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    Overactive Bladder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Overactive Bladder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Overactive Bladder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook113 pages1 hour

    Overactive Bladder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    The Overactive Bladder is defined as urgency to pass urine with or without urge incontinence and usually with frequency and nocturia.
    Overactive bladder is a medical disorder in which the bladder squeezes urine out at the wrong time.
    An overactive bladder is present if you have two or more of the following symptoms:
    1. Urinate eight or more times a day or two or more times at night
    2. Have the sudden, strong urge to urinate immediately
    3. Leak urine during a sudden, strong urination urge
    4. Have incontinence which is the loss of bladder control.
    OAB maybe categorized into 2 forms:
    1. OAB wet is OAB with incontinence.
    2. OAB dry is OAB without incontinence.
    OAB symptoms are more common in females than in males.
    The possible causes of OAB are:
    1. Weak bladder outlet sphincter
    2. Weak Pelvic Floor muscles
    Other causes:
    1. Uterovaginal prolapse
    2. Urinary infections
    3. Prostate enlargement in men
    4. Nerve problems or too much caffeine or too much fluid can also cause it
    Symptoms are an urgent sensation to go to the toilet, frequently going to the toilet, and sometimes leaking urine before you reach the toilet (urge incontinence).
    1. Frequency of urine
    This is frequent going to the toilet, more than seven times a day.
    2. Urgency of urine
    This means that you may feel an urgent urge to pass urine.
    There is inability to delay going to the toilet.
    3. Nocturia
    This means getting up to go to the toilet more than once at night.
    4. Anxiety and depression
    This is a leakage of urine even before reaching the toilet when you have a feeling of urgency.
    Diagnosis is based on these symptoms and:
    Urine tests
    Measurements of post-voidal residual urine in the bladder
    Urodynamic tests
    Ultrasound of bladder
    MRI of bladder
    Cystoscopy
    Treatment is by:
    Removal of urinary irritant such as caffiene, alcohol
    Physiotherapy such as pelvic floor muscle exercises
    Bladder training for at least 6 weeks
    Medicines such as anticholinergics, Desmopressin and the newer Mirabegon
    Injection of bladder neck with Botox
    Sacral nerve stimulation, Bladder diversion or Augmentation cystoplasty to strengthen the bladder

    TABLE OF CONTENT
    Introduction
    Chapter 1 Overactive Bladder
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 Urinary Incontinence
    Chapter 8 Benign Prostate Hypertrophy
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateFeb 5, 2017
    ISBN9781370834419
    Overactive Bladder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Overactive Bladder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Overactive Bladder,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2015 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Overactive Bladder, Diagnosis, Treatment and Related Conditions or in vernacular terms

      (What You Need to treat Overactive Bladder)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://ken-med.com.

      From which many free articles from the blog was taken and put together into 590 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Overactive Bladder

      What is the Overactive Bladder?

      The Overactive Bladder is defined as urgency to pass urine with or without urge incontinence and usually with frequency and nocturia.

      Overactive bladder is a medical disorder in which the bladder squeezes urine out at the wrong time.

      An overactive bladder is present if you have two or more of the following symptoms:

      1. Urinate eight or more times a day or two or more times at night

      2. Have the sudden, strong urge to urinate immediately

      3. Leak urine during a sudden, strong urination urge

      4. Have incontinence which is the loss of bladder control.

      OAB maybe categorized into 2 forms:

      1. OAB wet is OAB with incontinence.

      2. OAB dry is OAB without incontinence.

      OAB symptoms are more common in females than in males.

      What is overactive bladder syndrome?

      A bladder which contracts suddenly without control when the bladder is not full is considered to be an overactive bladder.

      Overactive bladder syndrome occurs when no cause can be found for the repeated and uncontrolled bladder contractions.

      Overactive bladder syndrome may be known as an irritable bladder or detrusor muscle instability. (Detrusor is the medical name for the bladder muscle.)

      The Bladder and its Function

      The kidneys make urine all the time.

      A small amount of urine is constantly passing to the bladder down the ureters (the tubes from the kidneys to the bladder).

      Different amount of urine is produced depending on how much you drink, eat and sweat.

      The bladder is a muscular organ which stores the urine.

      It enlarges like a balloon as the urine is emptied into it.

      The outlet for urine (the urethra) is normally kept closed.

      The muscles beneath the bladder that surround around the urethra (the pelvic floor muscles) help to keep the bladder opening closed.

      A person only knows that the bladder is getting full only when a certain amount of urine is in the bladder.

      The bladder muscle will contracts and the urethra and pelvic floor muscles relax when you go to the

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