WHAT IS OVERACTIVE BLADDER?
The bladder is an organ that stores urine. It’s wall is made of muscle which contracts to empty the bladder when it is full and you are ready to go to the toilet. An overactive bladder means the bladder contracts before it is full. It can sometimes contract when you are not ready. You might go to the toilet often and find it hard to hold on until you get there. At times you may leak urine on the way to the toilet.
|Time||Amount passed||How strong was the urge to go?|
How do I measure the amount of urine passed?
Put a container (like an ice cream container) in the toilet. Now sit on the toilet and relax with your feet on the floor. Pass urine into the container. Then tip the urine into a jug to measure it. Men may want to stand and pass urine directly into a measuring jug.
How do I measure urgency?
I felt no need to empty.
I emptied for other reasons.
I could put it off as long as needed.
I had no fear of wetting myself.
I could put it off for a short time.
I had no fear of wetting myself.
I could not put it off.
I had to rush to the toilet.
I had fear I would wet myself.
|4||Urge incontinence.||I leaked before I got to the toilet.|
How do I measure leaking using a Pad Weight Test?
This test helps to work out how much urine you leak over a few days. To do this test you will need some accurate scales for weighing. You do this test by:
1. Weighing a dry pad in a plastic bag before you wear the pad
2. Then weighing the wet pad in a plastic bag after you wear it
3. Taking the weight of the dry pad away from the weight of the wet pad.
This will show how much you have leaked because each gram equals one ml.
This will show much you have leaked because each gram equals one ml.
Amount leaked = 250mls
WHO CAN HELP WITH YOUR BLADDER TRAINING PROGRAM?
A doctor, nurse continence specialist or pelvic health physiotherapist can get the best results for you. They will work out a program to suit you.
The National Continence Helpline 1800 33 00 66 can provide advice on an overactive bladder and help you find your local continence service.
HOW LONG WILL IT TAKE?
Most bladder training programs take about three months. You may have regular appointments with your nurse continence specialist or pelvic health physiotherapist. They will teach you ways to hold on for longer between trips to the toilet and reduce the feeling of urgency when needing to go. This will mean you can hold more urine in your bladder.
SOME HELPFUL THINGS YOU WILL LEARN DURING BLADDER TRAINING
Pelvic floor muscle training
The pelvic health physiotherapist or nurse continence specialist will teach you how to use your pelvic floor muscles. These muscles support your bladder and urethra. The urethra is the tube that carries urine from the bladder to the outside. Strong pelvic floor muscles and squeezing or contracting your muscles when you feel the sudden urge to pass urine, can help you settle down the urge to pass urine. This will help you hold on until you reach the toilet.
Deferment techniques and relaxation
These are techniques to help suppress or settle down the feeling of urgency to pass urine. They can include:
- slow breathing
- distraction, e.g., singing a song
- positive affirmations, e.g., saying you are in control of your bladder
- sitting on the edge of a hard chair or bed
- doing toe curls
- pressing on your heels.
Good bladder habits
Have plenty of fluids every day. Fluid is everything you drink, but it can also include foods like yoghurt and soup. The best fluid to drink is water.
You need to keep track of how much you drink each day. To do this, you will need to know how much your cup or mug holds. Cups can hold from 120 to 180mls while mugs can hold 280 to 300mls or more.
Avoid drinking fizzy drinks or drinks with caffeine. These can upset the bladder and make it harder for you to hold on. There is some caffeine in chocolate, tea, coffee, cola and some energy drinks. It is best to limit how much you drink of these.
Good bowel habits
Constipation and straining to pass a bowel motion can stretch your pelvic floor muscles. Constipation may also affect the bladder and have an impact on an overactive bladder. Try to avoid constipation. Try to eat at least two pieces of fruit and five serves of vegetables daily.
Will there be setbacks?
There will be small day to day changes in your bladder control. Anyone on a bladder training program may have days when your symptoms seem worse. This may happen when:
- you have a urinary tract or bladder infection (see your doctor right away)
- you are tired or run down
- you are worried or stressed
- the weather is wet, windy or cold
- you are ill (such as a cold, or a flu)
- if you are menstruating (commonly referred to as having a period).
During these times, try and stay positive and keep trying.
An overactive bladder can be treated, better managed with the right treatment or even cured. Phone the nurse continence specialists on the National Continence Helpline for free confidential:
- information about local continence services.
1800 33 00 66* (8am–8pm Monday to Friday AEST)
To arrange for an interpreter through the Translating and Interpreting Service (TIS National), phone 13 14 50 Monday to Friday and ask for the National Continence Helpline. Information in other languages is also available from staging.continence.org.au/other-languages
For more information: pelvicfloorfirst.org.au, health.gov.au/bladder-bowel