Monday, January 30, 2023

What Could Cause Bladder Leakage

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How Does The Bladder Work

Female Bladder Leakage: Solutions to Get Control | Christopher Tarnay, MD | UCLAMDChat

To better understand bladder leakage, it helps to know how the urinary system works. Urinary function starts with your brain and spinal cord, which work together to direct the urinary system.

When your urinary system is functioning normally, you are able to control when to hold and release urine. When your bladder becomes full, it sends a signal to your brain, which in turn sends a message to the bladder to release urine into the urethra. The urethral sphincter muscle, which surrounds the urethra, opens and closes the bladder neck it will contract to temporarily hold urine, or release itself to let urine out of the urethra and your body.

There can be several reasons why your bladder stops functioning correctly. Your brain may no longer properly signal the bladder, the sphincters do not squeeze strongly enough, or both. Alternatively, there could be a problem with the bladder muscle itself or the nerves that control these muscles where the muscle either contracts too much, or not enough. 5

Treatment For Different Types Of Urinary Incontinence

Lifestyle changes and treatments can help with symptoms. Your doctor can help you come up with a plan thatâs right for you.

For stress incontinence, treatments include:

Pads and Vaginal Inserts.

Pelvic floor exercises. If you’ve had a baby, chances are you’ve been told to do Kegel exercises. These help to strengthen the pelvic floor after childbirth. They also help prevent stress incontinence. Best of all, you can do Kegels anytime, anywhere.

Here’s how:

  • Squeeze the muscles that you use stop the flow of urine.
  • Hold the squeeze for 10 seconds, then rest for 10 seconds.
  • Do 3 or 4 sets daily.
  • Note: You can learn how to do Kegels by stopping your urine, but donât do this routinely. Stopping the flow of urine can lead to an infection.

    Biofeedback. A probe is inserted to monitor when your bladder muscles squeeze. When youâre able to recognize it as it’s happening, you can start to gain control of it. It’s often used in combination with Kegel exercises.

    Pessary. For women, doctors may prescribe a device called a pessary that is inserted into the vagina. It repositions the urethra to help reduce leakage.

    Injections and surgery. Shots to bulk up your urethral area may help. In more extreme cases, you may need surgery. One procedure pulls the urethra back up to a more normal position, relieving the pressure and leakage. Another surgery involves securing the urethra with a “sling,” a piece of material that holds up the urethra to prevent leakage.

    Pads.

    Natural Treatments For Male Incontinence

    Along with medications, your doctor will recommend lifestyle changes to help reduce male incontinence. By controlling the number of fluids you drink, and when you drink them, you can help control the urge to go.

    It is best to drink smaller amounts of liquid at regular intervals during the day. You can also start bladder training by delaying when you use the bathroom. By gradually making your bladder wait, you strengthen its muscles and reduce incontinence. There are also exercises you can do to strengthen the pelvic floor muscles and those in the urinary tract system.

    Urinary incontinence cannot always be prevented because you do not have control over certain risk factors like age and neurological conditions. There are lifestyle changes you can make that will help reduce the risk and help treat the problem, should it arise.

    Not smoking or quitting Cutting back on alcohol and caffeine Being more active and losing weight Prevent constipation with a diet full of fiber

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    Your Cat Has A Urinary Tract Infection

    A urinary tract infection is one of the most common culprits to your cat peeing when and where he shouldnt.

    If you have a cat that is starting to pee around, including on you, you should keep an eye on your cat.

    Check to see if your cat is squatting without actually peeing.

    Your cat may be able to pee a little bit, and the pee may include a little bit of blood. The blood will be easier to spot since your cat wont pee very much.

    Antibiotics will be necessary to treat your cats urinary tract infection.

    Also Check: Urinary Tract Infection No Symptoms

    Causes Of Total Incontinence

    Urge Urinary Incontinence

    Total incontinence occurs when your bladder cannot store any urine at all. It can result in you either passing large amounts of urine constantly, or passing urine occasionally with frequent leaking.

    Total incontinence can be caused by:

    • a problem with your bladder from birth
    • injury to your spinal cord, which can disrupt the nerve signals between your brain and your bladder
    • a bladder fistula, which is a small tunnel-like hole that can form between the bladder and a nearby area, such as the vagina, in women

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    Urinary Incontinence In Women Facts

    *Urinary incontinence in women facts medical author: Melissa Conrad Stöppler, MD

    • The definition of urinary incontinence in women is the unintentional loss of urine.
    • Urinary incontinence occurs more often in women than in men. Pregnancy, childbirth, and menopause may contribute to urinary incontinence in women.
    • Weak bladder muscles, overactive bladder muscles, and nerve damage may also cause urinary incontinence in women.
    • Urinary incontinence in women is common and treatable.
    • There are different types of urinary incontinence in women, including stress incontinence, urge incontinence, overactive bladder, functional incontinence, overflow incontinence, mixed incontinence, and transient incontinence.
    • Diagnosis of urinary incontinence in women may involve a physical exam, an ultrasound, urodynamic testing, and tests including cystoscopy, urinalysis, and a bladder stress test. The doctor will also take a medical history and may recommend keeping a bladder diary.
    • Treatment of urinary incontinence in women may include behavioral or nonpharmacologic treatments, like bladder training and Kegel exercises, medication, biofeedback, neuromodulation, surgery, catheterization, or a combination of these therapies.
    • Research is ongoing to discover new and better treatments for urinary incontinence in women.

    What Are The Risk Factors For Leaking Urine

    Each type of incontinence can happen for different reasons, but there are some universal factors that can make incontinence more likely. According to MedlinePlus, adults are more likely to develop urinary incontinence if they:

    Having a birth defect that affects the structure of your urinary tract can also raise your risk. Your risk is also higher if a close family member has urinary incontinence, especially urge incontinence, per the Mayo Clinic.

    Many times, people with no risk factors can experience urinary incontinence. “Almost 70% of urge incontinence is idiopathic, meaning we don’t know what causes it to happen in otherwise perfectly healthy people,” says Dr. Sheyn.

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    How Is Urinary Incontinence Treated

    You and your doctor or nurse will work together to create a treatment plan. You may start with steps you can take at home. If these steps do not improve your symptoms, your doctor or nurse may recommend other treatments depending on whether you have stress incontinence or urge incontinence or both.

    Be patient as you work with your doctor or nurse on a treatment plan. It may take a month or longer for different treatments to begin working.

    Living With Bowel Incontinence

    Myths and Truths about Bladder Leakage Could it happen to you?

    You can help manage bowel incontinence by following a bowel care plan and using the toilet before you leave home. You can also make sure you carry your medications, supplies, fecal deodorants, and a change of clothes with you.

    Anal discomfort, itching, and irritation can be common. Here are some ways to help manage these symptoms:

    • Wash the anal area after a bowel movement or use baby wipes.
    • Use a moisture-barrier cream in the anal area.
    • Use wick pads or disposable underwear.
    • Change soiled underwear frequently to keep the anal area clean and dry.

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    Treatment For Urinary Incontinence

    Today, there are more treatments for urinary incontinence than ever before. The choice of treatment depends on the type of bladder control problem you have, how serious it is, and what best fits your lifestyle. As a general rule, the simplest and safest treatments should be tried first.

    Bladder control training may help you get better control of your bladder. Your doctor may suggest you try the following:

    • Pelvic muscle exercises work the muscles that you use to stop urinating. Making these muscles stronger helps you hold urine in your bladder longer. Learn more about pelvic floor exercises and how to do them.
    • Biofeedback uses sensors to make you aware of signals from your body. This may help you regain control over the muscles in your bladder and urethra. Biofeedback can be helpful when learning pelvic muscle exercises.
    • Timed voiding may help you control your bladder. In timed voiding, you urinate on a set schedule, for example, every hour. You can slowly extend the time between bathroom trips. When timed voiding is combined with biofeedback and pelvic muscle exercises, you may find it easier to control urge and overflow incontinence.
    • Lifestyle changes may help with incontinence. Losing weight, quitting smoking, saying no to alcohol, drinking less caffeine , preventing constipation and avoiding lifting heavy objects may help with incontinence. Choosing water instead of other drinks and limiting drinks before bedtime may also help.

    What The Caregiver Can Do

    • Encourage or help the patient with appropriate skin care after using the bathroom. Use warm water and pat the area dry.
    • Help the patient keep a diary that records specific foods or drinks that may affect how frequently the patient goes to the bathroom.
    • Help the patient maintain a bladder or bowel plan.
    • Encourage the patient to go to the bathroom at consistent time frames during the day, like after a meal.
    • Encourage regular daily exercise, as permitted by the health care team.

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    What Are The Signs And Symptoms Of Type 2 Diabetes

    According to the Urology Care Foundation, women are at greater risk for UI than men because they have a shorter urethra than men. As a result, any weakness or damage to the urethra in a woman is more likely to cause urinary incontinence. This is because there is less muscle keeping the urine in your bladder until you are ready to urinate.

    The Different Types Of Urinary Incontinence

    What is urinary incontinence?

    Urinary incontinence is an umbrella term for numerous different symptoms of leaking urine. The main types are:

    • Urge incontinence
    • Spasmodic bladder
    • Bladder spasms

    These symptoms can range from a small dribble whenever you sneeze, to full emptying of the bladder without control.

    Unfortunately, women are at a higher risk of developing urinary incontinence due to pregnancy, childbirth, and menopause.

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    It Could Be A Sign Of An Underlying Condition

    Naturally, later in life, people can experience incontinence because of increased production of urine related to aging kidneys. Bladder function is also heavily impacted by changing bladder capacity and chronic medical conditions like diabetes, says Fairchild. Chronic straining, coughing and/or constipation can all put stress on the bladder, she explains.

    But leakage can also be sign of a more serious, underlying health condition, according to a 2018 National Poll on Healthy Aging.” For example, poor heart function could be the culprit behind frequent urination while sleeping.

    If fluid is pooling in your legs during the day, when you lay down, that fluid redistributes and increases urine production, says Fairchild.

    Although bladder leakage is common, discuss your particular symptoms with your doctor.

    Why Does My Cat Pee When I Pick It Up

    Your cat may have peed on you when you picked him up because you startled him.

    Although most people love to hold and cuddle their cat, not all cats enjoy being picked up. In fact, it may scare or even terrify your cat.

    If your cat is scared when he is picked up, he may end up peeing, even if he just used the litter box recently.

    You shouldnt get upset with your cat if he pees when you pick him up. Your cat is suddenly lifted high off the ground, and he may not like the feeling of it!

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    What The Doctor Does

    Doctors first ask questions about the person’s symptoms and medical history. Doctors then do a physical examination. What they find during the history and physical examination often suggests a cause of the incontinence and the tests that may need to be done.

    Doctors ask questions about the circumstances of urine loss, including amount, time of day, and any precipitating factors . People are asked whether they can sense the need to urinate and, if so, whether the sensation is normal or comes with sudden urgency. Doctors may also ask the person to estimate the amount of urine leakage. Doctors will also ask whether the person has any additional problems with urination, such as pain or burning during urination, a frequent need to urinate, difficulty starting urination, or a weak urine stream.

    Sometimes doctors may ask people to keep a record of their urination habits over a day or two. This record is called a voiding diary. Each time the person urinates, the volume and time are recorded. After an episode of incontinence, the person also records any related activities, especially eating, drinking, drug use, or sleep.

    Although urodynamic testing is important, results do not always predict response to drug treatment or assess the relative importance of multiple causes.

    Behavioral And Lifestyle Changes For Bladder Leakage Treatment

    Urinary leakage: why it happens and how to END it

    Bladder leakage treatment is based on the underlying cause and type of urine incontinence. Both men and women may face similar challenges within the treatment plan that may include urgency suppression, bladder training, and lifestyle changes.

    A treatment plan usually begins with behavioral and lifestyle changes such as exercises for leaky bladder. Medications may be required alongside behavioral tasks to reduce muscle spasms or health conditions such as prostate enlargement. In severe cases, surgical procedures may be necessary.

    Read Also: Symptoms Of Bladder Stones In Cats

    What Are The Most Common Uti Symptoms

    Any symptoms should be checked out straight away, talk to your GP or pharmacist for medication and advice.

    Painful or a burning sensation when urinating

    Frequent urination and constant urge to urinate

    Small amounts of urine each time

    Traces of blood in the urine

    Dark, cloudy or strong-smelling urine

    Feeling cold, but not usually with a fever

    Sudden urinary incontinence

    Recommended Reading: Why Do Older Adults Get Urinary Tract Infections

    What Are Other Symptoms Of Urinary Incontinence

    Besides the already-mentioned hallmark symptoms of each type of incontinence, the National Institute of Diabetes and Digestive and Kidney Diseases says that other symptoms might include:

    • Leaking urine without any warning or urge
    • Wetting your bed while sleeping
    • Leaking urine while having sex

    Another symptom of urinary incontinence is urinating oftenmore than seven times per day or more than once at nightsays Dr. Sheyn.

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    Does Pelvic Organ Prolapse Cause Bladder Leakage

    Pelvic organ prolapse is a condition with many causes, many different symptoms , and many sufferers. Because women often do not understand this condition fully, many do not seek the treatment they deserve.

    Some types of pelvic organ prolapse can cause bladder leakage. If you experience a leaky bladder, this may be due to bladder prolapse, which your doctor can help you treat.

    POP can take many other forms as well. Keep reading to understand this pelvic disorder and how it affects all the organs of the pelvic floor, including the bladder.

    Caffeine And Bladder Problems: The Study

    Overactiv E Bladder (Urge Incontinence)

    Previous research has produced conflicting findings about caffeine and bladder problems, Gleason says. So he looked at a larger group of women than those studied in previous research.

    Gleason evaluated data on 1,356 women, aged 20 to 85, who had participated in the 2005-2006 National Health and Nutrition Examination Survey, a large nationally representative survey.

    The women kept food diaries on two separate days and also answered questions about bladder function.

    Moderate caffeine intake, defined as about 182 milligrams a day, was not linked to urinary incontinence. But higher intakes — 329.5 milligrams or higher — were.

    People who had a high caffeine intake were more likely to be aged 40-59, to drink alcohol, and to be non-Hispanic white.

    Gleason found no links between urinary incontinence and body mass index, vaginal childbirth, or high intake of water.

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    When You Should See A Health Care Professional

    You shouldnt have to wear a pad to soak up urine every day. Also ask yourself these questions:

    • Is the urge to urinate interfering with your work because of leaking or frequent bathroom breaks?

    • Do you map out where bathrooms are when you run errands?

    • Is incontinence interfering with your sex life or intimacy with your partner?

    These are all signs of a problem, and that it may be time for you to talk with a gynecologist.

    Bladder Leakage Causes Symptoms & Treatments

    Experience bladder leaks? Use this guide to understand the causes of bladder leaks, signs and symptoms, as well as tips to prevent or stop leaks.

    Female bladder leakage occurs when the muscles around your bladder are weakened and canât successfully close off the bladder as they should. If youâre experiencing a leaking bladder, know that youâre not alone. You likely have many questions, which is why we put together this guide to help you understand the causes of bladder leaks, the signs and symptoms, as well as tips to prevent or stop leaks.

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    Urinary Incontinence In Women

    Bladder leakage in women may develop during development in the womb with the urinary tract as a birth defect or may be related to the genetics as it can be a family trait.

    The racial background of a woman may also dictate urinary incontinence as Caucasians have a higher risk than those of African American, Asian American, and Hispanic/Latin descent.

    Pregnancy often sees an increase in the urge to urinate as the growing fetus can place pressure on the bladder. This may cause temporary bladder leakage.

    Bladder leakage in women may also be caused by damage to the pelvic floor muscles during childbirth as they can be overstretched.

    Urinary incontinence may become a more permanent issue after childbirth or surgery as a result of pelvic organ prolapse disorder. This condition may see the bladder drop out of normal positioning.

    Hormonal changes to the female body as seen during menopause can cause urinary incontinence. The reduction of hormones produced result in weakness of the bladder and urethra linings.

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