Hello dear
Understand your concern.
You have urinary incontinence/
overactive bladder problem.
It can be cured.
No need to take drug life time once your diagnosis is made.
Following are the causes of your problem:
Pelvic floor weakness, Excesssive Alcohol and caffine use, Artificial sweetners and corn syrup, Blood pressor medication, steroid intake, Large dose of vitamin B and C, Intake of food high in sugars,
Urinary tract infection, Constipation, Obstruction of the urinary tract by stone and tumor, Neurological disorder:
parkinsons disease, multiple sclerosis and brain tumor
Risk factor : Over weight, diabetes melitus, neurological disorder.
Consult the
urologist 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 advice
1. Bladder training
2. Double voiding
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine
6. Pelvic floor exercise.
B. drugs
1. Anticholinergic
2. Mirabegran
3. Alfa bloker- Tamsulosin
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