How You Can Stop the Leakage Overactive bladder (OAB) refers to symptoms rather than a disease. It is used to describe the phenomenon of people experiencing urinary issues. Some products that help include Comfort Medical and PureWick. Treatments for an Overactive Bladder Treatments will vary depending on what exactly is wrong. Most cases of OAB do not require invasive intervention. Some of the most common treatments recommended are: Lifestyle changes: Introducing some exercise routines in your life can help strengthen muscles. Plus, it can fight obesity, which can help reduce the chances of suffering from OAB. Some experts recommend that you try to put your bladder on a schedule. By training your bladder to know what you can and cannot do, you can shape your behavior. Some also recommend “bladder training,” where you try to delay urination when you feel the urge to grow in increasing durations to strengthen your ability to “hold it”. Using protective, absorbent padding can be a last resort if you cannot adjust your behavior. This will allow you to avoid embarrassing accidents. Medication: Some prescription medications can be sued to help strengthen areas of the body or “relax” your bladder. Some common medications include: tolterodine, darifenacin, fesoterodine and mirabegron. Botox: Botox does not just flatten our wrinkles. Small injections of Botox into bladder tissue can offer temporary relief from bladder problems. It sometimes has the side effects of increased UITs and urinary retention. Nerve stimulation: Percutaneous tibial nerve stimulation has also been shown to help with OAB. It works by sending electrical signals from a nerve in your leg to nerves connected with bladder control. Surgery: For those suffering from severe symptoms, surgery is the last option. It can involve increasing the size of the bladder or replacing the bladder with a surgically constructed replacement. Comfort Medical vs. PureWick Comfort Medical provides catheters inserted into the urethra to manage urinary incontinence internally, whereas PureWick offers an external catheter solution using an absorbent wick for non-invasive urine collection. Getting a Diagnosis Anyone can suffer from OAB. Unfortunately, many adults are too embarrassed to ask for help or do not realize their conditions are treatable. Roughly 30% of men and 40% of women in the U.S. suffer from overactive bladder symptoms. While no one is immune to these problems, there are some conditions that increase your chances of suffering from OAB. These can include: Brain damage Hormonal changes Pelvic muscle weakness Urinary tract infections (UTI) Taking certain medications Stoke, multiple sclerosis (MS) or other conditions impacting the central nervous system (CNS) Signs and Symptoms of OAB Some people fail to realize that their bathroom habits are not normal. Familiarizing yourself with the symptoms can allow you to better recognize the signs of OAB which will get you one step closer to treatment. Those suffering from an overactive bladder may experience the following: Urgency: OAB’s main symptom is that sufferers experience strong, sudden urges of needing to go to the bathroom. Typically, the need to go to the bathroom will build up over time. While it is easy to ignore these feelings until you have to go, when all you feel is a sudden urge to go immediately or risk having an accident, there may be something wrong. Leaking: Suffering from something called “urge incontinence” is rather common when you suffer from an overactive bladder. It means that sometimes during these sudden urges, you will leak a little urine. You must distinguish it from people suffering from stress urinary incontinence (SUI). Rather than leak during an episode of sudden urges, those suffering from SUI leak during physical activities which would strain the region including sneezing, laughing or stretching. Frequent urination: Frequently needing to use the bathroom is not always a sign that you drank too much. If you constantly need to go to the bathroom a lot throughout the day (especially to the point where it begins to interfere with your daily life), you may be suffering from OAB. Waking up to pee: The same can be said for those who have to wake up to go to the bathroom. A fully functioning bladder is normally able to hold urine while someone is sleeping. If you frequently have to get up during the night because you need to use the bathroom, you should talk to your doctor about OAB. [youmaylike] Causes of an Overactive Bladder Because OAB is not one disease, but rather an umbrella term to characterize specific urinary symptoms, physicians will need to investigate the underlying cause of your problems. The origin of problems usually arises from areas in the urinary tract itself. Areas of the body likely responsible for an overactive bladder include the following: Kidneys. Bladder. Ureters. Urethra. Sphincter muscle. In Conclusion Talk to a trained physician if you believe you or a loved one may be suffering from an overactive bladder. They will be able to offer expert advice on how to handle your case. This is not the same as someone who suffers from an inability to control their bladder from emptying on its own.
What is Macular Degeneration?
Macular degeneration is an eye disease, also known as age-related macular degeneration (AMD or ARMD). This condition can lead to loss of vision, especially for those over 60 years old. The disease is characterized by the thinning of the macular, a subsection of the retina, situated at the back layer of the eye and transmits what the eyes see in the brain through the optic nerve.
There are two types of AMD: wet macular degeneration and dry macular degeneration. Dry macular degeneration is characterized by yellow deposits, also known as drusen, in the macula. The drusen become bigger, increase in number as the disease advances, and then they begin to distort and blur your vision. The light sensitive cells in your macular thin out and die. As the disease progresses, you may develop a blind spot at the center of your vision until you lose central vision.
Wet macular degeneration is characterized by the growth of blood vessels form under the macula. The blood vessels leak blood and other fluids into your retina. This distorts your vision and causes straight lines to look bent. Eventually, the bleeding blood vessels scar, and cause a permanent loss of central vision.
90% of the people with AMD have the dry form even though, in some cases, it develops into the wet form.
Macular degeneration usually occurs progressively. Most patients with AMD have no pain, which means the disease is often caught at an advanced stage, having affected both eyes.
Common symptoms can include the following:
- Blurry and dark sections at the center of your vision
- Difficulty recognizing faces
- Distorted visions are causing wrong color perception and objects to appear bent or deformed
- An increasing need for light when reading and increased blurriness of printed text
- Difficulty visually adjusting when you move from a well-lit area to one that’s dimly lit
There are three stages of macular degeneration as follows:
- Early AMD: There is no vision loss. This stage is diagnosed in people with AMD risk factors. Early AMD is characterized by yellow deposit below the retina.
- Intermediate AMD: At this stage, there may be noticeable color changes in the retina, and the yellow deposits beneath it are larger than those in the early stage.
- Late AMD: With late AMD, the patient experiences noticeable vision loss.
Some of the risk factors for macular degeneration include:
- Age: As the name suggests, age is the most significant risk factor for AMD.
- Genetics: People with a family history of AMD are likely to also get it.
- Sex: Women are at a greater risk for developing macular degeneration compared to men.
- Smoking: Smoking and other poor lifestyle choices (such as having high cholesterol, being obese, and consuming saturated fats) can double your risk of developing macular degeneration.
Diagnosis and Treatment Options
Regular eye tests are necessary to diagnose AMD. The presence of drusen or pigment clumping beneath the retina is an indication of the disease.
The doctor may also show you an Amsler grid to look at. If any of the lines appear wavy, then it can indicate macular degeneration.
If the cause of your AMD is age-related, then the doctor may carry out an angiography or an Optical Coherence Tomography (OCT) procedure.
With an angiography, the doctor injects dye into a vein in your arm. As the dye reaches and flows through your retina, the doctor uses special equipment to take photographs. The photos will show any new vessels or vessels leaking blood into the macula. With the OCT procedure, the doctor can make the same observations without the use of dye.
Treatment and Management Options
Macular degeneration has no cure. However, there are a few measures you can take to mitigate the progression of the disease. One key step you can take is avoiding smoking, and make sure you have a healthy diet and exercise. You could also protect your eyes from ultra-violet light.
Treatment options for patients may include the following:
- Medications: Drugs prescribed may include ranibizumab (Lucentis), pegaptanib (Macugen), Aflibercept (Eylea), and bevacizumab (Avastin). These are anti-angiogenesis drugs used to inhibit the creation of blood vessels and leaking from the vessels beneath the retina. These drugs are particularly useful for wet macular degeneration and can restore the sight of the patients. However, the patient must take the treatment every time the blood vessels re-occur.
- Laser therapy: This procedure helps destroy abnormal blood vessel growth.
- Photodynamic laser therapy: With this procedure, a doctor injects a light-sensitive drug called verteporfin (Visudyne) into the blood, which is then absorbed into the damaging blood vessels. The doctor then shines a laser into your eye, which destroyed the medication and subsequently damaging the vessels.
- Low vision aids: These are electronic lenses that enlarge the images of things near your vision.
The type of treatment you receive will be based on your individual needs. Always be sure to speak with your doctor if you have questions or concerns, and they will help you create the best treatment plan to help manage your symptoms.