Detrusor instability is the likely diagnosis when there is no neurological cause for involuntary bladder contractions. When the condition is successfully treated, symptoms normally disappear. Reasons for detrusor instability include:• Poor voiding habits (not voiding completely - this leaves the bladder always somewhat full and creates the sensation of constantly needing to urinate)• Infection of the urethra and/or bladder (urethritis and/or cystitis)• Bladder hypersensivity (interstitial cystitis - this is associated with pain, frequency, and blood in the urine)• Chemical irritants (caffeine, artificial sweeteners, alcoholic beverages)• Obstruction of the urethra (from a growth such as a polyp in the bladder or from a kidney stone trying to pass)• Bladder cancer (rare, frequently associated with bloody urine).
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