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Posts Tagged ‘pelvic floor dysfunction’

Can Exercise Cause Stress Incontinence?

Tuesday, October 13th, 2009

How annoying to get yourself motivated, out of the house and off to the gym only to find out that your “step class” is very likely contributing to your stress incontinence.  Studies have shown that about 28% of women who work out suffer from stress incontinence, and that percentage rises as high as 66% if only evaluating elite athletes.  Stress incontinence is a result of straining the pelvic floor muscles while training or working out.  This muscle strain can occur either as a result of a rigorous workout or improper form. 

When working out it is incredibly important to use good form to properly align and support muscles.  More and more young women are putting themselves at risk of damaging the muscles of their pelvic floor permanently through high-impact aerobics or weight training.  When lifting weights proper body form is paramount and proper breathing techniques are important to help engage the stomach muscles to protect the muscles of the pelvic floor.  If the stomach muscles are not properly engaged they will likely strain the muscles of the pelvic floor causing it to sustain some slight damage and become weaker.  If this process continues, then eventually stress incontinence will occur.  

The pelvic floor muscles can also be compromised by any activity that has a high impact component to it such as running or aerobics.  Genetics plays a big part in this predisposition to weakening pelvic floor muscles, so while some women can be runners their entire lives and suffer no ill effects, other women are not so lucky.

Something as simple as a sit up, if done improperly, can contribute to the demise of the pelvic floor muscles; therefore, it is important to cross train with a carefully constructed workout to reduce any risk of accidentally developing stress incontinence.

Other exercises, like pilates and yoga, can do wonders to build and strengthen core muscles as well as the muscles of the pelvic floor.  However, it is important to have a trained instructor demonstrate the proper techniques, because just like weight training, improper form can actually cause permanent damage to the pelvic floor muscles by straining them instead of making them stronger. 

While the threat of stress incontinence may make a woman think twice about her workout routine, it should not stop her from getting the exercise that she needs to be healthy.  She simply needs to take the time to build a quality workout routine.  By including low impact alternatives like cycling or swimming, and having a trained professional guide her through proper techniques, any woman can stay healthy and active for many years to come.

What Causes Faecal Incontinence?

Friday, February 20th, 2009

Constipation

Constipation is defined as having bowel movements less than 3 times per week. You may also be constipated if stools are very hard or difficult to pass, even if you go to the washroom more often than this. It is one of the most common causes of faecal incontinence. When a person is constipated, hard stools may become lodged in the rectum. This condition can cause the rectal muscles to stretch, which weakens the muscles; over time, this can make it dificult for the rectum to hold stool in long enough for a person to reach a bathroom. Sometimes watery stool can leak around the hardened stool.

Muscle Damage

Injury to the internal and external anal sphincters can also cause faecal incontinence. When these ring-like muscles are damaged, the muscles weaken and the sphincters cannot keep the stool inside. This is common in woman after giving birth, especially if forceps or an episiotomy is performed to deliver the baby.

Nerve Damage

Damage to the nerves that “sense” stool in the rectum or to the nerves that control the anal sphincters can lead to faecal incontinence. Once the nerves are damaged or injured, the muscles will not work properly, resulting in incontinence. This is common following childbirth, and also occurs in diseases and conditions such as diabetes, spinal cord injury, stroke, and multiple sclerosis.

Loss of Storage Capacity

Normally, the rectum stretches to accommodate stool. If the rectum is scarred or injured due to radiation, surgery, or inflammatory bowel disease (IBS), the walls of the rectum become stiffened and less elastic. The rectum then cannot stretch to accommodate stool, resulting in incontinence.

Diarrhea

Diarrhea is defined as an abnormally frequent discharge of semisolid or fluid faecal matter from the bowel. With diarrhea, the rectum fills with stool at a faster rate, making it more difficult to control than solid stool. Diarrhea is classified as acute, lasting from one to two weeks and chronic, lasting for more than 3 weeks.

Pelvic Floor Dysfunction

Weakness or abnormalities of the pelvic floor nerves and muscles can cause faecal incontinence. These include rectal prolapse or dropping down of the rectum, impaired ability to sense stool, decreased ability to contract sphincter muscles, rectocele or protrusion of the rectum through the vagina, and weakness or sagging of the pelvic floor musculature due to age, rectal cancer, and hemorrhoids. Childbirth is one of the leading cause of pelvic floor dysfunction, but incontinence does not usually appear until later in life.

Chronic Laxative Abuse

Relying on or overusing laxatives to maintain a regular bowel movement can also lead to incontinence.

For more information, you can download our DryForLife Guide to Living with Incontinence. You can also email or call our Discreet Advice Helpline or Freephone 0800 180 4325 to find out more about incontinence products available to help you cope on a day-to-day basis.

Further Faecal Incontinence Articles

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