5 Tips for Successful Bladder Retraining

Bladder retraining is an important when you have an overactive bladder and should be done with supervision from your urologist or doctor. Bladder training is for those with overactive bladder in the absense of other kidney issues. If you have kidney disease or other kidney pathology, this training is not indicated, so make sure that you consult your doctor if you are unsure.

00:00 5 Tips for Successful Bladder Retraining
00:17 Element 1 - Fluid Management
00:45 Element 2 - Stop drinking a few hours before bed
00:50 Element 3 - Decrease Diuretics
01:05 Element 4 - Reduce Alcohol Intake
01:32 Element 5 - Timed Voiding

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[andrewemery]

Good info. Side note. Taking vitamin b1 benfotamine and 4 table spoons of nutritional yeast daily is important to help your brain communicate with your bladder

[YogawithAshleyGee]

your videos are so great! I often refer some of my acupuncture clients to your channel if they struggle with these issues - your videos also inform me of things I can tell my patients to do to help! thanks for continuing to put out such great and helpful content on this topic!

[TanteEmma]

Thank you so much. Greetings Form Germany☺

[sylviahaas]

Thanks so much for these videos on OAB and also all the good work that you do, it’s much appreciated! 🙏 I’m in the stage of bladder retraining where I am working on re-integrating into ‘normal life’. In other words, I’m at the spot where I am over the 2hrs interval mark and I’m working on discerning how to trust my body to know when it is ‘okay’ and ‘normal’ to pee (without going back to JIC peeing all the time!!). Anyway, I think you say somewhere that you have a video about this, is that right? I’ve not been able to find the video and would love a link, if possible.

[pricklypotato]

Hello. Thank you so much for posting useful content. I have been struggling with overactive bladder and have been getting increasingly worried about pelvic floor health. I have one question/request, do you know if heavy lifting contributes to prolapse in the long run? I mean squats and deadlifts over 300 lbs and stuff.

[tshakh]

THANK U FOR THE VIDEO! THAT'S GREAT!
ussualy i don't leave comments, bu u deserved it so here u go) and as bonus like

[AsimKhan-ubmj]

Hi Doctor! I have a weird issue if you could kindly guide me. I have started bladder training recently.

My comfort zone is around 200 ml. Till this amount I can essily reach the toilet and urinate.

After this I can hold on till I get a sudden strong urge and this could be anywhere between 270 ml and 370 ml.

Now there's a weird zone between 200 ml and the final urge. I can hold on with increasing discomfort above 200 ml but as soon i decide to go to the bathroom, I get a very strong urge. The strength of this urge depends on how far I was from the perceived final urge by the bladder. For example yesterday i was sitting comfortably and I decided I should pee and got a really strong urge near the washroom door. My urine volume was only 250 ml. Two days ago I had held on for a while and then decided to go. I didnt feel any strong urge but when i measured the volume it was 270 ml.

This weird buffer zone between the complete comfort zone (200ml) and the final urge point bothers me because I could literallaly be holding comfortably 270 ml and it suddenly shoots the urge up when i decided to go.

I have been told that this could be a mental door in lock syndrome thing but the fact that it happens after 200 ml means that there is something more to it.

What I want to know is that while training the bladder should I hold onto the till final urge comes (anywherr between 270 and 370 ml) or should I wait for a certain point after 200 ml?

At around 200 ml I start getting constant signals to urinate which are not super uncomfortable and I can hold on beyond that.

My target is that I should be able to hold 350 to 400ml of urine without rushing to the bathroom due to strong urge as soon as I decide to go. When my bladder was not overactive, I could hold onto till about 400 ml and then go without experiencing a super strong urge when i decided to go.

I have no medical issues with bladder or kidneys.

My OAB issues started in Feb 2022. For two complete years preceeding my first urgency incident, I had been peeing just in case non stop. Like I would sometimes literally pee when there was less than 50 ml in my bladder due to urinary OCD and to get that "just right" feeling. I was at home with an attached bath during these two years. I have never been duly dehydrated paryicularly during winter my entire life. I highly doubt I would have urinated above 250 ml during this entire two year period. Even before 2020, I was a just in case peeir but due to academic or professional work or some other matters, I would sometimes hold my bladder till max, but after Jan 2020, that was never the case.

The other factor worth mentioning is that I took an antidepressant by the name of Tretol (sertraline). I took it just for two days and it wreaked havoc on my body with side effects like weird stool, jaw clenching and shaking etc. I didnt experience urgency immediately but just 15 days after taking that medicine I had my first urgency incident. The side effects of the medicine didnt last for more than two days since i stopped taking it immediately and like i said urinary urgency didnt occur till 15 days later.

So how long after 200 ml should I hold my urine so that my comfort zone where i can calmly go to pee can expand? Thanks a ton in advance!

[thegreypath]

I have Advanced Kidney Disease. Reducing water intake like you are teaching, can be very dangerous. You should be very careful with what you are saying.

[lidijapetrovic]

I have Multiple sclerosis can bladder retrain also with this condition?