22F needs advice for OAB

[u/SecretaryHot9932]

Hello. I am 22F and got diagnosed with OAB a couple of months ago, but have been struggling with symptoms for over a year now. It began as UTI symptoms but no active infection. Just urgency and frequency, as well as the feeling of not completely emptying my bladder. The frequency was really difficult, as I felt like I needed to pee, but when I sat on the toilet, either a drop or sometimes nothing would come out, even though the urge was so strong and uncomfortable. The urgency was also bad and at the time I was at school and feared I would pee my pants in class. I usually could make it to the bathroom in time except for maybe one or two times at home. For a month or two, the symptoms became less intense, but recently they came back even worse. Frequency and urgency are even more intense. Bladder still not feeling empty, but tests have shown that I do completely and fully empty my bladder when I urinate. I pee my pants a few times a week, and on the days I do, it is often 2-3 times that day. Today was the first day I peed my pants in public, which is why I am making a post. I have tried Prelief, as well as identifying what irritates my bladder, but I can't find a clear source besides tea (which is unfortunately my favorite drink). I strongly believe this is a pelvic floor issue as I have some gynecological issues that also seem to be pelvic floor related. That being said, the pelvic floor therapist I need to see is booked out far, as well as my urologist that I have been seeing. Does anyone have any tips for me or instructions on how to relax your pelvic floor? Please let me know. This is becoming a big insecurity and worry for me, especially because I am young.

[u/Scientific-Sunshine]

Hi also 22f here. so all the things that have helped me on a medical side, I got the axonics interstim Device, if u are medically and financially able I do highly recommend it, talk with ur urologist about it or a similar device. Bladder Botox is another help, does have to get done every 6 months, this can also be expensive. Myrbetriq daily oral medication also helps.

But because ur having accidents, something I don't have, im gonna say wear incontinence underwear. I do it because it calms my anxiety and makes me not freak out when I'm without a bathroom, has made a hugee difference in what I'm able to do in public.

Finally to answer ur question on exercises, I believe it depends on if u have a tight or weak pelvic floor, so I just want to confirm u have a tight one for sure before I say anything

[u/SecretaryHot9932 → u/Scientific-Sunshine]

I have been told by a few doctors I have a tight pelvic floor, yes. And thank you for the other advice!!

[u/Scientific-Sunshine → u/SecretaryHot9932]

Okay I have the same and I've seen a pt for it a bunch so some of my exercises are
Diaphragm breaths- seated and lying down, about 10-20 of em
Deep squats- 10 of them
Side lunge- 10
Cat camel- 10
4 way pelvic clocks on a physio ball- 10 going clockwise. 10 counterclockwise
Child's pose- 10 reps
Lying windshield wiper- 10
Prone press ups- 10
Reverse clamshell- 10 left side. 10 right side.
Side lying lumbar spine rotation- 10 on left side. 10 on right.
Quadraped hip extension- 10 each leg.

For most of these hold the pose for like 3-5 ish seconds. These are the names my physio gave me so some might be hard to find. This is basically a master list so don't feel like u have to do them all. But do the diaphragm breathing everyday. And pick at least one of the leg ones, spine ones, stomach ones, and arm ones and u should be good to have a baseline. Do still see a pt as maybe ur core is the problem and you need more core help that the internet can't give.

[u/SecretaryHot9932 → u/Scientific-Sunshine]

got it. thank you so much!!

[u/Neither-Round9685 → u/Scientific-Sunshine]

che terapia sta seguendo lei al momento?

[u/ElsaBot00]

I am using pumpkin seed oil, it’s in this sub, so a search for it. Hope it helps ❤️