Overactive Bladder (OAB) - Bladder Retraining Technique |Treatment of Urge Incontinence

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  • Опубліковано 5 лют 2025
  • OAB, urgency and urge incontinence is very common condition and many time cause embarrassment and social issues. treatment include life style modifications, weight loss or drugs but sometimes don't work and bladder training or retraining techniques could be very helpful. Many people don't know how to use this technique and following steps are described in this video will be helpful.
    Below is from update.com
    Start by going to the toilet and trying to urinate as often as your shortest voiding interval (the length of time between trips to the bathroom) based on your voiding diary. For example, go every hour if that is what your bladder diary indicates is the shortest interval of time between visits to urinate. Make these regular trips to the toilet while you are awake. You do not have to get up during the night!
    You must try to urinate whether you feel the need or not. You must try to urinate even if you have just been incontinent.
    If you get a strong urge to go to the bathroom before your scheduled time, use distraction or relaxation:
    Stop, do not run to the bathroom!
    Stand still or sit down if you can.
    RELAX. Take a deep breath and let it out slowly.
    Concentrate on making the urge decrease or even go away anyway you can (imagine the pressure becoming less and less). You can also try doing quick contractions of your pelvic floor muscles.
    DISTRACT yourself, for example by doing math problems in your head.
    When you feel IN CONTROL OF YOUR BLADDER, walk slowly to the bathroom, and then go.
    Keep this schedule until you can go 1 day without urine leakage. Then, increase the time between scheduled trips to the toilet by 15 minutes. When you can go 1 day on this new schedule without urine leakage, extend the time between bathroom trips again by 15 minutes.
    Keep this up until you can go 4 hours between trips to the toilet (which is NORMAL), or until you are comfortable with a shorter time interval. This may take several weeks.
    DO NOT GET DISCOURAGED! Bladder training takes time and effort, but it is an effective way to get rid of incontinence without medication or surgery.
    if you follow above 4 steps in the video, there is great possibility that it will work but you must see a doctor to help you because many times we need Kegel's technique-exercises and drugs as well. Sometimes some drugs can cause urgency and incontinence too and they need to be stopped.
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    #topnephrologistinpakistan #oab

КОМЕНТАРІ • 120

  • @Ahmed-eo2gm
    @Ahmed-eo2gm Рік тому +5

    Jazakallah, I tried it just 3 days ago. Overactive bladder heals completely just following these tips.

  • @shalini558
    @shalini558 Рік тому +2

    Tysm sir maine aapki pehle wali video dekhkar bladder training technique ko shuru kr diya tha aur vo kafi haddh tk sahi ho gya or abhi bhi kr rhi hun I hope vo bhi puri trah shi ho jayega.mai 25 yr old hun college going aur mujhe oab pehli bar achanak hua 5_6 month Back hua .pr aapki wajah se or kuchh medi ki wajah se mai kafi behtar hun or specially ye traing sach me bhot achhi technique hai.thank you so much a lot😊

    • @JawadKhan-np6jr
      @JawadKhan-np6jr Рік тому

      Money b ye problem hai 2sal si boht pareshan ho mi

  • @mohammadiqbal5954
    @mohammadiqbal5954 10 місяців тому +1

    I have some of your medois, as i became a kidney patient. I have learnt much from you, Gold bless you for this bobel service.

  • @shaikhkhalidlatif1373
    @shaikhkhalidlatif1373 2 роки тому +8

    Mashallah, after many years I came to know the reason, registered at SIUT, which is the best hospital in SINDH, but couldn't get the remedy, always dirtying myself n clothes, at the entrance gate, wifey always angry. Jazakallah for the advice. Will start practicing from tomorrow, after noting down the time. Normally frequency is about 2 hours. ALLAH SUBHANAHO TAALA, bless you and your family. Aameen

    • @pubgboy1162
      @pubgboy1162 Рік тому

      Bro help howa ya nhi

    • @Nephchat
      @Nephchat  Рік тому

      Complicated and long history. It’s better if you see a good nephrologist in person unless you are feeling better. May hold undone for upto 4 hours.

    • @ZameerMughal-zc8em
      @ZameerMughal-zc8em 8 місяців тому

      Best technique sir god bless you mein bhoot pershan tha isliy app kiy techinque use kiy fayda hoo reha aur urine control mein aya gha sir five day hoo jha​@@Nephchat

  • @Maheraltaf7
    @Maheraltaf7 10 місяців тому +2

    Great Dr sab ALLAH apko jaza dy

  • @nasirmehmood7952
    @nasirmehmood7952 9 місяців тому

    Bohat time say aapko sunraha hoon, aap ki personality aur aala, mushaffiq lehja he bataata hay k aap achhay insaan aur competent hyn, bravo. Stay Blessed always 👍🤲

  • @tahirhanif2307
    @tahirhanif2307 Рік тому

    Thank you so much ap n mera bht bra issue solve kr dia.. Allah pak apko slamt rkhn

    • @zameermughal5379
      @zameermughal5379 Рік тому

      Bhia yai training karna saa urge incointence theek hooo sekhta hia plx bro replay karr Kay baat dawo app koo yai problem thia

  • @humairamoazzam8544
    @humairamoazzam8544 2 роки тому +1

    Mashallah Such a great knowledge dr shafiq share with us

  • @arshadliaqat6729
    @arshadliaqat6729 Рік тому +2

    JazakAllah very informative video

  • @warda231
    @warda231 Рік тому +1

    Thank you sir very good information

  • @characterandlifeskills
    @characterandlifeskills 2 роки тому +1

    Good bless you for sharing very valuable information. Love from India.

  • @shahidjamil6605
    @shahidjamil6605 2 роки тому +2

    New and good information

  • @zaheeruddin6843
    @zaheeruddin6843 8 місяців тому +1

    Good job Dr uncle

  • @numanmohd896
    @numanmohd896 2 роки тому

    Allah pak ap ko salamat rakhe sir g you are great

  • @ghulamakbarchoohan7573
    @ghulamakbarchoohan7573 2 роки тому +1

    Good information sir dr sb

  • @iftikharqureshi2757
    @iftikharqureshi2757 7 місяців тому

    Explained very good.

  • @RajaImtiazTabsum
    @RajaImtiazTabsum 9 днів тому

    Thanks

  • @sanialiaqat5429
    @sanialiaqat5429 2 місяці тому

    May Allah bless you Sir Subhanalah

  • @MdShamim-r9j3y
    @MdShamim-r9j3y 24 дні тому

    Solefencine kab tak lena hota h / 3 month ya 6month

  • @shakeelraja7016
    @shakeelraja7016 Рік тому +1

    Excellent information

  • @GolkanGolkan-ej2md
    @GolkanGolkan-ej2md 11 місяців тому

    Daktar you're good Daktar. ❤
    Mujy enzayte ha .awr mujy yhe msaLa ha

  • @myaqubkhan8503
    @myaqubkhan8503 2 роки тому +1

    بالکل ایسا ہی ہے

  • @safamarwa587
    @safamarwa587 2 роки тому

    Sir AoA,
    You gave very very good information. May Allah kareem bless you.

    • @Nephchat
      @Nephchat  2 роки тому

      Thanks and welcome

    • @Maheraltaf7
      @Maheraltaf7 10 місяців тому

      Aoa Dr sab jab peshab rokta hu to phir masany wali jagha dard hoti hy muj bi 30 dafa din my peshab ata hu rat ko nahi ata​@@Nephchat

  • @lilbgurung
    @lilbgurung 11 місяців тому

    thank you Dr

  • @ajaybandivaddar8122
    @ajaybandivaddar8122 Рік тому +1

    Sir mai thoda urine hold karna problem hai kya mujhe is bat ka tension hota hai

  • @liaqatsargani2583
    @liaqatsargani2583 2 роки тому +1

    Nice sir...

  • @اشفاقخان-ص3ض
    @اشفاقخان-ص3ض 5 місяців тому

    Nice informations

  • @abubakarperhiyar6466
    @abubakarperhiyar6466 2 роки тому

    Sir please make vlog on kidneys patient ko Celiac disease diagnose ho Uski dieat bataen
    Plzzz

  • @SureshKumar-ui7ts
    @SureshKumar-ui7ts 11 місяців тому

    Please send vrdio no1
    For retraing of bladder

  • @khurshidahmed9922
    @khurshidahmed9922 25 днів тому

    میرا بھی یہی مسلہ ھے۔ لیکن میں نے نوٹ کیا ھے کہ پیشاب اور پاخانہ کا بہت تعلق ہماری عادت سے ھے۔۔ہمیں عادت ھو جاتی ھے مختلف اوقات میں اور بار بار پیشاب کرنے کی عادت سی پڑ جاتی ھے۔۔۔

  • @naseerabbaskazmi6396
    @naseerabbaskazmi6396 2 роки тому +1

    Sir kindly tell me urine krny k bad agr few drop neklein to os ka ilaj btaein

  • @manni571
    @manni571 2 роки тому

    As slam o alaikum dr sab please hemodialysis ke wo patients jin ko urine nhi aata un ki diet ke bare detail mein bataen!!

  • @neelambansiwal9757
    @neelambansiwal9757 4 місяці тому

    Gd information

  • @anwerarain7
    @anwerarain7 2 роки тому +1

    Sir. I found this video as if it is for me.

  • @Asmr-oracles
    @Asmr-oracles 10 місяців тому +1

    Sir Ji, Urine waise control main hai lekin ek baar urine karlu, uske baad drops shuru ho jaate hai, taharat ke baad wapis thoda urine aate rehta hai, pls suggest

  • @aliarshadd
    @aliarshadd Рік тому

    due to controlling my urination overly i think my baldder wall has been damaged i have been to docotor but he hasn't figure out can u recommend what i should do to heal my damaged bladder wall?

  • @ImtiazHussain-n9w
    @ImtiazHussain-n9w 5 місяців тому

    Dr saheb very good Thanks

  • @abdullahpakistan6041
    @abdullahpakistan6041 2 роки тому

    Is overactive bladder is sign of prediabatics

  • @laraibali4880
    @laraibali4880 Рік тому

    Sir please make a video about frequent urination

  • @ALIOHUL
    @ALIOHUL 2 роки тому

    Very good sir

  • @samandogar383
    @samandogar383 2 роки тому

    AOA, Dear Doctor, kindly talk about saw palmetto ( FLOMENTUM) for enlarged prostate. Will be thankful.

    • @Nephchat
      @Nephchat  2 роки тому

      Made a short will load in am

  • @aalyanali8843
    @aalyanali8843 Рік тому

    My son 14 years old suffering from neurogenic bladder after 2 surgeries of Spina bifida.he is on intermittent catheterization is there any other treatment?

  • @ultimatewarrior3829
    @ultimatewarrior3829 Рік тому

    Same problem here sir also suffering OCD, but no leakage whenever feel pee feeling uncomfortable, kindly support

  • @abdulhaye9373
    @abdulhaye9373 2 роки тому +1

    Sir thanks
    I am on lithium carbonate and risperidone
    Big problem

    • @Nephchat
      @Nephchat  2 роки тому

      Lithium can effect kidneys

  • @naseerabbaskazmi6396
    @naseerabbaskazmi6396 2 роки тому

    Sir bladder weak hony sa bhi to ho skta h?

  • @muhammadanwar3782
    @muhammadanwar3782 Рік тому

    Thanks sir

  • @zahidakareem5752
    @zahidakareem5752 2 роки тому

    God bess you👍

  • @muhammadbinqasim7537
    @muhammadbinqasim7537 2 роки тому

    Dr sahab myny Candida supliment lia tha kuch din osy lyny kbad mujy urin boht ziada ara hy mujy suger nai hy

  • @muhammadyasirgillani5057
    @muhammadyasirgillani5057 Рік тому

    Sir ma nay ya sari techniques use kia hain..But agr ma Urine zayda dair hold krn to stress hona lagta hai ke Urine block hi na ho jaye r pora jisn contract sa ho jata kia urine hold krney se Urine block ho sakta ya sirf waham hai...What should i do ??

  • @zainestic_typist
    @zainestic_typist Рік тому

    Asalam-o-Alaikum Sir muja Stress incontinence ki problem ha 6 years sa boht masla ha muja plz guide

  • @muhammadbinqasim7537
    @muhammadbinqasim7537 2 роки тому +1

    Assalam o alaikum dr sahab my karachi my hon ap lahor my mujy yahi taklif hy or my non diabetic hun

    • @Nephchat
      @Nephchat  2 роки тому

      Online appointment is possible

  • @rehanaparveen3542
    @rehanaparveen3542 2 роки тому

    Dr Sahab. Mn tmam gara msale. Hra dhanya, podina, fennel, ginger aur turmeric ka concoction 3 cup daily leti hon. Age 68y. Diabetic, CKD aur hypertensive hon. Plz mujhe btaden k kya mn ye theek krti hon ya garam masale harmfull hn ?

  • @iqrajabbar5287
    @iqrajabbar5287 Рік тому

    Aoa sir ap ki fee kitni hy ur online kysy consult karen ap sy?

  • @humayunrasheed3276
    @humayunrasheed3276 2 роки тому

    Thanks Dr . Very good information given by u
    I usually take 8 glass in 24 hours . I go for urine 8 times in 24 hours. Is this normal. Do let me know

  • @zjantv115
    @zjantv115 4 місяці тому

    لیکن ھم نے یہ سنا ہے کہ پیشاب کو زیادہ روکے رکھا تو اس سے مثانے پر زیادہ بوجھ آتا ہے اور مثانے کیلئے خطرناک ہوتا ہے ؟؟؟ تو اس بارے کیا کہیں گے ,,ڈاکٹر صاحب

  • @drsgillani9306
    @drsgillani9306 Рік тому

    Dr sb.is trainig main urine wapis ja k kidney ko nuqsan to nahi pohanchay ga?

  • @abidaahsan2760
    @abidaahsan2760 2 роки тому

    Thanks for the valuable lecture God blessyou

  • @aalyanali8843
    @aalyanali8843 Рік тому

    Sir Aoa..are you in pakistan

  • @mehranali8685
    @mehranali8685 2 роки тому

    sir mera urine serf sozesh karate han bhut medicine kaleya lekin koch parq nay howa taqreeban ek saal howa mera es problem ka aur boht tests keya lekin normal result dethe hain please tell me.😭

  • @bikerider-vc5ob
    @bikerider-vc5ob 7 місяців тому

    Dr sahab mjy leakage ni hota lykin srf sensation ati hai myn 5 6hours b control kr skti hun lykin sensation khtm ni hoti myn kitny hour ka interval rkhn

  • @muhammadzaheer7310
    @muhammadzaheer7310 2 роки тому +1

    assalamoalaikum sir iam on dialysis for last 6 years my bp is 160/100 after taking nebix sofvasc and cardura even after dialysis it remains high what can I do.kindly help me

  • @lhamotsering5398
    @lhamotsering5398 11 місяців тому

    I am 53 years old women. I am IC patient. I am going urination after every one or half an hour. I have to urinate frequently when i feel otherwise if i hold it then latter very difficult to urination. Very very pain and i have to press urin.
    I feel very pain when i fill urine in bladder. I feel very pain during urination and also after urination. Little bit relief after urination.
    Is it possible to get your whatsup?

  • @mehboobalam5786
    @mehboobalam5786 2 роки тому

    Mehboob male age 52, frequent urination Hy beta, buht lamby time se,mujhy urgency tu Hy but leak ni hota,chahye Kitna time stop kr lon,khud ni niklta,but kbhi burning feel hoti Hy,MN bhi ye technique use kr skta Hy?

  • @nimra2419
    @nimra2419 Рік тому

    sir mra shortest interval 3 minutes h m kia kru plz btain

  • @nikhilbeldar2386
    @nikhilbeldar2386 Рік тому

    Sir mujhe problem aise hai ki mujhe pishab Toh bar bar aata hai lekin aisa lagta hai ki 24x7 pishab aaya jaise hi rehta hai Naa aaye Toh bhi Kya aap isme Kuch madat Kar sakte hai sir please

  • @umairhassan8954
    @umairhassan8954 Рік тому

    AoA sir I need to go-to toilet after every 10 minutes ...what should I dooo

    • @amandaanjana2830
      @amandaanjana2830 Рік тому

      Do blader training avoid sugar coffe spicy food tea totally avoid stay calm eat only vegeies

  • @nasir4701
    @nasir4701 2 роки тому

    mera ulta system ha... mujhy ghar me frequency nhi hoti balkeh public transport me long travel me ziada hota ye issue...aur apn gari me travel kroon to nhi hoti

  • @amandaanjana2830
    @amandaanjana2830 Рік тому +1

    Sabko apne feedback dalne cheyy bcz jobhi is sutatoin m fasa hh uski help hogii bcz gyss y ek darawani sutation hh

  • @HiraAkbar1407
    @HiraAkbar1407 Рік тому

    Agar urine b aye aur xada b aye. Phir kese rokain?

    • @mlickk
      @mlickk 11 місяців тому

      Yehi masla hai sara kese roky phr.. ata b baar baar hai

  • @jiyasardar7635
    @jiyasardar7635 Рік тому

    Plz Sir,, abbottabad mn b aen..

  • @Vviajy
    @Vviajy 2 роки тому

    Please comment on these

  • @amirsohail3576
    @amirsohail3576 2 роки тому

    What should be done if one kidney is relatively smaller than the other? Creatinine is also normal(.9) and urine is also normal(there is no protaine or blood)

    • @Nephchat
      @Nephchat  2 роки тому +1

      Nothing. Just keep an eye on BP

    • @amirsohail3576
      @amirsohail3576 2 роки тому

      @@Nephchat جَزَاکَ اللَّهُ خَيْرًا

    • @waqarriasat2331
      @waqarriasat2331 Рік тому

      Doc shab muj pysab k bad Dard hota ha

  • @harimfatima7139
    @harimfatima7139 2 роки тому

    Sir aik trf ap khty h pshab na roky nksan dta h

  • @aaziz41
    @aaziz41 2 роки тому

    Difficult to follow especially for seniors

  • @numanmohd896
    @numanmohd896 2 роки тому

    Sir g present I am work in bahrain or muje problem yeh hai ky meri age 27 hai 3 month pehle mujy problem hui thi bar bar peshab ata hai tu main ny kuch test karway hain kidney ultrasound urine routine analysis or blood test ultrasound ki report ok hai
    Creatinine level =0.92
    BUN creatinine level =11.77
    Hai

    • @numanmohd896
      @numanmohd896 2 роки тому

      Tu kuch inform karain mujhe test kon sy karwany chahiye peshab main jhaag hoti hai or color bi boht yellow or frothy hota hai kindly kuch inform karain

  • @manni571
    @manni571 2 роки тому

    Hello dr sab kya dialysis patients papaya sugarcane or makki ki roti kha sakty hein?

    • @Nephchat
      @Nephchat  2 роки тому +1

      Papaya has more potassium. Rest are ok

  • @amandaanjana2830
    @amandaanjana2830 Рік тому +1

    Yes oab koi bimari nahi hh I comletly cure due to blader training y training esy nahi thi mentally level pr essa lagt atha ki mar jaungi or thought ate thee ki y kabhi sahi ni hogi but I am wrong hardwork nd blader training cure hogya lagbhag

  • @jiyasardar7635
    @jiyasardar7635 Рік тому

    Mn apny father ki reports apko snd krna chati hon, Apna whatsaapp nbr den plz... Unky bladder ka b msla hy diabetic b hn,, paon py sewln b hy.. Tou kia kidney Problem ki wjha sy sweln hy ya bladder ki????

  • @AsimKhan-ub5mj
    @AsimKhan-ub5mj Рік тому

    AA Doctor sahab! I have a weird issue if you could kindly guide me. I have started bladder training recently.
    My comfort zone is around 200 ml. Till this amount I can essily reach the toilet and urinate.
    After this I can hold on till I get a sudden strong urge and this could be anywhere between 270 ml and 370 ml.
    Now there's a weird zone between 200 ml and the final urge. I can hold on with increasing discomfort above 200 ml but as soon i decide to go to the bathroom, I get a very strong urge. The strength of this urge depends on how far I was from the perceived final urge by the bladder. For example yesterday i was sitting comfortably and I decided I should pee and got a really strong urge near the washroom door. My urine volume was only 250 ml. Two days ago I had held on for a while and then decided to go. I didnt feel any strong urge but when i measured the volume it was 270 ml.
    This weird buffer zone between the complete comfort zone (200ml) and the final urge point bothers me because I could literallaly be holding comfortably 270 ml and it suddenly shoots the urge up when i decided to go.
    I have been told that this could be a mental door in lock syndrome thing but the fact that it happens after 200 ml means that there is something more to it.
    What I want to know is that while training the bladder should I hold onto the till final urge comes (anywherr between 270 and 370 ml) or should I wait for a certain point after 200 ml?
    At around 200 ml I start getting constant signals to urinate which are not super uncomfortable and I can hold on beyond that.
    My target is that I should be able to hold 350 to 400ml of urine without rushing to the bathroom due to strong urge as soon as I decide to go. When my bladder was not overactive, I could hold onto till about 400 ml and then go without experiencing a super strong urge when i decided to go.
    I have no medical issues with bladder or kidneys.
    My OAB issues started in Feb 2022. For two complete years preceeding my first urgency incident, I had been peeing just in case non stop. Like I would sometimes literally pee when there was less than 50 ml in my bladder due to urinary OCD and to get that "just right" feeling. I was at home with an attached bath during these two years. I have never been duly dehydrated paryicularly during winter my entire life. I highly doubt I would have urinated above 250 ml during this entire two year period. Even before 2020, I was a just in case peeir but due to academic or professional work or some other matters, I would sometimes hold my bladder till max, but after Jan 2020, that was never the case.
    The other factor worth mentioning is that I took an antidepressant by the name of Tretol (sertraline). I took it just for two days and it wreaked havoc on my body with side effects like weird stool, jaw clenching and shaking etc. I didnt experience urgency immediately but just 15 days after taking that medicine I had my first urgency incident. The side effects of the medicine didnt last for more than two days since i stopped taking it immediately and like i said urinary urgency didnt occur till 15 days later.
    So how long after 200 ml should I hold my urine so that my comfort zone where i can calmly go to pee can expand? Thanks a ton in advance!

  • @javedqayyum5176
    @javedqayyum5176 2 роки тому

    Sir mujy har 20minute k bad peshab ata he or us k bad gala khushk ho jata he.or phir pani pena padta he or ye routine pora din ye chalta rehta he.or peshab k foran bad qatry aty he.shuger normal,ati he.sir ye bemari mujy 15,16,sal se he,.sir meri age 31year he.sir me kia karo.

  • @Dr.Inzaaa
    @Dr.Inzaaa Рік тому

    I have this problem and I face public humiliation because of this

  • @azharaslam3733
    @azharaslam3733 2 роки тому +1

    Good good good good

  • @musaratyasin7540
    @musaratyasin7540 Рік тому

    Jisko b ye pro ha garam pani ma bythain aram ajyga inshallah ameen

  • @movieaccount4063
    @movieaccount4063 10 місяців тому

    Sir online consultation is available? Contact number plz?

  • @waqarbabar9021
    @waqarbabar9021 11 місяців тому

    Ap ka WhatsApp numbar hai

  • @MuhammadAkmalKhan-y5x
    @MuhammadAkmalKhan-y5x Місяць тому

    Thank you sir

  • @musaratyasin7540
    @musaratyasin7540 Рік тому

    Jisko b ye pro ha garam pani ma bythain aram ajyga inshallah ameen