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Hi, I hve an overactive bladder. I Can go 8x/day (200ml) I can reach 350 or 400ml but with extreme pain, no leaks. Is it really a problem and what can I do to overcome this annoying problem. Thank you
Apr 21, 2013

Dr. Chady Waked Urology
First you have to rule out organic problems that may cause the over active bladder, like a pathology in the central nervous system or a problem in the peripheral nerves that goes to the bladder or a problem in the bladder wall or an obstruction in the urine flow. If everything is normal there is pills that can help you, and if not the second line treatement is injection in the bladder wall cystoscopy( endoscopy to the bladder). So you have to ask a urologist to have the right diagnosis and treatment.
Dr. Rania Mousa General Medicine
Overactive bladder is a problem with bladder-storage function that causes a sudden urge to urinate. The urge may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine (incontinence).
Symptoms of an overactive bladder occur because the muscles of the bladder are starting to contract involuntarily. This contraction creates the urgent need to urinate.Several conditions may contribute to signs and symptoms of overactive bladder ,more often, the specific cause of an overactive bladder isn't known.
As you age, you're at increased risk of developing overactive bladder. You're also at higher risk of diseases and disorders, such as enlarged prostate and diabetes, which can contribute to other problems with bladder function. Although common among older adults, an overactive bladder isn't considered a normal part of aging.
check withh your doctor for the cause to have the proper treatments and medications

you can try the following which may be very helpful :

# Behavioral interventions are the first choice in helping manage an overactive bladder. If you experience urge incontinence, these interventions alone aren't likely to result in complete dryness, but they may significantly reduce the number of incontinence episodes. The interventions your doctor recommends may include:

1-Pelvic floor muscle exercises. Kegel exercises strengthen your pelvic floor muscles and urinary sphincter. These strengthened muscles can help you stop the bladder's involuntary contractions. Your doctor or a physical therapist can help you learn how to do Kegel exercises correctly. It may take as long as six to eight weeks before you notice a difference in your symptoms.
2-Healthy weight. If you're overweight, losing weight may ease your symptoms. Weight loss may help if you also have stress urinary incontinence.
3-Fluid consumption. Your doctor may recommend the amount and timing of your fluid consumption.
4-Double voiding. People who have problems completely emptying their bladders may be helped by double voiding. After urinating, you wait a few minutes and then try again to empty your bladder completely.
5-Scheduled toilet trips. you can make a schedule for toileting so you urinate at the same times every day — for example, every two to four hours — rather than waiting until you feel the urge to urinate.
6-Bladder training. Occasionally, you may recommend a strategy to train yourself to delay voiding when you feel an urge to urinate. You'll begin with small delays, such as 30 minutes, and gradually work your way up to urinating every three to four hours. Bladder training is possible only if you're able to tighten (contract) your pelvic floor muscles successfully.