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.
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