If your daily schedule is dictated by frequent and sudden urinary urges that leave you scrambling for the nearest bathroom, and you haven't already been to see your doctor -- it's time to make an appointment to get your overactive bladder treated.
Whether you see a primary care doctor, internal medicine practitioner, urologist, or gynecologist doesn't matter. What does matter is that you get help for symptoms such as urinary urgency, frequent urination, waking up often during the night to urinate, and urge incontinence (abnormal bladdercontractions that cause uncontrolled leakage of urine).
They may be family -- but having an incontinence accident while staying in another person's home can be awkward and embarrassing. How do you explain the wet sheets? How can you dispose of used incontinence pads? Is incontinence keeping you from visiting friends and family?
"One of my patients was afraid she would wet the bed," says May Wakamatsu, MD, chief of Vincent Obstetrics and Gynecology at Massachusetts General Hospital in Boston. "She stopped sleeping at her daughter's house because of it...
Treatment is important because an overactive bladder can seriously interfere with activities, says Donna Y. Deng, MD, MS, a urologist and associate professor at the University of California-San Francisco who also serves on the board of directors at the National Association for Continence.
People may need to pull off the freeway immediately to find a restroom, or map out every public bathroom before they run errands. Some people are afraid to leave their homes and become isolated. “People really redefine themselves,” Deng says. “They really plan their lives around the bathroom. It’s definitely a great detriment to quality of life.”
In some cases, the urge is so strong that it overrides the urethral muscles that help control leakage from the bladder, and people can’t reach a toilet in time. “There’s very little warning time,” Deng says.
Talking About Overactive Bladder
Talking about such personal issues can be uncomfortable, but worthwhile, experts say. “Patients often don’t volunteer information,” says Tomas L. Griebling, MD, MPH, professor and vice chair of the department of urology at the University of Kansas and a faculty associate in the Landon Center on Aging.
Tell your doctor about overactive bladder problems, he says. “There are usually things that we can do to try to help people.”
When you start treatment for OAB, your doctor might ask you to keep a voiding diary. The diary can help your doctor see what symptoms you're having, and evaluate how well your treatment is working. In your diary, record when you urinate each time, how much urine you pass, whether you leak and how much leakage you have, what you were doing when the leakage occurred, and what/how much you drink and eat each day.