non-drug pelvic floor therapy, timed voiding, reducing bladder irritants (caffeine, artificial sweeteners). If medication is needed, ask about β3-agonists (e.g., mirabegron) which are not anticholinergic, noting their own risks/benefits.
For anxiety:
Consider CBT, mindfulness, breathing training, exercise, and (when medication is necessary) non-benzodiazepine options guided by your clinician. Keep benzodiazepines short-term and review regularly.
For reflux:
Use non-drug measures (weight management, smaller evening meals, head-of-bed elevation). If a PPI is warranted, periodically reassess the dose and need; avoid indefinite therapy without a clear indication. Mixed evidence means a
