Even though urinary leakage affects some 12 million adults in the U.S., it can be an embarrassing subject to discuss, even with your doctor. That’s why overactive bladder, also known as OAB or urge incontinence, is often called the "hidden condition."
You might believe, as many people do, that overactive bladder is just an unpleasant but inescapable part of getting older. Actually it isn’t -- and there is something you can do. Seeing your doctor and having tests for overactive bladder can help you get treatment, get back into your old routine, and feel more like yourself again.
Does your bladder nag you out of bed overnight? If you have to go to the bathroom more than once during 6-8 hours of Zzz's, you might have nocturia.
Your body may make too much urine, or your bladder can’t hold enough. Sometimes it's both.
There are many possible causes. Some need medical treatment, others you can manage on your own.
To get a diagnosis of overactive bladder, your doctor starts with a complete health history to learn about other urinary conditions you’ve had in the past, and when the problem started. Your doctor will examine you, ask questions, and perform tests.
Questions your doctor may ask about your OAB include:
How often do you urinate?
How often do you leak urine, and how severely?
Do you feel any pain or discomfort while urinating?
Keeping an OAB diary at home can help you answer these questions and help with an overactive bladder diagnosis. Each day, write down how much you drink, when you urinate, how much you urinate each time, and whether you ever feel an urgent need to go.
Your doctor will then examine your abdomen, pelvis, genitals, and rectum. You might also have a neurological exam to look for problems in your nervous system that could affect your ability to urinate. Constipation can also lead to urinary incontinence and urinary retention.
What Are the Tests for Overactive Bladder?
There are a number of tests for overactive bladder, depending on your health history and symptoms. For these tests, you’ll likely see a urologist (a doctor who is trained to treat urinary disorders). If you’re a woman, you can also visit a urogynecologist.