Make A Doctors Appointment
A senior should be prepared to supply information and details related to personal and family medical history as well as medication usage. In addition to narrowing down treatment options for bed wetting, it is important to see a healthcare provider to rule out any other serious health problems that may cause nocturnal enuresis.
After gathering this information, the doctor will typically perform a physical exam, conduct a neurological evaluation, and collect a urine sample to be sent to the lab for urinalysis and urine culture.
Additional tests may be required to gather more information on what may be causing nighttime incontinence. Uroflowometry is one such test that involves urinating into a specialized funnel that measures flow rate, amount of urine and time required for complete urination. Another non-invasive procedure checks for incomplete bladder emptying and uses an ultrasound machine to measure any post-void residual urine in the bladder.
If a more serious underlying problem is suspected, the doctor may recommend further tests.
Consider Daytime Body Positioning
It may seem counterintuitive, but making some adjustments to your body positioning during the day may lend you a hand at night.
Lying down can actually contribute to increased urination. Research from 2009 on people with nocturia found that fluid accumulation in the legs during the day is associated with increased urine volume at night.
This is because the fluid thats built up in your legs while youre upright is better distributed into your bloodstream when you lie down. Since your kidneys filter excess fluids from the bloodstream, this can contribute to urine production.
Elevating your legs throughout the day and wearing compression socks may help to redistribute fluids back into your bloodstream during this time instead of letting them accumulate. This may help prevent multiple bathroom trips in the middle of the night.
This may be particularly helpful if you have OAB and another health condition that causes fluid buildup in the legs and ankles. A few examples include:
suggests that a medium-firm mattress is best for sleep quality, comfort, and spinal support. However, youll need to take your specific needs into account as well, such as:
- the position that you sleep in
- whether you share your bed with a partner
- if you have preexisting neck or back pain
- your price range
Some people with OAB may also experience something called urge incontinence. This is when a strong urge to urinate comes on and urine leaks out before you can get to the bathroom.
The Study Of Urinary Incontinence With The Canine Translational Model Of Spinal Cord Injury
Figure 2. Schematic demonstrating placement and function of a canine sacral nerve stimulator for bladder emptying in chronically paraplegic dogs in dogs with T3-L3 spinal cord lesions, the sacral nerves below the lesion remain intact and can be accessed via lumbo-sacral laminectomy a book electrode containing two gutters can receive a pair of sacral nerves when the implant is slotted underneath the dural cone and cauda equina the implant is connected via a cable to a sub-cutaneous transducer that can be palpated by the clinician and the owner the transducer is activated with a remote system brought close to the skin and the transducer this generates an electrical current that flows to the implant, stimulate the sacral nerves, and leads to efficient bladder emptying.
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Nocturia Is Not Normal
Whatever the cause of your nightly bathroom visits might be, its important to understand that nocturia is not normal regardless of your age. It is a sign of something being off in your body, and its important that you figure out the cause so that you can treat the underlying issue.
Thankfully, there are a number of treatment options available for the various causes of nocturia. Before you know the options, however, you need to know the cause. This is where a urologist can help. A urologist can accurately diagnose the source of your issues and provide treatment options from there.
Should You Put Your Dog To Sleep
Sometimes it is a clear decision. Sometimes a dog is in so much pain, so wounded, or so old that the only and best option is to put him to sleep. Most of the time, though, the decision to euthanize a dog who is a treasured, loved part of the family is not easy.
There are no easy signs, and the definition of good quality of life for a dog is different for every pet owner. Plus, as one veterinarian told me, its often difficult to tell whether a dog is in pain or suffering. But, there are a few signs it really is time to put your dog to sleep.
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Strengthen Your Pelvic Floor
Pelvic floor exercises are one of the quickest and more reliable ways to strengthen the supportive muscles around your bladder, which can help you control feelings of urgency and urine flow at any time of day.
If you have not been practicing Kegels, start today. If you are already familiar with the technique, get serious about your routine.
You should work in several sets of Kegels throughout each day, beginning in the morning with a set of eight to 12 pelvic floor contractions and releases. Hold each contraction for about three seconds before releasing.
Practice your Kegels at regular intervals, and when you feel a strong urge to run to the bathroom, first do a Kegel to try and calm the bladder spasm.
Use A Bedwetting Alarm
Yes, these exist! A Bedwetting Alarm is a moisture-detecting sensor. You lay down on top of the sensor and it emits an audible or vibrating alarm if any wetness occurs. Then, you can empty your bladder on the toilet instead of the bed. This is also an effective way to retrain your bladder, since it conditions you to associate the sensation of a full bladder to getting up and using the bathroom. However, it should be noted that if your incontinence is related to a disease, a bedwetting alarm may not effective.
Causes of incontinence include weak bladder muscles and nerve damage from diseases such as multiple sclerosis, diabetes, or Parkinsons disease. In men, an enlarged prostate could be the culprit. This is why you should definitely consult with your doctor if you experience nighttime incontinence. Doctors typically use urine or blood tests to determine the cause of incontinence. Once diagnosed, your doctor may recommend muscle exercises, dietary changes, or even prescribe medications to help manage your bladder.
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How Is Urinary Incontinence Diagnosed
Your health care provider may use many tools to make a diagnosis:
- A medical history, which includes asking about your symptoms. Your provider may ask you to keep a bladder diary for a few days before your appointment. The bladder diary includes how much and when you drink liquids, when and how much you urinate, and whether you leak urine.
- A physical exam, which can include a rectal exam. Women may also get a pelvic exam.
- Urine and/or blood tests
Related Bladder Symptoms And Problems
If you have UI, you are more likely to have other bladder symptoms or problems, such as
- trouble emptying your bladder fully, called urinary retention
- dribbling urine after you think youve finished
When speaking about other symptoms you may have with UI, health care professionals may use the term LUTS, which stands for lower urinary tract symptoms.
Working with a health care professional to prevent and treat these related symptoms and problems is important for the health of your bladder and your overall health.
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How Is Enuresis Diagnosed
If you’re having trouble controlling your urine at night, talk to your doctor to learn more about nocturnal enuresis and to rule out the possibility of a medical problem.
The doctor will do an exam, and ask you about any concerns and symptoms you have, your past health, your family’s health, any medicines you’re taking, any allergies you may have, and other issues. This is called the medical history. He or she may ask about sleep patterns, bowel habits, and urinary symptoms . Your doctor may also discuss any stressful situations that could be contributing to the problem.
The initial exam will probably include a urinalysis and urine culture. In these tests, urine is examined for signs of disease. Most of the time in people with nocturnal enuresis, these test results come back completely normal.
Treatments For Urgency Incontinence
Urgency incontinence is when you get the urge to go, and if you dont make it to a bathroom, your bladder will empty. It can have serious effects on your life and your work.
Experts dont know what causes urgency incontinence, but there are different ways to approach it. First we start with behavioral changes, which vary based on your situation. Steps could include:
Weight loss again, losing even a small amount of weight can help.
Avoiding excess fluids. If youre having trouble sleeping, we talk about limiting fluids before bedtime so sleep is less interrupted.
Time voiding, which is retraining the bladder. If the patient is in the bathroom every hour, well slowly lengthen that interval so theyre in the bathroom less often.
Pelvic floor exercises, with help from a physical therapist.
Changing your diet. I review a list of bladder irritants: coffee, chocolate, alcohol, spicy foods, and other things. We have patients skip those foods and drinks for a week or two and see what their urgency or frequency is like.
If behavioral changes dont help, there are other options to explore. We can try certain medications that relax your bladder muscles and prevent leakage. Botox, injected into the muscles of the bladder, can help some patients temporarily. And there are several medications we can try, including anticholinergics, which block the impulse to urinate. This can help you get more sleep at night.
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Products For Adult Bedwetting
While there are a slew of reasons you may be wetting the bed, there are a handful of management techniques that can make all the difference when the goal is waking up dry. One of the biggest mistakes adults make is not using the correct products for protection look for products specifically designed for overnight use, as these are more absorbent and can hold greater amounts of urine. Fit is also a big factor, so pay attention to the guides provided and dont get anything too big or too small, as it can result in leaking during the night.
Mattress Covers A variety of products exist to protect the bed including vinyl, waterproof, and absorbing mattress covers or even sheet protectors, which can make cleanup easier.
Absorbent Briefs These products are a form of modified underwear designed to absorb liquid, therefore preventing leakage. Both reusable and disposable products are available.
Skincare Products Many products exist to protect the skin from irritation and soreness that occur when a person experiences nocturnal enuresis. A range of soaps, lotions, and cleansing cloths exist for various skin types.
Managing Nighttime Incontinence: 7 Ways To Get A Good Nights Sleep
Struggling with nightly incontinence? You are not alone. According to the National Association for Continence, approximately 25 million Americans are affected by bladder control. Its very possible that this number is even higher, since many adults find it difficult and embarrassing to discuss bed-wetting with medical professionals.
Many adults struggling with incontinence experience it during the night, when they are asleep. This referred to as Nocturnal Enuresis. When you are experiencing nighttime incontinence, bed time is anything but relaxing. The worry of wetting the bed, inconveniencing your partner, or having to wash the sheets and remake the bed can cause anxiety, making a good nights rest difficult. At Domtar, we highly recommend speaking to a medical professional about incontinence issues, but if you are simply not ready to do that yet, here are a few tips for getting a good nights sleep when you are experiencing Nocturnal Enuresis:
1. Wear Protective Underwear or a Thin Adult Diaper
While no one likes to feel like they are wearing or need a diaper, extra protection will give you piece of mind. There are millions of Americans dealing with incontinence, so there are many different products available such as protective underwear and adult diapers. If you experience nighttime incontinence, your sheets will be protected and a diaper can be easily and discreetly tossed away in the morning.
2. Protect Your Bedding
6. Do Kegel Exercises
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Addressing Urinary And Bladder Control Issues
Treating incontinence in older dogs isnât a one-size-fits-all solution. It depends on the underlying cause of the problem. Some of the most common treatments for old dog bladder control issues include:
- Hormone therapy: Since hormonal imbalances are often at the root of bladder control issues, hormone therapy is a common method to manage the condition. Pets undergoing hormone therapy will usually need blood work performed on a regular basis to make sure the hormones arenât causing any negative side effects.
- Phenylpropanolamine: Also known as PPA, phenylpropanolamine is a medication widely used in veterinary medicine to manage bladder issues . Itâs well-tolerated by most pets and helps combat poor muscle tone in the urethral sphincter.
- Surgery: In some cases, surgical treatments can treat incontinence. A procedure known as colposuspension involves injecting a bulking agent like collagen into the urethra to help urine flow more smoothly. In the case of spinal injury or a bulging disc, surgical intervention can solve the problem.
- Diet adjustments or supplementation: Some dogs can benefit from dietary modifications that make things like bladder stones and UTIs less likely.
Most dogs respond well to therapy and medication. These steps, coupled with proper management at home and a great senior diet, can help your dog continue to enjoy a good quality of life as they age.
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Give Yourself Time To Grieve
This is a painful decision. Even if you know it is time and all the signs say you should put your dog to sleep, you will never be the same. Your life will change forever. It will change how you feel when you open the front door after a long day, and it will bring a shadow of grief to your home. Grieving your dogs death will bring up other types of grief, which you may not have fully worked through. You may be surprised at how difficult this decision and death is for you after all, its only a dog, right?
Wrong. Your dog is notjust a dog. If you havent dealt with the pain of your past experiences, then putting your dog to sleep will awaken the grief. Read through the readers comments below you will see that not only is the decision to put a dog sleep painful, it also gives rise to different, deep and often surprising types of grief.
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Am I At A Higher Risk Of Incontinence At An Older Age
Your body constantly changes throughout your life. As you age, the muscles that support your pelvic organs can weaken. This means that your bladder and urethra have less support often leading to urine leakage. Your risk for developing incontinence as you age might be higher if you have a chronic health condition, have given birth to children, went through menopause, have an enlarged prostate or have had prostate cancer surgery. Its important to talk to your healthcare provider over time about the risks of incontinence and ways you can manage it without interference to your daily life.
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When Should I See A Health Care Professional
See a health care professional if you have symptoms of a bladder problem, such as trouble urinating, a loss of bladder control, waking to use the bathroom, pelvic pain, or leaking urine.
Bladder problems can affect your quality of life and cause other health problems. Your health care professional may be able to treat your UI by recommending lifestyle changes or a change in medicine.
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Dont Let Fluid Build Up
Sometimes swelling in the extremities brings about bladder trouble, and if this is the case for you, practice some draining techniques. You can elevate your legs during the day with the help of a cushion or chair, which will keep fluid from pooling in your calves and ankles.
Compression socks or stockings are other helpful tools to ease fluid retention since they are designed to increase circulation through your legs. Since legs and feet are generally less swollen in the morning, get into the habit of putting on your stockings right after you wake up, and wear them until you go to bed .
How Common Are Bladder Control Problems
Bladder control problems are common, especially in women. Researchers estimate that approximately half of all women experience UI.1 Women are more likely to develop UI during and after pregnancy, childbirth, and menopause. These events and how the female urinary tract is built make UI more common in women than men. Although UI is common, it is not a routine part of being a woman or getting older.
As many as 1 in 3 men over the age of 65 may lose urine by accident, and approximately half of men who seek treatment for lower urinary tract symptoms experience UI.2,3 A man is more likely to develop UI with age because prostate problems occur more often with age.
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Why Do You Pee So Much At Night
In many cases, frequent urination is a simple side effect of getting older. As we age, our bodies make less of the hormone that allows us to retain fluids. Because of this, our bladders fill more rapidly and are unable to hold a lot of urine as we get older. Youre also more likely to urinate more often if youre pregnant. But frequent urination can be a symptom of more serious conditions, too, like:
- Prostate problems.
Your frequency of urination can vary based on how much you drink, what kinds of liquids you drink, and what medications you take, as well. For example, taking a diuretic or water pill will cause you to urinate more often. Certain foods like alcoholic beverages, coffee, grapes and yogurt can also irritate your bladder and cause you to urinate more often.