What do I do about an overactive bladder?

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Dear Ellen,

Please help!  I go to the bathroom all the time.  What do I do about an overactive bladder. Even if I drink nothing I can go 5 or 6 times. At night it’s even worse, haven’t slept through in years. Most of the time I get up at least 3-4 times.

I don’t know what to do for it because I don’t really know what’s wrong. I don’t leak or have accidents and I always go a normal amount, I just don’t understand why I can’t hold any liquids.

                                                                                                   I hope you can help me!


Dear Dana,

I am so sorry that you are dealing with this.

I would suggest talking to your healthcare professional about a referral for a consult by a Urologist.

According to Mayo Clinic, one in 3 adults over the age of 40 report having an OAB (over active bladder). They list the following symptoms:

  • Feel a sudden urge to urinate that’s difficult to control
  • Experience urge incontinence — the involuntary loss of urine immediately following an urgent need to urinate
  • Urinate frequently, usually eight or more times in 24 hours
  • Awaken two or more times in the night to urinate

Several conditions may contribute to signs and symptoms of overactive bladder, including:

  • Neurological disorders, such as Parkinson’s disease, strokes and multiple sclerosis
  • High urine production as might occur with high fluid intake, poor kidney function or diabetes
  • Medications that cause a rapid increase in urine production or require that you take them with lots of fluids
  • Acute urinary tract infections that can cause symptoms similar to an overactive bladder
  • Abnormalities in the bladder, such as tumors or bladder stones
  • Factors that obstruct bladder outflow — enlarged prostate, constipation or previous operations to treat other forms of incontinence
  • Excess consumption of caffeine or alcohol

This is why it is very important to determine the cause of your specific issues so that your specialist can find a treatment plan for you.

Good Luck. Please keep me posted!



After struggling with her own severe menopause symptoms and doing years of research, Ellen resolved to share what she learned from experts and her own trial and error. Her goal was to replace the confusion, embarrassment, and symptoms millions of women go through–before, during, and after menopause–with the medically sound solutions she discovered. Her passion to become a “sister” and confidant to all women fueled Ellen’s first book, Shmirshky: the pursuit of hormone happiness. As a result of the overwhelming response from her burgeoning audiences and followers’ requests for empowering information they could trust, Ellen’s weekly blog, Menopause MondaysTM, was born.