Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The drug Myrbetriq is given to you rightly to treat the problem of urinary incontinence. Certain drinks, foods, and medications may act as diuretics — stimulating your bladder and increasing your volume of urine. They include: 1. Alcohol, 2. Caffeine, 3. Carbonated drinks and sparkling water, 4. Artificial sweeteners, 5. Chocolate, 6. Chili peppers, 7. Foods that are high in spice, sugar or acid, especially citrus fruits, 8. Heart and blood pressure medications, sedatives, and muscle relaxants, 9. Large doses of vitamin C. Urinary incontinence may also be caused by an easily treatable medical condition, such as: 1. Urinary tract infection. Infections can irritate your bladder, causing you to have strong urges to urinate, and sometimes incontinence. 2. Constipation. The rectum is located near the bladder and shares many of the same nerves. Hard, compacted stool in your rectum causes these nerves to be overactive and increase urinary frequency. Urinary incontinence can also be a persistent condition caused by underlying physical problems or changes, including: 1. Changes with age. Aging of the bladder muscle can decrease the bladder s capacity to store urine. Also, involuntary bladder contractions become more frequent as you get older. 2. Menopause. After menopause women produce less estrogen, a hormone that helps keep the lining of the bladder and urethra healthy. Deterioration of these tissues can aggravate incontinence. 3. Hysterectomy. In women, the bladder and uterus are supported by many of the same muscles and ligaments. Any surgery that involves a woman s reproductive system, including removal of the uterus, may damage the supporting pelvic floor muscles, which can lead to incontinence. Urinary incontinence isn t always preventable. However, to help decrease your risk: 1. Maintain a healthy weight. 2. Practice pelvic floor exercises. 3. Avoid bladder irritants, such as caffeine, alcohol and acidic foods. 4. Eat more fiber, which can prevent constipation, a cause of urinary incontinence. 5. Don t smoke, or seek help to quit smoking. Treatment for urinary incontinence depends on the type of incontinence, its severity and the underlying cause. A combination of treatments may be needed. If an underlying condition is causing your symptoms, your doctor will first treat that condition. Your doctor is likely to suggest the least invasive treatments first and move on to other options only if these techniques fail. Your doctor may recommend: 1. Bladder training, to delay urination after you get the urge to go. You may start by trying to hold off for 10 minutes every time you feel an urge to urinate. The goal is to lengthen the time between trips to the toilet until you re urinating only every 2.5 to 3.5 hours. 2. Double voiding, to help you learn to empty your bladder more completely to avoid overflow incontinence. Double voiding means urinating, then waiting a few minutes and trying again. 3. Scheduled toilet trips, to urinate every two to four hours rather than waiting for the need to go. 4. Fluid and diet management, to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity also can ease the problem. Your doctor may recommend that you do these exercises frequently to strengthen the muscles that help control urination. Also known as Kegel exercises, these exercises are especially effective for stress incontinence but may also help urge incontinence. To do pelvic floor muscle exercises, imagine that you re trying to stop your urine flow. Then: 1. Tighten (contract) the muscles you would use to stop urinating and hold for 5 seconds, and then relax for 5 seconds. (If this is too difficult, start by holding for two seconds and relaxing for three seconds.) 2. Work up to holding the contractions for 10 seconds at a time. Aim for at least three sets of 10 repetitions each day. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sanjay Kini