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Hyperactive bladder - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi

I am a 24 year old male who suffers from an overactive bladder problem.I have had this problem for 4 and a half years and cannot find a cure to stop the frequent urination at night besides medication ( Xatral ).

I have previously been on 2 full courses of Roaccutane ( acne and skin problems ) and wonder if it might have caused the problem.

Can anyone recommend a solution to my problem ( natural ) because I need to sort this out soon.
Doctor :   hi
Doctor :  
let me read
Doctor :   from when you are suffering from this problem?

User :   for the last 4 and a half years ( mid 2005 till 2010 ).
Doctor :   what symptom you have?
User :   I suffer from bad sleep - wake up with headaches on most days due to poor sleep and often feel weak as a result as well.
Doctor :   what i mean is because of overactive bladder what symptom you have
Doctor :  
Doctor :  
you cannot hold urine?
User :   yes, I cannot hold urine for long periods of time - I have to urinate about 3-5 imes a night.
Doctor :  
Doctor :  
in the morning time do you have involuntary passage of urine?
Doctor :  
like if you try to hold urine also you will be not able to and urine leaks out and soil the clothes
User :   no - I manage to hold the urine ( have not reached the point yet where it just flows out ). I only feel the urge to go at different times of the night.
Doctor :   ok

Doctor :   with the present situation what is required is the bladder training
Doctor :   what it means is
Doctor :  
allowing the bladder to hold the urine for long time and increase its capacity to hold more amount of urine for long time
Doctor :   do you have the habit of consuming alcohol ?
User :   no - i drink no alcohol.
Doctor :  
Doctor :  
what about coffee, cola tea?
User :   no coffee ever or cola tea.
Doctor :  
Doctor :  
apart from medications what other things your doctor has advised
User :   Not much - He says Xatral is used by many today with my problem and is the only real way to stop the frequent urination. I have not been advised on bladder training.
Doctor :  
this is a medication which will help in reducing the hyperactivity of the bladder
Doctor :  
it causes relaxation
Doctor :  
but it is more so a symptomatic treatment
Doctor :  
bladder training to increase the capacity of holding the urine and reduce the sensitivity is the best method
User :   Can you as a professional tell me if Xatral has long term negative effects on a person or is it okay to take for long periods of time.
Doctor :  
it is ok to take for long time
Doctor :  
no problem with it
User :   Could you describe some bladder training methods which could help me?
Doctor :   there is some thing called pelvic floor exercise
Doctor :  
in this you have to do as if you are trying to hold urine repeatedly for 5 to 10 minutes
Doctor :   regularly you keep doing this daily
Doctor :   apart from this when ever you feel like passing urine, try to hold the urine as much as possible to an extent that you cannot hold any more
Doctor :  
initially you may be able to hold for 5 minutes
Doctor :  
latter it will increase to 10 min and so on

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