Urinary Incontinence. Types and Treatment.
Do you suffer from urinary incontinence?
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What causes urinary incontinence?
There are many reasons why a woman may leak urine. Sometimes it’s caused by an illness, in which case bladder control returns when the illness goes away. For example, bladder infections and infections in the vagina can cause incontinence for a short time. Being unable to have a bowel movement or taking certain medicines also may make it hard to control your bladder.
Sometimes incontinence is an ongoing problem, in which case the cause might be:
- the bladder cannot empty completely
- weakening of the muscles that help to hold or release urine
- a blocked urinary passage
- damage to the nerves that control the bladder
Sometimes, diseases such as arthritis make it hard to get to the bathroom in time and can make it even harder to control urine leakage.
How common is urinary incontinence?
More than 13 million Americans — male and female, young and old — have incontinence. Women are more likely to leak urine than men.
Older women have more bladder control problems than younger women. But loss of bladder control does not have to happen as you age.
Types of urinary incontinence
- Stress incontinence — leakage happens with coughing, sneezing, exercising, laughing, lifting heavy things, and other movements that put pressure on the bladder. It is the most common type of incontinence. It can be treated and sometimes cured.
- Urge incontinence — this is sometimes called “overactive bladder.” Leakage usually happens after a strong, sudden urge to urinate. The sudden urge may occur when you don’t expect it, such as during sleep, after drinking water, or when you hear running water or touch it.
- Functional incontinence — leaking because you can’t get to a toilet in time. People with this type of incontinence may have problems thinking, moving, or speaking that keep them from reaching a toilet. For example, a person with Alzheimer’s disease may not plan a trip to the bathroom in time to urinate. A person in a wheelchair may be unable to get to a toilet in time.
- Overflow incontinence — leaking urine because the bladder doesn’t empty completely. Overflow incontinence is less common in women.
- Mixed incontinence — two or more types of incontinence together, most often stress and urge incontinence.
- Transient incontinence — leaking urine for a short time due to an illness such as a bladder infection. Leaking stops when the illness is treated.
Little things you can do for urge incontinence:
- Monitor fluid intake. There are myths that it is good for incontinence sufferers to drink eight 8oz of water a day. But there is no rigorous study to support that and if you have a bladder that is already a little irritated and prone leaking, chances are that that much water will make things worse. The best thing to do is limit fluid intake to 4 oz an hour while you’re awake.
- Try regular bathroom visits. Look at the clock, don’t wait until you have a strong urge because when you do have a strong urge, it is most times too late. Try going say every 2 hours to prevent your bladder from getting too full
- Medications – there are some medications that relax the bladder. In about 2 thirds of people that take them, there is about 75 percent improvement.
- Don’t try to hold it. The minute you feel that you might need to go, just go, even if you are in the middle of doing something.
