OAB

Overactive bladder syndrome, also referred to as OAB, is an uncontrollable need to urinate, often at the worst possible times. For most of us, when the bladder fills to about half its capacity, the urge to void is triggered. Much like a snooze button on an alarm clock that lets us sleep awhile longer, we can hold off until we’re closer to a bathroom, or the timing is more convenient. Not so for OAB sufferers. Their urgency is more like the constant demand of a malfunctioning alarm clock without that button — intense, shrill and non-stop until it’s turned off. OAB sufferers feel more like their bladders are overflowing. They don’t have the luxury of waiting, needing relief immediately. If they’re unable to void right away, leakage may occur. OAB is unbiased. Whether you’re at work or play, it disrupts concentration, performance and pleasure, negatively impacting your life. In time, those afflicted with OAB may become depressed, withdrawing socially. What Causes Overactive Bladder? No one really knows, but it’s believed that involuntary contractions of the detrusor muscle in the bladder transmits false messages to the brain. Symptoms Contributing factors: Age may contribute to, but does not always cause Overactive Bladder Syndrome. Never assume you’re doomed to live with OAB based on the number of years you’ve roamed the earth. Speak to your gynecologist. Don’t be ashamed. They’ve heard it before—often. They can help. Diagnosis You will need to provide your doctor with your medical history, including all drugs, vitamins and supplements you are taking. A physical examination will also be necessary.Sometimes, a urine culture, ultrasound, and neurological tests may be needed to rule out any sensory or reflex problems. If necessary, you might need more extensive analysis such as: You may be asked to keep a journal that includes information like fluid intake, urinary outflow, any leakage, and a time chart of bathroom visits to assess your condition more accurately. Treatment Options Medications and Treatments Other treatments may include: For more resistant cases, surgery, bladder augmentation, or the use of catheters may be necessary. Overactive bladder does not have to isolate you. Help is available. Speaking to your OB/GYN is always the first step to overcoming the problems associated with this syndrome, restoring your confidence, happiness, and quality of life.