The bladder is a system of muscles and nerves that control how urine is absorbed and how it is flushed.

Neurogenic bladder issues affect millions of people in the United States. It’s especially common in people also affected by:

  • Multiplesclerosis
  • “Parkinson’s disease.”
  • The disease AIDS.
  • There is a disease called There is a disease called diabetes..
  • There is a disease called syphilis.
  • There is a vaccine for the disease of polio.
  • The surgery involves the bladder.
  • The zoster is a sexually transmitted disease.
  • The injury to the spine is called a spinal cord injury.
  • stroke

It can be congenital when urethral valves cause an obstruction in the uterus.

Overactive bladder is one type of neurogenic bladder condition that often results in urinary incontinence. It’s not a condition but the name for a group of urinary symptoms. Overactive bladder affects more than 30 million people in the United States every year.

Under active bladder is a type of bladder condition that can make it hard to empty your bladder. This is not a condition but a group of symptoms.

“The body’s nervous system controls your bladder’s activity. Your brain should tell you to squeeze your bladder to get rid of urine. The muscles around your urethra relax to allow urine to leave.”

“When the bladder’s nerves and muscles don’t work in sync, it can cause neural bladder issues. Sometimes these changes happen with age, while other times they are caused by illness or injury.”

Overactive bladder

The bladder muscles are over active and before the bladder is full.

Some people with an over active bladder have bladder muscles that contract spontaneously and without inhibition, with force sufficient to overcome the urethral sphincter, resulting in incontinence.

Underactive bladder

Slow bladder emptying or inability to completely empty the bladder in a reasonable amount of time are caused by under active bladder. The detrusor muscle can get stretched, thin, and weak if the bladder does not empty completely.

The muscles around the urethra may not function correctly in other cases, and you may have to use a urethral emptying device.

Urinary obstruction can cause under active bladder by blocking the flow of urine through the urinary system due to medical conditions.

It can be difficult to choose the right terms to describe your bladder issues. Here is a list of some common terms and definitions.

Urge incontinence

Urge incontinence is a type of incontinence that can cause a sudden and strong urge to empty the bladder. It can cause a leak of urine and can be accompanied by a feeling of abdominal pressure.

Overactive bladder

A bladder that functions overactively, with a lot of muscle contraction, can cause incontinence.

Underactive bladder

“Weakening of the bladder’s muscles can result in reduced strength of urine stream, longer bladder emptying time, and inability to fully empty the bladder.”

The symptoms of a bladder can be different depending on the condition a person is experiencing.

Symptoms of overactive bladder

People with an over active bladder can leak urine before they reach the bathroom when they feel a urge to urinate. During sleep, such leakage can happen.

People with an over active bladder can experience frequent urination by going to the bathroom more than eight times in a day. Other symptoms include:

  • “It’s possible to wake up two or more times during the night.”
  • Even if you just used the bathroom, you still need to urinate.
  • Each day, I take many trips to the toilet.

Symptoms of underactive bladder

People with under active bladder can have difficulty passing urine. Others may experience it.

It’s important to treat underactive bladder promptly as this condition may lead to kidney failure if left untreated.

There are a wide range of causes for the neural bladder. Nerve, brain, or spine damage are some of the causes of neurogenic bladder.

Over active and under active bladder are not individual conditions but are used to describe a range of symptoms that have a range of potential causes.

Causes of overactive bladder

Over active bladder can be a problem.

  • estrogen deficiency after menopause
  • Excess alcohol and caffeine intake.
  • Excess weight.
  • infections, such as urinary tract infections, which can irritate the bladder’s nerves
  • Drugs that interfere with nerve function.
  • nerve damage from pelvic or back surgery, herniated disc, Multiplesclerosis, “Parkinson’s disease.”disease, radiation, or stroke
  • The muscles of the uterus and uteruses are wakened by pregnancies and childbirth.

Causes of underactive bladder

There are a number of common causes of under active bladder.

  • Aging.
  • bladder outlet obstruction from enlarged urethra, bladder or There are stones on the kidneys., and other causes
  • There is a disease called There is a disease called diabetes..
  • infectious diseases like The zoster is a sexually transmitted disease., The disease AIDS., and There is a disease called syphilis.
  • Neurological disorders can be related.
  • The nervous system is injured.

The risk factors for under active bladder are the same as for over active bladder. They include:

  • cancer and There are tumors. (especially of the bladder)
  • Changing hormones.
  • There are conditions affecting the brain and spine.
  • The brain, spine, or urinary tract can be injured.
  • There are side effects of medication.
  • The signals between your brain and bladder are interfered with by neurologic disorders.
  • The muscles of the Pelvic are weak.
  • urinary tract infections

One or more treatments might be used to reduce or eliminate the symptoms of the bladder and prevent damage to the body.

The cause of the bladder and whether it is under active or overactive are two factors that can affect the type of treatment course someone takes.

Treatment with lifestyle changes usually works well for both under and over active bladders.

Lifestyle changes

Making lifestyle changes along with medical and surgical treatments may help reduce the symptoms of bladder problems.

These include:

  • limiting intake of foods and drinks that irritate the bladder and act as diuretics (encourage your body to make more urine), such as coffee, tea, alcohol, soda, tomato-based foods, citrus, and spicy foods
  • Tracking the progress of your symptoms can be done by recording your bathroom trips in abladder diary.
  • You can double void or empty your bladder in the bathroom.
  • Delaying voiding or waiting before you go to the bathroom in increasing amounts to train your bladder to hold urine.
  • If you get the urge to use the bathroom, follow a set bathroom schedule or use timed urination.
  • doing exercises to relax your bladder muscle, such as quick flicks (alternately squeezing and relaxing your pelvic floor) and biofeedback

Treating overactive bladder

“Sometimes lifestyle changes don’t fully alleviate bladder symptoms. Medical treatments can be used to further reduce symptoms.”

  • bladder botox injections, which relax the bladder’s muscle wall to slow urinary urgency and stop urge incontinence (these treatments are administered by a trained urologist or a female pelvic medicine and reconstructive surgeon)
  • Antimuscarinics and other prescription medications prevent your bladder muscles from squeezing unless you have a full bladder.
  • nerve stimulation (neuromodulation therapy), which involves sending electrical pulses to nerves connected to the bladder to help improve bladder control. (including percutaneous tibial nerve stimulation (PTNS) and sacral neuromodulation (SNS))

In rare cases of overactive bladder, a medical professional may recommend surgery to further treat overactive bladder symptoms. Augmentation cytoplasty is used to enlarge the bladder.

“Urinalysis re-routs your body’s flow of urine.”

The surgeries are only recommended for severe cases of bladder problems.

Treating underactive bladder

Sometimes further treatment is needed when lifestyle changes do not improve under active bladder symptoms. There are some common additional treatments for under active bladder.

  • catheter to help prevent urine buildup and potential damage
  • Parasympathomimetics, which are drugs that relax urethra muscles and alpha-antagonists, which are drugs that increase urine flow, are some of the medications that are used.
  • antibiotics to prevent infections
  • The electrical devices are used to increase urine flow.

In severe unresponsive cases of underactive bladder with chronic retention, a doctor may teach you to catheterize yourself (intermittent catheterization) to empty the bladder on a schedule.

If you have trouble urinating or holding urine, or feel a urge to use the bathroom frequently, you should schedule an appointment with a doctor. It is possible that you are having a bladder problem.

A medical history, physical exam, bladder diary, urine test, bladder Scan, and other tools can help determine what is causing the symptoms.

Identifying the cause can help a medical professional develop a treatment plan.

In some cases, a doctor will order an endoscopy of the urethra and bladder.

The answers to two common questions about the bladder are given here.

What does having neurogenic bladder feel like?

A bladder with agenicity can feel like this.

  • “When your bladder is full, you have to relieve yourself when you don’t, in the case of an over active bladder.”
  • “In the case of under active bladder, you can’t empty it because it’s full.”

Can you pee with a neurogenic bladder?

You can pee with a bladder that is genic, but your bathroom habits will be irregular.

It is possible to pass urine with a neurogenic bladder, but it is important to treat the cause of the bladder in order to prevent damage to the urinary tract.

“The term neural bladder is used to describe bladder issues that affect the function of the bladder. The nerves and muscles don’t communicate correctly, which leads to an under active bladder.”

There are two sets of symptoms caused by injuries and conditions.

With treatment, symptoms can be minimized.