Why have my overactive bladder and incontinence worsened with wt gain?

Bladder pressure. Increase in weight, particularily abdominal obesity, can increase pressure on the bladder. This increase pressure may exacerbate symptoms of overactive bladder and incontinence.

Related Questions

Why does my overactive bladder cause incontinence?

Several reasons. Overactive bladder means the bladder is sending signals that you need to go. Sometimes the signal is too much to hold back and the bladder contracts. If your urinary sphincter can't hold it back then you leak. That's called urge incontinence. Sounds like you need to get checked out by your doctor or a urologist. For more see http://peedoc.Com/female-urology or on twitter @thepeedoc. Read more...

Can you have overactive bladder without urinary incontinence?

Absolutely. Oab, also known as "gotta go, gotta go right now, " simply causes bladder spasms and the urgency to urinate. If you are able to get to a bathroom quickly, or your conscious control of your bladder muscles is strong enough, you can prevent urine loss. Typically however, oab tends to worsen over time, so the cause for your oab is important to determine. See you doctor! Read more...
YES. Urgency, frequency and nocturia, (waking up at night to urinate) are all part of overactive bladder (oab). In some cases, there is no incontinence. Read more...

Is a c-section a better alternative for women with an overactive bladder? No incontinence, just overactive.

No. No advantages to a csection for oab. Oab is common in pregnancy since the baby is shrinking bladder capacity and making your kidneys filter more blood and make more pee. After you deliver, if symptoms persist, see a urologist. Read more...
Probably not. Whether or not a c-section can help to prevent pelvic floor damage and future incontinence is somewhat controversial, but it is highly unlikely that a c-section will be of any benefit in someone with oab. Read more...

Does c-section reduce the risk of urinary incontinence? I have an overactive bladder & mild incontinence (without even having given birth!). Is it wiser to deliver through c-section in my case?

Probably not. While the answer to your first question is "maybe", an overactive bladder might even be aggravated by a c-section (the bladder is normally pushed out of the way during the procedure). This is such a weak indication that a c-section would be considered purely elective and specific benefits to the bladder would not necessarily be expected. Read more...
C-Section will . Decrease the risk of stress urinary incontinence, it may not reduce the risk of urge incontinence or over active bladder but after you deliver and are done breast feeding there are many newer meds that work quite well for this. Read more...