"OAB is a normal thing in the aging process," said a retired civil servant, Julia, 66. Also, there are those who take it as a change of lifestyle. "I always know where the toilets are," said Stephen, 51, a lead engineer.
Mary, 41, a lawyer said: "I fear get intimate."
"If I stay in place during the night, I fear of falling, but if I do not get up, I am afraid that I will be wet my bed," said a former engineer, Adam, 77.
Who are? They are the group who are not aware of overactive bladder (OAB).
The reality is, OAB not only make a worry, but can be humiliating and limit the daily activities of the person with the problem.
By pure coincidence, OAB is rarely a subject of discussion between the society, but it actually affects millions of people, regardless of their age and sex.
Therefore the problem to increase the bladder, some early measures must be taken to help patients overcome their shyness.
Among them, patients should be encouraged to discuss the problem of the OAB. Next to this, patients must be educated that OAB is not a normal process of aging, but instead, is a common problem, but are in need of medical treatment.
Most of the patients deal with the problem themselves, because there is no screening tool for overactive bladder be detected in addition to know its symptoms.
Research in several clinics in Malaysia found that 35 percent of patients who undergo OAB never discuss their symptoms with doctors. 83 percent of 450 people aged 30 and feel even more that OAB can be overcome. While only 25 per cent, others believe that it is not an important issue.
The sum, 14.7% have only been diagnosed with overactive bladder and 58.8% is undetectable because visit the problem when urine of the test sample in the normal course.
During this time, Dr. Andrea Tubaro, consultant in urology at the University of Rome, Italy, said that 11 to 22 per cent of adults 40 years and in Europe, Asia and the United States above suffer from OAB.
Dr. Andrea said, research shows that OAB also attack young people.
Research also shown that OAB is very common encountered by people in the world to other diseases such as asthma, diabetes, Alzheimer's and cancer.
Based on research conducted, it was found that the difference in numbers between men and women who receive the treatment of overactive bladder is not so obvious.
However, that the most obvious illustrated by research is much did not discuss their problem of control of the bladder with doctors because that suggests that nothing can be done or too shy to discuss this subject.
For example, patients feel uncomfortable obtain treatment by male doctors, because at this time urologist most are men. In fact, many in the West also did not come before seeking medical treatment.
He said, most of the OAB cases detected by doctors were not when the person gets the treatment to resolve the problem, but due to the test for other diseases.
Dr. Andrea said, although OAB routines of life of a person affected, most people still do not get treatment.
Without notice by patients, OAB causes their sleep disturbed time and feeling tired because often must go to the toilet.
By men and women experience symptoms are similar, but is anatomically different. For men, signs of overactive bladder often lead to the prostate gland.
Overactive bladder symptoms may begin as a small problem. The frequency of urination will increase and eventually will become too pressing and want to finally generate more severe symptoms of incontinence.
Patients are trained to do pelvic floor (Kegel) exercises as simple physiotherapy exercises at home, which are very effective.
For other men, often taking the urge to urinate can help to lengthen the time between each time go to the toilet. The person may also do exercises to retrain the urinary bladder and strengthen the muscles that support the urinary bladder and the urethra (tube that urine drains in).
Other therapies including changing food habits and behaviour, an electrical stimulation, exercise and biofeedback.
Changes in usual food can be made includes to reduce drinking water during the night, taking the caffeine and the addition of fibre intake in food.
For the treatment of behaviour between the urine leakage control strategies is to stop and permanent, calmly and body was walking to the toilet in the normal state.
N ° 1, and the drugs most commonly to treat overactive bladder is an antimuscarinic (dry mouth and constipation are common side effects). In the countries of Northern Europe, physiotherapy with drugs is a common practice. This, however, requires lots of participation of the patient (twice a day, every day of life), but it works. Credit photo: D Sharon Pruitt
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