{"id":1044,"date":"2020-06-12T22:47:56","date_gmt":"2020-06-12T15:47:56","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1044"},"modified":"2026-08-15T00:21:25","modified_gmt":"2026-08-14T17:21:25","slug":"oab-haufigkeit-urin","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/de\/2020\/06\/12\/oab-frequency-urine\/","title":{"rendered":"Overactive Bladder (OAB): Why You Are Always Running to the Toilet"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Der beste Urologe in Chonburi und Kambodscha\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/de\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologe<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"\/de\/Beratungstermin buchen\/\" target=\"_blank\" rel=\"noreferrer noopener\">Hauptsitz des Krankenhauses Bangkok, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Krankenhaus \u2014 Urologische Abteilung: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"\/de\/Beratungstermin buchen\/\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Beratungstermin buchen<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/de\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">E-Mail<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate Profil\"\n     aria-label=\"ResearchGate Profil ansehen\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"ORCID Profil ansehen\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"Google Scholar Profil ansehen\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">A steady stream of patients arrive at my office having had urinary frequency for years. They have been round several clinics and hospitals, spent a good deal of money, and still have no diagnosis. If that sounds familiar, there is a name for it \u2014 <strong>overactive bladder syndrome<\/strong> \u2014 and it is a great deal more common than most people realise.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The reason it goes undiagnosed for so long is built into its definition: OAB is what remains once infection and structural problems have been excluded. There is nothing to see on a scan and nothing to grow on a culture, so if nobody thinks of it by name, the search simply continues.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1040\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2020\/05\/21\/psa-screening-test\/female-urination\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?fit=1000%2C667&amp;ssl=1\" data-orig-size=\"1000,667\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;ILCE-5100&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1555610761&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"The classical patient is aging female.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;The classical patient is aging female.&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?resize=800%2C534&#038;ssl=1\" alt=\"An older woman affected by urinary urgency and frequency from overactive bladder\" class=\"wp-image-1040\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?w=1000&amp;ssl=1 1000w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">OAB becomes more common with age and is most often seen in older women.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What overactive bladder actually is<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The International Continence Society defines OAB as <strong>urinary urgency<\/strong>, with or without incontinence, usually with increased frequency by day and night, and <strong>no proven infection or other obvious cause<\/strong>. Urgency is the key word \u2014 not simply going often, but the sudden compelling need that is hard to defer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients describe it less clinically. What they tell me about is the fear of leaking, and the way it reorganises daily life around where the toilets are. Around <a href=\"https:\/\/f1000research.com\/articles\/4-1406\/v1\">12%<\/a> of the general population report OAB symptoms, rising to 20% of women aged 70 and over.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"1041\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2020\/05\/21\/psa-screening-test\/restroom-symbol\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?fit=1000%2C1000&amp;ssl=1\" data-orig-size=\"1000,1000\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Restroom symbol&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Restroom symbol&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"This condition makes patient go to toilet many times.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;This condition makes patient go to toilet many times.&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=800%2C800&#038;ssl=1\" alt=\"A public toilet sign, representing how overactive bladder reorganises daily life\" class=\"wp-image-1041\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?w=1000&amp;ssl=1 1000w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=800%2C800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Knowing where every toilet is becomes a habit \u2014 and that is what treatment aims to give back.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How the diagnosis is made<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A full history and physical examination, a <strong>frequency-volume chart<\/strong> kept over three days, and urinalysis to exclude infection or stones. The chart does more work than patients expect: it turns &#8220;I go all the time&#8221; into a record of how often, how much, and when \u2014 which is what distinguishes a genuinely overactive bladder from simply drinking a great deal of tea or coffee.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Where the picture is unclear, or where symptoms have not responded to treatment as expected, a <strong>urodynamic study<\/strong> measures how the bladder actually behaves as it fills and empties. <strong>Dr. Soarawee performs urodynamic studies at Bangkok Hospital Headquarters<\/strong>, so this can be arranged without a separate referral.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment, step by step<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Lifestyle and bladder training<\/strong> \u2014 adjusting how much and when you drink, cutting caffeine and other bladder irritants, stopping smoking, pelvic floor exercises, and gradually stretching the interval between visits to the toilet. This is unglamorous and it is also where most of the improvement comes from.<\/li>\n\n\n\n<li><strong>Orale Medikamente<\/strong> \u2014 anticholinergic agents or beta-3 agonists, the mainstay of medical treatment. If the first drug only partly helps, the dose can be adjusted or a different agent tried; a disappointing response to one tablet is not the end of the road.<\/li>\n\n\n\n<li><strong>Procedures<\/strong> \u2014 for the minority who do not respond adequately, bladder botulinum toxin injection and sacral neuromodulation are the established options. <strong>Neither is performed at Bangkok Hospital Headquarters<\/strong>; if your case reaches that point, a referral to a centre that provides them can be arranged.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Two expectations worth setting at the start. <strong>OAB is usually managed rather than cured<\/strong>, so the goal is a bladder that no longer runs your day rather than one that behaves perfectly. And the improvement comes from doing the dull things consistently \u2014 patients who keep up the bladder training alongside the medication do markedly better than those who rely on the tablet alone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What I most want patients to take away is that this is <strong>not something you have to live with silently<\/strong>. It is not life-threatening, which is precisely why it goes unmentioned for years \u2014 but it is a quality-of-life problem with real treatment behind it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have been urinating frequently without a clear cause or suspect overactive bladder, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"\/de\/Beratungstermin buchen\/\">Beratungstermin buchen<\/a>. Termine im Samitivej Sriracha Krankenhaus k\u00f6nnen vereinbart werden, indem Sie die Abteilung f\u00fcr Urologie anrufen unter <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions about Overactive Bladder (OAB)<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">What is Overactive Bladder Syndrome (OAB)?<\/strong> <p class=\"schema-faq-answer\">Overactive Bladder Syndrome is a condition defined by urinary urgency &#8211; a sudden, compelling need to urinate that is difficult to defer &#8211; with or without urinary incontinence, usually accompanied by increased urinary frequency during the day and night. It occurs in the absence of infection or structural abnormality and affects approximately 12% of the general population, rising to 20% in women over 70.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">What causes Overactive Bladder?<\/strong> <p class=\"schema-faq-answer\">OAB is caused by abnormal spontaneous contractions of the bladder muscle (detrusor overactivity) before the bladder is full. Contributing factors include aging, menopause, neurological conditions (such as stroke or Parkinson&#8217;s disease), pelvic floor weakness, obesity, excess caffeine or fluid intake, and bladder irritants. In many cases, no single identifiable cause is found.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">How is Overactive Bladder treated?<\/strong> <p class=\"schema-faq-answer\">Treatment follows a stepwise approach. First-line management includes lifestyle modifications such as fluid regulation, bladder training, and pelvic floor exercises. If symptoms persist, oral medications &#8211; primarily anticholinergic agents or beta-3 agonists &#8211; are prescribed. For patients who do not respond adequately, advanced options include bladder botulinum toxin injection or sacral nerve modulation; these are not performed at Bangkok Hospital Headquarters and a referral can be arranged.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">Can Overactive Bladder be cured?<\/strong> <p class=\"schema-faq-answer\">OAB cannot be fully cured in most cases, but it can be well-managed. With consistent lifestyle changes and regular medication, many patients achieve dramatic symptom improvement. For those with partial response to medication, the dose can be adjusted or alternative agents tried. Invasive procedures are available for refractory cases. The condition is not life-threatening and quality of life can be significantly restored with appropriate treatment.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">How many times is it normal to urinate per day?<\/strong> <p class=\"schema-faq-answer\">Most adults urinate 6&#8211;8 times per day and once or not at all during the night. Urinating more than 8 times in 24 hours or waking up more than once per night to urinate (nocturia) may indicate OAB or another urological condition. However, frequency is also influenced by fluid intake, caffeine consumption, and medications. A frequency-volume chart completed over 3 days helps urologists assess the pattern and guide management.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Haftungsausschluss:<\/strong> Dieser Inhalt wurde von Dr. Soarawee Weerasopone, einem zertifizierten Urologen am Bangkok Hospital Headquarters, verfasst und \u00fcberpr\u00fcft. Er dient ausschlie\u00dflich zu Bildungszwecken und stellt keine medizinische Beratung dar. \u00dcber pers\u00f6nliche Nachrichtenkan\u00e4le werden weder medizinische Beratungen noch Diagnosen oder Rezepte erteilt. Konsultieren Sie immer einen qualifizierten Arzt, bevor Sie eine medizinische Behandlung beginnen.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Overactive Bladder (OAB): Why You Are Always Running to the Toilet\",\n    \"description\": \"What overactive bladder is, why it goes undiagnosed for years, how the frequency-volume chart and urodynamic studies establish the diagnosis, and the stepwise treatment from bladder training through medication.\",\n    \"datePublished\": \"2020-06-12\",\n    \"dateModified\": \"2026-08-12\",\n    \"inLanguage\": \"en\",\n    \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\\\/\\\/drsoaraweeurology.com\\\/\"\n    },\n    \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n    },\n    \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Overactive Bladder\",\n        \"alternateName\": \"OAB\"\n    }\n}<\/script>","protected":false},"excerpt":{"rendered":"<p>Years of urinary urgency, clinic after clinic, and still no diagnosis \u2014 overactive bladder is common, real, and manageable. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains what OAB is, how it is diagnosed, and the stepwise treatment that works.<\/p>","protected":false},"author":185281453,"featured_media":10073,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Overactive bladder (OAB) explained: urgency and frequency without infection, how it is diagnosed with a frequency-volume chart and urodynamics, and the stepwise treatment from bladder training to medication. By Dr. Soarawee Weerasopone.","jetpack_seo_html_title":"Overactive Bladder (OAB): Causes & Treatment | Dr. Soarawee, Bangkok","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1367],"tags":[1504,1507,1508,1506,1505],"class_list":["post-1044","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-female-urology","tag-frequency-urine","tag-night-time-urine","tag-nocturia","tag-oab","tag-overactive-bladder"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-gQ","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Overactive-Bladder.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/1044","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/comments?post=1044"}],"version-history":[{"count":14,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/1044\/revisions"}],"predecessor-version":[{"id":11306,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/1044\/revisions\/11306"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/media\/10073"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/media?parent=1044"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/categories?post=1044"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/tags?post=1044"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}