subject: Overactive Bladder - Diagnosis And Treatment [print this page] Overactive Bladder - Diagnosis And Treatment
Overactive Bladder (OAB) is a medical condition that is characterized by an increased urgency to urinate, usually with nocturia. At times, OAB is also characterized by urinary incontinence (unwanted urine leakage). A person who has Overactive bladder will be able to feel the urge sensation; but would not be able to control before making it to the toilet. Another common symptom of OAB is waking up more than twice at night. Many people find it embarrassing to talk to the doctor regarding the problem. Overactive bladder is mainly caused by muscular spasms in the bladder. This results in an urge to urinate. One of the major bladder muscles is Detrusor. Contractions in detrusor take place due to filling up of the bladder by urine. Around 300 cc of urine leads to the muscle contractions. The usual medical conditions that can cause overactive bladder are as follows: * Stokes * Dementia * Spinal cord injury * Parkinson's disease * Diabetic neuropathy * Multiple sclerosis * Bladder stones * Urinary tract infection * Multiple pregnancies Diagnosis A meticulous review of symptoms and a careful analysis of medical history are the primary steps of diagnosis of an overactive bladder. Generally the symptoms and signs help in confirming the disease. A pelvic exam is necessary to detect OAB in women. It helps in assessing tenderness level, texture and masses. The urine is analyzed to detect any infection. Urine cytology is often suggested to verify cancer cell inside the bladder. Ultrasound calculation of the post-void residual also helps in understanding the possible causes for urinary incontinence. Possible treatments After OAB has been diagnosed, your doctor will be suggesting you a treatment procedure that is best suited for your case. Usually, the treatment process can be oral medicatin (pharmacological), surgical and behavioral retraining. The usual treatments that are recommended for overactive bladder are: Pelvic muscle rehabilitation - This treatment process can help in improving pelvic muscle tone and prevent leakage. Younger women are largely benefitted through regular exercising of pelvic muscles. At times, pelvic-floor electrical stimulation helps in stimulating muscle contractions. Behavioral therapies - These help a patient in regaining control over her bladder. Bladder training involves teaching people how to defend against the urge of urine urgency. One must seek a professional specialist to treat overactive bladder. Pittsburgh based women can contact Dr. Patrick H. Macedonia to get proficient medical help and assistance regarding their medical problems.
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