Some medications are approved for use in helping to provide control of your bladder. Some agents work to prevent leakage, and other work to control the unwanted muscle contractions or spasms.  Anticholinergics are bronchodilators, which means they work to stop certain muscles from tightening. For bladder spasms, they help reduce involuntary bladder contraction. The medications in this class include propantheline, oxybutynin, tolterodine tartrate, darifenacin, trospium, and solifenacin succinate. These medications may cause dry mouth and other side effects, include constipation, blurred vision, heartbeat  irregularities, and drowsiness. Tricyclic antidepressants may be used in some cases, since they have anticholinergic aspects. The most commonly prescribed include imipramine hydrochloride and doxepin. These agents help to control the smooth muscle tissue in the bladder.  Alpha blockers can be prescribed to reduce overactive bladder symptoms by decreasing bladder contractions and relaxing muscles. Common agents are prazosin and phenoxybenzamine. All drugs have side effects and many can interact with other drugs. The interactions can be serious in many cases. By working with your doctor, your existing drug regimen will be considered as your doctor considers safely adding new agents that can help to manage your bladder spasms. Use them only with caution. There is little to no evidence that supports the effectiveness of using herbal and alternative remedies to treat bladder spasms. Always consult your doctor before using herbal and alternative therapies as they can cause problems with your prescribed medications and existing medical conditions.  Few studies in humans have been done to measure the effectiveness of alternative and herbal remedies to help control bladder problems, including spasms.  Some small evidence is available for Japanese and Chinese herbs, but the results are very limited and not adequate to support recommending their use for this problem. Several studies suggest that bladder-specific acupuncture can bring relief to people with overactive bladder and spasms. Ask your doctor for a referral to a licensed acupuncturist with knowledge of bladder conditions.  Most states require acupuncturists to be licensed through the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). Finding a licensed acupuncturist will help ensure that you receive appropriate care. Keep your doctor informed of alternative therapies you're trying. This way, all of your healthcare providers can work in conjunction with each other to provide you with the best possible care. Electrical stimulation devices, similar to a TENS unit, can sometimes be used to help stimulate the nerves or the muscles in a routine manner to prevent the sudden spasms. Usually, this form of treatment is not considered a first-line treatment option.  Many of the devices require minor surgery to implant the actual device and find proper placement for the electrodes.  Interventions of this type are most often used to control bladder problems that may or may not be directly related to spasms. Common use of electrical stimulation devices are for conditions such as overactive bladder syndrome, stress incontinence, and urinary urge incontinence. The surgical procedure options to control your bladder spasms or related bladder problems are based on the underlying cause of the problem. Your doctor can best advise you on the risks and benefits of proceeding with a surgical procedure. Surgical interventions for bladder spasms are only recommended in people that suffer from severe detrusor muscle over-activity, meaning severe and painful episodes of bladder spasms, and in those that have not responded to other treatment options.
اسأل طبيبك عن الأدوية. اعمل مع طبيبك لتجنّب التداخلات الدوائية. استشر طبيبك قبل تجربة العلاجات البديلة والعلاجات العشبية. فكّر باستخدام الإبر الصينية. اسأل طبيبك عن أجهزة التحفيز الكهربائي. فكّر بالتدخّل الجراحي.