Bladder training

Bladder incontinence

Last Updated February 21st, 2019

Overview of bladder training

A recent statistics of the Indian Express has shown that nearly 60.4% of India’s total population does not have access to toilets.  This is interfering with the hygiene habits of the less affluent section of the Indian population, which in turn is giving rise to numerous urinary problems in both men and women.

Coming to the global statistics, the epidemiological findings by the National Kidney Foundation show that nearly 20% of women having a history of urinary tract infection are likely to develop a recurrent infection in future. Many of these patients grow acute kidney malfunctions in future. A recent survey conducted by the American Urological Association reveals that about 12% men and 7% women normally suffer from kidney stones worldwide.

All the above situations may result from or give rise to bladder incontinence and urinary problems. This necessitates “bladder training”, a self-therapy to alter the body’s excretory mechanism and minimize the incontinence problems.

 

What is bladder training?

Bladder and urinary systemBladder training is a therapy for urinary incontinence where the bladder activity is regulated through a series of processes. The aim of this self-help program is to improve the containing capacity of the urinary bladder. It can effectively help improve symptoms like excess urinary urge, bedwetting and nocturia (frequent passing of urine at night).

The training encompasses a strict pattern of urine passing. At the beginning of the program, the interval between two consecutive bathroom visits is maintained as 2 hours. After a few sessions the duration of the intervals is increased. The program is made in such a way that the increase in the duration of the interval becomes directly proportional to the increase in bladder control. To make the program more effective, the person undergoing the training is made to drink large quantities of fluids, which the bladder is compelled to store for a certain period of time.

 

What are the problems solved by bladder training?

Bladder training helps resolve the following difficulties faced on a regular basis by the incontinence patients-

  • Urinary frequency: Under normal circumstances a person is not supposed to pass urine more than 4-6 times a day. Under certain medical conditions like Diabetes, the patients tend to urinate around 9-10 times or more in a day. The training is particularly helpful for them.
  • Nocturia: Nocturia is the act of passing urine at night. For people under 65, one bathroom visit at night is considered normal and for people above 65, one or two visits are allowable. If the frequency in either case becomes higher, bladder trainings become necessary.
  • Urgency: Some people fail to control urinary urge even under normal conditions. The urge often intensifies due to the fear of leakage. A trained bladder becomes capable of pacifying urgency.
  • Urge incontinence: Bladder storage capacity in these people is completely nil and they are often found to urinate at inappropriate places and times. These people often are not aware of the passage of urine and have the habit of bedwetting.

 

What are the main objectives of bladder training?

Bladder incontinenceBladder trainings are mainly directed towards improving the retention capacity of the urinary bladder. This also helps prevent accidental leakage of urine. The main objectives of these programmes are as follows-

  • Increase the length of time between two successive bathroom visits
  • Increase the quantity of urine the bladder can store for a length of time without any discomfort
  • Discharging urine strictly according to the schedule even in the absence of an urge
  • Minimise or completely eliminate urinary incontinence
  • Independent management of bladder, that is management in the absence of any training

 

What is the commonly followed bladder training schedule?

The bladder training schedule is planned as recommended by the doctor. It will be discussed in this section according to the weeks of training-

  • From the very first week, the patients should maintain a Bladder Diary, which will keep an account of the number of bathroom visits and accidental leaks in a day. In this week, the patients are trained on the Bladder Urge Control procedure to retain and void as per the set schedule.
  • In the following weeks, the length of the intervals is increased by 15-30 minutes. For the younger people, bathroom visits after 3-6 hours and for the elderly people, visits after 2-3 hours is permissible.
  • If the bladder control does not improve even after a week’s training, the patients are advised to undergo the same training under the same schedule for another week. The schedules are altered only after the incontinence problems are resolved to some extent.

 

How does the Bladder Urge Control procedure work?

Bladder training exercisesNow that you know about how to start the training, it is necessary to have a detailed knowledge of the Bladder Urge Control technique, which is fundamental to the concept of urge minimization. Follow a few simple steps-

  • To prevent overstimulation of the bladder, sit quietly or stand still at one place
  • Relax your mind and take slow, deep breaths
  • Perform repeated contractions if the pelvic floor muscles. This enables the closure of the urethra and pacification of the bladder.
  • Use self-suggestion and mental imagery to suppress a strong urge. Convince yourself that your bladder is capable of holding the urine until and unless you voluntarily want to go to the bathroom and urinate.
  • Use distraction techniques to divert your mind from the urge.
  • When the urge completely subsides, avoid using the toilet until the next voiding time set as per the schedule.

Throughout the entire procedure, you need to continuously apply the bladder defer tactics in order to suppress the urge and increase the capacity.

 

Facts

  • The capacity of a healthy bladder is to hold around 300-400 ml of urine during the day and 800 ml during the night time.
  • Emptying bladder as soon as you wake up is a healthy habit. Throughout the day, a person, on average, urinates roughly 2-3 times and once before bedtime.
  • Bladder incontinence affects 1 out of every 3 individuals above the age of 60 years.

Facts

  • More women are affected by bladder incontinence than men, 5:1 ratio.
  • Incontinence is also prevalent amongst young women (6% of all women between 15 to 44 years of age).
  • Bladder incontinence is not a disorder in itself but rather a symptom of an underlying condition.

Facts

  • Proper bladder training techniques can help in increasing the gap between urinations, the capacity of the bladder, and decreasing the urge to urinate.
  • Bladder training results in 57% to 87% improvement in people with urinary incontinence.

Related Conditions

Want to live a healthy lifestyle?

Subscribe to free FactDr newsletters.

REVAMP YOUR

If you're enjoying our website, we promise you'll absolutely love our new posts. Be the first one to get a copy!

Get factually correct, actionable tips delivered straight to your inbox once a week.

I want the latest scoop on :

We hate spam too. We will never share your email address with anyone. If you change your mind later, you can unsubscribe with just one click

By clicking Subscribe, I agree to the FactDr Terms & Conditions & Privacy Policy and understand that I may opt out of FactDr subscriptions at any time.

 

Dos and Don'ts

Dos
  • Empty the bladder right after getting up in the morning.
  • Visit bathroom only at specific times as discussed with health provider.
  • If there is an urge to urinate prior to the designated time then utilize urge suppression methods.
Don'ts
  • Strain to urinate.
  • Do pelvic floor muscle exercises in the toilet.
  • Drink less fluid to stop incontinence.

 

 

 

Related Conditions

Trending Topics

ASTtest-liver
AST- Aspartate Aminotransferase Test AST test is a blood test that is used to measure the level of a particular liver enzyme…
Vitamin K2: 8 reasons why you need this bone-building & cancer-fighting nutrient Vitamin K2 is claimed to be essential for your bone health, for reducing the risk of cancer, and…
The science behind daith piercing: Can it really cure migraine? Since the ear has several pressure points, it is believed that daith piercing activates the vagus nerve and…
anti-thyroglobulin antibody
Anti-Thyroglobulin Antibody test Anti-thyrogloubin antibody test measures the level of antibodies that attack the thyroid gland cells and are hence indicative…
folate test
Folate test The Folate test is used to measure and monitor the levels of folic acid in the blood. The…
Maltitol: Things you must know about this artificial sweetener Sugar alcohols are produced by fruits and vegetables. Maltitol is an artificially produced sugar alcohol and is used…
abdominal-CT-scan- image
Abdominal CT scan Abdominal CT scan is a diagnostic imaging technique that provides a clear picture of the state of internal…
diverticulitis diet
Diverticulitis diet: The right way to eat if you suffer from the disease Are you suffering from diverticultis but clueless about your diet ? Read this complete plan for diverticulitis diet…
TBHQ: A carcinogen lingering in your child’s favorite snacks TBHQ - Why you should shun the practice of eating instant noodles or microwave popcorn to get rid…
Lectin: The common link of proteins between peas and people Lectins are a type of protein that are found majorly in legumes. Most people are find it easy…
Juice Plus: Can you really replace actual fruits with pills?  Juice Plus supplements intend to fill nutritional gaps present in our daily diet. But how successful have they…
Top 6 remedies to treat a razor burn at home Symptoms of razor burn include bumps on the skin, redness, and irritation of the skin. Find easy and…
hlab27 test
HLA-B27 test The HLA-B27 is a blood test that is used to determine the level of a particular protein called…
cytomegalovirus iGG
Cytomegalovirus (CMV)- IgG Test The cytomegalovirus IgG is the immunoglobulin protein produced by our immune system when the body is infected by…
passion fruit juice
Passion fruit: How one exotic fruit can help you fight infections and cancer! Passion fruit: Why does this exotic fruit have such an enticing name? And how can it protect you…
BRAT Diet: What is the right way to follow this diarrhea-relieving diet? BRAT diet, a simple diet consisting of just bananas, rice, applesauce, and toast, can help you combat the…
Stye : The best natural home remedies to ease the pain Styes developing inside the eyelid tend to be more painful whereas external styes are less painful and ooze…
rubella IgG test
Rubella IgG Test The rubella IgG test is a blood test that checks for the rubella virus IgG antibodies present in…
Pulmonary Function Tests Pulmonary function tests (PFT’s) are non-invasive breathing tests employed for diagnosing and monitoring lung diseases such as bronchitis
low fodmap plan
Troubled with IBS? Here’s a complete roadmap to the low FODMAP diet Leaky & inflammatory gut troubling you? No medicine bringing you relief from the pain? Why not try the…
IGE test
IgE test – Immunoglobulin E IgE or immunoglobulin E test is a test that measures the level of IgE in the blood and…
The real reason why you shouldn’t be eating ramen noodles Instant ramen noodles might be your go-to snack for your hunger pangs. But with each spoonful you are…
Silicon Dioxide: How can a component of sand be essential to your wellbeing? Silicon is one of the most abundant elements in the nature. Find out how silicon dioxide can prove…
Chromium Picolinate: An essential mineral supplement for faster weight loss Did you know that about 1.6 million deaths were directly linked to diabetes globally? How is it linked…
How do neutrophils protect you from fatal bacterial attacks? During an infection, certain enzymes alert the mature neutrophils.  Neutrophils then travel through the bloodstream to the affected…
Quinine: How gin and tonic came to be known as a potent health elixir The discovery of quinine-containing tree bark is sometimes considered the most serendipitous medical discovery of the 17th century.
Poop chart: Top things you didn’t you your poop could reveal about you Bristol poop chart was designed during the 1990s in order to help doctors identify various types of poops…
Ferritin blood test
Ferritin Test Ferritin test is a blood test that provides vital information on the level of RBCs and iron in…
Bloodtestalbumin
Albumin Test Albumin test or blood serum test is a liver function test that measures the amount of the protein…
CLA: A breakthrough weight loss supplement with minimal side effects Tried every weight loss supplement in the market with no substantial gain? Why not try CLA supplements, derived…
serum electrolyte test
Serum Electrolyte If there is an electrolyte imbalance in the body, a serum electrolyte test will help to find out…
HELICOBACTER_PYLORI---IgG
Helicobacter Pylori – IgG Test Helicobacter pylori IgG test is a blood, saliva, and urine test performed to determine if the patien is…
green poop causes
Green poop : What are the reasons and how can you correct it Ever sneak a peek down the toilet only to shockingly find green poop? Why does our poop turn…
Chlorella: Therapeutic powers of the billion-year-old algae now within your reach Chlorella - A billion year old nutrient-rich algae that can potentially ward off cancers and high cholesterol; the…
RHEUMATOID_FACTOR_(RF)
Rheumatoid Factor (RF) Rheumatoid factor or RF is a blood test used to diagnose painful joint conditions such as rheumatoid arthritis…
Free T3 test
Free Triiodothyronine (FT3) Test The free triiodothyronine or FT3 test is an important blood test that is used to detect the level…
serum zinc test
Serum Zinc Test The serum zinc test is a blood test performed to assess the zinc level in the blood (serum)…
TPAB test
Treponema Pallidum Antibody(TPAB) test Treponema pallidum bacteria a gram-negative bacteria that has helically coiled, corkscrew-shaped cells, responsible for STDs such as syphilis.
hidden benefits walking
9 benefits of walking we bet you didn’t know! Did you know walking can be the miracle pill for eternal youth? Everyone knows walking is good for…
autoimmune diseases facts
Autoimmune Diseases: Find out if your body is attacking you right now Did you know your body can harm itself? What are autoimmune diseases and why does it harm some…
nutritional yeast bread
Nutritional Yeast : How can a fungi culture be good for your body? Nutritional yeast: How a simple culture of fungi can transform your skin, digestion, immunity , and much more.…
CBC blood test
CBC (Hemogram 6-part diff) blood test CBC (Hemogram 6-part diff) blood test refers to the test that measures the number of RBCs, WBCs, etc…
POSTPRANDIAL-BLOOD-SUGAR
Post-Prandial Blood Sugar Postprandial blood sugar test is an important diabetes diagnosing tool. This simple blood test measure the level of…
Milk Thistle skin
Milk Thistle: Find possible cures for fatal diseases in these purple blooms Milk thistle is well-known for treating liver conditions. However, did you know that it comes with a plethora…
Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
Balneotherapy jacuzzi
5 things you didn’t know about balneotherapy and how you can do it at home Sauna baths have been popular since a long time. But how much more beneficial can balneotherapy be as…
bilirubin-test-result
Bilirubin Test Bilirubin is a substance produced in the body as a result of red blood cell breakdown. A bilirubin…
beta 2 glycoprotein 1 IgG
Beta 2 Glycoprotein 1 IgG Beta 2 glycoprotein 1 antibody test involves detecting and measuring the presence of the IgG class of beta…
GM Diet: The fastest way to lose weight or yet another hoax diet? General Motors started this trend of extreme dieting for 7 straight days to ensure its employees were able…
lipoprotein A
Lipoprotein (A) Test Lipoprotein (A) test is used to measure and monitor the levels of LDL(Low-Density Lipoprotein) in the bloodstream in…
maltodextrin sugar
Maltodextrin: What are the hidden health benefits of this food additive? Maltodextrin is one of the few food additives that has been relatively deemed safe. Many experts now have…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
thyroid_scan
Thyroid Scan Thyroid scan is a diagnostic procedure that aims to view the thyroid gland and detect any growths or…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
Eustachian Tube : Functions and top home remedies to prevent its infection Pressure equalization, mucus drainage and protecting the middle ear from bacteria and viruses are the three important functions…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
Helicobacter pylori IGA
Helicobacter Pylori – IgA Test The H.pylori IgA test is a blood test used to identify the level of IgA antigen in the…
shakeology woman
Meal replacement or protein drink? Learn all about Shakeology and its claims Shakeology from Beachbody claims to be the most suitable shake that can aid in weight loss, regulate blood…
lipid-profile
Lipid Profile Lipid profile is a blood test that provides complete information on how much cholesterol is present in the…
Barium-enema
Barium Enema Barium enema is also known as colon x-ray. Here, the patient is asked to consume small amount of…
Cystoscopy Cystoscopy is intended to look at the abnormalities in the ureters, bladder, and urethra, to assist surgeries performed…
random blood sugar test
Random Blood Sugar Test The random blood sugar or RBS test is a blood test prescribed mainly to check the level of…
Jicama: A fiber-rich tuber for your weight loss goals Pronouced as HEE-kah-ma, Jicama is the "new kid on the block" that has taken the world by the…
eating disorder anorexia
Eating Disorders: Lifestyle choice or a psychological condition? Is eating disorder just a harmless bad habit? Or does it represent grim psychological disorders? Do you want…
lifestyle diseases
The Big 5 lifestyle diseases: How your everyday living might be killing you You'd be shocked to know how unhealthy and potentially fatal your everyday routine could be. Has the modern…
ashwagandha brain
Ashwagandha: The best-kept secret of Ayurveda now revealed! Ashwagandha literally means "smell of horse". Don't get bogged down by that one tiny detail because this ayurveduic…
Anhedonia: Does the chronic inability to feel joy affect you too? How often do you feel dragged down by an invisible force? Do you feel an inexplicable emotional numbness…
Piaget stages: Do they accurately describe the way the human brain develops?  A common assumption was that children are less competent thinkers as compared to adults, but this was refuted…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
liver cleanse detox
14 go-to foods that are best for a complete natural liver detox Liver cleanse can be achieved by just choosing or avoiding certain types of food. Liver itself is a detoxifying…
EEG
Electroencephalogram – EEG EEG or electroencephalogram is a diagnostic tool used to access the functioning of neurons and brain activity to…
hidden causes obesity
8 hidden causes of obesity you probably didn’t know! Did you know that around 2 billion people worldwide are either overweight or obese? Are you too a…
dance health benefits
5 unbelievable effects of dance on your overall health! You enjoy dancing, but did you know what else it does to your body? Dancing is not only…
Bromelain: 11 reasons why you should start adding pineapple to your pizza! If you didn't love pineapples already, here are some of the top health benefits that bromelain can bring…
Top natural diuretics: The instant benefits you can get from nature’s water pills Since diuretic drugs are known to cause side effects, it is better to choose a natural diuretic that…
EMA antibodies
Endomysial Antibodies (EMA) Test EMA test is an investigative blood examination to locate the presence of certain antibodies, called Endomysial antibodies or…
occupational hazards types
Occupational Hazards: How to vouch for your health at your workplace Occupational hazards affect millions worldwide. Chemical spills, faulty wires, deadly pathogen, and work-stress can happen anytime. Follow these…
bananas exercise
10 health reasons why you should go “bananas” over bananas! Bananas:The world's most popular fruit comes with a host of unbelievable health benefits. Find out how you can…
Astaxanthin: Why experts believe it could be 550x more potent than vitamin E! What is astaxanthin and why is this new supplement on the block touted as the most powerful antioxidant…
Internal bleeding brain
Beware: Ignoring these tell-tale signs of stroke could cost a life The signs and symptoms of a stroke differ depending on which part of the brain has been affected.…
arterial-blood-gas
Arterial Blood Gas Analysis Arterial blood gas analysis is a diagnostic procedure used to determine the volume of oxygen and carbon dioxide…
Bronchoscopy procedure
Bronchoscopy Bronchoscopy is a procedure where in a scope is inserted into the lung pathway to observe any growth…
Chest X-Ray A chest x-ray is a diagnostic test that uses x-rays to visualize the structures inside your chest. It…
fructosamine test
Fructosamine Test A fructosamine test is a blood test that measures blood sugar glucose content. Fructosamine level can indicate blood…
anti-chlamydia antibody tets
Anti-Chlamydia Antibody -IgG Test Anti-Chlamydia Antibody - IgG test is performed by collection of urine or genital fluids as sample for testing…
free thyroxine ft4
Free thyroxine test (FT4) The FT4 or free thyroxine test is a blood test used to detect the level of free thyroixine…
ureteroscopy
Ureteroscopy Ureteroscopy is the diagnostic procedure which is used for the detection of the kidney stones in addition to…
Panera bread steak arugula
Panera Bread: The truth behind this “healthy” restaurant chain What to order and what to avoid when dining at Panera Bread ? Know more about this popular…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
boost brain health
The ultimate tips on how to boost your brain health Would you like to be smarter? Want a sharp memory but bored of doing sudoku? Try salsa or…
glutamine workout
Glutamine: Why is this the right choice for muscle-gain supplement? Glutamine can help you gain muscles and build higher immunity. Read more to find out how you can…
gout diet purines
Gout Diet : Get relief from painful joints by eating these foods Are you a victim of this painful condition? Are medications providing only short relief? Find a list of…
dandelion weight loss
Caralluma Fimbriata: How to eat this cactus to lose weight Caralluma fimbriata is a miracle cactus that can be safely consumed by most for losing weight and boosting…
waterchestnut
Water Chestnuts: The tastiest ways to include this healthy tuber in your diet Water chestnut is not a nut after all. It is a tuber (much like the potatoes) growing close…
Erythritol: A healthy sugar substitute or yet another marketing ploy? Erythritol is a popular choice of a healthy alternative sweetening agent in foods. But how healthy can a…
Colloidal silver benefits
Colloidal silver: An essential dietary supplement or yet another pharmaceutical hoax? Colloidal silver is hailed as an effective home remedy for infections. Many believe it can treat HIV and…
Microneedling: Does this cosmetic procedure live up to the hype? Is microneedling a safe and painless procedure? How can pricking your skin with a series of pins help…
Is bronchitis contagious? And how to prevent this infection? It is acute bronchitis that is contagious which means you can contract it from another person or you…
blood elements analysis
Blood Element Analysis Test A blood element analysis is a blood test performed to measure the level of toxic elements such as…
myelogram
Myelography Myelography is an important diagnostic tool that is used to investigate and identify abnormalities in the spine and…
erythropoetin test
Erythropoietin (EPO) Test Erythropoetin stimulates the production of RBCs in bone marrow thus an erythropoetin test is done to diagnose blood…
liver detox facts
7 liver detox facts and why ignoring these could kill you! Are you taking care of this organ that handles over 500 different vital functions in your body? Your…
fitness routine fun
10 fantastic ways to make your fitness routine more fun! Are you too bored to exercise? Do you avoid gym cause it's too monotonous? Looking for fun and…
Pumpkin Seeds: Why pumpkins are more than just for pies! Pumpkins have been long associated with Halloween carvings and delicious pies. But did you know that pumpkin seeds…
black seed oil benefits
Black Seed Oil: What secret benefits could it bestow on your health? Black seeds or nigella seeds are tiny packets of health brimming with amazing benefits. Find out why should…
Kava: Is it the healthy substitute for alcohol you have been waiting for? Native to the beautiful South Pacific islands, Kava is a famous beverage rooted in the local culture. It…
Trisodium Phosphate: How a paint thinner made its way into your breakfast Ever thought how toxic chemicals find their way into our foods? How can they harm our body? And…
Psyllium Husk: More than just an effective natural laxative Psyllium husk, or isabgol, is a popular natural laxative . But did you in addition to regulating bowels,…
Epley maneuver: Why is this the best protection from the symptoms of vertigo? Epley maneuver is an exercise that can treat the symptoms of benign paroxysmal positional vertigo (BPPV).  It was…
Carb Cycling: Weighing the pros vs the cons of this diet routine Completely discarding carbs from your life will do you more harm than good. Read more about carb cycling,…
GERD heartburn
Heartburn: What are the exact symptoms and the best home remedies? There are easy home remedies for heartburn, which not only acts as a first aid when you experience…