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A 36-year-old male asked:

Please share some do's and dont's for patients with a dysfunctional bladder or other bladder conditions.

148 doctor answers139 doctors weighed in
Dr. Michael Fox
Fertility Medicine 35 years experience
Interstitial: Interstitial cystitis? Find someone who will prescribe high dose vaginal estrogen for a cure.
Dr. Leslie Miller
Obstetrics and Gynecology 32 years experience
Urinate: Urinate before intercourse and drink a large glass of water so can urinate after intercourse as well.
Dr. Brian Kaufman
Internal Medicine 20 years experience
Hygeine: Maintain good hygiene with bathroom behavior and intercourse.
Dr. Myra Skluth
Internal Medicine 36 years experience
Go: Go to restroom every 2 hrs, even if you think you do not have to go. This avoids accidents.
Dr. Myra Skluth
Internal Medicine 36 years experience
Avoid: Avoid caffeine which irritates the bladder. Chocolate has caffeine, not just coffee and tea.
Dr. Myra Skluth
Internal Medicine 36 years experience
Drink: Drink lots of water. Empty bladder after sex. Drink crainberry juice.
Dr. Mitchell Schuster
Urogynecology 33 years experience
Drink: Drink lots of water and avoid acidic foods. Lots of infections are really not infections.
Dr. Mitchell Schuster
Urogynecology 33 years experience
Avoid: Avoid carbonated drinks. The carbonation creates carbonic acid when mixed with water in bladder.
Dr. Mitchell Schuster
Urogynecology 33 years experience
Lay: Lay tissue over the water prior to bowel movements. It cuts down on bacteria splashes.
Dr. Mitchell Schuster
Urogynecology 33 years experience
Stick: Stick to the diet sheet your doctor gave you. It really helps.
Dr. Mitchell Schuster
Urogynecology 33 years experience
See: See a doctor who treats lots of patients with ic. Involves meds, diet changes, bladder instillations.
Dr. Mitchell Schuster
Urogynecology 33 years experience
Avoid: Avoid acidic foods. Avoid stressful situations. Find a doctor good with ic to help you.
Dr. Carol Peters-tanksley
Obstetrics and Gynecology 36 years experience
Keep: Keep a food diary, and notice which foods seem to make your symptoms worse or better.
Dr. Raj Singh
Internal Medicine 12 years experience
Avoid: Avoid caffeine, alcohol, artificial sweeteners, and hot pepper as these can worsen symptoms.
Dr. Raj Singh
Internal Medicine 12 years experience
Avoid: Avoid drinking more than 2 l of fluids as this can worsen symptoms.
Dr. Raj Singh
Internal Medicine 12 years experience
Multi: Multi step approach is needed. Amitryptline has been effective.
Dr. Benjamin Whittam
Pediatrics - Urology 16 years experience
Having: Having urinary tract infections associated with sex? Try peeing immediately after sex.
Dr. Benjamin Whittam
Pediatrics - Urology 16 years experience
Try: Try Pyridium (phenazopyridine) to reduce burning with urination associated with a urinary tract infection.
Dr. Marvin Den
Internal Medicine 46 years experience
There: There are medications that help so you do not have to know where the bathroom is everywhere you go.
Dr. Saptarshi Bandyopadhyay
Hospital-based practice 22 years experience
Time: Time voids (trying to urinate, say every 4 hours, whether you feel the need or not). Also, ditropan (oxybutynin).
Dr. Natalie Geary
Pediatrics 31 years experience
Urinate: Urinate after intercourse, drink cranberry juice. Stay well hydrated. Urinate frequently.
Dr. James Krick
Urology 37 years experience
If: If cystitis symptoms persist despite negative urine cultures, it may be interstitial cystitis
Dr. James Krick
Urology 37 years experience
If: If you have interstitial cystitis, don't take antibiotics for "uti" based on symptoms. Culture!
Dr. Abraham Morse
A Verified Doctoranswered
29 years experience
Don't: Don't routinely practice kegel exercises during urination. It is not good for your bladder.
Dr. Abraham Morse
A Verified Doctoranswered
29 years experience
Don't: Don't go to urinate too often or hold too long. Every 2-3 hours during the day is a good goal.
Dr. Robert Donato
Urology 26 years experience
After: After a uti, avoid irritants like caffeine, carbonation, acidic foods, alcohol and spicy foods.
Dr. William Harris
Family Medicine 34 years experience
Incontinence: Incontinence causes a loss of self esteem and independence - it is not a normal part of aging!
Dr. William Harris
Family Medicine 34 years experience
Incontinence: Incontinence is one of the major reasons for the institutionalization of the elderly.
Dr. William Harris
Family Medicine 34 years experience
Bladder: Bladder control problems can severely impact a person’s quality of life causing excess worry.
Dr. Otto Placik
Surgery - Plastics 35 years experience
Practice: Practice holding your urine and doing pelvic floor exercises while voiding on a regular schedule.
Dr. Rahman Johnson
Dr. Rahman Johnsonanswered
10 years experience
Incontinence: Incontinence after labor & delivery? Usually goes away on own in few weeks, if not tell your obgyn.
Dr. Vicken Poochikian
Internal Medicine 43 years experience
Pelvic: Pelvic muscle exercises help to reduce over active bladder, mainly in females. Keep bladder empty.
Dr. Kevin Olson
Family Medicine 35 years experience
The: The keegle exercises work if done enough and right.
Dr. William Harris
Family Medicine 34 years experience
Overactive: Overactive bladder affects quality of life: social, home, psych, work, physical and sexual.
Dr. William Harris
Family Medicine 34 years experience
Urinary: Urinary frequency and urgency is not a normal part of aging, and there are effective treatments.
Dr. William Harris
Family Medicine 34 years experience
With: Overactive bladder: when the urge to void strikes "stop, squeeze, & ease." relax, wait a bit, then go.
Dr. William Harris
Family Medicine 34 years experience
OAB: Oab treatment: evaluate and modify bowel habits. Add fiber to diet to manage constipation.
Dr. William Harris
Family Medicine 34 years experience
OAB: Oab treatment: engage in pelvic floor exercises and delayed voiding to improve bladder control.
Dr. William Harris
Family Medicine 34 years experience
OAB: Oab treatment: combined lifestyle and medication treatments will have the best outcome.
Dr. William Harris
Family Medicine 34 years experience
Meds: Meds for oab include estrogens, antispasmodics, tricyclics, snris, and antimuscarinics.
Dr. William Harris
Family Medicine 34 years experience
Current: Current oab medications act to cause bladder relaxation & inhibit bladder spasm, increasing capacity.
Dr. William Harris
Family Medicine 34 years experience
You: You should see a 50% improvement within 1 week of starting Detrol (tolterodine) for oab; it could be >80% after 3mo!
Dr. William Harris
Family Medicine 34 years experience
Success: Success with oab meds can be seen by counting # of urgency/incontinence episodes or bathroom visits.
Dr. William Harris
Family Medicine 34 years experience
Current: Current medications for overactive bladder have a bad side effect of dry mouth - experiment around!
Dr. William Harris
Family Medicine 34 years experience
Kegel: Kegel exercises: squeeze and hold the muscle that controls urine flow for 10 seconds: repeat 50x/day.
Dr. Howard Usitalo
Urology 41 years experience
Never: Never pass up the opportunity to urinate and void frequently.
Dr. Linda Gromko
Family Medicine 49 years experience
Incontinence: Incontinence is no fun - and there are so many treatments available. Talk to your doctor soon.
Dr. Tod Haller
Ophthalmology 17 years experience
All: All patients who have used Flomax (tamsulosin) must tell their cataract surgeon about it because of reactions to eye surgery.
Dr. Thomas Namey
Rheumatology 49 years experience
Lose: Lose weight. Don't wear tight garb!
Dr. Linda Gromko
Family Medicine 49 years experience
Dribble: Dribble urine when you exercise? Wear cycling shorts! they're comfortable, absorbant, and look cool!
Dr. Tracy Lovell
Internal Medicine - rheumatology 22 years experience
Wipe: Wipe front to back to prevent urinary tract infections.
Dr. Muhammad Emran
Family Medicine 17 years experience
A: A pessary is a removable, curved plastic device that helps women with urinary incontinence.
Dr. Muhammad Emran
Family Medicine 17 years experience
Always: Always urinate frequently, don't hold it for long periods of time.
Dr. Ihab Ibrahim
Pain Management 30 years experience
Your: Your doctor is not embarrassed at all to discuss this with you. Honor them with openness.
Dr. Ihab Ibrahim
Pain Management 30 years experience
It: It may be a your prostate. If you have high blood pressure, try: selective alpha-1 blockers.
Dr. Ihab Ibrahim
Pain Management 30 years experience
Bladder: Bladder problems? Maybe constipation. Get used to trying to go to the bathroom after every meal.
Dr. Ihab Ibrahim
Pain Management 30 years experience
Elderly: Elderly women may choose to stay home because of this and they never go to the doctor. Bring them!
Dr. Ihab Ibrahim
Pain Management 30 years experience
Resist: Resist the urge to resist going to the bathroom. Do empty your bladder after every meal.
Dr. Joe Littlejohn
Urology 27 years experience
Elevate: Elevate legs two hours prior to bedtime to decrease midnight trips to the bathroom to urinate.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 35 years experience
To: To decrease urination at night make sure you have minimal fluids 2 hours before bedtime.
Dr. Pavel Conovalciuc
Family Medicine 24 years experience
Maintain: Maintain good personal hygiene. Avoid foods and habits known to cause bladder discomfort.
Dr. Pavel Conovalciuc
Family Medicine 24 years experience
Identify: Identify foods and habits that make it worse and avoid. Strengthen your bladder with kegel's.
Dr. Pavel Conovalciuc
Family Medicine 24 years experience
Certain: Certain types of dysfunction can be improved with kegel's exercises. Avoid harmful habits and food.
Dr. Francisco R. Rodriguez
Urology 10 years experience
Avoid: Avoid excessive amount of bladder irritants, avoid sodas and coffee in excess, drink water.
Dr. Wendy Askew
25 years experience
Eliminate: Eliminate caffeine. Try an 'elimination' diet, and see if symptoms improve, try to id triggers.
Dr. Pavel Conovalciuc
Family Medicine 24 years experience
Avoid: Avoid foods/drinks known to cause/worsen your conditions don't hold urine.
Dr. Harold Peltan
Ophthalmology 29 years experience
Kegel: Kegel exercises can strengthen the sphincter muscles and pelvic floor.
Dr. Harold Peltan
Ophthalmology 29 years experience
Myth:: Myth: doctors can't help anyway, so don't mention it.
Dr. Harold Peltan
Ophthalmology 29 years experience
Sometimes,: Sometimes, medication or surgery can help.
Dr. Harold Peltan
Ophthalmology 29 years experience
Do: Do take a change of clothes along when you go out.
Dr. Harold Peltan
Ophthalmology 29 years experience
The: The practice of clean intermittent catheterization (cic) is used primarily in neurogenic bladder.
Dr. Abraham Morse
A Verified Doctoranswered
29 years experience
Don't: Don't do kegels exercises repeatedly while urinating. Only do this occasionally to check progress.
Dr. Abraham Morse
A Verified Doctoranswered
29 years experience
You: You don't have to live with bladder problems. There are many effective treatments. Tell your doctor.
Dr. Abraham Morse
A Verified Doctoranswered
29 years experience
Everything: Everything in moderation. Keep hydrated, but don't drink large amounts of extra water.
Dr. Richard Williams
Pharmacy 19 years experience
Watch: Watch fluid intake especially hidden water in fruits and veggies.
Dr. Holly Maes
Pediatrics 37 years experience
To: To prevent bladder dysfunction, always empty your bladder completely when pee. 1/2 empty can be bad!
Dr. Marsha Davis
Internal Medicine 29 years experience
If: If you are female and have trouble with leaking or bedwetting there are meds to help.
Dr. Marsha Davis
Internal Medicine 29 years experience
Do: Do share with your dr everything . Don't suffer needlessly.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 35 years experience
For: For regular urination a fluid schedule may assure a good night sleep.
Dr. Marsha Davis
Internal Medicine 29 years experience
Have: Have a regular schedule for urination and stick to it.
Dr. Ihab Ibrahim
Pain Management 30 years experience
Don't: Don't drink fluids at night before going to sleep. In fact, don't drink within 3 hours of sleeping.
Dr. JAYENDRA SHAH
Physical Medicine and Rehabilitation 60 years experience
AS: As its said women is a creature-that pee once a day- etc take much less water a day.
Dr. Mitchell Vogel
Ophthalmology 31 years experience
Have: Have a good medical exam, especially if you have a bladder issue. Also please see a urologist.
Dr. Mitchell Vogel
Ophthalmology 31 years experience
No: It's a myth that there's no good treatment.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 35 years experience
A: A guy with a bladder infections without previous instrumentation or surgery is bad and needs work up.
Dr. Ryan Phasouk
Family Medicine 19 years experience
Regular: Regular use of pelvic muscle exercises will strengthen the muscles that control the flow of urine.
Dr. Andris Radvany
26 years experience
Bladder: Bladder training. Going to the bathroom at scheduled intervals.
Dr. Matthew Wosnitzer
Urology 16 years experience
Void: Void frequently and do not push on abdomen to urinate if having difficulty.
Dr. Mahmoud Shoib
Internal Medicine 14 years experience
Avoid: Avoid caffeine, especially before going to bed.
Dr. Ihab Ibrahim
Pain Management 30 years experience
Do: Do control your prostate problems. That will help you fully empty your bladder!
Dr. Steven Koos
Oral and Maxillofacial Surgery 22 years experience
Females,: Females, daily cranberry juice, blueberries, goldenseal can go a long way with preventing utis.
Dr. Donald Jacobson
A Verified Doctoranswered
41 years experience
Ask: Ask your doctor if any meds you are on cause bladder dysfunction.
Dr. Donald Jacobson
A Verified Doctoranswered
41 years experience
Don't: Don't let bladder infections go untreated.
Dr. Donald Jacobson
A Verified Doctoranswered
41 years experience
Never: Never ignore bleeding from the bladder. Have it evaluated right away.
Dr. James Ellis
60 years experience
The: The best advice is urodynamics to diagnose the problem and then determine the many possible treatmen.
Dr. Gregory Lewis
Urology 45 years experience
Do: Do kegel exercises regularly to strengthen the pelvic floor muscles and maintain bladder control.
Dr. Zafar Khan
Dr. Zafar Khan commented
Urology 59 years experience
Kegel exercises have been used to strengthen the pelvic floor muscles. it has bee used for various purposes. in females generally after childbirth it is recommended to strengthen the pelvic floor muscles which have been stretched to let the baby come out. With repeated child birth these muscles can become so loose that entire uterus can drop out.Regular exercises after each delivery could prevent
Feb 2, 2014
Dr. Craig Smith
Dr. Craig Smith commented
Urology 36 years experience
Kegal exercises do help strengthen the pelvic floor which can improve lessening of urge as well as stress incontinence. Often coupled with biofeedback and behavior modification fair to good progress may be achieved. Often additional holdout as maybe necessary to achieve the desired outcomes
Mar 1, 2014
Dr. Craig Smith
Dr. Craig Smith commented
Urology 36 years experience
to good improvement can be achieved with those modalities. Depending on the findings of urodynamics with flow studies as well as a voiding diary, additional medical or surgical endeavors may be necessary to reach the desired goal for the patient
Mar 1, 2014
Dr. William Harris
Family Medicine 34 years experience
To: To decrease bladder spasm; avoid caffeine, tobacco, alcohol, chocolate, citrus, splenda, and spices.
Dr. Dennis Higginbotham
American Board of Obstetrics and Gynecology 31 years experience
Stress: Stress incontinence is more common after menopause. 70% of women will improve with kegel's alone.
Dr. Hashmat Rajput
Internal Medicine 40 years experience
For: For BPH choose green light laser or nerve sparing surgery to protect sex.
Dr. Emily Ridgway
22 years experience
Do: Do your kegel exercises frequently and do a log of events and food and drink.
Dr. Emily Ridgway
22 years experience
Do: Do your kegel exercises frequently and do a log of events and food and drink.
Dr. Emily Ridgway
22 years experience
Do: Do your kegel exercises frequently and do a log of events and food and drink.
Dr. Emily Ridgway
22 years experience
Do: Do your kegel exercises frequently and do a log of events and food and drink.
Dr. Boris Aronzon
Anesthesiology 25 years experience
Bladder: Bladder suspension in female patients or prostate thermo shrinking in males, depends on indications.
Dr. Richard Bensinger
Ophthalmology 53 years experience
Never,: Never, never pass up an opportunity to visit a bathroom - don't wait until symptoms to pee.
Dr. Jamal Mourad
27 years experience
Ignore: "40 kegels a day keep the gynecologist away" . Pelvic floor exercise helps prevent incontinence!
Dr. Jamal Mourad
27 years experience
Ignore: Minimize intake of fluids in the evening. That will help decrease nocturia.
Dr. Jamal Mourad
27 years experience
Ignore: Decrease intake of bladder irritants: tea, coffee, alcohol and nicotine are the worse!
Dr. Jamal Mourad
27 years experience
Ignore: Empty your bladder frequently to avoid distention and dysfunction !
Dr. Jamal Mourad
27 years experience
Ignore: Drink plenty of water and other liquids on a daily basis.
Dr. Irving Harper
Internal Medicine 36 years experience
Ignore: Urinate quickly after sex to prevent vaginal bacteria from entering the bladder and causing a uti.
Dr. Irving Harper
Internal Medicine 36 years experience
Ignore: Study kegel exercises for women. Urinate frequently. Strengthen core muscles. Goal: ideal weight.
Dr. Linda Gromko
Family Medicine 49 years experience
Ignore: Coffee, tea, pop, acidic fruit drinks, salsa and highly-spiced foods can irritate your bladder.
Dr. Lori Wagner
Internal Medicine 28 years experience
Ignore: Do not try to stop your urine flow mid-stream. This actually makes dysfunctional bladder worse.
Dr. Caroline Cribari
Psychiatry 24 years experience
Ignore: Talk with a surgeon if kegel exercises are not sufficient to control the symptoms.
Dr. Rixt Luikenaar
Obstetrics & Gynecology 25 years experience
Ignore: 200 kegels a day, keep the doctor away!
Dr. Tracy Berg
General Surgery 33 years experience
Ignore: Go for the depends as well as medication, exercise and doctor visits. Less stress.
Dr. Jeff Livingston
Obstetrics and Gynecology 23 years experience
Elmiron (pentosan): Elmiron (pentosan) is the only fda approved oral medication for interstitial cystitis and can be very helpful.
Dr. Jeff Livingston
Obstetrics and Gynecology 23 years experience
Bladder: Bladder irrigation with DMSO or Heparin is an effective treatment option for interstitial cystitis.
Dr. Jeff Livingston
Obstetrics and Gynecology 23 years experience
Smoking: Smoking cessation is an important step to improve interstitial cystitis.
Dr. Tod Haller
Ophthalmology 17 years experience
Ignore: If you use flomax, (tamsulosin) make sure you tell your eye doctor.
Dr. Holly Maes
Pediatrics 37 years experience
Ignore: If you have bladder problems, avoid caffeine - it is very irritating to the cells that line bladder.
Dr. Syed H. Sajid
General Adult Psychiatry; Child & Adolescent Psychiatry ( 1 yr. Fellowship), sees all types of patients for Medication Management from ages 6-99yo 30 years experience
Ignore: Strengthening of bladder muscles by certain types of exercises can decrease incontinence.
Dr. Kenneth Grossman
A Verified Doctoranswered
Endodontics 45 years experience
Ignore: Daily Cialis helps older men with urine flow to empty their bladder.
Dr. James Krick
Urology 37 years experience
Ignore: Avoid irritating dietary substances such as caffeine, alcohol and acidic foods.
Dr. Sheila Calderon
Internal Medicine 42 years experience
Ignore: Avoid caffeine as it may worsen urgency. Do drink water and stay hydrated.
Dr. Ted Anderson
Gynecology 29 years experience
Ignore: The foods you eat / drink are a very large contributor to bladder irritation.
Dr. Ihab Ibrahim
Pain Management 30 years experience
Ask: Ask your parents if they have them. Ask your children to take you to the doctor if you do.
Dr. Ihab Ibrahim
Pain Management 30 years experience
Trampoline: Trampoline exercise strengthen the right pelvic floor/ inner thigh muscles!
Dr. Dan Fisher
Internal Medicine 28 years experience
Ignore: Meds work, but no side effects to "programmed voids." use restroom every 1-2 hours while awake.
Dr. Linda Gromko
Family Medicine 49 years experience
Ignore: Minimize your intake of caffeine and sugary beverages to keep your bladder functioning well.
Dr. George Klauber
Specializes in Pediatric Urology
Ignore: Patients should consult with urologist or uro-gynecologist ; most will be helped by treatment.
Dr. James Krick
Urology 37 years experience
Ignore: The treatments available for incontinence depend on the type of incontinence. Urge incontinence is usually treated with medication and stress incontinence is often treated with surgical procedure.
Dr. Oscar Novick
Pediatrics 59 years experience
Ignore: Double urinating may help to alleviate frequency.
Dr. Charles Witten
Urology 28 years experience
Ignore: Patients with overactive bladder, urgency ; frequency should limit caffeine, salt, ; alcohol in diet.
Dr. Gregory Lewis
Urology 45 years experience
Ignore: 3 tips to help make kegel exercises a habit: stay consistent; remember benefits; follow progress.
Dr. Robert Kent
Physical & Rehabilitation Medicine 13 years experience
Ignore: Consider timed voiding to help avoid any unwanted surprises, like trying every 4 hours to stay safe.
Dr. Robert Kent
Physical & Rehabilitation Medicine 13 years experience
Ignore: If you have to use a Foley catheter long term, know it can increase chances of bladder cancer.
Dr. Boris Sheynin
Internal Medicine 23 years experience
Ignore: First see urologist or urogynecologist to find a cause. Consider physical therapy.
Dr. George Klauber
Specializes in Pediatric Urology
Ignore: Let toddlers bladder train themselves. Tell them to make shhhh ; not to try ; push or squeeze urine.
Dr. Madhu Kandarpa
Nephrology and Dialysis 10 years experience
Ignore: Do get checked to find the cause of dysfunctional bladder. Don't ignore and get treated.
Dr. Stephen Camacho
Family Medicine 25 years experience
Ignore: If you have over active bladder, avoid bladder irritants like caffeine, spicy foods, and acidic food.
Dr. Harold Fields
Family Medicine 62 years experience
Ignore: Always go to the washroom when your bladder dictates.
Dr. Gregory Lewis
Urology 45 years experience
Ignore: The less u drink, the less u pee. The more u exercise your pelvic muscles, the drier u will be!
Dr. Craig Smith
Urology 36 years experience
Ignore: Good bowel function, daily and normal form Do not postpone urination timed voiding.
Dr. James Lin
A Verified Doctoranswered
Urology 52 years experience
Ignore: Don't hold urine and go to urinate whenever the urge to urinate arises.
Dr. Timothy Duffin
Urology 35 years experience
Ignore: You should see a Urologist. Take with you to the appointment, a voiding diary, and your meds.
Dr. Lucas Wiegand
Urology 20 years experience
Ignore: Try to avoid bladder irritants, especially caffeine, spicy foods, and acidic foods.
Last updated Jul 19, 2021
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