I feel bladder fullness with increased urine frequency at night. Do I have an overactive bladder?

Hi,

Welcome to icliniq.com.

Overactive bladder is diagnosed with urodynamic studies. You have symptoms of increased frequency of urine, mainly at night, causing sleep disturbance. Careful investigations and follow up required. As long as we get the cause, then only treatment will be effective. Do you have long term problems like diabetes or hypertension? Are you on any medications in the long term other than you take for your bladder problem? How is your sleep recently? Is it enough or have difficulty sleeping due to the frequency of urine at night? Have you ever undergone a cystoscopy? Please get the investigations done which are, urine analysis, and ultrasound KUB (kidney, ureter, and bladder). Maintain bladder diary for two days (record what time you go toilet and how much urine you pass each time for 24 hours). This will enable me to have a proper diagnosis before I start you on medications.

Hi,

Welcome back to icliniq.com.

The bladder diary was valuable. I can see that the bladder capacity is smaller than normal the maximum urine volume was 300 ml, but normal is supposed to be 450 ml. The frequency at night is more observed. And the frequency is ranging from two to four hours, which is normal. The diagnosis is the most properly overactive bladder. A urodynamic study can make a definitive diagnosis. But it is an invasive test and requires you to go to the hospital. Instructions include, avoid tea, coffee, and fizzy drinks, avoid high potassium-containing foods like a banana, drink about 0.5 to 0.6 gallons per day no more, reduce fluids/ no fluids two hours before bed, pass urine immediately before bed, and take tablet Tolterodine 4 mg once at night.

Please follow up after four weeks with a bladder diary again and update me about your condition.