Hello dear.
Understand your concern.
Following are the causes of your problem
If it is temporary
1. Excesssive Alcohol and caffeine use
2. Artificial sweeteners and corn syrup
3. Blood pressor medication
4. Large dose of vitamin B and C
5. Intake of food high in sugars
6.
Urinary tract infection
7.
Constipation.
If it is permanent
1. Enlarged prostate
2. Obstruction of the urinary tract by stone and tumor
3. Neurological disorder:
Parkinson disease, multiple
sclerosis and
brain tumor.
Risk factor : Over weight, diabetes melitus, neurological disorder.
Complication: Skin problem:rash and sores
UTI, Stress and anxiety
Consult the doctor and do the following test:
1. Urine analysis
2. Blood sugars
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy
6. Cystogram
7. Pelvic examination
6. CBC, ESR
Following are the treatment
A. Behavior technique
1. Bladder training:shedule yor urination, delay for 30 min to 40 min then increased time
2. Double voiding
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine, spicy foods, chocolate
6.
Pelvic floor exercise.
B. drugs
1. Anticholinergic-
Oxybutynin, dicyclomine
2. Mirabegran
3. Alfa bloker- Tamsulosin
4. Injection of botox in bladder can be useful
C. Medical device
You can put urethral insert if not response to drugs and behavior technique.
D. Last option is surgery is problem is severe
1. Bladder neck obstruction
2. Artificial urinary sphincter
Hope this may help you.
Best regards
Dr. sagar