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Sensitive Bladder Tips

Painful Bladder Syndrome - Know About Its Symptoms!

Dr. Muruganandham K 89% (10 ratings)
MCh Urology, MS - General Surgery, DNB (General Surgery), MBBS
Urologist, Chennai
Painful Bladder Syndrome - Know About Its Symptoms!

The kidneys make urine, which is a fluid through which wastes from the body including urea are eliminated from the body. There are two kidneys on the right and left side, which make urine, and pass it down to the bladder through tubes known as ureter. The bladder acts as a reservoir of the urine that is formed in the kidneys. It is stored temporarily there before being excreted out of the body through the urethra. The urinary bladder is a highly muscular organ and has a rich connective tissue.

Interstitial cystitis (IC) or painful bladder syndrome (PBS) is a very common condition, which affects females more than males. While the exact etiology is not known, it could be age-related and also lifestyle related. People who are used to controlling the urge to pass urine are highly likely to develop this condition. The simple logic is that there is additional pressure on the bladder from the urine that is contained for longer period of time. As such, the muscular wall stretches and begins to feel stressed.

When this habit continues over a period of time, the bladder wall may become irritated or inflamed or even scarred in severe cases. There is no role of bacteria in this condition, and antibiotics are of no help in managing this condition (though the name cystitis usually indicates infection).

The following symptoms are seen as a result of this constant irritation and inflammation.

  1. One may suffer from pain and pressure in the bladder as it continues to collect more and more urine.
  2. This pressure in the bladder also puts pressure on the surrounding tissues in the abdomen including the pelvis, urethra, abdominal organs, uterus, etc.
  3. Women may experience pain in the vaginal tract including vulva and behind the vagina.
  4. Men may experience pain in the area of the scrotum, testicles, prostate, and penis.
  5. There is an increased urge to urinate, which may be as much as 9 to 10 times a day. As the condition progresses, there could be more visits, as many as 40 to 50 visits a day.
  6. This tendency and urge to urinate increases during nighttime.
  7. For women, this urge to urinate and other symptoms including pain are worse during menstruation.
  8. There could be pain during intercourse for both men and women.
  9. There could be pain even otherwise, which can range from a mild dull ache to a piercing pain.
  10. At a structural level, this constant pressure leads to pinpoint bleeding (glomerulations) and sometimes even ulcers in the bladder wall.

There is no definitive treatment for IC or PBS. However, bladder distention and instillation are proven methods of increasing bladder capacity, which therefore helps in relieving symptoms.

3321 people found this helpful

Top Reasons To See A Urologist!

Dr. Rajesh Kumar Agrawal 89% (11 ratings)
M.Ch - Urology, DNB (General Surgery), MS - Urology, MBBS, DNB - Urology
Urologist, Jalandhar
Top Reasons To See A Urologist!

Be it frequent urination, painful urination, or change in color of urine, you must not hesitate to visit a urologist, especially when the symptoms persist for more than two days. Typically, an abnormal urge to urinate is directly affected by any infection in the bladder or due to any underlying medical condition. A urologist who is specialized in the study and treatment of disorders related to the urinary system is the right person to diagnose the problem and put you on the right treatment. Read on to have an insight into symptoms that would necessitate a urologist visit.

Inability to urinate: Many people tend to have calcium depositions in their urinary tract. This is what is known as a stone. When this stone grows big in dimension, it can block the ureters or the urethra. In both these situations, the total urine output reduces to a great extent or can stop completely. The first symptom, in this case, will be an intolerable pain in the back or lower abdomen. This is also a common sign in males with an enlarged prostate.

As the prostate grows in size, it pushes onto the bladder, thus again making it difficult to release urine.

  1. Pain in the lower abdomen: Pain in the lower abdomen is also a symptom of various kinds of urinary problems. If the pain is accompanied by urinary frequency or a burning sensation during urination, it inevitably prompts a visit to the urologist to check for bladder cancer or prostate.
  2. Blood in urine: Irrespective of the gender of the sufferer, blood in the urine is never a good sign. An immediate visit to the urologist is suggested as he can order tests which can highlight an infection or a disease or in extreme cases, even the early signs of cancer in kidney or bladder.
  3. Repeated urinary tract infections: Cases might arise, when a particular person is suffering from two or more infections in a span of 6 months. This situation should never be ignored, and immediately a doctor should be visited as this can be a serious health problem in both men and women. Prophylactic or some antibiotic treatments will be prescribed in this case.
  4. Chronic pain in the pelvic region: This is again another urinary condition which can affect both sexes. This condition is characterized by increased frequency of urination and nocturia and pain in the lower abdomen are also reported. Nocturia is severe nighttime urination. The treatment for this condition depends on the reason. A series of tests and examinations have to be carried out to find out the reason, and accordingly, a treatment plan has to be charted out.

Apart from the symptoms mentioned above, if you experience uncontrolled urine leakage or any sediments in urine or if you sense any abnormality concerning the lower abdominal area a urologist visit is warranted. No need to shy away from reporting even such minor discomfort as it could help avoid dire consequences.

2995 people found this helpful

Overactive Urinary Bladder - What Can Possibly Help Manage It?

Dr. Kuldip Singh 93% (199 ratings)
Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Overactive Urinary Bladder - What Can Possibly Help Manage It?

Overactive bladder (OAB) is a set of symptoms that causes a sudden urge to urinate to an extent that can negatively affect a person’s life. OAB incidence increases with age but it is not part of the normal aging process. Many affected people may feel embarrassed and isolate themselves from work and social activities. During normal urination, the detrusor muscle of the bladder contracts when the bladder is full and relaxes when empty. A normal adult bladder contains up to 600cc of urine, in OAB, as little as 200cc of urine can trigger bladder contraction. Certain neurological conditions like stroke, multiple sclerosis, Alzheimer’s disease, tumors, diabetes, bladder stones, enlarged prostate and other abnormalities that obstruct bladder outflow can lead to an overactive bladder. Excessive consumption of caffeine or alcohol could also obstruct the process of normal urination.

While sometimes one may have an urgent urge to urinate due to diet or lifestyle modification, but mentioned below are few symptoms mentioned below should not be ignored:

  • Urgency to urinate for a longer period of time, however, a patient may or may not urinate after feeling this urge.
  • Patients may leak urine after feeling a sudden urgency. They find it unable to control the flow leading to leakage of few drops or sometimes a gushing large amount of urine.
  • Frequent urination, more than 8 times in 24 hours.
  • Nocturia i.e waking up one or more times at night to urinate.

Treatment

  1. Diet, lifestyle modification should be the first line of treatment

    • Weight loss in obese patients reduces episodes of incontinence
    • Avoiding caffeine and alcohol can do the trick.
    • Kegel exercises are exercises of pelvic muscle, which strengthen the muscles of the pelvis and the urethra which support the opening to the bladder. Recommended 30-80 times every day for 8 weeks.
    • In women, vaginal weight training can be really helpful. In this small weights are held by the vagina by tightening the vaginal muscles. It should be practiced for 15 minutes twice daily for 4-6 weeks.
    • Bladder training is generally done with the help of physical therapist or urologist. It also uses pelvic floor muscle contractions to expand the intervals between voiding and to suppress the urge to void.
  2. Medications: Used as the second line of treatment as the drugs in most cases are only moderately helpful.
    • Anticholinergics act by relaxing the bladder, they decrease the hyperactivity of the detrusor muscle. There are several other medications that may be prescribed by the doctor depending upon the severity of the condition.
  3. Other procedures: third line of treatment
    • Botox injections can be given directly into the bladder wall. It suppresses involuntary bladder contractions by blocking nerve signals.
    • Neuromodulation uses electrical stimulation to reorganize spinal reflexes involved in bladder control.
    • Reconstructive bladder surgery enlarges the size of the bladder by using part of the intestine.

What Causes Interstitial Cystitis?

Dr. Chandrashekar.B.V. 94% (10 ratings)
MBBS, MS - General Surger, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
What Causes Interstitial Cystitis?

Interstitial cystitis (IC), also known as painful bladder syndrome, is a difficult condition. It is difficult to arrive at the diagnosis of interstitial cystitis, though there are treatments that can make life easier, there is no long-term cure. Interstitial cystitis is a lifelong bladder problem, that causes pressure and pain below the belly button. Symptoms can be constant, or they may fluctuate. It causes painful and urgent trips to the bathroom. In severe cases, you may need to urinate about 40 to 60 times in a day.

What causes interstitial cystitis (IC)?

The bladder is a hollow, muscular organ that holds the urine your body needs to dispose. The reason why IC occurs isn’t that clear, but there a few ideas:
1. An issue with bladder tissue allows chemicals in your urine to irritate the bladder.
2. Chemicals that are released when there is an inflammation in your body can cause the symptoms.
3. The bladder can be attacked by your immune system
4. Substances in your urine can damage your bladder
5. Nerve problems can wreak havoc on your bladder

Signs and Symptoms

People suffering from IC don’t display the same symptoms. The symptoms keep changing, be it every day, every week or every month. Sometimes, the symptoms may entirely disappear without treatment. Some common IC symptoms include:
1. Bladder pressure and pain that worsens after the bladder gets filled with urine
2. Pain in your urethra (the tube that drains the urine from your bladder), pelvis, lower back and lower tummy
3. Women experience vaginal pain (or the area behind it) or in the vulva
4. In men, a sensation of pain in the penis, testicles, scrotum or the region behind the scrotum
5. The urge to urinate, even if you had urinated a few moments ago
6. Women experience pain during intercourse
7. Men experience pain after sex or during orgasm

One common symptom shared by all people suffering from IC is a swollen bladder. There are certain things that can worsen your condition. These include:
1. Certain drinks or foods
2. Physical or mental stress
3. Menstrual cycles

Why You Must Visit An Urologist?

Dr. Anupam Kumar Sharma 93% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Ghaziabad
Why You Must Visit An Urologist?

Be it frequent urination, painful urination, or change in color of urine, you must not hesitate to visit a urologist, especially when the symptoms persist for more than two days. Typically, an abnormal urge to urinate is directly affected by any infection in the bladder or due to any underlying medical condition. A urologist who is specialized in the study and treatment of disorders related to the urinary system is the right person to diagnose the problem and put you on the right treatment. Read on to have an insight into symptoms that would necessitate a urologist visit.

Inability to urinate: Many people tend to have calcium depositions in their urinary tract. This is what is known as a stone. When this stone grows big in dimension, it can block the ureters or the urethra. In both these situations, the total urine output reduces to a great extent or can stop completely. The first symptom, in this case, will be an intolerable pain in the back or lower abdomen. This is also a common sign in males with an enlarged prostate.

As the prostate grows in size, it pushes onto the bladder, thus again making it difficult to release urine.

  1. Pain in the lower abdomen: Pain in the lower abdomen is also a symptom of various kinds of urinary problems. If the pain is accompanied by urinary frequency or a burning sensation during urination, it inevitably prompts a visit to the urologist to check for bladder cancer or prostate.
  2. Blood in urine: Irrespective of the gender of the sufferer, blood in the urine is never a good sign. An immediate visit to the urologist is suggested as he can order tests which can highlight an infection or a disease or in extreme cases, even the early signs of cancer in kidney or bladder.
  3. Repeated urinary tract infections: Cases might arise, when a particular person is suffering from two or more infections in a span of 6 months. This situation should never be ignored, and immediately a doctor should be visited as this can be a serious health problem in both men and women. Prophylactic or some antibiotic treatments will be prescribed in this case.
  4. Chronic pain in the pelvic region: This is again another urinary condition which can affect both sexes. This condition is characterized by increased frequency of urination and nocturia and pain in the lower abdomen are also reported. Nocturia is severe nighttime urination. The treatment for this condition depends on the reason. A series of tests and examinations have to be carried out to find out the reason, and accordingly, a treatment plan has to be charted out.

Apart from the symptoms mentioned above, if you experience uncontrolled urine leakage or any sediments in urine or if you sense any abnormality concerning the lower abdominal area a urologist visit is warranted. No need to shy away from reporting even such minor discomfort as it could help avoid dire consequences.

2015 people found this helpful

Frequent Urination - It Could Be A Sign Of Enlarged Prostate!

Dr. Praveen Kumar Pandey 88% (10 ratings)
MBBS, MS ( Surgery ), MCH ( Urology ), DNB ( Urology )
Urologist, Lucknow
Frequent Urination - It Could Be A Sign Of Enlarged Prostate!

The condition of enlarged prostate occurs due to the enlargement of a man’s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer. The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.

Causes
It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.

With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.

Some of the common symptoms of enlarged prostate include:

  1. Frequent urination
  2. Urgency to urinate
  3. Difficulty during urination
  4. A slow or weak urinary stream
  5. Requirement of extra effort to urinate
  6. Interrupted sleep due to need of urination

Further risks
Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition. In case you have a concern or query you can always consult an expert & get answers to your questions!

2132 people found this helpful

Former PM, Atal Bihari Vajpayee, Passed Away - End Of An Era!

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Former PM, Atal Bihari Vajpayee, Passed Away - End Of An Era!

“Kya haar me, kya jeet me, Kinchit nahi bhaybheet mai,

Kartavya path par jo bhi mila, Yah bhi sahi, wo bhi sahi,

Vardaan nahi maangunga, Ho kuch par haar nahi maangunga”  - Atal Bihari Vajpayee

His leadership, foresight, maturity and eloquence put him in a league of his own. Atal Bihari Vajpayee, the Gentle Giant, passed away on 16th August. He was suffering from urinary tract infection. His previous medical records include stroke, dementia, and diabetes. He sometimes fails to recognize people and is often confined to a wheelchair. Let's know about the disease-

What Causes Urinary Tract Infection?
Kidney Tract Infection is a form of UTI (Urine Tract Infection) that generally begins in Urethra or Bladder and spreads to one or both of the Kidneys. This Kidney infection is caused by bacteria which enters the Urethra and multiplies in the Bladder, then infection spreads to Kidneys.

Here are the reasons that help the bacteria enter the Urethra:

Symptoms of Urinary Tract Infection
The symptoms depend on the part of the Urinary Tract infected. In lower UTI, the following symptoms are noticed:

The Upper UTI is a severe one, and shows the given symptoms:

  1. Fever with Chills
  2. Vomiting
  3. Nausea
  4. Upper back and sides in pain

Treatments for Urinary Tract Infection-
The treatment may differ from person to person depending upon the seriousness and position of the infection. The infection of Upper Urinary Tract can be life-threatening as it affects Kidneys, a type of Urinary Tract Infection, our former Prime Minister is suffering from. Lower UTI is not as dangerous as the upper one, but is a serious issue.

A treatment can only be commenced based on the test results which shows where the infection is, and what type of bacteria has attacked the Urinary Tract. For most of the cases, the infection is treated with Antibiotics and other medication.

The 93-year-old former Prime Minister had only one functional kidney and had suffered a stroke back in 2009 which weakened his cognitive abilities. He was admitted to the AIIMS but on June 11, 2018, with a kidney tract infection, chest congestion and the urine output on the lower side.

Some Interesting Facts About The Man Himself -

  1. He was the first person to give a speech in Hindi at the UN General Assembly in 1977. He served as India’s Minister of External Affairs at that time.
  2. The former Prime Minister was known to have been a good cook. While serving time in prison during Emergency, in Chandigarh, he reportedly became the “head cook”.
  3. In 2015, Vajpayee received Bharat Ratna, the country’s highest civilian honor from former President Pranab Mukherjee.
  4. He is the only Parliamentarian to be elected from 4 different Indian States- Uttar Pradesh, Delhi, Madhya Pradesh.
  5. His birthday, 25 December, was declared “Good Governance Day” as recognition of his services to the nation.
  6. Matter of ‘13’ :
    • In 1996, he was PM for 13 days
    • In 1998– 99, he was PM for 13 months
    • On 13 oct 1999 he took oath as PM of India for the third time

RIP Atalji - You will always be missed by every Indian!

4 people found this helpful

Painful Bladder Syndrome - Things You Need To Be Aware Of!

Dr. Ranjit Chaudhary 90% (10 ratings)
MBBS, MS - General Surgery, MCh - Urology
Urologist, Bhopal
Painful Bladder Syndrome - Things You Need To Be Aware Of!

Interstitial cystitis (IC), also known as painful bladder syndrome, is a difficult condition. It is difficult to diagnose and though there are treatments that can make life easier, there is no long-term cure. Interstitial cystitis is a lifelong bladder problem, that causes pressure and pain below the belly button. Symptoms can be constant, or they may fluctuate. It causes painful and urgent trips to the bathroom. In severe cases, you may need to urinate about 40 to 60 times in a day.

What causes interstitial cystitis (IC)?

The bladder is a hollow, muscular organ that holds the urine your body needs to dispose. The reason why IC occurs isn’t that clear, but there a few ideas:
1. An issue with bladder tissue allows chemicals in your urine to irritate the bladder.
2. Chemicals that are released when there is an inflammation in your body can cause the symptoms.
3. The bladder can be attacked by your immune system
4. Substances in your urine can damage your bladder
5. Nerve problems can wreak havoc on your bladder

Signs and Symptoms

People suffering from IC don’t display the same symptoms. The symptoms keep changing, be it every day, every week or every month. Sometimes, the symptoms may entirely disappear without treatment. Some common IC symptoms include:
1. Bladder pressure and pain that worsens after the bladder gets filled with urine
2. Pain in your urethra (the tube that drains the urine from your bladder), pelvis, lower back and lower tummy
3. Women experience vaginal pain (or the area behind it) or in the vulva
4. In men, a sensation of pain in the penis, testicles, scrotum or the region behind the scrotum
5. The urge to urinate, even if you had urinated a few moments ago
6. Women experience pain during intercourse
7. Men experience pain after sex or during orgasm

One common symptom shared by all people suffering from IC is a swollen bladder. There are certain things that can worsen your condition. These include:
1. Certain drinks or foods
2. Physical or mental stress
3. Menstrual cycles

2 people found this helpful

How Homeopathy Can Treat Bladder Inflammation?

Dr. Rizwan Khan 86% (61 ratings)
BHMS
Homeopath, Gwalior
How Homeopathy Can Treat Bladder Inflammation?

Cystitis is a condition which is characterized by bladder inflammation that is usually a result of bladder infection. This disorder is very common among women. The condition tends to get better in a few days without any treatment. In case of chronic cystitis, long term treatment may be required.

Symptoms
Common symptoms include excessive urination (may be dark in color) and a burning pain during urination. One might feel generally unwell, tired and may experience cramps in the lower abdomen. In case of children, there may be a rise in the body temperature, coupled with weakness and vomiting.

Causes

  1. Engaging in sex (irrespective of whether one is using protection or not) can result in this condition.
  2. Inserting objects such as tampons into the urethra to release the bladder can most definitely result in this condition.
  3. Using contraceptive measures such as diaphragm.
  4. It occurs when bacteria which is present in the bowel or on the skin comes in contact with the bladder via the urethra. Women are at an increased risk as their urethra is shorter and the anus is close to the urethra.

Homeopathy and Cystitis
Homeopathy is a system of treatment that is natural and holistic. It does not have any side effect like the other conventional treatments. The various homeopathic remedies for cystitis are –

  1. Cantharis: Cantharis is a homeopathic remedy that is very effective in treating infections. In case of bladder inflammation and pain while urinating, this remedy is preferred. For cystitis with an inflamed bladder as the root cause, this remedy is very effective.
  2. Apis Mellifica: In case of chronic bladder infection, Apis Mellifica is administered. It cures the inflammation and also gets rid of the swelling. This also helps in relieving any burning symptom that you may experience while passing urine.
  3. Staphysgaria: Staphysgaria is a homeopathic remedy which is used to treat symptoms of cystitis that include a sharp pain in the urethra accompanied by involuntary discharge of urine. There may also be a constant urge to urinate.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3260 people found this helpful

Reasons Why You Should See A Urologist!

Dr. Shrikant M.Badwe 87% (31 ratings)
M.Ch - Urology/Genito-Urinary Surgery, MS - General Surgery, MBBS
Urologist, Mumbai
Reasons Why You Should See A Urologist!

Be it frequent urination, painful urination, or change in color of urine, you must not hesitate to visit a urologist, especially when the symptoms persist for more than two days. Typically, an abnormal urge to urinate is directly affected by any infection in the bladder or due to any underlying medical condition. A urologist who is specialized in the study and treatment of disorders related to the urinary system is the right person to diagnose the problem and put you on the right treatment. Read on to have an insight into symptoms that would necessitate a urologist visit.

Inability to urinate: Many people tend to have calcium depositions in their urinary tract. This is what is known as a stone. When this stone grows big in dimension, it can block the ureters or the urethra. In both these situations, the total urine output reduces to a great extent or can stop completely. The first symptom, in this case, will be an intolerable pain in the back or lower abdomen. This is also a common sign in males with an enlarged prostate.

As the prostate grows in size, it pushes onto the bladder, thus again making it difficult to release urine.

  1. Pain in the lower abdomen: Pain in the lower abdomen is also a symptom of various kinds of urinary problems. If the pain is accompanied by urinary frequency or a burning sensation during urination, it inevitably prompts a visit to the urologist to check for bladder cancer or prostate.
  2. Blood in urine: Irrespective of the gender of the sufferer, blood in the urine is never a good sign. An immediate visit to the urologist is suggested as he can order tests which can highlight an infection or a disease or in extreme cases, even the early signs of cancer in kidney or bladder.
  3. Repeated urinary tract infections: Cases might arise, when a particular person is suffering from two or more infections in a span of 6 months. This situation should never be ignored, and immediately a doctor should be visited as this can be a serious health problem in both men and women. Prophylactic or some antibiotic treatments will be prescribed in this case.
  4. Chronic pain in the pelvic region: This is again another urinary condition which can affect both sexes. This condition is characterized by increased frequency of urination and nocturia and pain in the lower abdomen are also reported. Nocturia is severe nighttime urination. The treatment for this condition depends on the reason. A series of tests and examinations have to be carried out to find out the reason, and accordingly, a treatment plan has to be charted out.

Apart from the symptoms mentioned above, if you experience uncontrolled urine leakage or any sediments in urine or if you sense any abnormality concerning the lower abdominal area a urologist visit is warranted. No need to shy away from reporting even such minor discomfort as it could help avoid dire consequences. In case you have a concern or query you can always consult an expert & get answers to your questions!

3292 people found this helpful
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