Urinary Incontinence

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  • 1 Answer
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    A , Urology, answered
    Common situations that may result from urinary incontinence include, but are not limited to:
    • Depression
    • Falls
    • Financial hardship
    • Hospitalization
    • Increased home care services (Caregiver stress)
    • Loss of Independence
    • Nursing home placement
    • Skin breakdown
    • Social isolation
    • Reduced quality of life
    We will focus primarily on social isolation and loss of independence. 
    Women (and men) who suffer with urinary incontinence are reluctant to socialize, exercise, travel, and perhaps work. Intimacy may be totally avoided. The result may be social and/or emotional isolation and a lack of desire to visit family and friends because they are afraid to have an “accident” in public. Often the sufferer is too embarrassed to discuss their condition or seek help.
    Urinary incontinence may jeopardize independent living for women (and men). Managers of apartment buildings or residential hotels are reluctant to keep the incontinent person as a tenant unless public accidents, wetness and odors are eliminated. Some landlords may seek eviction or not rent units to incontinent elderly people. 
    In essence, many of the issues and situations related to urinary incontinence may result in premature nursing home placement for the affected individual.
  • 1 Answer
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    A answered

    Symptoms of urinary incontinence and overactive bladder may differ from person to person but rarely go away on their own. If you are experiencing any of the following symptoms, talk to your doctor.

    • Have a need to urinate frequently -- more than eight times per day
    • Have a need to urinate with feeling of urgency
    • Leak frequently or constantly without feeling of urgency
    • Leak urine due to sudden, unstoppable need to urinate
    • Get up to urinate two or more times during the night
    • Wet the bed
    • Leak urine when you sneeze, laugh, cough, or exercise

    These symptoms can cause a great deal of distress and discomfort and can significantly impact quality of life. Unfortunately, many people don't get the help they need, because they're too embarrassed to talk about what they're experiencing, or they think nothing can be done.



  • 4 Answers
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    A Urogynecology, answered on behalf of
    If you pee a little when you sneeze, laugh and cough, this is called stress incontinence. Stress incontinence occurs when there is unexpected leakage of urine caused by pressure or sudden muscle contractions on the bladder. This often occurs during exercise, heavy lifting, coughing, sneezing or laughing. Stress incontinence is the most common bladder control problem in young and middle-aged women. The condition may be due to an inherent weakness of the pelvic floor muscles or an effect from the changes that occur in pelvic support after childbirth. In menopausal women, stress incontinence can begin to occur because a drop in estrogen can cause weakening of the pelvic floor.
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  • 4 Answers
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    A Urology, answered on behalf of
    The three main symptoms of urinary incontinence (the involuntary leakage of urine) are the following:
    • Urgency: When you feel as though you just can’t wait and you have to rush right away
    • Frequency: Urinating or voiding more than eight times or more in 24 hours
    • Nocturia: Waking up at night more than twice to urinate
    Incontinence can be due to stress-related activities, including having a good laugh, coughing, bending down and lifting something or even just standing up. Any of these actions could cause some kind of leakage. On the other hand, incontinence could be caused by a bladder-related issue.
     
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    A Urology, answered on behalf of
    While incontinence will not shorten your life span, it does have risks. People over the age of 65 with weak bones who are rushing to the bathroom could slip and fall, for example. Incontinence is also associated with depression, which may be caused by embarrassment about your condition. Further, if incontinence limits how much you get out in day-to-day life and enjoy social activities, it may cause depression as well. Cost is another factor, from diagnostic costs and treatments to pads and additional underwear. These are not inexpensive items.
     
  • 1 Answer
    A
    A Urology, answered on behalf of
    Previous surgeries do affect incontinence. Hysterectomy and prostate surgery may play a role; changed bowel habits may as well. If you’re constipated, for example, then the stool is going to occupy space, and it’s going to affect your bladder function. Sometimes getting on top of a bowel regimen improves bladder function as well.
     
  • 1 Answer
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    A , Gynecology, answered
    When urinary incontinence is ongoing, it can be a challenge to keep the skin clean and healthy. Skin irritation can be an annoyance in some people, but it may become a serious medical problem in others who develop pressure sores. Urine is particularly irritating because it is acidic; this increases the possibility that you will develop erosion of the skin. You can avoid skin irritation with measures to properly cleanse, , and protect the skin.
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    Urinary incontinence can lead to skin issues as a result of the constant wetness from urination. In addition, it can increase the potential for urinary tract infections. This can be an unfortunate cycle, since urinary tract infections can also be a cause for urinary incontinence, so it's important to seek treatment. In addition, the most common complications aren't necessarily physical -- people with urinary incontinence may find difficulties in their work, home, and social lives as a result of the constant necessity to use the bathroom or fear of an accident. In most cases, however, treatment may be able to eliminate or at least reduce urinary incontinence.
  • 6 Answers
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    How can I avoid dribbling of urine?
    See your healthcare provider if you experience "dribbling" urine. In this video, Kenneth Stallman, MD, with Methodist Specialty and Transplant Hospital, talks about the causes of dribbling urine in men and women.
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    A , Cardiology (Cardiovascular Disease), answered
    How to Avoid Incontinence

    Eating healthy foods can prevent a bout of incontinence. Find out what they are as Dr. Oz discusses how to avoid incontinence in this video.