate at night. Probably that was the first time in the last 10 years. Then later I went to urinate less and less at night. Last month I didn’t urinate at night at all. Wish you all luck!
Great....Good for social information....!
Thank you so much for your video ❤️😁
Thanks 😊👍
Its not working for me
may I get any help from you(amigo asterisk). I have been suffering this problem many days,,, I did not understand all what you have told here..I went many doctors to cure from this problem...I am very upset as of late.. I want to talk with you about this problem so that I can cure...pls help me... I will be grateful to you.
Hey, sure, you can ask what is not clear
@@amigoAsterisk what do I need to do to be cure from OAB... I am taking medicine about 1.5 years but did not become cure..how did you cure from this problem? what should I do at this time...pls pls I hope that you will give me a precious advice.
@@reponmallik2452 I described in details what I did. The bladder training. I can only share my experience. I’m not a doctor, so I don’t know what _you_ should do.
So for me bladder training helped. I learnt how to understand before peeing how many mls it would be and hold until I felt it was going to be 200mls. That was it. After some time it got easier to hold the urge. And eventually i stopped going to bathroom at night
My urologist only wants money and is a failure in his field
Chang your doctor😂