The bladder increases in activity

The bladder increases in activity's disease overview

What is

Bladder increased activity is a condition that the bladder is contraction at the wrong time, often causing a sudden feeling of urination, need to urinate immediately, if fasting can be urinated .

Activated bladder syndrome is a urine condition, having or not accompanied by urination, often accompanied by urination many times and night urination ... without urinary infection or diseases. Clear other reason.

Increased active bladder syndrome is not dangerous but causing discomfort to patients, causing obstacles in daily life, study and work. At the same time, patients may be psychologically affected, especially young patients.

Currently, there are millions of people suffering from this disease in the world. However, more than 50% of patients have to silently endure this situation for months, even for many years due to shame, afraid not to go to the hospital for treatment.

Causes of The bladder increases in activity's disease

Increased active bladder disease occurs due to many reasons. These causes cause excessive bladder muscle spasms and loss of coordination between bladder and urethral muscles such as:

neurological disorders in Parkinson's disease, stroke, marrow fibrosis, spinal cord injury due to trauma, diabetes, ...

Bladder abnormalities such as tumors or bladder stones.

Factors that hinder the flow from the bladder such as prostate fibroids or the treatment effects of the sub -frame area.

Drinking coffee or excessive alcohol.

Some cases do not determine the cause.

Symptoms of The bladder increases in activity's disease

Patients often complain to the doctor about urination, often feel suddenly wanting to urinate, unable to stop urinating and need to urinate immediately.

Sometimes the patient complains about urinating after urination.

In addition, many patients complain about urinating many times (over 8 times) of the day from waking up to bedtime or waking up at night once or more To urinate, it is difficult to sleep again, causing discomfort for the sick.

People at risk for The bladder increases in activity's disease

Risk factors leading to increased bladder syndrome include:

Elderly

Women are at higher risk than men

neuropathy: Parkinson, stroke, ...

Urinary tract pathology: bladder stones, prostate hypertrophy, ...

Many times pregnant

Prevention of The bladder increases in activity's disease

The adjustment of the diet will partly help control the symptoms and limit the condition becoming serious. Preventive measures include:

1. Absorb the amount of water needed every day. With this disease, choosing the amount of water and the time to drink water is very important. Reducing liquid absorption is considered the best way to control urine, but drinking too little water can lead to higher urine accumulation. This can irritate the bladder and increase the risk of urinary tract infections. Therefore, patients need:

Divide the amount of drinking water throughout the day into many times, drink some water in the meals

No need to drink too much water, except for exercise

Drink water into each sip

If the patient has drunk enough water, the urine will be light yellow and almost colorless

Patients also need to absorb water from other food sources such as fruits, vegetables and soup

Doctor examination as soon as the symptoms of urinary tract infections such as pain in urination or hot urine, dark or have a strong smell.

2. Limiting drinks can cause people to urinate a lot:

Caffeine waters such as carbonated soft drinks, coffee, energy drinks and tea. Studies have shown that reducing the absorption of caffeine below 100mg per day can help limit the symptoms.

Alcoholic drinks like alcohol, beer.

3. Avoid foods that can make the symptoms of bladder become more serious:

Acidic foods: Fruits like oranges, lemons, grapefruit, grapes or tomatoes.

Artificial sweeteners: aspartame, saccharin and other artificial sweeteners not only in drinks but also in many foods.

Salty foods: Chips and other salty foods can make the body hold water and make the patient thirst and drink more water, irritate the bladder to increase activity .

Diagnostic measures for The bladder increases in activity's disease

Activated bladder disease is often diagnosed when there are urinary symptoms with at least one of the symptoms: many times, night urine, uncontrolled urine. >

It is important to note that the urinary infection, local lesions or the accompanying metabolic agents can cause the above symptoms such as:

Lower urinary tract syndrome

Medical diseases: diabetes, blood failure, neuropathy, chronic constipation, ...

Used drugs: diuretics, antidepressants, antihypertensive drugs, ...

Eating habits: drinking a lot of coffee, drinking too much water, ...

In non -controlled urine people, it is necessary to distinguish three main types: urinary incontinence, non -control urine when exertion and non -control urine. Distinguishing is important because of the effects on treatment: urinary control of exertion is treated mainly by surgery, while urine is unprovered to be treated mainly in medical treatment.

The bladder increases in activity's disease treatments

Activated bladder disease can be cured but may recur in stages if there are favorable factors. The treatment may last with the regimen that includes steps depending on the severity of the disease, from non -invasive to surgical intervention.

The treatment of bladder increases in 3 steps: Measures to change behavior, use drugs and interventions when resisting drugs.

Changing behavior

is considered the first treatment step for bladder to increase activity. Patients can do itself, inexpensive and very effective. However, this method requires patients to cooperate and practice perseverance to bring the best results. Methods of changing behavior include:

Help patients understand what the bladder has a normal function and what is abnormal. Instruct patients to write "Diary of urination". Practice urination by the hour: Instructing the patient to the appropriate time between 2 urination is 3-4 hours and does not necessarily have to urinate whenever there is a strange feeling in the bladder.

Adjust the diet: limit some food and drinks that are diuretic or cause bladder irritation such as caffeine, alcohol, sugary drinks, ...

Adjust the amount of drinking water in the patient according to working and living conditions, drinking on average about 1500ml/day, limiting drinking water after 18 hours or within 3-4 hours Before sleeping.

Exercise techniques: Practice suppressing and controlling urgently, exercising bladder, pelvic mechanical spasms (Kegel method is meaningful to support suppressing it Urine to treat urinary or urinary urination is uncontrolled). Measures:

The appointment of the drug depending on the doctor's assessment of the cause of the disease as well as the risk factors.

Muscarin anti -anti -anti -anti -anti -contraction drugs of the bladder muscle. Muscarin anti -clinical trials and proven to be effective in the treatment of increased bladder including Darifenacin, Fesoterodine, Oxybutynin, Solifenacin, Tolterodine and Trospium. The adverse effects of anti -Muscarin drugs are dry mouth, blurred vision, hot face, headache, heartbeat, indigestion, constipation, ...

Some drugs are also effective on the bladder, but the mechanism is not as clear as flavoxate, three -round antidepressants (imipramin, amitriptyline, duloxetine), drug group Alpha blockers (tamsulosin, alfuzosin, doxazosin, ...)

New Mirabegron: The mechanism of impact on the receptor β3 adrenergic in the bladder tip, has a muscle relaxation and increases the bladder capacity. In Vietnam, there is no new medicine. Measures to intervene when resisting drugs or non -tolerated drugs:

Inject onabotulinumtoxin A into the bladder.

Neurological stimulation: This is the method of transplanting electrodes into the nerve roots with S3, connected to a pacemaker placed under the buttocks, thereby stimulating nerves Along to regulate nerve reflexes that govern the muscles of the bladder and perineum muscles. This method is indicated to treat urine stagnation in the bladder or symptoms of increased bladder as urinary incontinence or urgent urination - many times that have been resistant to medication. P>

Successful stimulation of pestle nerve: The successful treatment effect is about 54.9 - 79.5%, but this is a treatment of less abuse, little side effects and easy. Accepted.

Expansion of the bladder with the intestine: Surgery to expand the bladder with the intestine is indicated in cases of small -capacity bladder, bladder dysfunction with expansion. least. However, this is a severe surgery and the proportion of patients suffered from cleansing quite high distance (10 - 75%, of which patients with illness due to neurological causes often have a higher rate), So the method of expanding the bladder with the intestines only applies in unsuccessful cases when applying less abuse measures.

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