Treatment FAQ

what is the treatment for overstretched bladder

by Mavis Cremin Published 2 years ago Updated 2 years ago
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Pelvic floor muscle exercises, also called Kegel exercises, help the nerves and muscles that you use to empty your bladder work better. Physical therapy can help you gain control over your urinary retention symptoms.

Medication

Surgical Treatment for Overactive Bladder Surgery may recommended for severe cases. The two most-commonly used procedures are: Augmentation cystoplasty increases bladder size by removing a section of the bowel and adding it to the bladder.

Procedures

Treatment For Distended Bladder 1 The patient must be reassured and encouraged to pass urine. 2 At the same time, the cause for retention and bladder distention should be found and treated. 3 If all the sensations are normal, the patient may be advised to sit in a bathtub containing warm water for some time. ... More items...

Self-care

Most causes of an enlarged bladder will present symptoms before the bladder has become enlarged. If the condition that is causing the enlarged bladder is diagnosed promptly, then an enlarged bladder (and more serious complications such as kidney damage) can be prevented.

Nutrition

1 Make lifestyle changes. You may be able to reduce leaks by making lifestyle changes. ... 2 Train your bladder. Bladder training is when you urinate on a schedule to help reduce leaking. ... 3 Do pelvic floor muscle exercises. Strong pelvic floor muscles hold in urine better than weak muscles. ... 4 Control your urge to urinate. ...

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What are the treatments for overactive bladder?

What is the treatment for a distended bladder?

Can an enlarged bladder be prevented?

How do you stop a leaky bladder?

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Can an overstretched bladder recover?

Treatment options Prompt diagnosis is important because there is no way to repair the muscles of the bladder once they have been overstretched. Treatment of the cause will prevent further bladder damage and could mean that your symptoms remain mild.

What happens if bladder is overstretched?

If the bladder becomes stretched too far or for long periods, the muscles may be permanently damaged and lose their ability to contract. Kidney damage. In some people, urinary retention causes urine to ffow backward into the kidneys. This backward ffow, called reffux, may damage or scar the kidneys.

How long does it take for a stretched bladder to return to normal?

You will probably be able to go back to work and most of your usual activities in 4 to 6 weeks. But you may need up to 3 months to fully recover. Try to avoid heavy lifting and strenuous activities that might put extra pressure on your bladder while you recover.

How long does a stretched bladder take to heal?

Stretching may temporarily block pain signals sent by nerves in the bladder. Sometimes your pain symptoms may temporarily get worse 4 to 48 hours after bladder stretching. However, your pain levels should return to your previous level or improve within 2 to 4 weeks.

Why would you have your bladder stretched?

Bladder distention is a procedure where a physician stretches the bladder using water. This procedure is used as an assessment and treatment for patients who suffer from symptoms of a hypersensitive bladder, such as the urgent and frequent desire to pass urine and bladder pain.

Can bladder muscles repair themselves?

The bladder is a master at self-repair. When damaged by infection or injury, the organ can mend itself quickly, calling upon specialized cells in its lining to repair tissue and restore a barrier against harmful materials concentrated in urine.

How do you tighten your bladder muscles?

Once you know what the movement feels like, do Kegel exercises 3 times a day:Make sure your bladder is empty, then sit or lie down.Tighten your pelvic floor muscles. Hold tight and count 3 to 5 seconds.Relax the muscles and count 3 to 5 seconds.Repeat 10 times, 3 times a day (morning, afternoon, and night).

How can I heal my bladder naturally?

15 Tips To Keep Your Bladder HealthyUse the bathroom often and when needed. ... Be in a relaxed position while urinating. ... Take enough time to fully empty the bladder when urinating. ... Wipe from front to back after using the toilet. ... Urinate after sex. ... Do pelvic floor muscle exercises.More items...

What foods heal the bladder?

These foods won't cure your bladder problems, but they can help keep your bladder soothed and irritation-free.Berries. Berries are a great source of a compound known as flavanol, which has been shown to help fight bacterial infection. ... Yogurt. ... Garlic. ... Pears. ... Bananas. ... Winter Squash. ... Potatoes. ... Lean proteins.More items...•

How do you know if your bladder has dropped?

Symptoms of a Prolapsed Bladder Tissue protruding from the vagina (The tissue may be tender and may bleed.) Difficulty urinating. A feeling that the bladder is not empty immediately after urinating (incomplete voiding) Stress incontinence (urine leakage during sneezing, coughing, or exertion)

Is flexible cystoscopy painful?

Does a cystoscopy hurt? A cystoscopy can be a bit uncomfortable, but it's not usually painful. For a flexible cystoscopy, local anaesthetic gel is used to numb the urethra. This will reduce any discomfort when the cystoscope is inserted.

How do you tell if your bladder has dropped?

Symptomsfrequent voiding or the urge to pass urine.urinary incontinence (unwanted loss of urine)not feeling relief right after voiding.frequent urinary tract infections.pain in the vagina, pelvis, lower abdomen, groin or lower back.heaviness or pressure in the vaginal area.sex that is painful.More items...

How do you tell if your bladder is damaged?

Some common symptoms are:Lower abdominal pain.Abdominal tenderness.Bruising at the site of injury.Blood in the urine.Bloody urethral discharge.Difficulty beginning to urinate or inability to empty the bladder.Leakage of urine.Painful urination.More items...

How do you know if something is wrong with your bladder?

See a health care professional if you have symptoms of a bladder problem, such as trouble urinating, a loss of bladder control, waking to use the bathroom, pelvic pain, or leaking urine. Bladder problems can affect your quality of life and cause other health problems.

Can you strain your bladder?

The bladder isnt injured often. The bones in the pelvis protect it from most outside forces. But the bladder can be injured by blows or piercing objects. Most often these are related to pelvic fracture.

What are the best medications for overactive bladder?

These drugs can be used alone or in combination, and include: Anticholinergics such as trospium (Sanctura), darifenacin (Enablex) and oxybutynin (Oxytrol, Ditrpoan) relax bladder muscles. They are the most commonly prescribed ...

How to stop a leaky bladder?

Dietary Changes: Decreasing water consumption throughout the day can help reduce leakage, as can avoiding substances that irritate the bladder, such as caffeine, fruit juices, and spicy foods. Bladder Retraining: This method uses a set schedule for urination throughout the day.

What is the cause of bladder leakage?

Overactive bladder occurs when sudden or frequent urges to urinate become hard to control, and can often lead to leakage ( urinary incontinence ). In order to best treat overactive bladder, a urologist must pinpoint the underlying cause.

Is bladder overactive a chronic problem?

Prognosis following treatment will depend on the severity of the patient's symptoms and the treatment itself. Overactive bladder is typically a chronic or long-term problem and may require ongoing treatment to control symptoms and reduce incontinence.

How to stop bladder involuntary contractions?

Pelvic floor muscle exercises. Kegel exercises strengthen your pelvic floor muscles and urinary sphincter. These strengthened muscles can help you stop the bladder's involuntary contractions. Your doctor or a physical therapist can help you learn how to do Kegel exercises correctly.

What to do if you have an urge to urinate?

Diagnosis. If you have an abnormal urge to urinate, your doctor will check to make sure that you don't have an infection or blood in your urine. Your doctor may also want to make sure that you're emptying your bladder completely when you urinate. Your doctor will look for clues that might also indicate contributing factors.

What is a urodynamic test?

Urodynamic tests include: Measuring urine left in the bladder. This test is important if there's concern about your ability to empty your bladder completely when you urinate. Remaining urine in the bladder (post-void residual urine) may cause symptoms identical to those of an overactive bladder.

How to measure voiding?

To measure the volume and speed of your voiding, you may be asked to urinate into a device (uroflowmeter). A uroflowmeter catches and measures the urine, and translates the data into a graph of changes in your flow rate. Testing bladder pressures.

What is a cystometry test?

Cystometry is a test that measures pressure in your bladder and in the surrounding region as your bladder fills. During this test, your doctor uses a thin tube (catheter) to fill your bladder slowly with warm fluid. Another catheter with a pressure-measuring sensor is placed in the rectum or, for women, inthe vagina.

Can surgery help with bladder pain?

The goal is to improve the bladder's ability to store urine and reduce pressure in the bladder. However, these procedures won't help relieve bladder pain. These procedures include:

Where is the needle placed for bladder stimulation?

This procedure uses a thin needle that is placed through the skin near your ankle to send electrical stimulation from a nerve in your leg (tibial nerve) to your spine, where it connects with the nerves that control the bladder.

Why does my bladder get distended?

It can be; Due to an obstruction in the urethra or the at the bladder neck region from where the urine has to pass out.

What causes a large stone in the bladder?

Damage to the muscle wall of the bladder or to the nerves which control urination. Following are the causes: Genitourinary causes: Stone or a growth in the bladder. A large stone or a growth (benign or malignant) in bladder can block the passage of urine flow giving rise to bladder distension. A stone, foreign body, stricture spasm ...

What happens when you pee in the bladder?

Once the urine begins to fill up in the bladder, the sensory receptors of bladder become active and trigger a reflex action producing an urge to pass urine. However, since it is partly controlled voluntarily, the urinary sphincter will only relax when the person whishes or finds adequate place to void urine.

How much urine does the bladder hold?

It is a muscular sac, a holding tank for the waste fluid ‘Urine’ that leaves from the kidney. The average bladder is capable of holding between 400 to 500 ml of urine without over distension.

What causes a blockage in the urethra?

A stone, foreign body, stricture spasm of urethral sphincter, infection or an ulcer in urethra can cause complete or partial blockage of urine flow. Prostate enlargement also called benign prostatic hypertrophy (BPH) is a common problem faced by many elderly male above the age of 60.

What to do if home remedies fail?

If the home remedies fail, it is essential to go to a hospital or consult your doctor. In the hospital catheterization is possible which is done with full aseptic precautions. If the catheter has to be retained, a self retaining catheter like Foley’s catheter may be used.

Can a thin person have a distended bladder?

In a thin person, distended bladder can be easily elicited as a swelling in the lower abdomen. Often distended bladder gives rise to pain in lower abdomen. Urination is partly a reflex and partly a voluntary act.

What are some ways to treat bladder retention?

If home remedies don’t work to treat bladder retention, medical intervention may be required. Bladder drainage, urethral dilation, urethral stents, prostate medications and even surgery are some forms of medical treatments for distended bladder.

What causes a distended bladder?

The cause of distended bladder will best determine what treatment should be used. If distended bladder is linked with a medication, a change in that medication is in order. Furthermore, if distended bladder is caused by an infection, primary treatment will revolve around treating the infection.

How to tell if your bladder is distended?

Symptoms of a distended bladder include: Lower abdominal, lower back or chest pain. Bladder leakage. Inability to urinate (Anuria) Small amounts of urine that are expelled. Straining while urinating. Delay when attempting to urinate. Fever or abnormal sweating. Red or bloody urine (Hematuria)

Why does my bladder leak?

A person with bladder incontinence may have to wear diapers or pads to prevent the leakage from being noticeable. Another condition occurs when a person cannot empty their bladder or even urinate. This condition is known as distended bladder.

What is it called when you can't empty your bladder?

Another condition occurs when a person cannot empty their bladder or even urinate. This condition is known as distended bladder. Distended bladder can be quite painful and when severe, life-threatening.

Can a enlarged prostate cause a distended bladder?

In males, an enlarged prostate can put additional pressure on the bladder, resulting in distended bladder. In other cases, medications can also lead to distended bladder. If you notice changes in your urination habits upon starting a prescription medication, you may wish to speak with your doctor.

Can over the counter medications cause a distended bladder?

Over the counter medications can also cause a distended bladder. Common culprits are antihistamines and other medications intended to treat a cold or allergies. Medical conditions, like blood clots and stroke, can contribute to distended bladder as they affect the spinal cord.

What is the best treatment for urinary incontinence?

tricyclic antidepressants. A doctor may use botulinum toxin A, or Botox. NIH external link. , to treat urinary incontinence when other medicines or self-care treatments don’t work. Injecting Botox into the bladder relaxes it, which makes more room for urine and lowers the chances of developing UI.

What is bladder training?

Bladder training is when you urinate on a schedule to help reduce leaking. Based on a bladder diary (PDF, 487.59 KB) , your doctor may suggest using the bathroom on a regular schedule, called timed voiding. Gradually lengthening the time between trips to the bathroom can help stretch your bladder so it can hold more urine. Record your daily bathroom habits so you and your doctor can review your diary.

What is a pessary catheter?

For women. A pessary is a soft plastic ring used for stress incontinence that you or your doctor insert into your vagina.

How to treat stress incontinence?

During a short office visit, a doctor can inject a bulking gel or paste near your urinary sphincter to treat stress incontinence. The injected material “bulks” or helps thicken the area around the urethra and helps close your bladder opening so you have less leaking.

How to make your pelvic floor stronger?

Strong pelvic floor muscles hold in urine better than weak muscles. You can make your pelvic floor muscles stronger by doing Kegel exercises. These exercises involve tightening and relaxing the muscles that control urine flow.

How to stop urinate?

You may be able to suppress, or control, the strong urge to urinate, called urge or urgency suppression. With this type of bladder training, you can worry less about finding a bathroom in a hurry. Some people distract themselves to take their mind off needing to urinate. Other people find that long, relaxing breaths or holding still can help. Doing pelvic floor exercises to strengthen your pelvic floor also can help control the urge to urinate. Quick, strong squeezes of the pelvic floor muscles can help suppress urgency when it occurs, which may help you get to the toilet before you leak.

How to treat UI?

to treat UI, but they can cause constipation. Stop smoking. If you smoke, get help to stop smoking. External link. . Quitting smoking at any age is good for your bladder health and overall health. Smoking raises your chances of developing stress incontinence, because smoking causes chronic, or long-lasting, coughing.

What is the best treatment for urinary retention?

A combination of a 5-alpha-reductase inhibitor and an alpha-blocker, such as finasteride and doxazosin or dutasteride and tamsulosin, may work better than an individual medicine alone. treat infections that may cause urinary retention, such as urinary tract infections and prostatitis.

How to make sure your bladder is empty after you urinate?

Another bladder training technique that your health care professional may recommend is double voiding—waiting a short time after you urinate to try and go again—to help make sure your bladder is completely empty after you urinate. Take extra time in the bathroom to relax and empty the bladder completely.

Why do you need to remove urine from your bladder?

Removing the urine from the bladder eases your pain and helps prevent your bladder and kidneys from being damaged. If you have chronic urinary retention, your health care professional will first try to diagnose and treat the cause of your retention. However, your health care professional may need to use a catheter to drain ...

How to get rid of urinary retention?

The physical therapist will work to stretch tight pelvic floor muscles and help you keep them relaxed. Pelvic floor muscle exercises , also called Kegel exercises, help the nerves and muscles that you use to empty your bladder work better. Physical therapy can help you gain control over your urinary retention symptoms.

What to do if you have an intermittent catheter?

If you have to use an intermittent catheter, a health care professional can teach you how to use the catheter. If your bladder becomes too full, a health care professional may use a catheter to drain the urine from your bladder.

What is the treatment for enlarged prostate?

transurethral water vapor therapy, or Rezum —therapy that uses water vapor, or steam, to shrink an enlarged prostate. urethral dilation —gradually increasing the size of the urethral opening by stretching the scar tissue, to help treat urethral stricture.

Can a medicine cause urinary retention?

In some people, certain medicines may cause urinary retention. If your health care professional thinks that a medicine is causing your urinary retention, you may be asked to lower the dose or stop using the medicine. All medicines, even over-the-counter medicines, have side effects.

What is it called when your bladder is weak?

Bladder failure caused by muscle weakness is called a myogenic bladder.

What is the instrument used to check bladder voiding efficiency?

Looking into the bladder with a small lighted flexible instrument, called a cystoscope, will help determine where the blockage is. If an obstruction is detected, additional treatment options, including surgery, may be available.

What to do if your husband has an obstruction?

If an obstruction is detected, additional treatment options, including surgery, may be available. If an obstruction isn't detected, other treatment alternatives might be appropriate, depending on your husband's overall health and other medical conditions. For example, some people with chronically poor bladder emptying without obstruction will ...

Why does my bladder not empty?

If the nerves or brain are damaged — from a stroke, pressure on the spinal cord from disk disease, multiple sclerosis, or other neurologic injury — the bladder may not empty normally. This condition, associated with a neurologic disease, is termed a neurogenic bladder.

Does intermittent catheterization reduce kidney disease?

Intermittent catheterization can reduce the risk of kidney disease when the bladder works poorly and if the storage pressures in the bladder are high. But, it is possible that other treatment options may be available for your husband.

Can neurologic disease cause bladder dysfunction?

People usually have other signs of neurologic disease or injury along with a neurogenic bladder, but not always. Sometimes, consultation with a neurologist who may order imaging of the spine and/or brain is appropriate to confirm the diagnosis of a neurologic disorder causing the bladder dysfunction.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Pawan Katti
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves medication to reduce pressure on the bladder, bladder training and pelvic exercises.
Medication

Antimuscarinic drug: To reduce muscle contractions.

Trospium . Solifenacin


Neurotoxins: Paralyze muscles, by decreasing nerve signals to those muscle.

Onabotulinum toxin A

Procedures

Intermittent urethral catheterization: A catheter is used periodically to empty the bladder completely.

Radical cystectomy: Removal of the complete urinary bladder or damaged parts of the urinary system.

Self-care

Always talk to your provider before starting anything.

  • Pelvic floor muscle exercises (Kegel exercise): strengthens pelvic floor muscle and urinary sphincter and stops bladders’ involuntary contractions
  • Maintain a healthy weight
  • Wear absorbent pads
  • Bladder training: the goal is to increase the amount of time between emptying the bladder and the amount of fluids the bladder can hold

Nutrition

Foods to eat:

  • Foods rich in proteins such as beans, fish, chicken
  • Plenty of vegetables such as broccoli, kale, spinach
  • Fruits such as melon, bananas, kiwi fruit, grapes

Foods to avoid:

  • Bladder irritating foods such as caffeine, alcohol, carbonated drinks, chocolate, citrus juice and fruit, tomato-based products.

Specialist to consult

Geriatrician
Specializes in the care and treatment of older people.
Urologist
Specializes in the urinary tract disease.
OBGYN
Specializes in the care of women during pregnancy and childbirth and the diagnosis and treatment of diseases of the female reproductive organs.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Physical therapist
A health professional who helps patients reduce pain and improve or restore mobility.

Alternative Medicine

Coping and Support

  • A combination of treatment strategies may be the best approach to relieve overactive bladder symptoms.
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

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