- Identify at the outset what the person is drinking , the volume and type of fluid.
- Review the fluid balance chart and bladder diary. This will allow a detailed account of toileting habits, bladder output and pattern of fluid intake.
- It is important that any person with bladder problems drinks 1.5 -2 litres each 24 hour period.
- Consider how other symptoms may affect timing of fluid intake e.g. nocturia.
- Also note signs of dehydration, dry mouth or complaints of constipation.
- Caffeine releases calcium from intra cellular stores in the smooth muscle of the gut. It can produce a hyper active bladder with symptoms of urgency.
- Caffeine also has a mild diuretic effect so changing fluid types may have a significant effect on bladder symptoms.
- Caffeine free fluids are recommended: Avoid tea, coffee, hot chocolate, Irn Bru™, Cola and energy drinks.
- All carbonated drinks may irritate the bladder.
- Fluid advice should also be part of the bladder training programme.
Page last reviewed: 31 Jan 2022
