Urinary Incontinence

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  • 2 Answers
    A
    A , OBGYN (Obstetrics & Gynecology), answered

    The main symptom of  urge incontinence is feeling a strong need to urinate and having to rush to the bathroom because of urine loss before you can get there. Other symptoms include: voiding frequently (every 1 -2 hours), feeling urge to void when you hear the running water or you drive home and put the key in the door; loss of urine as soon as you stand up to get to the bathroom or sudden loss of large amount of  urine as soon as you feel the urge to void.

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  • 1 Answer
    A
    A , OBGYN (Obstetrics & Gynecology), answered

    You should relax if you have urge incontinence:

    • Relaxing lessens the strong urge to void immediately, permitting you to
      take control.

    • Relaxing allows you to concentrate on other activities, enabling you to
      wait longer before voiding.

    • If possible, sit for a moment until the spasm passes. The upward
      pressure from the chair on your pelvic muscles may help quiet your
      bladder temporarily, just long enough to buy you that extra minute or
      two you need to calmly walk to the bathroom.

    You should not rush if you have urge incontinence:

    • Rushing stimulates your bladder and makes you more acutely aware of
      just how full it is. This increases your urge to void.

    • Rushing can make your bladder contract more forcefully and makes it
      more difficult to hold back urine leakage.

    • Rushing exerts more downward pressure on your bladder, thereby
      pushing out urine.

    • Rushing makes you lose your ability to focus on controlling the urge.

  • 2 Answers
    A
    A , Cardiology (Cardiovascular Disease), answered
    What Causes Incontinence

    Being pregnant is one of the reasons you can become incontinent. Learn more as Dr. Oz explains other reasons for incontinence in this video.


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  • 1 Answer
    A
    A , OBGYN (Obstetrics & Gynecology), answered

    Detrusor instability is the likely diagnosis when there is no neurological cause for involuntary bladder contractions. When the condition is successfully treated, symptoms normally disappear. Reasons for detrusor instability include:

    • Poor voiding habits (not voiding completely - this leaves the bladder
      always somewhat full and creates the sensation of constantly needing to
      urinate)

    • Infection of the urethra and/or bladder (urethritis and/or cystitis)

    • Bladder hypersensivity (interstitial cystitis - this is associated with pain,
      frequency, and blood in the urine)

    • Chemical irritants (caffeine, artificial sweeteners, alcoholic beverages)

    • Obstruction of the urethra (from a growth such as a polyp in the bladder
      or from a kidney stone trying to pass)

    • Bladder cancer (rare, frequently associated with bloody urine)

  • 1 Answer
    A
    A , OBGYN (Obstetrics & Gynecology), answered

    Detrusor hyperreflexia occurs when there is a neurological cause for involuntary bladder contractions. Spasms result from damage to the spinal cord and nervous system. Reasons for hyperreflexia instability include:

    • Spina bifida (a birth defect of the spinal column)

    • Multiple sclerosis (a neurologoic disorder)

    • Stroke (also known as a cerebro-vascular accident)

    • Parkinson’s disease

    • Spinal cord injury

    • Pelvic trauma (from a motor vehicle accident, for example)

  • 1 Answer
    A
    A , OBGYN (Obstetrics & Gynecology), answered

    Transient (temporary, reversible, or acute) incontinence is usually caused by an illness or a specific medical condition that is more or less short-lived and is, therefore, quickly remedied by appropriate treatment of the condition and disappearance of symptoms. It may develop as a result of:

    • A stroke, when the brain, the spinal cord, the bladder, and the pelvic floor are not in good working order.

    • Surgery or after any illness that limits mobility, makes physical activity a challenge, or interferes with the mental awareness of the patient.

    • Bowel impaction or constipation, in which a large mass of hard stool lodges in the intestine or rectum. This may give a signal to the bladder that it’s okay not to empty. The stool may also block or irritate the bladder by putting pressure on it, causing either incontinence or urine retention.

    • Depression. Doctors are investigating whether the same pathways that cause incontinence may also cause depression or if incontinence, itself, is just plain depressing.

    • Irritation or inflammation of the bladder (cystitis), the urethra (urethritis), or the vagina (vaginitis).

    • The use of certain medications: diuretics (water pills that increase the output of urine and cause the bladder to fill more quickly); sleeping pills, muscle relaxants, sedatives, and alcohol that relax muscles to the point where the user becomes unaware of the need to urinate; decongestants, antihistamines, and nasal sprays that tighten the pelvic floor muscles causing difficulty in voiding; antidepressants and narcotics that relax the bladder so that it doesn’t contract properly.

    • A lack of estrogen, which may cause atrophic vaginitis/cystitis.

    • A sluggish thyroid or diabetes.

  • 1 Answer
    A
    A , OBGYN (Obstetrics & Gynecology), answered
    Chronic (long-term, persistent, but not necessarily permanent) incontinence develops slowly over a considerable amount of time and results from damage to or abnormalities in muscles and nerves or from gradual changes to the bladder or urethra
  • 2 Answers
    A
    A , OBGYN (Obstetrics & Gynecology), answered
    When a person suffers from reflex incontinence, involuntary bladder contractions occur, but the urge to urinate is completely absent. The normal micturation reflex (urination) is somehow interrupted: sphincter relaxation, bladder contraction, opening of the urethra, urine flow and the bladder contraction will cause unpredictable voiding when the bladder is full or otherwise stimulated (by cold air, for example), resulting in incontinence.
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  • 1 Answer
    A
    A , OBGYN (Obstetrics & Gynecology), answered

    Giggle incontinence goes far beyond the stress incontinence a person encounters when laughing too hard. Giggle incontinence occurs when a person who is laughing hysterically experiences an unexpected, unintentional, uncontrollable, and total emptying of the bladder. Giggle incontinence usually occurs in teenage girls who are otherwise continent. The cause of giggle incontinence remains undetermined, although unstable bladder contractions may be responsible. Giggle incontinence is almost always temporary.

  • 1 Answer
    A
    A , OBGYN (Obstetrics & Gynecology), answered

    According to the National Association for Continence, to successfully manage your incontinence during sex, you should do the following:

    • Make sure that you empty your bladder and bowel prior to sex.

    • Use a warm lubricating gel, such as KY or Astroglide.

    • Avoid a position that may cause you to leak.

    • Don’t try to hide the problem. Share your concerns with your sexual
      partner.