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Help for OAB

These problems could be a sign of

There is no cure for OAB, but it can be treated.

You may be able to help control your symptoms with medications.

Exercises alone or together with medicine can help treat OAB.

Additionally, there are methods that can help you retrain your bladder.


Retraining the bladder

Some exercises can strengthen the muscles that help you hold urine in (pelvic floor muscles).

If you've been living with OAB for some time, you may be in the habit of going to the toilet very often. In this case it may take time to recognize that your symptoms have improved. Some people taking medication may be able to wait and not even know it.

In addition to taking medication, there are a few more things you can do that may help control your OAB symptoms. Try these tips below to help retrain your body.



Increase your time between visits to the toilet. If you go every hour, then try to wait for 1 hour and 15 minutes.

When you can wait that long without fear of leakage for 1 or 2 weeks, try to increase the time. Try 15 minutes more at first. Then, little by little, wait longer.

Stick to your timing as much as you can, whether or not you have to go.

When you have a strong urge to urinate train yourself to do the following:

Stop what you're doing and sit down when you can. When you're still, it's easier to control your urge.

Squeeze your pelvic floor muscles quickly several times. These are the muscles that help you to hold urine in.

Discuss these tips with a doctor.

Relax the rest of your body. Take a few deep breaths to help you.

Wait until the urge subsides.

Walk to the toilet. Don't rush.

Discuss these tips with a doctor.

Taking medication for
OAB

For some people, medication begins to work as soon as they take it.



But everyone is different.

So, if you have just started taking OAB medication, be patient. Most people continue to improve over the first few months of beginning treatment


Other management of OAB


Some people who experience urine leakage use absorbent pads (incontinence pads) to help them manage their OAB. However:

Incontinence pads do not take care of the cause of the problem.



Incontinence pads are not a substitute for medical treatment.

Receiving medical treatment can reduce OAB so that fewer incontinence pads are needed.


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exercises that help bladder control

In addition to taking medication once a day, you may be able to improve the symptoms of OAB by training your pelvic floor muscles to help keep urine from leaking.

Your pelvic area includes your hip bones and the parts of your body between your hips that are attached to you pelvic bone. Several layers of muscle stretch between your legs and attach to the front, back, and sides of the pelvic bone. When these muscles are healthy they easily prevent the urine or stool from leaking out of the body. When they are weak they can cause incontinence. Pelvic-muscle exercises called ‘Kegels exercises’, strengthen the muscle that surrounds your anus and prostate gland.

For a man who wants to learn how to do Kegels exercises, the first step is locating the Kegel muscle. Here's how:

When you have an urge to urinate sit on the toilet with your legs spread, and start to urinate.

Practice stopping and re-starting the flow or urine. By doing this squeeze and releasing action, you are flexing the pelvic muscle – just as you would flex the muscle on your arm.

If you have trouble doing this at first, it is especially important you practice often to retrain your muscles.


After you become more familiar with the sensation of flexing the pelvic muscle you can practice holding the flex for a few seconds at a time.

You can perform Kegel exercise at anytime, and you don’t have to wait until you need to urinate.

Start with a set of 20- 30 flexes a day, and work your way up to sets of 100-200.

To be certain you are doing the exercises correctly, talk to your doctor.

Once you are comfortable with the ‘Kegel exercises’ you should try to do them at least 3 times a day. Each time, switch between lying, sitting, and standing. The more you perform these exercises, the stronger your pelvic floor muscles will get and the faster you'll improve.

Lifestyle changes for
people with OAB


Try these tips for making small changes in your everyday habits. These changes may help and work with your OAB medication. Start with changes you can handle easily. And take small steps to change habits.

Drink the right amount. Try to spread your fluid intake throughout the day. Try not to drink much within 2 or 3 hours before bedtime.

Your doctor can tell you what's right for you. Also, here is a list of food and drink that may irritate your bladder.

Coffee
Tea
Cola
Alcohol
Carbonated or “fizzy” drinks
(such as soda)
Spicy foods
Citrus fruits and juices
(such as grapefruit and orange juice)
Chocolate
Tomato-based foods
(such as spaghetti sauce)

Other lifestyle changes that may help OAB

If you are overweight, weight loss can improve OAB symptoms.
Constipation can make OAB symptoms worse.
Smoking irritates the bladder. Quitting may help OAB.