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Primary OAB with urge urine leakage
I am 32 years old male. Since childhood sudden intense urge of urine,frequent urine and now for last 6 years urine leakage. USG report normal, having fear and anxiety severely since childhood also a problem of Irritable bowel syndrome. So, I can't take solifenacin ( bladder relaxing medicine) due to gastric problem. Now what should I do??
Answers (5)
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All these are somatic anxiety symptoms, please start a symptoms specific medicine, at right dose and right drug
It will help a lot
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you should consult a psychiatrist
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Hey, I think we will need more details regarding this. Please consult the urologist and psychiatrist for this issue. I know it's distressing, but you have already taken the first step. I hope you get a solution to your problems.
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Please Consult the Psychiatrist online or offline
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Dr. Indraja Sharma
Psychiatrist
7 yrs exp
Kota
Symptoms suggest anxiety-related overactive bladder / psychosomatic bladder dysfunction, especially with long-standing anxiety and IBS and normal USG.
What to do:
• Joint care with urologist + psychiatrist
• Treat anxiety (CBT, stress management, ± SSRIs/SNRIs which also help IBS & bladder sensitivity)
• Bladder training + pelvic floor exercises
• Avoid caffeine, nicotine; timed voiding
• If anticholinergics not tolerated, discuss β3-agonist (mirabegron) with urologist
Treating anxiety often significantly reduces urinary urgency and leakage.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.