Bladder spasm is a condition in which there is a sudden urge to urinate. Bladder spasms are associated with a medical condition called as urinary incontinence. Urinary incontinence is a condition where there is lack of bladder control. Older persons experience this condition because of the weakened muscular system and its functionality. Urinary incontinence which is caused by spasms that occur in the urinary bladder and is also associated with the control coordination maintained by the nervous system. In this condition the muscles that are associated with the urinary bladder and the nerves are impaired.
Bladder spasms also occur during pregnancy. This is caused as the fetus pushes the urinary bladder down initiating the urge to urinate frequently. Childbirth can also be associated with urinary leakage. In addition, conditions such as constipation and menopause also initiate the onset of bladder spasms which may result in urinary incontinence. Bladder spasms can also occur because of an overactive urinary bladder. This condition may occur in some people suddenly when they see or touch running water, drink water or even during their sleep.
Bladder control develops in children at a very young age and any delay associated with this development may lead to nocturnal urination. Urinary incontinence can also occur because of stress such as coughing, increased abdominal pressure and also during intense laughter. Urinary incontinence can be a result of underlying nervous system disorders such as Parkinson's disease and multiple sclerosis. Other factors that may lead to urinary incontinence include trauma caused in the bladder region, infections of the urinary tract and also increased caffeine and alcohol intake or benign prostatic hyperplasia.
Diagnosis of bladder spasms
Diagnosis of urinary incontinence and associated bladder spasms is done by examining the history of the patient in association with the diet and lifestyle. Many people do not explain the incidences of urinary incontinence. Hence a thorough examination of the patient history is mandatory to evaluate the causes for the urinary incontinence. Urine cultures are suggested if the patient has a history of recurrent urinary tract infections. Patients are also advised to calculate the amount of fluid intake and relate it to the number of times they pass urine. Ultrasound and CT examination is done to identify underlying disorders of the prostate gland and also detect any kind of abnormal growth in the urinary bladder.
Treatment for Bladder spasms
Bladder spasms and associated urinary incontinence is a treatable condition. In case of muscular impairment, exercises pertaining to pelvic muscles are suggested to strengthen the muscles. Drugs such as alpha blockers, anti-depressants are suggested to reduce urinary incontinence. Bladder spasms are treated by administering anti-spasmodics such as propantheline. Surgical interventions are also done to treat urinary incontinence. Some of the procedures include the administration of artificial sphincter, male sling in some patients have also shown good results. Urinary diversion is suggested in case of bladder functionality loss or even damage. In this case an alternative pathway is made for the disposal of urine after the removal of the damaged urinary bladder.
Bibliography / Reference
Collection of Pages - Last revised Date: January 20, 2019