Bladder & Bowel Disorders Specialist

Prema Kothandaraman, MD

OB-GYN located in Arcadia, CA

Bladder and bowel disorders in women are stressful conditions that cause unwarranted embarrassment. The truth is, more than 13 million Americans experience urinary incontinence, with women experiencing incontinence twice as often as men. At Prema Kothandaraman MD, Dr. Prema helps women in Arcadia, California identify the unique causes of their disorder and provides experienced, women-specific treatment. To regain the confidence and control you deserve, call Dr. Kothandaraman’s office or book your consultation online.

Bladder & Bowel Disorders Q & A

What are the common symptoms of bladder and bowel disorders?

You can often easily identify disorders of the bowel or bladder by their symptoms, which include incontinence, overactive bladder, constipation, or sudden urges to relieve yourself.

While most everyone experiences occasional bouts of bladder or bowel abnormalities, if these symptoms persist over an extended period or develop suddenly, you should schedule a medical exam with Dr. Kothandaraman.

What causes bladder and bowel disorders in women?

Women experience bladder and bowel disorders more often than men because they have two unique contributing factors that men don’t experience: menopause and childbirth. Both of these factors increase your risk for incontinence and similar disorders in a few ways.

Pregnancy and Childbirth

As you might imagine, pregnancy creates additional pressure on the bladder and strain on the muscles of your pelvic floor, which assists in bladder control. Childbirth further weakens these muscles, can physically move your bladder and urethra, and may even damage the nerves that control your bladder.


Menopause can also contribute to bowel and bladder disorders by weakening your pelvic floor muscles, increasing weight gain, and lowering the elasticity of your bladder.

How are bladder and bowel disorders treated?

The treatment option Dr. Kothandaraman chooses for your bladder or bowel disorder depends on a few factors, including the underlying cause of your problem. If an underlying condition such as diabetes or weight issues is causing your disorder, she’ll first address that condition.

If you’re still experiencing incontinence after initial treatment, Dr. Kothandaraman might prescribe one or several of the following treatments:

Oral medications

Taking antispasmodic medications helps reduce the bladder muscle spasms associated with incontinence.

Estrogen cream

This topical medication helps reduce certain types of incontinence.

Biofeedback/Physical Therapy

By collecting information on your pelvic muscle activity, Dr. Kothandaraman can assign exercises that build your pelvic muscle strength.

Vaginal devices

Some physical devices, such as a pessary, help reduce leakage by securing your urethra.


When other types of treatment fail, Dr. Prema may recommend surgery to lift the bladder or otherwise support your urethra.

No matter what kind of bowel or bladder disorders you might have, Dr. Prema has the expertise to identify what treatment works best for you. Call Prema Kothandaraman MD in Arcadia, California, to book an appointment or schedule your consultation online.