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Why Do I Lose Control Of My Bladder

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6 Secret Ways to STOP Urinary Urgency FAST | Overactive Bladder 101

But straining lowers the volume of blood returning to the heart, which decreases the amount of blood leaving it. Special pressure receptors in the blood vessels in the neck register the increased pressure from straining and trigger a slowing of the heart rate to decrease in blood pressure, leading people to faint.

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Alternative And Complementary Therapies

The treatment of urinary incontinence varies depending on the cause of the bladder control problem. In most cases, a physician will try the simplest treatment approach before resorting to medication or surgery.

Bladder habit training This is the first approach for treating most incontinence issues. The goal is to establish a regular urination schedule with set intervals between urination. A doctor will usually recommend urinating at one-hour intervals and gradually increasing the intervals between urination over time.

Pelvic muscle exercises Also called Kegel exercises , this exercise routine helps strengthen weak pelvic muscles and improve bladder control.

The person contracts the muscles used to keep in urine, holds the contraction for 4 to 10 seconds, then relaxes the muscles for the same amount of time.

It may take weeks or months of regular pelvic exercise to show improvement.

Another way to perform Kegel exercises is to interrupt the flow of urine for several seconds while urinating.

Why Get Treatment For Loss Of Bladder Control

Bladder control problems can be embarrassing and can cause you to needlessly cut back on the activities that you enjoy. They may also be a sign of a serious underlying health condition. Bladder incontinence may be a symptom of kidney disease, diabetes, Alzheimers, Parkinsons, multiple sclerosis , and other diseases.

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How Are Bladder Control Problems Diagnosed

Your health-care provider will ask questions about your symptoms and the situations in which you experience urine leakage. He or she will also ask you about your medical and surgical history, medications, and habits. A thorough physical exam will include your abdomen, pelvis , rectum , and nervous system.

You may be referred to a specialist. Physicians who specialize in diagnosing and treating disorders of the urinary tract include urogynecologists and urologists.

A physical exam should be performed. In women, a thorough vaginal and pelvic exam along with a rectal exam should be performed. The quality of the tissue, the degree of prolapse , and evaluation of masses or tissue support is documented.

In men, an exam of the genitalia with attention to the urethral meatus and a rectal exam are performed. The character and size of the prostate are evaluated.

Which tests are performed depends on which type of incontinence your health-care provider suspects. A urine sample will be collected.

  • The amount and appearance of the urine will be recorded.
  • The chemistry of the urine will be analyzed .
  • The urine will be looked at under a microscope to check for infection and other abnormalities.
  • The urine will be cultured. A smear of urine is put in a small sterile dish and allowed to sit for a few days. If any bacteria grow on the dish, you probably have a urinary tract infection.

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Male Urinary Incontinence Home Remedies

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There are a number of home remedies and lifestyle adaptations that are known to assist with UI, as well as help to prevent it. They can either be tried on their own, such as for mild cases of UI, or combined with other medical treatments. However, a consultation with a urologist is recommended to evaluate each individual case. With expert medical assistance, these home remedies can be adopted in addition to receiving any other necessary treatments.

  • Watch Your Diet. Certain foods and drinks can be triggers for a bladder problem in men as well as women. These include notably alcohol and caffeine, as well as fizzy drinks, spicy foods, tomato products, chocolate, and citrus juices. To evaluate what might be a possible personal trigger, its useful to keep a food diary. Note what seems to be a trigger. For accurate analysis, try eliminating one product at a time, and give it about a week to see if symptoms change.
  • Drink Fluids Moderately. Drink sufficient volumes to remain adequately hydrated, but do not overdo it as excessive fluid intake will contribute to urinary urgency, frequency and control issues.
  • Lose Weight if You Are Overweight. Excess fat, especially around the belly area, puts extra pressure on the pelvic muscles and bladder. Physical activity is a great way to lose weight and alleviate pressure on the bladder and is also good for general health.
  • Stop Smoking. If you do smoke, be aware that smoking irritates the bladder and can worsen UI symptoms.
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    What You Can Do

    Prevent Incontinence

    Physical exercise, a Mediterranean diet, blood pressure management, and maintenance of a healthy weight are all strategies that can reduce the risk of incontinence. Those habits can reduce the risk of obesity, stroke, diabetes, and reduced mobility, all of which increase the risk for urinary incontinence.

    Incontinence and physical activity seem to have a two-way relationship says Dr. Wagg, such that those who are incontinent are less physically active, and those who are less active are at higher risk for incontinence.

    Keep asking for help

    Many are simply resigned to incontinence being a normal part of aging. Dr. Wagg told me that in Canada for example up to 2/3 of older women think that its normal to wet yourself, when clearly that isnt the case.

    More concerning is that doctors often feel that there is little to offer those with urinary complaints or may prescribe a course of antibiotics that do little to alleviate symptoms. The average delay to care-seeking is about three years. And clearly the more bothersome and the more interruption to normal daily activities the incontinence has, the more likely people are to seek care, reports Dr. Wagg, underlining the importance of patients and sometimes family members being persistent in advocating for help.

    Think before you drink

    Drinking alcohol at night can appear to help with sleep, but its almost certain to worsen nighttime urination patterns.

    Solutions For A Leaky Bladder

    Research has found that at least half of people with urinary incontinence dont discuss the condition with a health care provider. But theres no need to feel embarrassed. If you have a leaky bladder, youre definitely not alone. Bladder leakage, or urinary incontinence, affects women and men of all ages, though it becomes more common later in life.

    And its definitely worth discussing, because of the many ways it can interfere with enjoying daily lifefrom exercise and travel to social outings and romance, says E. James Wright, M.D., director of urology at Johns Hopkins Bayview Medical Center.

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    What Is Urinary Incontinence Symptoms Causes Diagnosis Treatment And Prevention

    Taking control of overactive bladder

    Urinary incontinence , the involuntary loss of urine, is a very common condition that no one wants to talk about. Because of the stigma that surrounds it, many people are too humiliated to seek help. But most conditions that cause UI can be corrected with medical or alternative interventions.

    Occurring much more often in women than men, UI happens when the muscles in the bladder that control the flow of urine contract or relax involuntarily, resulting in leaks or uncontrolled urination. UI itself is not a disease, but it can be a symptom of an underlying medical issue.

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    Try Pelvic Floor Therapy

    Pelvic floor therapy is a type of specialized physical therapy that strengthens the muscles that support your bladder and bowels. This can be very effective in treating urinary incontinence caused by an overactive bladder.

    During pelvic floor therapy, a physical therapist may lead you through exercises that target your pelvic floor, use mild electrical stimulation to help you have more awareness of your pelvic floor muscles, and use other specialized techniques. If youre interested in pelvic floor therapy, talk with a doctor about getting a referral.

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    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.

    When To Contact A Medical Professional

    Why do you work out?

    Talk to your provider about incontinence. Providers who treat incontinence are gynecologists and urologists that specialize in this problem. They can find the cause and recommend treatments.

    • Difficulty talking, walking, or speaking
    • Sudden weakness, numbness, or tingling in an arm or leg
    • Loss of consciousness or confusion
    • Loss of bowel control
    • Cloudy or bloody urine
    • Frequent or urgent need to urinate
    • Pain or burning when you urinate
    • Trouble starting your urine flow

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    What Your Treatment Will Involve

    Your healthcare professionals recommended treatment plan will depend on the cause of your incontinence. An underlying medical condition may require medication, surgery, or other treatments.

    In certain situations, they may not be able to cure your bladder incontinence. In these cases, they will likely provide steps you can take to manage your condition.

    Treatment options for urinary incontinence may include:

    You cant prevent all cases of urinary incontinence, but there are steps you can take to reduce your risk of developing it.

    For example, try to:

    How Soon After Starting Kegel Exercises Will Urinary Incontinence Get Better

    It may take 4 to 6 weeks before you notice any improvement in your symptoms.10

    Kegel exercises work differently for each person. Your symptoms may go away totally, you may notice an improvement in your symptoms but still have some leakage, or you may not see any improvement at all. But even if your symptoms dont get better, Kegel exercises can help prevent your incontinence from getting worse.

    You may need to continue doing Kegel exercises for the rest of your life. Even if your symptoms improve, urinary incontinence can come back if you stop doing the exercises.

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    Other Types Of Urinary Incontinence

    • Overflow incontinence This occurs when a person is unable to empty their bladder completely and it overflows as new urine is produced. It’s often found in people with diabetes or spinal cord injuries.
    • Mixed incontinence You show evidence of more than one type.
    • Functional incontinence This type of incontinence has less to do with a bladder disorder and more to do with the logistics of getting to a bathroom in time. It’s usually found in elderly or disabled people who have normal or near normal bladder control but cannot get to the toilet in time because of mobility limitations or confusion.
    • Nocturia The need to urinate twice or more during the night, usually affecting men and women over the age of 60. In men, nocturia can be a symptom of an enlarged prostate.

    Common Bladder Problems And When To Seek Help

    Bladder control problems & how to deal with them

    Bladder problems can disrupt day-to-day life. When people have bladder problems, they may avoid social settings and have a harder time getting tasks done at home or at work. Common bladder problems include urinary tract infections, urinary incontinence, and urinary retention.

    Some signs of a bladder problem may include:

    • Inability to hold urine or leaking urine
    • Needing to urinate more frequently or urgently
    • Pain or burning before, during, or after urinating
    • Trouble starting or having a weak stream while urinating
    • Trouble emptying the bladder

    If you experience any of these symptoms, talk to your health care provider.

    Treatment for bladder problems may include behavioral and lifestyle changes, exercises, medications, surgery, or a combination of these treatments and others. For more information on treatment and management of urinary incontinence, visit Urinary Incontinence in Older Adults.

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    Take Care Of Your Skin

    If you’ve got OAB, you may also have a higher risk of rashes and skin breakdowns.

    There are several reasons for that. To keep harmful bacteria at bay, skin is slightly acidic, but when urine touches flesh, skin becomes moist and more alkaline.

    The result is an inviting environment for bacteria and yeast , which can lead to rashes and infection.

    Prevention can be simple:

    • Check your skin daily, looking for rashes or other signs of irritation. Be sure to separate and check any skin folds, too.
    • Wash carefully after every accident, using mild soaps or perineal washes additionally, avoid hot water, which can make irritated skin even worse.
    • To avoid skin tears and even more irritation, let skin air-dry don’t rub.
    • Apply a cream, ointment, or film-forming skin protectant regularly to help keep urine away from tender skin.

    How Is Loss Of Bladder Control Treated

    Non-surgical treatments are often recommended to help treat bladder control issues. These include:

    • Physical therapy and exercise
    • Reducing intake of alcohol and caffeine
    • Electrical stimulation of the nerves that control the bladder
    • Bladder retraining by going to the bathroom at set times
    • Kegel exercises to strengthen pelvic muscles
    • Biofeedback to help patients learn to control the bladder muscles

    Depending on the type of leakage and how bothersome it isand if patients do not respond to the non-surgical treatmentssurgery and other interventions can be very successful. In most cases, they can be done as an outpatient procedure.

    Last reviewed by a Cleveland Clinic medical professional on 08/26/2015.

    References

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    Many people who have incontinence do not seek treatment because they believe the only treatment available to them is surgery. This is a misconception treatments for incontinence include behavioral, medical, and surgical approaches.

    Generally, behavioral therapies are the first choice because they are noninvasive and have no side effects, they are the safest. A variety of medical treatments are available. Surgery is usually reserved for people whose problem does not improve with behavioral and medical therapy.

    Your overall medical condition, the type of bladder control problem you have, and your lifestyle will all determine which treatments are right for you. Talk to your health-care provider together you can come up with a treatment plan that works for you.

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