At least 37 million adults suffer from overactive bladder, the urgent need to go the bathroom. Many suffer in silence, too embarrassed to talk about it. However, a urologist at the Fox Chase-Temple Urologic Institute says there are many effective options for identifying and treating it, from dietary changes to nerve stimulators.
Overactive bladder is very common, affecting about 37 million adults. Doctors say there are solutions, if you speak up.Overactive bladder is very common, affecting about 37 million adults - maybe more, because many people are too embarrassed to get help.
"We like to hike, we like to take trips, long road trips," notes Dana Laslow."You have to know where the bathroom is, you have to kind of time things out," she explains."Constantly waking up, not feeling refreshed, feeling tired all the time," Laslow says. Dr. Joshua Cohn of the Fox Chase - Temple Urologic Institute says overactive bladder isn't a disease but is defined by symptoms. "Typically urgency of urination, that feeling that when you have to go to the bathroom, you really can't delay," Dr. Cohn says."Maybe because of fluids that you're drinking, caffeine intake that produces a lot of urine, or conditions like poor sleep quality, or even something called obstructive sleep apnea," he says. Changes to nerves and blood vessels around the bladder can be a factor, along with conditions like Parkinson's disease or multiple sclerosis.After Laslow got to Dr. Cohn, she discovered the real cause of her problem.Some people do well by limiting irritants such as caffeine, alcohol, artificial sweeteners, and smoking.For Laslow, the answer was a nerve stimulator - a pacemaker sending mild electrical pulses to nerves controlling the bladder."There's nothing experimental about it," Dr. Cohn notes, although patients are often surprised to learn about it. "It actually has been FDA-approved in some forms since the late 1990s. So it has been around for more than a quarter century," he says.She passed with flying colors and received the permanent implant in January."But by the next day, I didn't have that constant feeling of having to go to the bathroom," Laslow says."My husband and I are planning a trip for September," she says happily. Dr. Cohn says keeping a diary of all food and drinks is an essential starting point for both doctor and patient to identify what's going on.
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