Bladder Retraining For Overactive Bladder 

It has to learn who's the boss, so keep cracking that whip! LOL!

Thank you Doctor.

Hi Doctor! I have a weird issue if you could kindly guide me. I have started bladder training recently. My comfort zone is around 200 ml. Till this amount I can essily reach the toilet and urinate. After this I can hold on till I get a sudden strong urge and this could be anywhere between 270 ml and 370 ml. Now there's a weird zone between 200 ml and the final urge. I can hold on with increasing discomfort above 200 ml but as soon i decide to go to the bathroom, I get a very strong urge. The strength of this urge depends on how far I was from the perceived final urge by the bladder. For example yesterday i was sitting comfortably and I decided I should pee and got a really strong urge near the washroom door. My urine volume was only 250 ml. Two days ago I had held on for a while and then decided to go. I didnt feel any strong urge but when i measured the volume it was 270 ml. This weird buffer zone between the complete comfort zone (200ml) and the final urge point bothers me because I could literallaly be holding comfortably 270 ml and it suddenly shoots the urge up when i decided to go. I have been told that this could be a mental door in lock syndrome thing but the fact that it happens after 200 ml means that there is something more to it. What I want to know is that while training the bladder should I hold onto the till final urge comes (anywherr between 270 and 370 ml) or should I wait for a certain point after 200 ml? At around 200 ml I start getting constant signals to urinate which are not super uncomfortable and I can hold on beyond that. My target is that I should be able to hold 350 to 400ml of urine without rushing to the bathroom due to strong urge as soon as I decide to go. When my bladder was not overactive, I could hold onto till about 400 ml and then go without experiencing a super strong urge when i decided to go. I have no medical issues with bladder or kidneys. My OAB issues started in Feb 2022. For two complete years preceeding my first urgency incident, I had been peeing just in case non stop. Like I would sometimes literally pee when there was less than 50 ml in my bladder due to urinary OCD and to get that "just right" feeling. I was at home with an attached bath during these two years. I have never been duly dehydrated paryicularly during winter my entire life. I highly doubt I would have urinated above 250 ml during this entire two year period. Even before 2020, I was a just in case peeir but due to academic or professional work or some other matters, I would sometimes hold my bladder till max, but after Jan 2020, that was never the case. The other factor worth mentioning is that I took an antidepressant by the name of Tretol (sertraline). I took it just for two days and it wreaked havoc on my body with side effects like weird stool, jaw clenching and shaking etc. I didnt experience urgency immediately but just 15 days after taking that medicine I had my first urgency incident. The side effects of the medicine didnt last for more than two days since i stopped taking it immediately and like i said urinary urgency didnt occur till 15 days later. So how long after 200 ml should I hold my urine so that my comfort zone where i can calmly go to pee can expand? Thanks a ton in advance!

I feel intense urge at 200 ml in day time..but after get up in the morning when i measure my urine volume it was arround 300-350 ml range...what should i do ...i m 25 yr male from india, showed my self to 7-8 dr.urologist and they are unable to cure my symptoms...suffer from 2-3 years

Hi doctor, I have an infection after the Botox I want to know Wil it Go away? I didn't have 1 before I had this? Now I have it?

Hi i cant find your email in your site