Bladder & Bowel Archive

A 2023 study suggests that taking low doses of amitriptyline, a tricyclic antidepressant also used to treat nerve pain, may be one of the best pharmacologic choices to help improve symptoms of irritable bowel syndrome.

Over time, everyone's digestive system works less efficiently and people can develop food intolerance or begin taking medications that can affect digestion. These changes can create problems like gas, bloating, cramps, and constipation. By identifying the reasons for the digestive issues, managing them becomes easier and can help keep the entire system running smoothly.

There are many ways one can try to avoid constipation. For example, lifestyle remedies may help—such as increasing dietary fiber, getting regular exercise, and drinking three to six cups of water per day. If those approaches don't work, doctors recommend using fiber supplements, such as psyllium husk (Metamucil), methylcellulose (Citrucel), or wheat dextrin (Benefiber). Another supplement that might help is magnesium. When all strategies fail, it may be time to try over-the-counter medication. One option is an osmotic laxative such as polyethylene glycol (Miralax).

More than half of US adults over 60 have diverticulosis, a condition where part of the wall of the colon bulges outward and forms tiny pouches. Diverticulosis does not cause symptoms, but if a pouch becomes inflamed or infected it becomes diverticulitis, which can be mild or more serious.

Scientists are testing potential vaccines that aim to prevent urinary tract infections (UTIs). Until then, strategies that may help ward off UTIs include drinking lots of water each day, emptying the bladder after sexual intercourse, using vaginal estrogen creams (for women), wiping front to back after gong to the bathroom (for women), taking a daily long-term, low-dose antibiotic, taking a single dose of an antibiotic after sex (if recurrent UTIs often follow sexual intercourse), or taking cranberry supplements.

Irritable bowel syndrome (IBS) affects up to 45 million Americans, two-thirds of whom are women. IBS is categorized into three types depending on which symptoms dominate: diarrhea, constipation, or a mix of both. Possible contributors include changes in gut bacteria, faulty nerve signals between brain and intestine, pelvic floor problems, and genetics. Newer treatment approaches target pathways involved in symptoms. Doctors are also repurposing older drugs for IBS, including certain antidepressants and the antibiotic rifaximin (Xifaxan).

Making one or more trips to the bathroom every night is the defining characteristic of a medical condition called nocturia. It can be caused by aging, lifestyle habits, or underlying conditions such as an overactive bladder or (in men) an enlarged prostate. Treating nocturia starts with lifestyle changes such as avoiding fluids several hours before bedtime, eliminating caffeinated drinks 10 hours before bedtime, and limiting evening alcohol intake. Medications, pelvic floor exercises, injections of botulinum toxin (Botox), or nerve stimulation treatments may also help.

While a man cannot directly give his female partner a bladder infection, he can increase her risk with vigorous or frequent sexual intercourse.