Top Remedies For An Overactive Bladder

An overactive bladder (OAB) is a common condition that can significantly impact a person’s quality of life, causing frequent urges to urinate and, in some cases, incontinence. Managing OAB can be challenging, but with the right combination of lifestyle changes, behavioural therapies, and medical treatments, it is possible to reduce symptoms and regain control over your bladder. 

What lifestyle changes can help with overactive bladder?

Making lifestyle modifications can play a crucial role in managing the symptoms of an overactive bladder. These changes not only help reduce the frequency of urination but can also improve bladder control and prevent accidents. Here are some effective lifestyle adjustments:

1. Limit caffeine and alcohol: Both caffeine and alcohol are bladder irritants and diuretics, meaning they increase urine production and make symptoms of OAB worse. Reducing or eliminating these from your diet can help minimise the urgency and frequency of urination. Opt for alternatives like decaffeinated tea or water infused with fruits to stay hydrated without irritating the bladder.
2. Stay hydrated, but in moderation: It might seem counterintuitive, but drinking too much water can worsen bladder issues. On the other hand, drinking too little can lead to concentrated urine, which can irritate the bladder and increase urgency. Striking the right balance by drinking around 6-8 glasses of water per day can help prevent both dehydration and excessive bladder stimulation.
3. Scheduled bathroom breaks: Instead of waiting for the urge to hit, try implementing a bathroom schedule. For example, start by going every two hours and gradually extend the time between bathroom visits as your bladder becomes more trained. This technique, called timed voiding, helps reduce the frequency of unexpected urges.
4. Pelvic floor exercises: Strengthening the muscles of the pelvic floor through Kegel exercises can significantly help in managing OAB. These exercises target the muscles that control the release of urine, providing better control over sudden urges. Consistency is key; performing Kegels daily can improve bladder control over time.
5. Maintain a healthy weight: Carrying excess weight puts additional pressure on the bladder, which can exacerbate OAB symptoms. Losing even a small amount of weight through a balanced diet and regular exercise can help ease that pressure and improve bladder function.

How can medications help in managing an overactive bladder?

When lifestyle changes alone are not enough to control OAB symptoms, medications can offer relief. Prescription medicines such as Dariten OD 7.5mg Tablet are commonly used to relax bladder muscles and reduce urinary frequency. These medications can be especially helpful for those experiencing severe symptoms. Let’s explore how these treatments work:

1. Darifenacin: This antimuscarinic medication relaxes the bladder muscles, helping reduce the sensation of urgency and the frequency of urination. It’s especially useful for patients who find that lifestyle changes aren’t providing sufficient relief. Darifenacin is often prescribed when the bladder’s involuntary contractions are too frequent, leading to sudden urges.
2. Take as directed: It’s crucial to take medications exactly as prescribed by your healthcare provider. Misuse or overuse can lead to side effects such as dry mouth, constipation, or blurred vision. Always discuss any other medications you’re taking to ensure there are no harmful interactions.
3. Monitor for improvements: Most patients see an improvement in their symptoms within a few weeks of starting medication. Track any changes in your bladder habits and report any side effects to your doctor. Adjustments to dosage or trying a different medication might be necessary if side effects persist.

What are some behavioural therapies that can reduce OAB urgency?

In addition to lifestyle changes and medication, behavioural therapies can effectively manage OAB symptoms. These therapies focus on retraining the bladder and changing habits that contribute to overactive bladder symptoms.

1. Bladder training: Bladder training is a technique that involves gradually increasing the time between bathroom visits to train the bladder to hold more urine and reduce urgency. This method can be challenging at first, but with patience and persistence, it can lead to significant improvements. Start by delaying urination by small increments, such as 5-10 minutes, and gradually increase the interval as your bladder becomes more accustomed to holding urine.
2. Double voiding technique: This method involves urinating, waiting a few minutes, and then attempting to urinate again. The goal is to ensure the bladder is fully emptied, which can reduce the frequency of bathroom trips. Double voiding can be particularly helpful for individuals who feel they never empty their bladder.
3. Biofeedback therapy: Biofeedback is a technique that helps you become more aware of the signals your body is sending and how to control your pelvic muscles. With the help of a specialist, you can learn how to strengthen your pelvic floor muscles and improve your bladder control, reducing urgency and frequency.
4. Mindfulness and relaxation techniques: Stress and anxiety can exacerbate OAB symptoms. Relaxation techniques such as deep breathing, meditation, or yoga can help calm the mind and reduce stress-related triggers for urgency. These practices not only support mental well-being but also contribute to better bladder control.
5. Urge suppression techniques: When you feel the sudden urge to urinate, specific techniques can help suppress the urge. For example, try sitting still, taking deep breaths, and squeezing your pelvic muscles until the sensation subsides. Over time, these techniques can help retrain your brain to manage urgency more effectively.

How does diet impact an overactive bladder?

Certain foods and beverages can irritate the bladder, making OAB symptoms worse. Identifying and avoiding these triggers is an important part of managing the condition. Here are some dietary tips to help reduce bladder irritation:

1. Avoid spicy foods and acidic fruits: Spicy foods and acidic fruits, such as citrus, can irritate the bladder lining and trigger urgency. Opt for milder foods like bananas, oatmeal, and lean proteins that are gentler on the bladder.
2. Limit artificial sweeteners: Some artificial sweeteners, such as aspartame, saccharin, and sucralose, can irritate the bladder. Check the labels of sugar-free products and try to avoid these additives if you notice a connection to your symptoms.

Foods rich in antioxidants, like blueberries, and those high in fibre, such as whole grains and vegetables, can help support overall bladder health. Fibre helps prevent constipation, which can put pressure on the bladder and worsen OAB symptoms.While it’s important to stay hydrated, overloading fluids can exacerbate OAB symptoms. Drink small amounts of water throughout the day rather than large amounts at once.