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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Overactive Bladder

I have been advised to stop vesicare as a side effect is memory loss which I am experiencing. Urgency is back eventhough I am on Betmiga. Suggested wear pads. Not happy.
Mon, 18 Apr 2016
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General & Family Physician 's  Response
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
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Suggest Treatment For Overactive Bladder

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