John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
If there is no underlying medical condition that requires
treatment by a physician, there are things that can be done to reduce urinary
Bladder retraining: This treatment is helpful for overactive
bladder syndrome. It involves holding your urine for a slightly longer time than
you usually do. The intervals are lengthened, often over the course of about 12
weeks. This helps retrain the bladder to hold urine longer and to urinate less
Kegel exercises: These are exercises in which you contract and
release the pelvic floor muscles. These are the muscles you use when you
voluntarily stop and then restart the flow of urine. Toning these muscles can
help improve bladder control and reduce urinary urgency and frequency. Squeeze
for three seconds, then relax for three seconds. Repeat 10 to 15 times per session, and
do this at least three times a day. Kegel exercises are only effective when done
Modify your diet: Avoid foods that appear to irritate your bladder
or act as a diuretic, including caffeine, alcohol, carbonated drinks, artificial
sweeteners, tomato-based products, chocolate, and spicy foods. Eat a high-fiber
diet, because constipation can worsen the symptoms of overactive bladder
Monitor fluid intake: Drink enough to prevent constipation and
over-concentration of urine. Drink as little as possible four to five hours before
bedtime to reduce or eliminate nighttime urination.