Medical Video: What Causes Pee Shivers? | Don't Be Dumb
In the middle of a super important meeting with a potential client, you suddenly feel like urinating constantly even though you have been to the toilet several times before. Or just suddenly want to urinate when you are still in a city bus stuck in traffic, while the distance of the office is still quite far away? Unfortunately, because the "backward" desire cannot be controlled, you actually become a little wet in your pants. Ever experienced a situation like this?
The urge to urinate continuously suddenly is unbearably known as the overactive bladder or overactive bladder (OAB). Well, to distinguish which is normal with an overactive bladder, consider the following review.
What is an overactive bladder?
Normally, the urine produced by the kidneys will flow and be stored in the bladder. Once filled, the nerve will send a signal to the brain that you must immediately go to the bathroom. Then, the nerves will send signals to the muscles around the pelvic floor, urethra, and urinary tubes to push the water out through the opening of the urethra and out of the body.
Overactive bladder is a condition that occurs when the bladder is overactive. This then causes the urge to urinate suddenly, even though the bladder is not filled with enough urine to be removed.
OAB occurs because the muscles around the bladder contract accidentally.
Besides suddenly wanting to urinate continuously, what are the symptoms of overactive bladder?
Having a bowel movement can occur at any time, even when you are healthy. However, people with overactive bladder usually will feel the urge to urinate suddenly, so busy going back and forth to the bathroom.
Other symptoms commonly experienced by people with overactive bladder are:
- Urine exits without being able to be controlled (urine incotence) or bedwetting.
- Frequent urination, usually more than eight times a day
- Often wake up at night more than twice to urinate (nocturia)
What causes overactive bladder?
The exact cause of overactive bladder is unknown. However, there are various things and health problems that can increase the risk of this condition, including:
- Neurological disorders, such as stroke or multiple sclerosis.
- Chronic urinary tract infections.
- Bladder abnormalities, such as a bladder tumor or stone.
- Obstruction of bladder flow due to prostate enlargement, constipation, or bladder surgery.
- Use drugs that increase fast urine production.
- Drink too much alcohol and caffeine.
- Decreased cognitive function, such as stroke or Alzheimer's disease.
Various ways to overcome overactive bladder
Overcoming an overactive bladder can be done in many ways. Consult your doctor first to determine the best treatment for you. Some ways to overcome overactive bladder are:
Some drugs can relax the bladder muscles that often contract. This helps you to reduce the feeling of wanting to urinate. Drugs that can be taken, among others, tolterodine, trospium, darifenacin, solifenacin, and fesoterodine. Side effects that usually appear are dry eyes, dry mouth, or constipation.
Resetting nerve impulses to the bladder can improve the bladder overactive. Nerve stimulation is done by a surgical process by placing a thin wire near the nerve which is responsible for sending signals to the bladder. The procedure is only temporary, if it affects the thin wire is replaced with a permanent electrode.
Bladder surgery is usually recommended in patients who experience severe symptoms and are unsuccessful with previous treatment. Surgery is performed to increase the ability of the bladder to store urine and reduce pressure in the bladder. At this stage, urinary fluid will be partially rebuilt or replaced with an alternative bladder (neobladder).