Irritable bladder syndrome symptoms, diagnosis and treatment

Irritable bladder syndrome is a common condition among men and women. The disease brings discomfort, disrupts the usual rhythm of life.

What is irritable bladder syndrome?

The problem of irritable bladder syndrome is a delicate one. Many people are shy about it. Therefore, the number of diagnosed cases is several times less than the actual presence of this disease. A person does not dare to go to the doctor, comes up with various excuses, he independently treats with antibiotics, uses urological pads. In the meantime, the disease progresses, causing psychological problems, reducing the quality of life.

Irritable urea syndrome is a neurological disorder. This disease is not referred to as pathologies of the urinary sphere. The condition is characterized by the fact that a person has an involuntary contraction of the muscles of the bladder, which provokes urination. In the presence of such a problem, the patient has to rebuild his lifestyle.

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Causes

The development of irritable urea syndrome is provoked by such neurogenic factors:

  • Stroke.
  • Back and head injuries resulting in spinal and brain injuries.
  • Diabetic type neuropathy.
  • Operations.
  • Congenital anomalies of the spinal cord.

There are also other reasons that are not included in the neurogenic group:

  • Disorders in the bladder.
  • Sensory pathologies.
  • Problems in the genitourinary sphere.
  • Menopause.
  • Age changes.

There is a theory according to which people who are exposed to constant stress, depressive conditions, more often suffer from involuntary urination. Attention disorders can also cause irritable urine syndrome.

Symptoms

A healthy person produces about 2 liters of urine per day. The number of trips to the toilet is 6-8. With urea hyperactivity, the patient has to visit the toilet much more often – about 15 times a day. At the same time, less urine is released. It happens that a person does not have time to get to the toilet: the genitals become numb and cannot keep urine. In addition to urinary disorders, the symptoms of pathology include:

  • Burning and itching in the perineum, vaginal area, lower abdomen or urethra.
  • Cuts and pain during urinary intercourse.
  • Feeling of incomplete emptying.

In rare cases, irritable bowel syndrome is also observed. Then there are colic, abdominal cramps, esophageal upset. The number of manifestations and their severity differ from person to person.

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Diagnostics

It is impossible to get rid of irritable urine syndrome on your own. The key to successful treatment is timely diagnosis. It is difficult to identify such a pathology. At the reception, the doctor asks the patient: under what circumstances and when the frequency of urination increases, how much fluid a person drinks per day, whether the amount of urine emitted corresponds to the amount drunk.

To confirm the diagnosis, it is necessary to conduct dynamic observation throughout the week. The doctor prescribes a full examination to exclude the presence of anomalies in the structure of the urinary system, an infectious process, urolithiasis, and a malignant tumor. Men are additionally offered a rectal examination of the prostate, and women are referred for examination to a gynecologist. They also carry out a general analysis of blood, urine, ultrasound diagnostics.

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Treatment

The treatment of irritable urine syndrome is difficult. Medicinal, folk, physiotherapy and surgical methods are used. The specific option is chosen based on the severity of the pathology, the presence of concomitant diseases, and the effectiveness of drug therapy.

From medications, sedatives and M-anticholinergics are prescribed. Electromagnetic stimulation of the bladder is also effective. Sometimes the syndrome is provoked by chronic constipation. Therefore, the patient is offered a diet that includes foods rich in fiber. Coffee and carbonated drinks are prohibited. It is recommended to stop taking fluids 3 hours before bedtime. The daily volume of drinking water is reduced.

Doctors advise, in addition to medication and diet, training the ureter to strengthen the muscles of the pelvic floor. Kegel exercises are effective. They help with any disorders of the functioning of the urogenital organs.

The training goes as follows:

  • Contract the muscles of the perineum (as if to stop the process of urination). At the end point, you should hold your breath, wait a few seconds and relax the muscles as you exhale. You need to perform the exercise 6 times a day for 10 approaches. The number of contractions is gradually increased to 30.
  • Squeezing, unclenching the muscles of the perineum at a fast pace.
  • Lift method. Slightly squeeze the muscles of the perineum, lingering in this position for three seconds. Then they tighten the muscles even more and stop again. So they continue to do as much as possible. Having reached the maximum point, they also begin to consistently relax the muscles.

Folk recipes offer treatment with decoctions of St. John’s wort, plantain, centaury, elecampane. It is recommended to add honey to infusions to enhance the healing effect.

If the treatment does not give the desired result, then botulinum toxin injections into the bladder wall are used. This substance relaxes the urethra muscles without affecting the nerve receptors. The drug begins to act after two days. The effect lasts for a year.

Surgical intervention is rare. They use such techniques:

  • Replace the ureter with a fragment of the excised small or large intestine.
  • Part of the muscles of the bladder is removed, increasing the volume of the organ.
  • The nerves that innervate the urethra sphincter are excised.
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    Tatyana Jakowenko

    Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

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