Urinary Incontinence

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  • 1 Answer
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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.
  • 3 Answers
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    A , Gynecology, answered
    To pinpoint and treat the underlying problem of urinary incontinence, your physician will need you to describe your symptoms in as much detail as possible. You might be asked to keep a diary of urinations and fluid intake for a few days. At your visit, be prepared to give a full medical history, including details on all surgeries, births, and any prescriptions you are taking. You may also need to answer specific questions such as these:
    • When did the incontinence start?
    • How often do you have leakage?
    • Is it worse during the day or night?
    • What brings it on? Do you have any warning?
    • What makes it worse?
    • Does anything make it better?
    • Do you generally leak a little (damp underwear), a moderate amount (your underwear is soaked), or a lot (your clothing gets soaked and all the urine in your bladder comes out)?
    • Do you leak urine during intercourse or with orgasm?
    • What is your typical fluid intake (including caffeinated and alcoholic beverages)?
    • How often do you go to the toilet to empty your bladder during the daytime? How often when you are trying to sleep?
    • Do you have other problems urinating? After you urinate, does your bladder still feel full? Do you have trouble starting the urine flow? Is the stream weak or strong? Is urination ever painful?
    • Have you also had trouble controlling your bowel movements?
    • What medications are you taking?
    • Are you using pads or other means to manage your incontinence? How is it working?
    • Have you altered your activities because of incontinence?
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  • 1 Answer
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    Urinary incontinence may be a chronic issue, but it's possibly just a temporary, acute one. That's why it's important to talk to your doctor - you may think your incontinence is an unavoidable part of aging, but it may not be. In addition, even chronic cases can often be helped or even cured through treatment.

  • 2 Answers
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    Children will usually have the same symptom as adults -- uncontrollable urination, ranging from dribbles to full leaks. For girls, they may experience incontinence when laughing -- similar to stress urinary incontinence (SUI) for some adults -- but this may be caused by a bladder that spasms easily, rather than stress being placed on the bladder. Some doctors refer to this as "giggle incontinence."
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    A , OBGYN (Obstetrics & Gynecology), answered
    Dr. Evelyn Minaya - Do I have urinary incontinence if I urinate when I sneeze or cough?
    Watch as obstetrician and gynecologist Dr. Evelyn Minaya discusses whether or not you may have urinary incontinence if you urinate when you cough or sneeze.

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  • 7 Answers
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    A answered
    There are several types of urinary incontinence. The most common are:
    • Stress incontinence: Urine leaks when you laugh, cough, sneeze, exercise, or exert yourself in any way that puts pressure on your bladder. This is the most common type of incontinence and can almost always be successfully treated.
    • Urge incontinence: You experience sudden and powerful urges to urinate that often result in an accident. An overactive bladder—one that contracts when you don't want it to—is usually the cause and may be due to anything from an infection to damaged nerves. In men, this type of urgency may be a sign of an enlarged prostate. It can also be an early sign of bladder cancer.
    • Mixed incontinence: You experience both stress and urge incontinence.
    • Overflow incontinence: You frequently leak small amounts of urine but are unable to completely empty your bladder when you try. This is usually caused by a blockage of some sort, such as an enlarged prostate in men, but may also be caused by weak bladder muscles.
    • Functional incontinence: You have relatively normal urine control but can't get to the bathroom in time because of a physical limitation or the inability to recognize the need to go. It usually affects older people who have a hard time getting around, people with dementia, and people with disabilities.
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  • 3 Answers
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    A , OBGYN (Obstetrics & Gynecology), answered
    Obesity can be associated with an increased risk of stress urinary incontinence (SUI). Urinary incontinence of the stress variety is generally due to a weakness of the muscles, which support the bladder and pelvic organs, as well as a tearing of the connective tissue. The greater the pressure in your abdominal cavity the greater the pressure on your pelvic organs, including your bladder, which raises the possibility of leakage. One of the most common reasons for higher pressure in the abdomen is increased body weight. 

    Other causes, in addition to weight, for SUI is a weakened pelvic floor because of prior childbirth, pelvic surgery and menopause.

    The most important thing to remember is to see your physician, (urogynecologist or urologist) in order to diagnose your type(s) of incontinence, to design a treatment plan for you to address your specific problem.

    In any case, we do know that decreasing your weight over time will decrease the pressure on your pelvic floor and bladder, and improve the stress incontinence in most cases.
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    A , OBGYN (Obstetrics & Gynecology), answered

    The most common fluids that can cause problems with urinary incontinence are caffeinated drinks and carbonated drinks.  Both of these fluids can cause a significant amount of bladder urgency, bladder frequency, and bladder spasms. 

     

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  • 10 Answers
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    A , Internal Medicine, answered
    Urinary incontinence is a fancy name for the accidental release of urine. It comes about when something interferes with the control of urine. You can have trouble holding it in (urge incontinence), you can get up a zillion times during the night (nocturia) and dribble on underwear, and/or every cough or sneeze can leave a little surprise (stress incontinence).
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  • 5 Answers
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    The interplay necessary between the brain, nervous system, bladder, sphincters and pelvic floor muscles in order to control bladder function is very complex. When any component of the system controlling bladder function loses normal function, urinary control can be affected. Neural injury, damage to the bladder, sphincters, supporting structures and even the pelvic floor can all lead to incontinence. Age, surgery, childbirth or related illness can contribute toward incontinence, as well.

    The symptoms of urinary incontinence may resemble other conditions or medical problems. Always consult your physician for a diagnosis.

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