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Posts Tagged ‘Medications’

Looking at Urinary Incontinence in General Terms

Monday, July 5th, 2010

There are three main types of urinary incontinence, and they focus on the actual cause of the urine leakage. In elderly folks urge incontinence is probably one of the most prevalent types of incontinence that can be found. It manifests itself as an immediate urge to urinate followed by a violent spasm of the bladder and incontinence. This episode of incontinence can vary from very light to heavy. In younger folks stress incontinence is the most common type of incontinence, which is caused when sudden pressure is placed on the bladder causing urine leakage. This sudden pressure is usually caused by something like a sneeze, laugh or cough, and it can even be caused when exerting the stomach muscles as in the case of lifting a heavy object. The third main type of incontinence is overflow incontinence, and it happens when the bladder does not empty all of the way, or when there is an obstruction in the urethra. This type of incontinence occurs when the bladder never fully empties, so it frequently overfills, leaks and causes incontinence. As you can imagine, it is important to have a doctor diagnose the type of incontinence that you have so the two of you can outline a course of treatment to cure or at least manage your incontinence condition.

There are four basic categories that all incontinence treatments fall into which are, behavior modification, physical therapy, medicine and surgery. Your doctor can ascertain which type of therapy best suits your individual incontinence problem. Generally you will begin with the least invasive treatment option for your incontinence problem and move through to the more invasive solutions as you are looking for relief from your incontinence problem. It is important to have an expert, medical opinion as you make these treatment decisions.

Very likely your doctor will decide to begin treatment with the most basic solution for treating your incontinence symptoms. He may very well have you keep a bladder diary to help determine any pattern of your incontinence. Oftentimes if you can see the pattern of your incontinence, you can make a few behavior adjustments and your incontinence symptoms will subside. At this point if your symptoms persist then physical therapy may also be warranted. Exercising the pelvic floor muscles is much like working out any muscle in your body, and by properly exercising you can make it stronger and help to regain its function, which can directly translate into minimizing your incidence of incontinence. Both of these solutions for incontinence have no bad side effects, so there is absolutely no harm in employing them as you are trying to resolve your incontinence problems.

However, if your incontinence symptoms persist, your doctor may prescribe medication for your problem. Depending on the underlying cause of your incontinence there are several different types of medication that you may benefit from. There are medications to quiet muscle spasms, which would help to correct urge incontinence. There are medications to reduce the volume of urine that your body makes, which would help to correct overflow incontinence. There are medications that rid the body of infection. While medication will help with some types of incontinence, like urge and overflow incontinence, there are other types of incontinence where medication is largely ineffective, like stress incontinence.

There are times when incontinence is caused by an injury where something is physically broken, and in this type of case surgery may very well be the best option for treatment. It is important to remember though, that both medication and surgery can have unexpected side effects, so consider treatment with your physician carefully. Whether it is urge, stress or overflow incontinence that you are dealing with, there is a treatment solution out there for you, so work closely with your physician to find what works best for your incontinence symptoms.

Further Incontinence Articles

Keeping Incontinence in Check

Thursday, July 1st, 2010

Making frequent trips to the lavatory to avoid and episode of incontinence can be quite frustrating, and it can get to be pretty tiring as well, especially if the trips are during the night. One of the problems with frequent urination is that it may discourage a person from drinking enough fluid, which can lead to dehydration. Of course staying properly hydrated is important, but so is staying dry, and especially in an elderly person whose mobility is limited, the need for frequent urination can end up resulting in light incontinence.

To help frequent urination from ending devolving into incontinence, there are some things that you can do to reduce the frequency of symptoms. Caffeine and alcohol are among the many foods that irritate the bladder, leading to incontinence. Both of these drinks are also diuretics, which cause the body to slough off liquids. If you are taking any medications for high blood pressure, they are normally diuretics also, which can exacerbate the frequent urination symptoms, again leading to incontinence.

There are also a number of diseases that can manifest themselves as frequent urination leading to incontinence, so this is another reason that it is important to discuss any incontinence problem with your doctor. Diabetes and kidney disease are two common causes, and even more common is a urinary tract infection. In men frequent urination is frequently the harbinger of an enlarged prostate gland, which generally leads way to light adult incontinence.

If there is any pain or discomfort connected with your frequent trips to the bathroom, then you should seek medical advice immediately. However, for the elderly, especially as mobility becomes an issue, frequent urination can be just the start a pattern of incontinence. If you are not suffering from an infection or disease, then there are several things that you can do to address the problem of incontinence. First of all you can limit your liquid intake, while ensuring that you are still consuming enough fluids to stay healthy. Next, you can try increasing the holding capacity of your bladder by gradually extending the time in between trips to the bathroom. Try stretching the time by about fifteen minutes and increase the duration every week.

If you do have to take a medication that works as a diuretic, discuss with your doctor the option of taking it during the early portion of the day. That way you will not be awakened every hour throughout the night needing to go to the bathroom, or risk an incontinence episode like bedwetting. By taking your medication early in the day, you may be able to sleep peacefully throughout the night without any worries of incontinence.

Further Incontinence Articles

Frequent Urination in Women Can be Frustrating

Saturday, March 6th, 2010

For women it can be frustrating to have to make frequent trips to the bathroom whether it is during the day or night, and if you drink a lot of water, or any liquid for that matter, fantastic because you are staying healthy and hydrated. However, being properly hydrated may mean that you have to go the the bathroom more often. While there is no set ‘norm’ for how frequently a woman should go to the bathroom, as it varies by person, and even by the day, when you find that your bathroom visits are so frequent that they are interfering with normal work and sleep you may be suffering from a condition known as frequent urination in women.

The most common cause of frequent urination in women is often stimulants and bladder irritants like alcohol and caffeine, which is not surprising because they are also natural diuretics. High blood pressure medication also is a diuretic, and may be another cause of frequent urination symptoms. Symptoms can also be caused by kidney disease, diabetes, and urinary tract infections among other things.

Another cause of frequent urination in women, especially if it is happening at night, is ageing. As you get older you produce two thirds of your urine at nighttime and one third during the daytime, which is the exact opposite of how your body works when you are younger.

If your frequent urination is not accompanied by any pain or discomfort, then you probably do not need to worry about it. However, if it is simply getting too inconvenient, there are a couple of things that you can do. First of all, try cutting back on the amount of liquid that you are drinking, especially later in the day. You can also try building a bigger bladder by gradually expanding the lapse time between bathroom visits. You can do this by waiting at least fifteen minutes to go to the bathroom after you first feel the urge to go. Then after about a week increase your wait time by another fifteen minutes. Over several months try to lengthen you time between bathroom visits to three or four hours.

If you are taking a diuretic medication, do not take it late in the day. Check with your doctor to make sure that you can take it earlier in the day. By taking your medication earlier in the day, the effects that your medication has on the bladder should be long gone by bedtime. By just making a few simple changes to your behavior, you can generally alleviate the most annoying symptoms of frequent urination in women.

If you worry about having an accident during the night, you can protect your mattress with a waterproof mattress pad, which you can order from DryForLife from the privacy of your living room and have delivered directly to your front door.

Further Frequent Urination Articles

Bladder Problem is Common Condition

Wednesday, February 24th, 2010

One of the most common medical problems is a bladder problem, however it is also one of the least discussed medical problems. There are many different causes for bladder problems, and there are also many different treatments and cures for these problems. Bladder problems can cause a myriad of secondary problems including skin irritations, infections, sexual dysfunction, sleep deprivation, social stigmas and low self esteem.

Urinary incontinence or bladder problems can be caused by physical trauma, disease, genetics or medication. While there are many different physical causes, incontinence can also be caused by psychological problems as well. The symptoms of incontinence can vary widely from a tiny amount of urine leakage to complete loss of bladder control.

Bladder problems can show up as a strong and immediate urgency to urinate where you may not be able to hold your bladder until you can reach a restroom. You may also have developed a frequency of urination where you have to go to the bathroom far more frequently than normal throughout the day and night. Frequent urination during sleeping hours is called nocturia and can be harmful because it deprives you of proper rest. Another manifestation of bladder problems is when there is a hesitancy when trying to begin urinating or when there is straining to force urination. Dribbling after urination is finished is also indicative of a bladder problem.

Other more troubling bladder problems include dysuria, which is a condition where urination causes pain, and hematuria, which indicates that there is blood in the urine.

There are lifestyle choices that we all make that can lead to bladder problems. Smoking is at the top of the list as it can irritate the bladder as well as cause harm to the immune system. Overeating can also lead to bladder problems, as excess body fat and obesity are direct causes to reduced muscle tone throughout the body including bladder and pelvic floor muscles, which support the organs that control the flow of urine. Exercise is essential to maintaining good overall muscle tone as well as bowel health, and becoming constipated can cause muscle damage from straining.

For women pregnancy and childbirth are both contributors to bladder problems, and later in life menopause in women increases the likelihood of developing problems with urinary incontinence. In men an enlarged prostate can cause bladder problems, and later in life the side effects of prostate surgery can cause problems with urinary incontinence.

Then there are any number of medications, diseases and injuries, especially to the spinal cord that can cause bladder problems as well. Treating a bladder problem can be done through behavior modification, medication or surgery depending on what the underlying cause is, and most bladder problems can be well managed even if they are not completely curable.

There are a few things that you can easily do to help your bladder and urinary system stay healthy including proper hydration, restricting foods that irritate the bladder including caffeine and alcohol, eating a healthy diet, maintaining a healthy weight, and voiding both the bladder and the bowels regularly. But if you have developed a bladder problem despite taking care of your bladder health, make sure to discuss the problem with your doctor, and while you are working towards a solution to your bladder problem, make sure that you avail yourself of the many incontinence pads and pants that can help you easily manage your problem. DryForLife has been supplying continence care products for over forty years and is available to help you deal with your bladder problem.

Further Urinary Incontinence Articles

Enjoying an Evening with Friends Thanks to Tena Incontinence Products

Tuesday, December 22nd, 2009

It is all too tempting when you are suffering from incontinence to withdraw from many of the activities that you used to enjoy. As you become more comfortable with your condition, you will find that there is no reason to rearrange your social schedule, because with proper management, and the help of quality protection like Tena incontinence products, your life can go on as usual.

By selecting the proper product for your level of incontinence, you can avoid the stress and worry of having an accident in public. As you are getting ready to enjoy an evening out with your friends, you can also stack the deck in your favor by following a few sensible guidelines.

As you arrive at your destination notice where the bathrooms are located. If you do not see them then simply ask. By knowing where the facilities are well before you need to use them, you can let your mind relax and enjoy the evening. If you are attending an event like a concert or a play, make your ticket purchase an aisle seat near a restroom. And of course, if you can make bathroom visit before your show begins, you are setting yourself up to enjoy a delightful evening at the show.

As you are dressing for your evening out, remember that if you dress in classic black, not only will you be well appointed for your event, but black is also great at hiding mishaps. You can offer your standing ovation without the slightest worry of showing any leakage that may have happened during the show.

If you have any incontinence medication you should begin taking it several days before your evening out. Giving your medication a chance to build up a cumulative effect will make it work much more effectively than if you simply take some medication right before going out.

As you are getting ready for your event, pack a bag of essentials. This does not mean that you need to have a duffel bag slung over your shoulder, but you should carry a small pouch with your incontinence basics, so you are prepared for anything. Just being prepared can often keep your mind at ease. Include items like your Tena incontinence products, either pants or pads, a small odor neutralizing spray, and a tiny packet of lightly scented moist towelettes. This way you are ready for an accident, or you can just freshen up if you wish, and both of these things take the worry out of being incontinent.

By selecting a quality line of supplies like Tena incontinence products or DryForLife incontinence products, you can get back to worrying about what you are doing rather than what you are wearing. These products let you feel comfortable and protected, and they help prevent skin irritation, while protecting clothing and furniture. So whether your incontinence needs are mild, moderate or heavy, you can find the perfect product to help you live confidently.

Next time you are out on the town with your friends, make sure to follow these simple suggestions to take the worry out of your evening so that you can enjoy every minute of the evening visiting with your friends.

Further Incontinence Products Articles

Urge Urinary Incontinence Treated Successfully with Medical Therapy and Bladder Retraining

Thursday, December 10th, 2009

If you are experiencing a strong and sudden need to urinate, followed by your bladder contracting and urine leakage, then you are probably dealing with urge urinary incontinence. Your symptoms will include a distended or uncomfortable abdomen, the need to urinate frequently whether day or night, involuntary urine loss, and the sudden urgent need to urinate.

With these symptoms you should seek out medical help, because there are treatments that can help you. Once you have been properly diagnosed by a medical professional, treatments including bladder retraining and medical therapy are options for management or a cure.

While you can manage the bladder retraining, your doctor will have to prescribe any medical therapy that may be necessary. Bladder retraining is exactly what it sounds like, simply retraining your bladder to properly void. To start you will set a timer to urinate before your body gets the urge to void. With your timer, you will urinate every hour whether or not you feel that you need to. If you have to go sooner than an hour, try to hold it. After one week on the hour schedule, you will move your intervals to ninety minutes. The following week you will increase your intervals to two hours, followed by two and a half hours the next week, and finally followed by three hours the week after that.

Once you reach three hours, you will stay there and plan to urinate about every three hours, and while this process will take over a month to complete, it will be well worth your time.

If your doctor determines that you will need medical therapy for your urge incontinence, you will very likely be prescribed Ditropan, imipramine or Detrol. Each of these medicines works in conjunction with bladder retraining, and together the medical therapy coupled with the bladder retraining is very effective for dealing with urge urinary incontinence.

And as you are working through the solution to your problem, incontinence pads can free you from the worry of having urinary leakage in public. They protect clothing and furniture, and they offer protection from skin irritation. DryForLife supplies incontinence pads, which may be ordered online and delivered discreetly right to your front door.

Further Urge Incontinence Articles

Treatment Options for Adult Incontinence

Wednesday, November 18th, 2009

Urinary incontinence in adults results from a broad range of health conditions as well as changes associated with aging. Any form of incontinence may cause emotional and physical discomfort, so it significantly affects your quality of life. If you have been experiencing urinary incontinence, keep in mind that there are various treatment options available. Successful treatment of urinary incontinence largely depends on its underlying cause and severity of symptoms. Some adults may favour conservative approaches such as non-drug therapies while others may need surgery.

Behavioral Treatments – Certain types of urinary incontinence may resolve with behavioral techniques. These may be recommended alone or in combination with other therapies. Bladder training involves delaying urination for a few minutes when you have the urge to go. Your should aim to lengthen the interval between your trips to the toilet until you are urinating every two to four hours. Scheduled toilet trips means going to the toilet on a routine basis instead of waiting for the urge to go.

Physical therapy – Kegels or pelvic floor muscle exercises help strengthen your urinary sphincter and pelvic floor muscles. To do this exercise, squeeze the muscles you would use to stop urine flow and hold for a count of three and repeat.

Lifestyle changes – Fluid and diet management may help improve bladder control. Try limiting or avoiding alcohol, caffeine or acidic foods.

Drug therapy – Antibiotic therapy is recommended for patients whose incontinence is caused by infections that affect bladder function. Incontinence resolves when the infection is treated. Anticholinergics are used to control incontinence in patients with overactive bladder syndrome and may be considered for adults with urge incontinence.

Incontinence products - Absorbent pads and protective garments ease the discomfort and inconvenience caused by leaking urine. Aside from promoting comfort, these products also prevent skin irritation.

Surgery – If drugs and other treatments fail, your doctor may consider surgery. Sling procedure is among the common surgical treatments for incontinence. This entails the use of a synthetic material or mesh to create a pelvic sling around your bladder neck and urethra. The sling prevents the leakage of urine because it creates tension, keeping the urethra closed.

Implanting an artificial urinary sphincter also corrects incontinence. This device is particularly helpful for male adults who have weakened urinary sphincters.

Incontinence can be quite embarrassing, hence, some adults with impaired bladder function tend to isolate themselves for fear of ridicule. They fail to realize that hiding incontinence may increase their risk for problems such as urinary tract infections, skin rashes, sores and skin infections. Adults experiencing incontinence must not hesitate to discuss their symptoms with their doctors. The evaluation of your doctor is extremely important in determining which treatment option would best suit you.

Read More about Incontinence Treatments

Nocturia- When Your Bladder Won’t Let You Sleep

Thursday, September 3rd, 2009

Nocturia, or frequent voiding at night, can be a troublesome problem that robs you of sleep and causes excessive daytime sleepiness. When it is coupled with incontinence, the problem can be a true nightmare. What causes the problem? There can be many contributing factors to noctiria, including excesive fluid intake too close to bedtime, side effects of certain medications, and drinking beverages containing alcohol and caffeine, which may act as diuretics. Nocturia may be coupled with other voiding problems, such as stress incontinence, urge incontinence (overactive bladder) or overflow incontinence.

What can be done about it? The first step in coping with nocturia may be to eliminate some of the above factors that may be contributing to the problem. By avoiding drinking alcoholic beverages and caffeine-containing beverages too close to bedtime, you may find that your need to void during the night is decreased. If you feel that your medications may be contributing to the problem, you should speak to your physician about changing your medication times. Your physician may also want to rule out other, more serious, causes.

Antidepressants and Incontinence

Sunday, August 23rd, 2009

Although there are a few antidepressants that can actually improve urinary incontinence, some of the members of this class of drugs may make symptoms worse.

How do antidepressants make incontinence worse? Certain antidepressants may decrease the contractility of the bladder, resulting in overflow incontinence. In other words, the bladder fails to empty properly or completely, allowing the bladder to “overfill”, leading to a leakage of urine. Additionally, in some people, taking antidepressants decreases their awareness of the need to urinate, resulting in incontinence.

If you feel that your antidepressant may be contributing to your incontinence, you should speak to your physician. You should not, however, quit taking your antidepressant suddenly, without speaking to your doctor. This may cause other serious symptoms. If your doctor agrees that your antidepressant may be causing your incontinence, he/she may suggest an alternative antidepressant that is less likely to cause incontinence symptoms.

Bladder Weakness & Your Doctor’s Appointment – What to Expect

Sunday, August 16th, 2009

You have made the decision to visit your doctor to discuss your bladder weakness. You may be wondering what is in store for you during your visit. Knowledge is power, and knowing what to expect will decrease your anxiety and allow you to get the most out of your visit.

First of all, you can expect your doctor to question you extensively regarding episodes of bladder weakness, including when they occur, how often they occur, anything you have noticed that makes your bladder weakness worse or better, and when your bladder weakness started. You may also expect questions regarding the amount of fluids you consume (including caffeinated and alcoholic beverages), medications you are taking, your health history, any surgeries you have had, and whether you have any abnormal urinary symptoms such as blood in your urine.

It may be very helpful to keep a bladder (voiding) diary for at least a week before your appointment. Keeping a voiding diary will enable you to collect a lot of meaningful information to take with you to your appointment, such as when and how much you drink, and when you are most likely to experience bladder weakness. This information can help your doctor pinpoint with more accuaracy which type of incontinence you have.

In addition to asking a lot of questions, your doctor may examine you. For women, this may include a vaginal exam to check for muscle tone, as well as checking sensation of the perineum. This is done simply by asking if you can feel pressure  in the area when it is touched. For men, a prostate exam may be part of the examination, in order to determine whether the prostate is enlarged. Palpation of the abdomen may be performed to ensure that there is no abnormal enlargement of the organs.

A urinalyisis (UA) may be done to check for infection of the urinary tract. Other tests, such as an ultrasound or other specialized test, may be ordered depending on your personal circumstances, your history and your doctor’s findings. These tests may help your doctor decide on the best treatment for you.

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