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What are some natural remedies for an overactive bladder?

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Natural remediesNatural remedy listTreatmentSummary
While doctors may recommend medical interventions, many people seek alternative options to alleviate their bladder symptoms, including natural remedies such as pelvic exercises and dietary adaptions.
Medically reviewed by Kerry Boyle D.Ac., M.S., L.Ac., Dipl. Ac., CYT
Written by Rashida Ruwa, RN
Updated on

An overactive bladder is a chronic condition characterized by a sudden and frequent urge to urinate, often resulting in involuntary leaks. While a doctor may recommend medical interventions for severe cases, several natural remedies exist.

Natural remedies for overactive bladder aim to improve bladder function, reduce urgency, and enhance overall urinary regulation. These remedies include lifestyle and dietary adjustments, herbal supplements, strengthening exercises, and behavioral techniques. 

Can natural remedies help an overactive bladder?

Close up shot of a person's hand reaching for the toilet roll depicting what are some natural remedies for overactive bladder
Photo by Brook Rieman/Getty Images

Natural remedies can help with an overactive bladder. Some studies suggest that techniques such as bladder training, pelvic floor exercises, and dietary changes — such as avoiding caffeine and spicy foods — might reduce symptoms.

Additionally, herbal supplements such as pumpkin seed extract may support bladder health, although their effectiveness varies and is not medically proven. 

9 natural remedies for an overactive bladder

While medical interventions are available, many people opt for natural remedies and lifestyle modifications to manage their overactive bladder symptoms. These may include:

1. Dietary modifications

Certain foods and beverages may exacerbate overactive bladder symptoms. You may consider avoiding known bladder irritants such as caffeine, alcohol, artificial sweeteners, spicy foods, and acidic fruits.

Doctors and healthcare professionals typically recommend gradual adjustments to your diet, as sudden dietary changes may lead to nutrient imbalances.

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2. Fluid management

Ensuring you get enough fluid is important for bladder health. To achieve this, practice mindful hydration by distributing your drinks throughout the day and avoiding excessive amounts before bedtime.

It’s important not to restrict your fluids excessively, as dehydration can irritate the bladder lining, intensifying symptoms.

3. Bladder training

Establishing bladder training can help reduce the frequency of urgent bathroom trips, and gradually increasing the time between bathroom visits can encourage the bladder to hold larger urine volumes.

Possible risks include discomfort or mild pain from holding urine for longer periods and an increased risk of urinary tract infections (UTIs).

4. Kegel exercises

This involves contracting and relaxing the pelvic floor muscles and can help strengthen the muscles that manage urination.

Kegel exercises can create better bladder regulation and reduce leaks. However, incorrectly performing pelvic floor exercises may strain muscles, so proper technique and guidance are crucial. 

5. Limiting stress

Stress and anxiety can trigger overactive bladder symptoms or worsen existing ones.

Relaxation techniques, such as deep breathing and yoga, can help alleviate stress and improve overall bladder regulation.

6. Avoid smoking

Smoking can irritate the bladder and worsen overactive bladder symptoms. Quitting smoking can positively affect your bladder health and overall well-being.

7. Weight management

Maintaining a moderate weight is important, as excess weight can pressure the bladder and exacerbate overactive bladder symptoms.

Regular exercise and a balanced diet can help in managing your weight.

8. Acupuncture

Acupuncture may also be an effective way to manage an overactive bladder.

According to a 2018 randomized controlled trial, acupuncture may help reduce the number of small and larger leaks while you are awake and also while you sleep. However, further evidence is required to confirm whether acupuncture alone can help with an overactive bladder.

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9. Herbal supplements

Some herbal supplements, such as pumpkin seed extract, provide antioxidants and nutrients supporting bladder health. Additionally, corn silk acts as a natural diuretic, which can help reduce urination frequency and alleviate discomfort.

However, possible risks include drug interactions and allergic reactions, so it is important to discuss supplement use with a doctor or healthcare professional.

Additionally, the Food and Drug Administration (FDA) does not regulate supplements in the same way as prescription medications, so it is important to purchase them from a reputable retailer, and they should not replace a medical treatment plan.

Medical treatments for an overactive bladder

When natural remedies aren’t sufficient, medical treatments offer an alternative approach to managing overactive bladder symptoms. These options may include:

Anticholinergic medications 

Anticholinergics such as oxybutynin (Ditropan XL), tolterodine (Detrol), and solifenacin (Vesicare) block the action of acetylcholine, a neurotransmitter that triggers bladder contractions. This relaxes the bladder muscles, reducing urgency and frequency. 

Possible side effects include:

  • dry mouth
  • constipation
  • blurred vision
  • cognitive impairment

Beta-3 adrenergic agonists

Beta-3 agonists such as mirabegron (Myrbetriq) stimulate beta-3 receptors in the bladder, relaxing bladder muscles and allowing more urine storage. 

Possible side effects include:

  • increased blood pressure
  • rapid heart rate
  • dry mouth
  • headaches
  • dizziness

Botox injections

OnabotulinumtoxinA (Botox) injections into the bladder muscle can help relax it, reducing spasms and urgency.

Doctors and healthcare professionals typically consider this procedure for people who haven’t responded to other treatments. However, risks include temporary difficulty in emptying the bladder and a potential need for self-catheterization.

Sacral nerve stimulation

This involves targeting the nerves that manage bladder function. Sacral nerve stimulation, delivered through an implanted device, can help regulate the bladder’s activity by stimulating nerves that send electrical signals between your brain and bladder. However, possible risks include infection at the implantation site.

When to contact a doctor for an overactive bladder

You should contact a doctor if:

  • you experience sudden and severe bladder regulation difficulties
  • you notice blood in your urine
  • you have pain or discomfort while urinating
  • your symptoms don’t improve with home remedies

Summary

Natural remedies for an overactive bladder can provide effective alternatives to traditional medications.

Pelvic exercises and dietary adjustments may help enhance bladder regulation and reduce irritation.

Additionally, herbal supplements such as pumpkin seed extract and corn silk may help alleviate your symptoms.

However, the effectiveness of home remedies can vary from person to person. Consider talking with a doctor or healthcare professional before making significant changes. 

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