A lot of drinking with irritable bladder during menopause

What does the urine say about the state of health??
Almost every second woman over sixty is plagued with increased urination. The menopause is often responsible: The body produces less estrogen, mucous membranes and bladder are due to poor circulation, the muscles of the genitals and urinary tract relaxed and the uterus can lower. Bladder disorders are manifested in increased, sometimes rushing, urgency, as well as spasms and pains in the abdomen. Since the emptying stimulus already occurs when the bladder is not yet completely filled, people sometimes visit the toilet 20 to 30 times a day. Since the so-called irritable bladder can seriously affect the quality of life, questions should, despite possible feelings of shame, consult a urologist. This is indicated by the Uro-GmbH Nordrhein, an association of established urologists. Because often affected women are afraid of not making it to the next toilet in time. Some even reluctantly leave their premises in the advanced stage.

A lot of drinking during the menopause. Picture: lculig - fotolia

Urological therapy focuses primarily on alleviating symptoms. In the search for the individually appropriate treatment helps a fluid balance. "The so-called micturition protocol is structured like a kind of table, in which patients enter the supplied liquid and the discharged liquid", describes Dr. med. Reinhold Schaefer of the Uro-GmbH North Rhine. Also symptoms like pain are recorded. The information on fluid intake and delivery should be documented for two to three weeks. They help the urologist make a statement about the strength of urinary incontinence. In addition to the administration of certain drugs, bladder training also plays an important role. You can increase the capacity of the bladder. "People with irritable bladder often get used to taking precautionary water so as not to be surprised by the urge to urinate," explains Dr. Schaefer the background. "However, this behavior causes the opposite: the capacity of the bladder drops, and patients need more often." Therefore, urologists recommend not to go to the toilet at the first urge to urinate, but to hold back the urine for some time. This increases the capacity of the bladder.

Many sufferers strengthen a stimulus bubble by drinking too little. But this promotes urinary frequency. "If you do not provide your kidneys with enough fluids, you need to go to the bathroom more often," says dr. Shepherd. "Kidneys produce a highly concentrated urine in the case of dehydration, which irritates the bladder and increases the urgency." In addition, this behavior feeds urinary tract infections, because kidneys and bladder must be flushed, otherwise set bacteria. At least 1.5 liters, better two it should be per day. With a normal bladder capacity of 300 to 400 milliliters, if it is about two liters a day, it will need to empty about six times in 24 hours. (Pm)