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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bladder Pressure Despite Taking Treatment For Overactive Bladder?

i dont have a uti or an infection, done had a pelvic exam, pelvic ultra sound, a cat scan, an im taking medicine for over active bladder an its not that bc the medicine is not working, so my question is when i go to the bathroom right after i pee i feel like i have to pee again, an i have no burning, no blood or pain when i pee so what is wrong with me because no one seems to be able to help me, please help me i would like to be well.
Mon, 14 Mar 2016
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General & Family Physician 's  Response
Besides mefication following things are importand but these require patience and time:-

1) Bladder training and scheduled voiding :- Bladder training helps change the way you use the bathroom. Instead of going whenever you feel the urge, you urinate at set times of the day, called scheduled voiding. You learn to control the urge to go by waiting -- for a few minutes at first, then gradually increasing to an hour or more between bathroom visits.

2) Pelvic floor exercises. Just as you exercise to strengthen your arms, abs, and other parts of your body, you can exercise to strengthen the muscles that control urination. During these pelvic floor exercises, called Kegels, you tighten, hold, and then relax the muscles that you use to start and stop the flow of urination. Using a special form of training called biofeedback can help you locate the right muscles to squeeze. Start with just a few Kegel exercises at a time, and gradually work your way up to three sets of 10. Another method for strengthening pelvic floor muscles is with electrical stimulation, which sends a small electrical pulse to the area via electrodes placed in the vagina or rectum.
Until you get your overactive bladder under control, wearing absorbent pads can help hide any leakage that occurs.

3) Avoiding drinking caffeine or a lot of fluids before activities
4) Not drinking fluids right before you go to bed
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What Causes Bladder Pressure Despite Taking Treatment For Overactive Bladder?

Besides mefication following things are importand but these require patience and time:- 1) Bladder training and scheduled voiding :- Bladder training helps change the way you use the bathroom. Instead of going whenever you feel the urge, you urinate at set times of the day, called scheduled voiding. You learn to control the urge to go by waiting -- for a few minutes at first, then gradually increasing to an hour or more between bathroom visits. 2) Pelvic floor exercises. Just as you exercise to strengthen your arms, abs, and other parts of your body, you can exercise to strengthen the muscles that control urination. During these pelvic floor exercises, called Kegels, you tighten, hold, and then relax the muscles that you use to start and stop the flow of urination. Using a special form of training called biofeedback can help you locate the right muscles to squeeze. Start with just a few Kegel exercises at a time, and gradually work your way up to three sets of 10. Another method for strengthening pelvic floor muscles is with electrical stimulation, which sends a small electrical pulse to the area via electrodes placed in the vagina or rectum. Until you get your overactive bladder under control, wearing absorbent pads can help hide any leakage that occurs. 3) Avoiding drinking caffeine or a lot of fluids before activities 4) Not drinking fluids right before you go to bed