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Frequent nighttime urination
Frequent urination
Urine urgency
I feel urine remained after urination
It is difficult to pee
I am peeing again within in 2 hours
Peeing at night
Not seeing your symptoms? No worries!
What is Overactive Bladder?
This group of urinary symptoms causes patients to need to urinate frequently. They may also experience a sudden urge to urinate that is hard to control due to excessive bladder contractions.
Typical Symptoms of Overactive Bladder
- Diagnosed with Parkinson's disease in the past
- Diagnosed with a spinal cord injury in the past
- Having difficulty urinating or producing less urine
- I am taking or have taken oral diabetes medication
- Often need to urinate again within 2 hours after last going
- Unable to sleep deeply
- Urethral itching or discomfort
- Diagnosed with Multiple Sclerosis in the past
Diagnostic Questions for Overactive Bladder
Your doctor may ask these questions to check for this disease:
- Have you been diagnosed with Parkinson's?
- Have you ever had a spinal cord injury?
- Have you been experiencing difficulty urinating or producing less urine?
- Have you taken oral medication for diabetes?
- Do you often need to urinate again within 2 hours after last going?
Treatment of Overactive Bladder
Behavior therapy, altering fluid intake, and maintaining regular bowel movements can help with symptoms. Medications may be changed if thought to be causing overactive bladder. New medications may also be prescribed to help control bladder contractions.
Reviewed By:
Kenji Taylor, MD, MSc (Family Medicine, Primary Care)
Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.
Nao Saito, MD (Urology)
After graduating from Tokyo Women's Medical University School of Medicine, Dr. Saito worked at Tokyo Women's Medical University Hospital, Toda Chuo General Hospital, Tokyo Women's Medical University Yachiyo Medical Center, and Ako Chuo Hospital before becoming Deputy Director (current position) at Takasaki Tower Clinic Department of Ophthalmology and Urology in April 2020.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Decreased urine output
- Not peeing enough
- Drinking lots of water but not urinating much
- No urine output in 12 hours
- Urinating less than normal
- Very difficult to urinate
- Reduction in urine volume
- Unable to empty bladder completely
See full list
Symptoms Related to Overactive Bladder
Diseases Related to Overactive Bladder
FAQs
Q.
Is Myrbetriq Not Working? Why Your Bladder Is Spasming & Medically Approved Next Steps
A.
If Myrbetriq is not easing bladder spasms, common reasons include needing more time to reach full effect, often 4 to 8 weeks, being on too low a dose, other diagnoses like UTI or pelvic floor problems, and bladder irritants. Medically approved next steps include behavioral therapy, dose or medication changes including combination therapy, and advanced options like Botox or nerve stimulation, with urgent care for red flag symptoms when present; there are several factors to consider, so see the complete guidance below for details that could change your next steps.
References:
* Chapple CR, Staskin D, Hernandez C, Mitcheson D. Mirabegron in the Management of Overactive Bladder: A Review of Clinical Evidence and Patient Selection. Urologia Internationalis. 2017;99(3):257-271. doi:10.1159/000481878
* Tenenbaum S, Hameed T, Elterman D. Predictors of Mirabegron Treatment Failure in Patients with Overactive Bladder. International Braz J Urol. 2018 Jan-Feb;44(1):119-125. doi: 10.1590/S1677-5538.IBJU.2017.0270
* Gong Y, Tsui KF. Update on the Management of Refractory Overactive Bladder. Can Urol Assoc J. 2020 Jun;14(6):E277-E282. doi: 10.5489/cuaj.6423
* Elterman D, Hameed T, Tan S, et al. Third-line Therapies for Overactive Bladder: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Eur Urol Focus. 2022 Mar;8(2):464-474. doi: 10.1016/j.euf.2021.03.003
* Al-Hashimi M, Al-Hammouri N, Chapple CR. Guideline of Guidelines: Management of Overactive Bladder. Eur Urol Focus. 2021 Sep;7(5):989-992. doi: 10.1016/j.euf.2021.08.017
Q.
Always Racing? Why Your Prostate Won’t Rest & Medically Approved Next Steps
A.
Urinary urgency, frequent nighttime trips, a weak or slow stream, and the feeling of incomplete emptying are most often caused by benign prostate enlargement, prostatitis, or overactive bladder, and less often prostate cancer; effective care ranges from lifestyle changes and medications to minimally invasive procedures or surgery. There are several factors to consider, including red flags like inability to urinate, fever with urinary symptoms, severe lower abdominal pain, or blood in urine that need urgent care; see below for the complete, medically approved next steps, what to expect at the doctor, and important details that could change your best course.
References:
* Gravas S. New insights into the pathophysiology of benign prostatic hyperplasia. Int Braz J Urol. 2021 Mar-Apr;47(2):191-201. doi: 10.1590/S1677-5538.IBJU.2020.0465. PMID: 33734674; PMCID: PMC8197793.
* Gratze P, Hruby S, Hitsch B, Hakenberg OW, Gakis G, Nagele U. Pharmacological treatment of benign prostatic hyperplasia: an update. World J Urol. 2020 Aug;38(8):1917-1929. doi: 10.1007/s00345-020-03099-3. Epub 2020 Feb 27. PMID: 32107567.
* Pontari MA. Recent advances in the diagnosis and treatment of chronic prostatitis/chronic pelvic pain syndrome. Curr Urol Rep. 2019 May 15;20(7):35. doi: 10.1007/s11934-019-0902-1. PMID: 31093845.
* Zaccagnini M, Spatafora P, Tulli F, Pompili G, Fralleone A, Fumo F, Vianale G, Pastore AL, Fardella R, Pastore M, Cicerone P. The Role of Lifestyle in Preventing and Managing Benign Prostatic Hyperplasia. Clin Pract. 2023 Jul 19;13(4):758-771. doi: 10.3390/clinpract13040069. PMID: 37497746; PMCID: PMC10377041.
* Wang T, Long Z, Yan C, Wu G, Ma X. Molecular Mechanisms of Benign Prostatic Hyperplasia: A Focus on Aging and Inflammation. Cells. 2022 Mar 30;11(7):1178. doi: 10.3390/cells11071178. PMID: 35409476; PMCID: PMC9000100.
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Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.
Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
White N, Iglesia CB. Overactive Bladder. Obstet Gynecol Clin North Am. 2016 Mar;43(1):59-68. doi: 10.1016/j.ogc.2015.10.002. PMID: 26880508.
https://www.sciencedirect.com/science/article/abs/pii/S0889854515001072?via%3DihubRobinson D, Cardozo L. Managing overactive bladder. Climacteric. 2019 Jun;22(3):250-256. doi: 10.1080/13697137.2018.1552254. PMID: 31034265.
https://www.tandfonline.com/doi/full/10.1080/13697137.2018.1552254?cookieSet=1Chen LC, Kuo HC. Pathophysiology of refractory overactive bladder. Low Urin Tract Symptoms. 2019 Sep;11(4):177-181. doi: 10.1111/luts.12262. Epub 2019 Mar 22. PMID: 30900373.
https://onlinelibrary.wiley.com/doi/10.1111/luts.12262Peyronnet B, Mironska E, Chapple C, Cardozo L, Oelke M, Dmochowski R, Amarenco G, Gamé X, Kirby R, Van Der Aa F, Cornu JN. A Comprehensive Review of Overactive Bladder Pathophysiology: On the Way to Tailored Treatment. Eur Urol. 2019 Jun;75(6):988-1000. doi: 10.1016/j.eururo.2019.02.038. Epub 2019 Mar 26. PMID: 30922690.
https://www.sciencedirect.com/science/article/abs/pii/S0302283819301861?via%3DihubRaju R, Linder BJ. Evaluation and Treatment of Overactive Bladder in Women. Mayo Clin Proc. 2020 Feb;95(2):370-377. doi: 10.1016/j.mayocp.2019.11.024. PMID: 32029089.
https://www.mayoclinicproceedings.org/article/S0025-6196(19)31039-0/fulltext