Understanding the complexity of the symptom complex of overactive bladder, requires a comprehensive history taking to establish any contributing factors and/or differential diagnoses.
The following are important factors to establish amongst others (to follow later):
- Duration symptoms
- Daily fluid intake
- Intake of bladder irritants (e.g. carbonated drinks, artificial sweeteners, caffeine, alcohol)
- Use of diuretics
- Pelvic floor symptoms or dysfunction (e.g. pelvic organ prolapse, bowel dysfunction, dyspareunia)
- Genito-urinary conditions
- Endocrine conditions (e.g. DM or Diabetes insipidus)
- Neurologic disease (e.g. MS, spinal cord injury, Parkinsons, CVA)
- Pelvic surgery (especially anti-incontinence procedures), malignancy or radiation
Always keep in mind that conditions such as pelvic floor tension myalgia, hip/paraspinal muscle dysfunction, Interstitial cystitis/Painful bladder syndrome, endometriosis or other causes of pelvic pain may have concomitant urinary symptoms.
Reference to read some more:
Gormley EA, Lightner DJ, Faraday M, Vasavada SP; American Urological Association; Society of Urodynamics, Female Pelvic Medicine. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment. J Urol. 2015 May;193(5):1572-80. doi: 10.1016/j.juro.2015.01.087. Epub 2015 Jan 23. PMID: 25623739.
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