While there is not one single effective treatment for bladder spasms, I have collected a list of pain relief methods or drugs that may offer some relief for bladder spasms. Thank you to all families and individuals for their contribution:
- Ketorolac (Toradol, Acular)
- Ibuprofen (Nurofen, Motrin)
- Paracetamol (Tylenol, Panadol)
- Buscopan: made with the leaves of an Australian native tree known as the Corkwood tree or Duboisia. Prescribed for gut spasms but may be effective for bladder spasms.
- Oxybutynin (Ditropan)
- Phenazopyridine hydrochloride (AZO) – decreases burning while urinating
- Urinary alkalinisers (Ural, Uracol, Citro-Soda)
- Belladonna suppositories
- Polyethylene glycol (Miralax) – to prevent or relieve constipation which may aggravate bladder spasms
- Fesoterodine (Toviaz)
Advice from Elaine, a critical care nurse with 30 years experience:
- Provide relaxation in the acute phase with intravenous sedation, especially Midazolam. Subsequent oral relaxation occurs with the drug Oxybutynin.
Read Elaine’s comment in full.
- Sitz baths
- Warm peri-wash while urinating. It helps with the burning sensation while urinating.
- Pain, pain, go away: helping children with pain (booklet in pdf)
- Acupuncture. My GP thought it was worth a try since acupuncture works for various muscle spasms and the bladder is, after all, a muscle.
- Watching favourite movies, particularly funny ones, may take your child’s mind off pain for a while
- Graze on high fiber foods: blueberries, fig newtons, raisin bran, etc to relieve constipation the natural way
- Diet high in magnesium: salmon, almonds, nuts, fresh greens. Magnesium is supposed to alleviate bladder spasms
- A heating pad right when the spasm starts is comforting
- Homeopathic therapy
- Mt Retour Essential Oil – Tranquil Blend: 3 drops straight into 10 mls carrier oil (sweet almond or olive oil or Apricot). Roman Chamomile is anti spasmodic but must not be used straight. Use as a massage oil for back and soles of feet
If you’re reading this because your child is suffering bladder spasms after surgery, feel free to share your experience with the rest of us, ask questions or contribute some tips for coping with bladder spasms on our Yahoo! support group for ureteral reimplantation. To participate in the group you’ll need to join first but if you would only like to browse you can do so without joining.