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How to retrain your bladder in 5 easy steps | Urinary incontinence & overactive bladder guide

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  • Опубликовано: 15 авг 2024
  • This is my ultimate physiotherapy guide to retraining your bladder in 5 easy steps. Overactive bladder is typically developed over years of teaching your bladder bad habits, leading to frequent trips to the bathroom, incomplete emptying of the bladder, urinary incontinence (urine leakage) and having a frequent urge to urinate. The 5 steps we cover in this video will help to set you back on track to teaching your bladder healthy emptying habits and to strengthen your pelvic floor (kegel exercises).
    It starts with keeping track of your fluid intake and the number of times you empty your bladder during the day to find your interval. Once you work out your interval you can program your mind and body to only urinate on this set interval, retraining your bladders internal clock and normalize your daily bathroom routine.
    If you enjoyed this video, please subscribe to my channel and join our growing community. I'll be posting new videos every week so make sure you don't miss out. Also, I'd really appreciate it if you clicked the "like" button to like my video. This really helps my channel grow and reach more men that might need help too. Thanks guys :)
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    DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Eric Leckie- Doctor of Physiotherapy will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

Комментарии • 78

  • @Fuliginosus
    @Fuliginosus Год назад +60

    I thought I had a serious problem, but it seems to have mainly been the result of peeing at the slightest inclination. After just a week, I'm doing much better. Thanks!

    • @DrEricLeckie
      @DrEricLeckie  Год назад +1

      Great to hear David. Keep up the good work

    • @pkc3168
      @pkc3168 Год назад +3

      Thank you. That gives me confidence that I could do it do.

    • @222Lightning
      @222Lightning Год назад +1

      so you are saying that holding it till your bladder is really full made a difference?

    • @Fuliginosus
      @Fuliginosus Год назад +6

      @@222Lightning I think so. I made that comment three months ago, and I can tell you that since then things have only gotten better.

    • @222Lightning
      @222Lightning Год назад

      @@Fuliginosus I've researched a lot on polyuria and nocturia and from you stated you probably had a minor infection of the prostate called prostatisis and it worked itself out.

  • @2021Lewis
    @2021Lewis 9 месяцев назад +4

    Oh good advice. I have a spinal injury circa 1978. My specialist advised me to try and consume 3liters water each day. This has worked. I’m experiencing less UTIs. I am walking on crutches, and more sedentary than I’d like. This results in swollen legs. I’m a heavy coffee drinker too. On average by bladder hold 450mll. I’m going to take your advise, drink coffee before 2pm and stop fluids 4hrs before sleep. Yesterday I forgot my normal fluid intake, and as a result urinated about 600ml without much urgency. Your information is very useful and I shall run more experiments and see if my own condition changes.

  • @dineshbasnet584
    @dineshbasnet584 8 месяцев назад +1

    Gonna try it from today thank you .am 29 year male and been suffering from frequent urges to urunate from years lets see if it helps me out ❤thank you❤

  • @sanjeevnath4350
    @sanjeevnath4350 Год назад +6

    Really good advice. 👍

  • @monamelte8466
    @monamelte8466 11 месяцев назад +4

    Nocturia is my issue as a rarely jave to wiz during the daytime.

  • @andrewemery7459
    @andrewemery7459 9 месяцев назад +8

    At what intervals do you recommend is enough to stop retraining your bladder? 3 hours? 4 hours? 5 hours? This video seems to be the final missing piece that ties all the other steps together and starts to help immediately with leaks once your pelvic floor muscle is strong enough to suppress an urge. If suppressing an urge to urinate over strains your muscle like it did me , you need to continue pelvic exercising to get it a bit stronger then return to this step.

    • @casinobugrabeyy
      @casinobugrabeyy 3 месяца назад

      4h i think 3-4 times a day is good number

    • @maxbrowne5334
      @maxbrowne5334 Месяц назад +1

      I have the same question, how far to take the increasing of the interval? There has to be a limit to the duration of the interval. Id like to see an answer from @Dr Eric Leckie DPT www.youtube.com/@DrEricLeckie

  • @gstackzz
    @gstackzz 2 месяца назад +2

    What do I do I feel like I have to pee every second of my life no break even when I release

  • @richardblais7445
    @richardblais7445 8 месяцев назад +1

    thanks for the tips

  • @brad_0531
    @brad_0531 8 месяцев назад +5

    Hello! I’m a 27 yr old male and have been experiencing frequent urges to pee at night for a long time now. It’s usually leakage and not a full stream. Yesterday after working out I got home and realized that I must have been leaking during the workout. I have not experienced that before and since yesterday evening I’ve been worried and peeing a lot. Any advice?

    • @DrEricLeckie
      @DrEricLeckie  8 месяцев назад

      Yes please go speak to your doctor for a check up

  • @blaker11113
    @blaker11113 Год назад +1

    Seriously, thank you for this

  • @timphillips4396
    @timphillips4396 2 года назад +3

    Some good ideas presented, but no mention about the intake of fluids and getting that on a schedule too. As an example, I like a couple of coffees early in the day, but maybe they should be spaced out over the full morning which may potentially result in longer times between emptying the bladder as well.

  • @JanikOokami
    @JanikOokami Год назад +4

    so just out curosity how often should one be peeing during the day? how many times?

    • @ianhayes3980
      @ianhayes3980 4 месяца назад

      Depending on how much you drink, obviously the more fluids you drink the faster your bladder will fill up and the less you drink it will take longer to fill up, but an average person who is hydrated right should be peeing between 3 to 5 times a day

  • @kathyhollowell7889
    @kathyhollowell7889 11 месяцев назад +2

    this should be geared towards women and men

    • @DrEricLeckie
      @DrEricLeckie  11 месяцев назад

      Yes both men and women will benefit from this video. My specialty is men's health.

  • @cryptogamingbeastt
    @cryptogamingbeastt Месяц назад

    Hey guys - if anyone can share their experience with me, i'd love it - i literally go to pee every 30 minutes. it's ruining my life and my mental health. I've seen a urologist, she put me on Betmiga and i'm still peeing frequently. I'm going to try this Eric - thank you.

    • @DrEricLeckie
      @DrEricLeckie  28 дней назад

      Thanks for the comment! Book in a free info call with me and I can see how I might be able to help you. I deal with this a lot: calendly.com/dr_eric_leckie/20min

  • @KingBangVEVO
    @KingBangVEVO Год назад +3

    You’re awesome man

  • @Calista888
    @Calista888 10 месяцев назад +1

    I can hold for a while but when I actually get there its hard to hold as I usually sit down on the floor when its urgent before I actually go...

  • @Rich-km9bi
    @Rich-km9bi Год назад +4

    Hello Dr. Eric Leckie I'm not having a problem emptying my bladder. I'm getting no warning I have to go, no gradual increase feeling. Just boom I got to go, its that intense. I'm afraid i will piss my pants, good pressure fully empties ?

    • @coya4321
      @coya4321 Год назад +2

      this is sudden urges..maybe look that up on you tube

    • @andrewemery7459
      @andrewemery7459 9 месяцев назад +1

      take vitamin b1 benfotamine i think it is called, and 4 table spoons of nutritional yeast a day. this will help your brain communicate with your bladder and this may help a lot

  • @maxbrowne5334
    @maxbrowne5334 Месяц назад

    I have several questions:
    * How far/long should the duration of the interval be increased over time? There has to be a limit to the duration of the interval.
    * What is considered a “normal” interval between pees. This would also vary depending on climate and exercise?
    *What about during the night whilst sleeping? Do I still set an alarm to wake to pee at the prescribed intervals?
    *What if I wake with an urge to pee but the interval hasn't finished. Do I lay awake in bed holding back the pee?
    I request an answers from @Dr Eric Leckie DPT please. A phone call to discuss isn't a good option as I'm in Australia. 🙂

    • @DrEricLeckie
      @DrEricLeckie  28 дней назад

      Hey Max, I'm currently in Australia. Book a free call with me, it's over Zoom: calendly.com/dr_eric_leckie/20min

  • @fabermcmullen1
    @fabermcmullen1 8 месяцев назад +1

    I just had a radical prostatectomy. I know I need to be drinking water so please explain the right amount of water to drink during these intervals. I am now off of the catheter only 4 days, and I am drinking 16 oz per 6 hour period beginning at 6 am. I stop around 6pm. If I try to go to bed with no water, I wake up with horrible bladder spasms. Any thoughts? I am now to the point where I drink the 4.5 oz on an hour, but have to pee every hour. That's a huge improvement, but I'd like to know where to go from here.

    • @DrEricLeckie
      @DrEricLeckie  8 месяцев назад

      Thanks for the comment. My answer is different for everyone as there are a few factors at play here. Given that I cannot give specific medical advice on youtube, book in for a free call and I will help you (this is my specialty): calendly.com/dr_eric_leckie/20min

  • @quincee3376
    @quincee3376 5 месяцев назад

    Thx.

  • @lindajam8202
    @lindajam8202 4 месяца назад

    How about the opposite. My husband has a large bladder that has lost its "elasticity". He has trouble going at all. He doesn't feel like he needs to go. He needs to catheter to empty out. How can he (and others with this issue) retrain and strengthen the bladder to "go" normally again.

    • @DrEricLeckie
      @DrEricLeckie  3 месяца назад

      Hi Linda, great question. Your husband needs 1-2-1 bladder retraining and pelvic floor therapy. I'm happy to help if he doesn't mind doing it over Zoom: calendly.com/dr_eric_leckie/20min

  • @barnaftali2040
    @barnaftali2040 Год назад +2

    I would appreciate your help, what do you recommend for a 26-year-old man who has been suffering for over two years from a weak stream and lack of emptying when urinating?

    • @DrEricLeckie
      @DrEricLeckie  Год назад +1

      Thanks for reaching out! I can’t give a definitive diagnosis online without a full assessment however it’s likely that someone in your situation is dealing with overactive (tight) pelvic floor muscles, potentially interfering with your ability to empty the bladder. Please go for a check up with your doctor and also watch my video that I will link below teaching you how to stretch your pelvic floor muscles. Let me know if this helps 💪
      ruclips.net/video/TFehvry2TVA/видео.html

    • @barnaftali2040
      @barnaftali2040 Год назад +2

      @@DrEricLeckie Thank you for your answer, The doctors didn't find the problem, I took some medication and nothing help. I also did a ct kidney and urinary system and everything is normal except residual urine.
      What other exercises do you recommend?

    • @DrEricLeckie
      @DrEricLeckie  Год назад +1

      I think if you stick to the exercises in the video for at least three weeks, you should hopefully see some great results.

    • @barnaftali2040
      @barnaftali2040 Год назад

      @@DrEricLeckie I will work for it. Thank you Dr !

    • @barnaftali2040
      @barnaftali2040 Год назад

      @@DrEricLeckie Hey Dr I will glad for your help, do I need to do some Kegels ?

  • @jasonmills3503
    @jasonmills3503 10 месяцев назад +2

    2 hours. I wish 😀

  • @rexstylus
    @rexstylus 3 месяца назад

    When I get the urge doesn't that mean I have a full bladder? and if I hold it in until my next schedule to pee it will stretch my bladder which I heard could be a bad thing? I drink water in-between my schedules, but I don't know how much water I should be consuming, because if I drink too much it will lead me to going to the bathroom sooner than the scheduled time? Please help me

    • @DrEricLeckie
      @DrEricLeckie  3 месяца назад

      I've got a video coming out in the next couple of weeks that will help you. Subscribe and keep your eye out for it. Watching the video will be easier than me trying to explain using text

  • @Thegoldenjets2024
    @Thegoldenjets2024 7 месяцев назад

    Interesting.
    I will be having a urethroplasty in a couple weeks due to a urethral stricture in the fossa navicularis and have been having issues with urgency incontinence. Could this be linked to the stricture and would these exercises help me before and after the surgery? Once the catheter is removed of course.

    • @DrEricLeckie
      @DrEricLeckie  7 месяцев назад

      Hey there, thanks for the comment. Yes, these exercises can help afterwards. I offer a free 20-minute call and we can discuss your specific details and advice during the call if you'd like. You can book in here before or after your surgery: calendly.com/dr_eric_leckie/20min

  • @jommelkristofferjugarap5979
    @jommelkristofferjugarap5979 9 месяцев назад +1

    ive been having this frequent urination.. the interval was like 3-5 minutes been dealing this problem for a long time... what should i do?

    • @DrEricLeckie
      @DrEricLeckie  9 месяцев назад

      Thanks for the comment. To protect your privacy, can you email me at hello@drericleckie.com and provide me more detail on your situation?

  • @chiptenor
    @chiptenor 7 месяцев назад +1

    I found this 'not' very helpful at all, as it is completely about calculations of frequency and so forth. I would resonate much more with energetic techniques (ie. Qigong, meridian points, and exercises of that nature, as example). This approach seems to leave all of that out of the equation, which I would deem most important. Your 'tracking' methods could be an adjunct, but I don't see it as getting to the point of an energetic system 'imbalance', that I feel other modalities could provide.

  • @coffeeboy1977
    @coffeeboy1977 Год назад +1

    hi doc, where can i chat with u for consultation or as second opinion.

    • @DrEricLeckie
      @DrEricLeckie  Год назад +2

      Hey there, you can book in a free chat using this link. I’m looking forward to meeting you : calendly.com/dr_eric_leckie/20min

    • @coffeeboy1977
      @coffeeboy1977 Год назад

      @@DrEricLeckie okay thank u doc.

  • @lenorapalminteri1002
    @lenorapalminteri1002 5 месяцев назад

    It's time to get out the whip! LOL!

  • @helpingcreators3181
    @helpingcreators3181 7 месяцев назад

    Hey,
    I am unable to start and stop my urine, so I am pressing my stomach to release my urine. What should I do?

    • @DrEricLeckie
      @DrEricLeckie  7 месяцев назад

      Hey there! Thanks for the comment. Firstly, if you can't empty your bladder this can become a medical emergency so please keep a close eye on it and go to hospital immediately if you can't start the flow and empty your bladder. In the interim, try pelvic floor stretches to see if that gives you relief. Check out the videos I made here (watch both): ruclips.net/video/BZLfXtO7QcA/видео.htmlsi=T5jhlzO0Zo75QO91 , ruclips.net/video/OAGIHUTv_DU/видео.htmlsi=PFlTbnP7TLqH1TJn

    • @helpingcreators3181
      @helpingcreators3181 6 месяцев назад

      @@DrEricLeckie Hey! Thanks for the comment.
      Actually, I had MMC at birth and since my birth, I haven't been able to urine.
      So, I had surgery 6 years back and it was successful. After the surgery, I was able to sense whether my bladder was full and I needed to urine but couldn't control it.
      Last month I had an MRI and the reports were normal and in the Impression they had mentioned Low lying cord. No tethered roots or cord.
      So, what do you think how can I improve?

  • @sarvkalyanasundaram1312
    @sarvkalyanasundaram1312 7 месяцев назад

    Every 2 hrs will be a win for me . I pee almost every 30 mins .

  • @AsimKhan-ub5mj
    @AsimKhan-ub5mj 7 месяцев назад

    Hi Doctor! I have a weird issue if you could kindly guide me. I have started bladder training recently.
    My comfort zone is around 200 ml. Till this amount I can essily reach the toilet and urinate.
    After this I can hold on till I get a sudden strong urge and this could be anywhere between 270 ml and 370 ml.
    Now there's a weird zone between 200 ml and the final urge. I can hold on with increasing discomfort above 200 ml but as soon i decide to go to the bathroom, I get a very strong urge. The strength of this urge depends on how far I was from the perceived final urge by the bladder. For example yesterday i was sitting comfortably and I decided I should pee and got a really strong urge near the washroom door. My urine volume was only 250 ml. Two days ago I had held on for a while and then decided to go. I didnt feel any strong urge but when i measured the volume it was 270 ml.
    This weird buffer zone between the complete comfort zone (200ml) and the final urge point bothers me because I could literallaly be holding comfortably 270 ml and it suddenly shoots the urge up when i decided to go.
    I have been told that this could be a mental door in lock syndrome thing but the fact that it happens after 200 ml means that there is something more to it.
    What I want to know is that while training the bladder should I hold onto the till final urge comes (anywherr between 270 and 370 ml) or should I wait for a certain point after 200 ml?
    At around 200 ml I start getting constant signals to urinate which are not super uncomfortable and I can hold on beyond that.
    My target is that I should be able to hold 350 to 400ml of urine without rushing to the bathroom due to strong urge as soon as I decide to go. When my bladder was not overactive, I could hold onto till about 400 ml and then go without experiencing a super strong urge when i decided to go.
    I have no medical issues with bladder or kidneys.
    My OAB issues started in Feb 2022. For two complete years preceeding my first urgency incident, I had been peeing just in case non stop. Like I would sometimes literally pee when there was less than 50 ml in my bladder due to urinary OCD and to get that "just right" feeling. I was at home with an attached bath during these two years. I have never been duly dehydrated paryicularly during winter my entire life. I highly doubt I would have urinated above 250 ml during this entire two year period. Even before 2020, I was a just in case peeir but due to academic or professional work or some other matters, I would sometimes hold my bladder till max, but after Jan 2020, that was never the case.
    The other factor worth mentioning is that I took an antidepressant by the name of Tretol (sertraline). I took it just for two days and it wreaked havoc on my body with side effects like weird stool, jaw clenching and shaking etc. I didnt experience urgency immediately but just 15 days after taking that medicine I had my first urgency incident. The side effects of the medicine didnt last for more than two days since i stopped taking it immediately and like i said urinary urgency didnt occur till 15 days later.
    So how long after 200 ml should I hold my urine so that my comfort zone where i can calmly go to pee can expand? Thanks a ton in advance!

    • @DrEricLeckie
      @DrEricLeckie  7 месяцев назад

      Please email me at hello@drericleckie.com and I can assist you further

  • @NovaxLova
    @NovaxLova Год назад

    What about for women?

    • @DrEricLeckie
      @DrEricLeckie  Год назад

      A lot of these tips will work for women as well

  • @NormanZandile-mo5hr
    @NormanZandile-mo5hr Год назад

    Hi Doc i have a problem , I keep urine Everytime and bed urine always 😭😭

    • @DrEricLeckie
      @DrEricLeckie  Год назад

      Thanks for the comment, have you visited the doctors to have blood works tests done and also a check up?

  • @TutioBarbas
    @TutioBarbas 8 месяцев назад

    I sing "papa don't pee, papa don't pee....."

  • @PeterBornAgain
    @PeterBornAgain 6 месяцев назад

    This is an excellent way to deal with urge and frequency issues thank you Eric you are a gentleman and a scholar. 🤌