Raveen Syan, M.D.: Managing Overactive Bladder

Raveen Syan, M.D., assistant professor of clinical urology at the University of Miami Desai Sethi Urology Institute, explains that one of the biggest challenges for individuals with overactive bladder (OAB) is a lack of awareness about the impact of simple behavioral and dietary changes. She says many people can significantly reduce their symptoms by avoiding bladder irritants like caffeine, tea and even excessive water intake. While it’s long been believed that drinking lots of water is beneficial, researchers are now learning that too much water can actually lead to more frequent and urgent urination, which can diminish quality of life. For those with OAB, drinking plain water instead of seltzer and being mindful of intake can help manage symptoms.

Syan also highlights the connection between constipation and bladder issues. The organs in the pelvis are interconnected, so improving bowel habits can positively affect bladder function. Additionally, bladder training exercises can be beneficial, and for those looking for more guidance, pelvic floor physical therapists, who specialize in this area, can make a significant difference.

Patients often ask whether OAB will improve on its own. According to Syan, the answer depends. Some people experience relief through lifestyle and dietary changes, while others require more intervention. OAB is a chronic condition, and while it can be managed, it does not simply go away. For those who do not see improvement with self-care, there are various effective treatments, including medications and procedures. That is why it's crucial to connect with a specialist, such as a urologist or urogynecologist, who can provide comprehensive care.

Syan emphasizes the importance of seeking specialty care for those newly diagnosed with OAB. Primary care providers may know the basics, but specialists can offer a full range of treatment options and determine whether more advanced therapies are needed. These therapies, while not the first line of treatment, are safe and effective for severe cases. It is vital for patients to be well informed and to explore all available options.

One of the biggest myths about OAB is that it's just a normal part of aging, says Syan. While bladder issues do become more common with age, she asserts that they shouldn’t be accepted as inevitable. Modern medicine offers solutions that can significantly improve quality of life, and no one should feel they have to endure these symptoms without seeking treatment.