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Tart Cherry Jam
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Default Feb 09, 2024 at 04:46 PM
  #1
I am technically not allowed to post here, being 53, but the issue is related to aging. I have OAB, I wake up to pee several times during the night and during the day go often, especially when I exercise in a seated position. I recently intensified my exercise and that is when the issue surfaced and I finally acknowledged that I have OAB and sought help for it. I am going to see a pelvic floor physical therapist and she will probably guide me in timed voiding. Has anyone had luck treating OAB with behavioral interventions?

When I exercise in a seated position (recumbent bike, recumbent elliptical, rowing machine), somehow all this action and friction in the pelvic area triggers the need to pee. Yes, I drink a lot of water with electrolytes when exercising but still. I go to the bathroom three times during an hour session. This is clearly abnormal.

When I exercise upright, I do not need to go pee, even though I consume fluids at the same rate.

Has this happened to anyone? How are you treating it?

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Default Feb 09, 2024 at 05:10 PM
  #2
I take AZO cranberry tablets or chewables when i get an irritable bladder. It keeps me from constantly running to the bathroom. I will take it for a few days then stop if the symptoms dont return, and restart as needed. Sometimes i have morwe frequent urination due to higher blood sugar, but i can tell the difference between the two "frequencies", altho maybe the higher blood sugar separately causes bladder irritation.
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Tart Cherry Jam
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Default Feb 09, 2024 at 05:29 PM
  #3

__________________
Confirmed dx: Bipolar I w/psychotic features, since 2009 or earlier
Suspected dx: Narcolepsy type 2, since 2022

Current rx:

Geodon 40 mg (for mood)
Seroquel 75 mg (for sleep)
Gabapentin 1200 mg (against extrapyramidal side effects from the ^)
Dextroamphetamine 5 mg (for narcolepsy)

Past rx:
Way too many to list
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Default Feb 09, 2024 at 06:18 PM
  #4
Quote:
Originally Posted by Tart Cherry Jam View Post
Yes thats it.
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Default Feb 13, 2024 at 12:43 AM
  #5
I went to see the pelvic floor physical therapist this morning. Apparently, the bladder is highly trainable and behavioral interventions are the first line of defense. She gave me a whole long homework. I will scan the sheets she provided me later and post here. It is definitely an interesting approach and I am hopeful it will help but if it doesn't, I will order my first AZO supplement shipment.

__________________
Confirmed dx: Bipolar I w/psychotic features, since 2009 or earlier
Suspected dx: Narcolepsy type 2, since 2022

Current rx:

Geodon 40 mg (for mood)
Seroquel 75 mg (for sleep)
Gabapentin 1200 mg (against extrapyramidal side effects from the ^)
Dextroamphetamine 5 mg (for narcolepsy)

Past rx:
Way too many to list
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Default Feb 18, 2024 at 01:16 AM
  #6
So one thing I am now is timed voiding. We started with 1 hr 10 minutes. This is just for the day and when I can do it, when I do not have meetings and do not go outside the house. The thing is, sometimes I can go much longer between restroom breaks and sometimes 1 hr 10 minutes is max for me. But it is an interesting approach.

She also asked me to sip not chug water. I am learning to do that. Drink more during the day little by little, she said, and then drink just 0.5 L during exercises. I used to drink less during the day but then 1.5L during one hour of exercise. She says that overwhelmed the bladder.

__________________
Confirmed dx: Bipolar I w/psychotic features, since 2009 or earlier
Suspected dx: Narcolepsy type 2, since 2022

Current rx:

Geodon 40 mg (for mood)
Seroquel 75 mg (for sleep)
Gabapentin 1200 mg (against extrapyramidal side effects from the ^)
Dextroamphetamine 5 mg (for narcolepsy)

Past rx:
Way too many to list
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