
Bladder control can be improved by strengthening the pelvic floor muscles. Kegel exercises are a great way to strengthen these muscles and can be done by both men and women. To do Kegel exercises, identify your pelvic floor muscles by stopping the flow of urine mid-stream. Once you know what muscles to engage, squeeze them for 2 seconds, relax, and repeat 10 times. You can also do pelvic tilts and bird-dog exercises to strengthen your pelvic floor. In addition to exercises, maintaining a healthy weight, avoiding caffeine, and cutting down on spicy and acidic foods can help improve bladder control.
How to improve bladder muscles
| Characteristics | Values |
|---|---|
| Weight loss | Losing excess weight can help improve bladder control as being overweight can weaken pelvic floor muscles |
| Avoid caffeine | Caffeine irritates the bladder and can worsen incontinence |
| Avoid constipation | Straining to poo weakens the pelvic floor muscles |
| Avoid spicy and acidic foods | Such foods can irritate the bladder and worsen incontinence |
| Pelvic floor exercises | Squeeze the pelvic floor muscles, hold for 2 seconds, relax, and repeat 10 times. Gradually increase the hold time to 10 seconds. |
| Kegel exercises | Squeeze the muscles in your vagina/rectum as if you are holding in urine, then let go. |
| Pelvic tilts | Lie on your back, tighten your abdominal muscles, press your lower back into the floor, hold, and release. |
| Bird-dog exercise | Start on all fours, engage your core muscles, and retract your shoulder blades down toward your hips. |
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What You'll Learn

Lose excess weight
Losing excess weight can help improve bladder control and reduce incontinence. Being overweight can put pressure on the bladder due to the presence of fatty tissue, which in turn weakens the pelvic floor muscles. This pressure can be relieved by losing weight, which will reduce urinary leakage. Even a small amount of weight loss can have a positive impact on incontinence, with one study finding that a 2% reduction in body weight led to a 28% reduction in incontinence episodes.
Obesity is a strong risk factor for urinary incontinence, with a clear association between excess weight and both stress incontinence and mixed incontinence. Therefore, losing weight can reduce this risk and improve bladder control.
To lose excess weight, it is important to maintain a healthy diet and ensure you are not consuming more calories than you are burning. A healthy diet includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats. It is also beneficial to stay hydrated, as this can help with bladder control. However, it is best to avoid or reduce bladder irritants such as caffeine and alcohol, which can increase the urgency to urinate.
In addition to diet, regular exercise can aid in weight loss. It is recommended to focus on low-impact exercises that do not put excessive pressure on the pelvic floor muscles, as high-impact exercises and sit-ups can worsen incontinence. Pelvic floor exercises themselves, such as Kegels, can also help strengthen the muscles and improve bladder control.
It is always advisable to consult with a healthcare professional or specialist physiotherapist before starting a weight loss journey, as they can provide personalized advice and support.
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Avoid bladder-irritating foods and drinks
Bladder-irritating foods and drinks can increase leaks and other incontinence symptoms. It is important to avoid these foods and drinks to improve bladder muscles. Caffeine is one such bladder irritant, with coffee having the biggest effect. Therefore, it is advisable to stop drinking coffee or switch to decaffeinated coffee. Similarly, spicy and acidic foods like curries and citrus fruits can irritate the bladder and should be avoided.
Kegel exercises are an effective way to improve bladder control and prevent leaks. These exercises target the pelvic floor muscles, which support the bladder, uterus, bowels, and rectum. To perform Kegel exercises correctly, it is important to identify the pelvic floor muscles. This can be done by trying to stop the flow of urine while sitting on the toilet. Alternatively, one can imagine trying to prevent themselves from passing gas. Once the correct muscles are identified, squeeze them for 2 seconds, relax, and repeat 10 times. It is crucial to ensure that the thighs, buttock muscles, and abdomen remain relaxed during the exercise.
It is important to note that doing Kegel exercises while urinating can weaken the pelvic floor muscles over time or cause damage to the bladder and kidneys. Therefore, once you have identified the correct muscles, perform the exercises with an empty bladder. Additionally, women should be cautious not to over-tighten their vaginal muscles, as this can cause pain during intercourse.
If you are experiencing bladder control issues, it is recommended to consult a healthcare professional. They can provide guidance and advice tailored to your specific needs and help you identify the underlying causes of your bladder control problems.
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Pelvic floor exercises
To identify the correct muscles, try to stop the flow of urine mid-stream. The muscles that you use to do this are your pelvic floor muscles. Alternatively, imagine trying to stop yourself from passing gas; these are the same muscles.
Once you have identified the pelvic floor muscles, you can perform Kegel exercises to strengthen them. Here is a step-by-step guide:
- Ensure your bladder is empty, then sit or lie down in a comfortable position.
- Squeeze your pelvic floor muscles, focusing on just those muscles and avoiding pulling in your tummy, buttocks, or thighs.
- Hold the squeeze for 2 seconds, then relax.
- Repeat this contraction and relaxation cycle 10 times, breathing normally throughout.
- Aim to gradually increase the hold time to 10 seconds with each squeeze.
- Perform these exercises three times a day for several months to see improvements.
It is important to note that doing Kegel exercises while urinating can weaken the pelvic floor muscles over time or cause damage to the bladder and kidneys. Additionally, in women, performing these exercises with too much force may lead to vaginal muscle tightness and pain during intercourse. Therefore, it is crucial to learn the correct technique and seek guidance from a healthcare professional if needed.
In addition to Kegel exercises, there are other exercises that can help strengthen the pelvic floor:
- Pelvic tilts: Lie on your back with bent knees and feet flat on the floor. Tighten your abdominal muscles and press your lower back into the floor, holding for a few seconds before releasing. Repeat this movement 10-15 times, gradually increasing the repetitions as you get stronger.
- Bird-dog: Start on your hands and knees with your wrists under your shoulders and knees under your hips. Engage your core muscles and retract your shoulder blades towards your hips. This exercise activates multiple muscle groups, including the pelvic floor.
Making certain lifestyle changes can also improve bladder muscle control. Maintaining a healthy weight, avoiding constipation, reducing caffeine and spicy/acidic food intake, and refraining from smoking can all positively impact bladder health and reduce incontinence.
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Kegel exercises
To locate your pelvic floor muscles, try stopping the flow of your urine mid-stream. Once you've identified the correct muscles, you can start performing Kegel exercises. Make sure your bladder is empty, then sit or lie down. Squeeze your pelvic floor muscles, hold for 2 seconds, and then relax. Repeat this 10 times, gradually increasing the hold time to 10 seconds. Aim to do this 3 times a day.
It's important to breathe normally and relax while doing Kegel exercises. Avoid holding your breath or clenching the wrong muscles, such as your stomach, thigh, or buttock muscles. If you experience pain or discomfort, you may be doing the exercises incorrectly, so consider seeking advice from a healthcare professional.
In addition to Kegel exercises, you can also make lifestyle changes to improve bladder control. Maintaining a healthy weight, avoiding constipation, and reducing your intake of caffeine, spicy foods, and acidic foods can all help reduce irritation to your bladder and improve symptoms of incontinence.
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Consult a physiotherapist
Consulting a physiotherapist is a great way to ensure you are correctly doing pelvic floor exercises, also known as Kegel exercises. These exercises are designed to strengthen the muscles that support your bladder, uterus, bowels, and rectum.
A physiotherapist can guide you through the proper form and technique for these exercises, ensuring that you are engaging the correct muscles and breathing normally throughout the movements. They can also advise on how often to perform these exercises and for how long. Typically, you may need to do Kegel exercises for a few months before noticing any benefits, and you may need to continue them for life to maintain results.
If you are having trouble identifying your pelvic floor muscles, a physiotherapist can help you with this. To find these muscles, you can try stopping the flow of urine when you are sitting on the toilet. You can also try inserting a finger into your vagina or rectum and squeezing the muscles around it. The physiotherapist can advise on these techniques and ensure you are correctly identifying the muscles you need to engage during Kegel exercises.
Additionally, a physiotherapist can provide guidance on other lifestyle changes that may improve bladder control. This includes advice on diet and weight management, as being overweight can put pressure on the bladder and cause incontinence. They can also recommend suitable exercises to improve your condition and advise on exercises to avoid, such as high-impact exercises and sit-ups, which can put pressure on the pelvic floor muscles.
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Frequently asked questions
Kegel exercises are a way to strengthen your pelvic floor muscles. These exercises can help you gain better control over your bladder and prevent leaks.
First, identify your pelvic floor muscles by stopping the flow of your pee mid-stream. Once you've identified the right muscles, you can do Kegel exercises 3 times a day. Make sure your bladder is empty, then sit or lie down. Squeeze your pelvic floor muscles, hold for 2 seconds, relax, and repeat 10 times.
It may take a few months of regularly doing Kegel exercises before you see any benefits.
Yes, avoid spicy and acidic foods such as curries and citrus fruits. Caffeine can also irritate the bladder, with coffee having the biggest effect.
Losing excess weight can help improve bladder control. Additionally, try to avoid straining during bowel movements as this can weaken the pelvic floor muscles.











































