Overactive bladder – Causes, symptoms, and management

An overactive bladder (OAB) is when one feels a sudden, uncontrollable urge to urinate. Individuals with this condition may feel the need to use the washroom multiple times during the day and night, which can hamper their daily functioning. For this reason, they may stay away from social situations to avoid discomfort and embarrassment. However, detecting the condition early on can help control its symptoms effectively. Doctors may suggest some treatment options in combination with lifestyle changes.
 Causes and possible triggers 
 Here are a few causes and possible triggers of OAB: 
 1. Neurological disorders 
  Many people with underlying neurological problems may find it difficult to control urination, mainly because of a spinal cord, brain, or nerve issue. So, those with neurological disorders like Parkinson’s disease and multiple sclerosis may grapple with nerve damage, triggering or worsening OAB.  
 2. Diabetes 
  High blood sugar levels may cause damage to the nerves in the urinary tract, causing urinary tract problems. Consequently, those with diabetes are particularly vulnerable to OAB.  
 3. Bladder stones 
  Bladder stones tend to affect the bladder’s functioning, so bladder stones can increase one’s risk of developing OAB.  
 4. Certain types of treatments 
 Sometimes, an ongoing treatment course may trigger OAB as a possible side effect. 
 Symptoms of an overactive bladder 
 Here are a few symptoms of an overactive bladder: 
 1. Urgency incontinence 
  Urgency incontinence is when one needs to pass urine urgently and finds it difficult to control the urge. In many cases, it can cause one to pass urine involuntarily.  
 2. Bladder spasms 
  Sometimes, one’s urge to pass urine may be accompanied by bladder spasms or cramps and pain in the lower abdomen.  
 3. Disturbed sleep 
  Since patients with OAB often need to pass urine frequently at night, their sleep may be severely disturbed.  
 Treatment options 
 Here are a few treatment options that can help those with OAB manage their symptoms: 
 1. Kegel exercises 
  Doctors may suggest kegel exercises to strengthen one’s pelvic floor muscles and urinary sphincter. These exercises help gain control over the bladder.  
 2. Biofeedback 
  Here, electric signals are fastened to the patient; these receive information on the processes inside the body. The sensors then help one make certain conscious changes, such as strengthening one’s pelvic muscles, to control urination.  
 3. Bladder training 
 With bladder training, patients delay their urge to pass urine, control their bladder, and avoid going to the washroom for a certain duration. One can start with half-hour sessions and gradually increase them. 










