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Posts Tagged ‘urge incontinence’

Sensible Incontinence Treatments

Sunday, October 17th, 2010

When symptoms of incontinence begin to surface, for the average person it makes sense to investigate to see if the condition is temporary and possibly even reversible. One of the first things to consider when trying to determine best incontinence treatments is whether an infection might be the root cause. Since incontinence is generally a symptom of some underlying problem, looking for a curable cause rather than assuming that the condition is chronic only makes sense.

Sometimes a person may not even be aware that they have a looming infection, because incontinence is their only symptom. So make sure to rule out causes like urethritis and vaginitis, which are both completely treatable conditions. Continuing along the same thought process, looking for other straightforward causes like constipation, drug side effects, and limited mobility may also lead towards finding incontinence treatments that are highly effective.

After ruling out all of the obvious contributors to incontinence, the next level of investigation should include the actual functioning of the organs in question, which may include problems storing or emptying urine in the bladder, an obstruction of the urethra and a detrusor muscle that is either overactive or underactive. Statistics show that once the obvious causes, like infection, have been ruled out, a good ninety percent of women suffering from incontinence have a problem rooted in the area of bladder storage, regardless of their age.

Both overflow incontinence and stress incontinence relate back to bladder storage problems. For people who are not suffering from either of these two types of incontinence, urge incontinence remains, and it is typically caused by an overactive detrusor muscle, which is the sphincter that keeps urine from escaping from the bladder until the muscle voluntary releases it.

Urge incontinence is typically treated by changing a person’s behavior, which often simply involves tracking food and drink intake along with voiding patterns. When a person suffers from an urgency problem, generally it occurs because the bladder is going into a spasm. This type of incontinence can often be managed by teaching a person to recognize the early sensation of the bladder spasm, and then simply have them tighten the pelvic floor muscles until the spasm ends. Typically a bladder spasm does not last much more than a minute, and once the spasm ceases, a person can make their way to the bathroom without it being urgent. When learning to detect and control the spasms, using incontinence products may help to alleviate any worries of embarrassing, accidental leakage.

While adjusting behavior solves about half of this type of incontinence problem, some people need to supplement the behavior changes with medication to relax the bladder. However, since all medication has side effects it is advisable to try to rectify the problem with behavioral changes first.

When dealing with stress incontinence, which largely affects women, taking a sensible approach seems to work best. For example, if a woman is overweight, the first thing that she needs to do is lose up to ten percent of her weight to dramatically improver any problem with urinary leakage. For a women, using a pessary or a tampon can also help, especially for exercise induced incontinence. Consciously tightening the pelvic floor muscles before coughing, sneezing or laughing is also a very simple and effective method that can be used to manage stress incontinence. Performing Kegel exercises is a wonderful addition to sensible incontinence treatments, because strong pelvic floor muscles help to stave off any symptoms of incontinence.

While some people will need to undergo more extreme incontinence treatments like medication or surgery, it is always a good idea to start with the simplest approach and then move to more complex incontinence treatments only if the simpler solutions fail to produce satisfactory solutions.

Additional Articles Dealing with Incontinence Treatments

Just Can’t Wait – All About Urge Incontinence

Monday, September 20th, 2010

Do you have sudden, uncontrollable urges to urinate? Do you sometimes have difficulty making it to the toilet on time? If so, you may be suffering from urge incontinence, a common condition affecting millions of people worldwide.

Urge incontinence occurs when an individual leaks urine following a strong urge to urinate. The urge cannot be ignored; often, urine leakage occurs despite rushing to a washroom. Urge incontinence is caused by a spasm of the bladder, which occurs even when the bladder is not full. Urge incontinence may occur during the day or night.

Several conditions may cause urge incontinence, such as:
Bladder infection
Bladder stones
Bladder cancer
Neurological conditions (i.e. Multiple Sclerosis)
Spinal cord injury
Stroke
Inflammation of the bladder
Bladder outlet obstruction (i.e. from an enlarged prostate, also called benign prostatic hypertrophy or BPH)

There are several treatments for urge incontinence. Medications are often prescribed to decrease spasms of the bladder and reduce the urgent need to void. Although these medications may help, they may also cause unpleasant side effects such as blurred vision, constipation and dry mouth.

Self-help remedies may be tried before medications. Bladder retraining may be helpful. This technique involves gradually increasing the time between voids, even if leakage occurs. Begin with 1 to 1 ½ hours and try to gradually increase the time between trips to the washroom, until you can comfortably hold your urine for at least 3 to 4 hours.

Kegel exercises are sometimes prescribed to strengthen the muscles controlling urination. Kegels take some time and practice to perfect, but many patients suffering from urge incontinence find these exercises helpful. Your healthcare practitioner can help you learn how to perform these exercises.

Avoiding foods that are known bladder irritants may also help if you suffer from urge incontinence. Avoid caffeine, alcohol, citric fruits and juices, spicy foods and carbonated beverages. However, you should not decrease fluid intake overly, as many people with incontinence are tempted to do, as dehydration may add to the sense of urgency that you experience.

If you suffer from urge incontinence, you should be evaluated for the conditions listed above. A thorough physical exam will rule out many of these conditions. Expect to undergo an examination of your genitals and abdomen, as well as to answer a lot of questions regarding your symptoms. Together, you and your physician may be able to discover the cause of your urge incontinence and will be able to devise a plan of treatment.

Additional Articles Dealing with Urge Incontinence

Definitions of Incontinence

Tuesday, August 17th, 2010

There are so many terms used in conjunction with the word incontinence that it can be hard to keep them all straight. First of all, it is helpful to have a working definition of the word incontinence. Incontinence refers to the sudden, involuntary release of urine or stool. Incontinence can have many different underlying causes, and it is always a good idea to discuss the problem with your doctor when searching for a solution for this problem.

Urinary Incontinence – the sudden involuntary release of urine

Faecal (or Fecal) Incontinence – the sudden involuntary loss of gas (flatulence) or stool; bowel incontinence is often used in place of faecal incontinence.

Stress Incontinence – urinary incontinence that results from some form of physical activity or stress on the bladder, such as coughing, sneezing, laughing or lifting a heavy object

Urge Incontinence – leakage of urine following involuntary spasms of bladder muscles or inappropriate contraction of bladder muscles; sometimes called overactive bladder

Overflow Incontinence – in overflow incontinence, the bladder does not empty completely and may become overly full, resulting in leakage of urine; often attributable to nerve damage or bladder muscle dysfunction

Mixed Incontinence – occurs when symptoms of both urge and stress incontinence are present at the same time in the same individual

Functional Incontinence – occurs as a result of a person’s inability to get to a washroom in time to void; incontinence as a result of a physical or mental condition (e.g. arthritis impeding someone’s ability to walk to the washroom quickly enough; dementia causing a person to forget where the washroom is)

Male Incontinence – any incontinence in men, often attributed to prostate disease

Female Incontinence – any incontinence in women, often a result of pregnancy and childbirth Incontinence Pads – absorbent pads that are worn alone or with incontinence pants to absorb urine or stool in incontinence

Incontinence Pants – may be worn alone or with incontinence pads; may be washable or disposable

This list is not exhaustive by any means, but it will hopefully provide you with a working vocabulary when discussing incontinence.

More Articles Dealing with Incontinence

How to Choose the Right Incontinent Products

Wednesday, July 14th, 2010

There is often a lot of trial and error that goes into choosing the right incontinent products. After all, you want to be sure that your incontinent products do what you need them to do, at a cost that won’t stress your wallet. The following are some factors you may want to consider when choosing incontinent products:
What level of protection do I need?
It is important to consider how much protection you require. For example, are you constantly wet, or do you suffer from mild incontinence only when you cough or sneeze? Here’s a breakdown of incontinence levels.
Level 1 (Light or Mild Incontinence) – This type of incontinence is often the result of stress on the bladder (stress incontinence). It often occurs with sneezing, coughing or lifting a heavy object. Level 1 incontinence involves only small losses of urine or drops of urine associated with the activities mentioned.
Level 2 (Moderate Incontinence) – This level of incontinence includes losing the partial contents of your bladder, but not the entire amount. Moderate incontinence often occurs with overflow incontinence or urge incontinence.
Level 3 (Heavy Incontinence) – Most people with heavy incontinence have little control over their bladders. They may experience urine loss at night and their bladder may empty completely without warning.
Level 4 (Severe Incontinence) – People with severe incontinence may have other medical conditions, suffer from heavy incontinence and may also suffer from bowel incontinence.
Washable or Disposable?
Another important factor to consider is whether to choose washable or disposable incontinent products. Disposable incontinent products are simply disposed of after use, which many people find more convenient. Washable incontinent products require rinsing and washing, and although they may be more cost effective, many people do not want the hassle involved in constant laundering.
Absorbency
Absorbency can be used as a guide to help you choose an incontinent product. If you discover that the incontinent product you are using is not absorbent enough, you can simply try a product with a higher absorbency.
These guidelines can help you choose the DryForLife incontinence product that is just right for you. If you are still unsure of which product to choose, you can call us for free advice over the telephone, or email us if you prefer.
Further Incontinence Products Articles

Making Sense of Mixed Urinary Incontinence

Wednesday, July 14th, 2010

There are many different variables to consider when you are considering the underlying causes of incontinence. Most common in elderly men and women, incontinence is by no means isolated to this age group. It can also be found in younger people, and might even be more common than you think. Women tend to suffer from the symptoms of incontinence more frequently than men, because of toll that pregnancy and childbirth take on the body. However, incontinence can also be caused by infection, disease, injuries and surgery in both women and men of all ages.

Sometimes the manifestation of incontinence is a little fuzzy in that it is not clearly one type or another. Rather it seems to be a combination of two different types. For example, there are three main types of urinary incontinence, which are stress, urge and overflow incontinence. Stress incontinence happens when a sudden pressure is inflicted on the area of the abdomen affecting the bladder. Something like a sneeze, laugh, cough, or straining when lifting a heavy object is enough to cause stress incontinence. Weak or damaged pelvic floor muscles are usually the culprit of stress incontinence. This type of incontinence is very common after pregnancy and childbirth or prostate surgery.

The problems associated with urge incontinence appear seemingly out of nowhere, and if you cannot find a restroom immediately, you are very likely to have an accident. Since this type of incontinence is marked with a sudden and uncontrollable bladder contraction, it is frequently managed with medication to quiet the spasm of the bladder. This type of incontinence most frequently occurs in older men and women.

When you have the symptoms of two types of incontinence intertwined and manifesting themselves in concert, the condition is known as mixed incontinence. While mixed incontinence can be a combination of any of the three types of incontinence, it is most often stress incontinence mixed with urge incontinence. When a doctor is treating a case of mixed incontinence he or she will first treat the dominant symptoms, and then address the less dominant symptoms.

Then treatments for mixed incontinence are the same as they are for each individual type of incontinence, and your medical professional can help you define whether behavior modification, physical therapy, medication or surgery is the appropriate course of action for your specific case of incontinence. The treatment recommendation will change depending on the underlying cause of your incontinence.

Further Incontinence Articles

Frequent Causes of Urge Incontinence in Men

Monday, July 5th, 2010

Urge incontinence in men can be a frustrating problem. Symptoms may include a sudden, urgent need to urinate, followed by incontinence if a toilet is not readily available. Many men suffer from urge incontinence to varying degrees without understanding that, in many cases, it can be helped or even cured with proper treatment. What causes urge incontinence in men? There can be many contributing factors, which include the following:

Diabetes – Diabetes can damage the nerves that affect control of bladder function.

Stroke, Parkinson’s disease and MS (multiple sclerosis) – All of these conditions can lead to problems with emptying the bladder that cause the bladder to become overly full. This overfilling can, in turn, lead to urgency and incontinence.

Prostate Disease – The prostate gland, which surrounds the urethra at the bladder neck, is a frequent cause of urge incontinence in men. Enlargement of this gland, cancer of the prostate or treatment to cure cancer of the prostate may all cause the symptoms of urge incontinence in men.

Overactive Bladder – In overactive bladder, the urge to urinate may occur frequently and may be so strong that the urge cannot be ignored. Overactive bladder symptoms may be due to nerve damage, as discussed above, or may be caused by an unknown factor.

Infection – A bladder or kidney infection can cause symptoms of urge incontinence in men. This condition is generally very treatable with appropriate antibiotics, but may be overlooked as a simple cause of the problem.

Obesity – Being overweight can put increased pressure on the bladder, and may worsen symptoms of urge incontinence in men.

Constipation – Being constipated can also cause urge incontinence. Stool that impacts in the lower intestine may place extra pressure on the bladder and urethra, causing the sensation of urgency.

Urge incontinence in men should always be addressed by a physician. Although it may be embarrassing to admit this problem to your doctor, discussing the issue may lead to a cure. However, if the problem cannot be entirely resolved, your doctor may be able to improve symptoms so that they are less bothersome.

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

Incontinence in Older Adults

Thursday, July 1st, 2010

There are many underlying factors that can lead to incontinence, and even though incontinence can occur at any age, it is still far more common among the elderly. As an elderly person becomes infirm and bedridden, they are twice as likely to have some kind of incontinence problem, and overall, men are half as likely as women to have a problem with incontinence as they age.

During the ageing process, the bladder is getting older right along with the rest of you. As your muscles become less pliable, so does your bladder, and this reduced elasticity yields a bladder that cannot stretch to accommodate the same volume of urine that it did when it was younger. Bathroom visits become more frequent as you age, so sometimes mobility can be the deciding factor between continence and incontinence.

As the bladder muscle weakens, it may not fully empty the bladder, which may result in overflow incontinence. The bladder muscle may also begin to suffer from unexpected spasms, which can result in the symptoms for urge incontinence resulting in either light or heavy incontinence. Along with the bladder, the urethra also looses strength and elasticity as you age, and when you couple this diminished strength along with kidneys that are not functioning up to par, you have the perfect recipe for incontinence. Since the job of kidneys is to concentrate the urine that is stored in the bladder, when they are not functioning properly, the likelihood of incontinence is compounded. It is not bad enough that your urethra and kidneys are compromised with age, but the pelvic floor muscles are also weaker in an older person. So you have a weakened support system for your internal organs; your urethra is not working as efficiently as it once did to hold back the flow of urine, and your kidneys are letting large volumes of liquid travel to your bladder. It is no wonder that incontinence is more prevalent in older persons than in their younger counterparts.

Then elderly women have a couple of additional factors working against them, which lead to the increased risk of incontinence. First, as they go through menopause, their hormone levels shift resulting in an estrogen deficiency, and secondly the rigors of pregnancy and childbirth result in more frequent incontinence among women than men. Older men still do have a little bit to worry about when it comes to incontinence though, because one of the side effects of prostate surgery can be incontinence. In the case of prostate surgery, incontinence can be permanent, or it may only be a temporary condition.

It is important to know that ageing is a contributor to incontinence, however, incontinence is not a normal condition of ageing. This means that if you have any signs of incontinence you should discuss them with your health care professional, because incontinence is a symptom of an underlying problem, which needs to be addressed. Your doctor can help to pinpoint the cause of your incontinence and recommend a treatment for it.

Further Incontinence Articles

Urge Incontinence in Women Increases the Chance of Injury

Thursday, May 27th, 2010

With age comes wisdom and also comes an increased chance of injury. The chance of developing urinary incontinence increases as a women crests sixty. Urge incontinence, in particular, will occur in up to 40% of women in this age group. Since urge incontinence in women manifests itself as a sudden spasm of the bladder accompanied by an urgent need to urinate, it is credited with increasing the incidence of falls resulting in injury in this same segment of the population.

Falling is problematic in the elderly anyway. Add to this predisposition for injury an affliction whose symptoms causes a woman to rush to the bathroom to avoid having an accident, and you have a recipe for disaster. By the age of 65 every third woman can expect some sort of injury from a fall. The most prevalent cause of hospital trauma admissions, fracturing a bone in a fall, is frequently the beginning of the end for an older woman. This one mishap can change their lives permanently. Consider an older woman falling and fracturing her hip, preventing her from being able to live on her own ever again.

When you consider the symptoms of urge incontinence in this light, these symptoms take on an ominous tone. An overpowering urgency to get to the restroom to avoid having an accident can lead to a careless and life changing accident when urgency overrides safety. This hurried compulsion to get to the bathroom immediately opens an older woman up for slipping, tripping and falling, especially when rushing to the bathroom at night. Over half of these treacherous falls happen in the safety of a woman’s own home.

By identifying the cause of the urge incontinence and remedying the situation, there is a good chance that a woman can avoid falling and suffering a debilitating fracture. Unfortunately many women do not discuss their incontinence problems with their doctor, so they never even seek treatment. Sometimes embarrassment is the cause for this omission, and other times an older woman simply assumes that the incontinence is just a normal side effect of ageing and nothing can be done about it. Depending on the cause of urge incontinence in women there are a number of different ways to go about treating it ranging from biofeedback to medication to surgery.

In studies that measure the relationship between the increase in harmful falls among women suffering from incontinence versus women who are not suffering from incontinence, the former group were about 25% more likely to take a spill. Urge incontinence poses the greatest risk for an elderly woman falling, while there was not increased risk for women suffering from stress incontinence. Of the group of women that do take a tumble, about a third of them will suffer a fracture.

Falling is already a serious health issue for elderly women, and urge incontinence in women just exacerbates the situation. So if you or a loved one over the age of 65 are suffering from urge incontinence marked by a sudden and urgent need to urinate, discuss the problem with your doctor, and together you can come up with a cure or a safe management solution for your problem. Using good quality incontinence products or adding a bedside commode next to the bed can help mitigate the chances of falling and sustaining serious injury. Removing the urgency from urge incontinence, helps keep elderly women healthy and safe even if the situation is chronic.

Further Urge Incontinence Articles

What is Urge Incontinence?

Sunday, May 23rd, 2010

One of the most prevalent types of urinary incontinence in older adults is urge incontinence,. So it is important to understand what is urge incontinence. You may also hear this type of incontinence called a spastic or overactive bladder, because it is caused by abnormal bladder spasms or contractions. It manifests itself as a very sudden and strong ‘urge’ to urinate. While the involuntary loss of urine may seem like a disease unto itself, it is actually a harbinger of an underlying problem, and as such it should not be ignored.

When you notice the symptoms of urge incontinence beginning, you will want to let your doctor know, and he or she can help you to determine the source of the problem. There are many different things that can cause urge incontinence, so it is a good idea to have a medical professional evaluate your individual problem. When you suffer from urge incontinence the spasms in the bladder cause such a sudden and violent contraction, that urine is forced through the strong sphincter muscles normally charged with regulating the flow of urine.

The key then, is to find out why the contraction occurs in the first place. There are many different reasons why the bladder may experience sudden and strong contractions, and this is why it is important to discuss your problem with a medical health professional. Your doctor can determine if some sort of nerve damage has occurred possibly as a result of disease or injury. By the same token, this condition can occur as a result of damage to the spinal cord.

Despite best efforts, there are many times when the exact cause cannot be found even though a trigger is found like the bladder may be stimulated into contracting at the sound of running water. However, even if you do not find the exact cause of your urge incontinence, it is important to rule out some major diseases as the cause.

The symptoms for urge incontinence are pretty straight forward. Accompanied by an involuntary urine leakage, you are constantly feeling the urge to urinate. The leakage happens both during the day and at night, and in some cases the problem can be cured while in other cases it simply needs to be managed.

Urge incontinence is generally treated with behavior modification, medication or surgery depending on the underlying cause of the condition. So now that you have answered the question, what is urge incontinence, you can work with your medical professional to manage your particular situation in the best way possible. At DryForLife we have been helping our customers deal with their incontinence challenges for over forty years, and now we are ready to help you.

Further Urge Incontinence Articles

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