Disease Insights: incontinence
Welcome to the ultimate guide on incontinence. Here, you'll find answers to the most common questions to help you or your loved ones understand and manage this condition better.
Description for incontinence
The inability to control urination or defecation, often caused by weakened muscles or nerve damage.
Symptoms of incontinence
frequent urination, inability to hold urine, leakage of urine, painful urination, urgency
Precautions for incontinence
Perform pelvic floor exercises, Limit caffeine and alcohol, Maintain a healthy weight, Use incontinence products as need
Questions Covered:
- what is incontinence?
- What are the usual symptoms of incontinence?
- How do doctors usually treat incontinence?
Answers:
Question: what is incontinence?
Stress incontinence is the inability to control your urge to urinate in certain circumstances. It's a serious and embarrassing disorder and can lead to social isolation.
Any pressure placed on the abdomen and bladder can lead to the loss of urine.
It's important to remember that the term 'stress' is used in a strictly physical sense when describing stress incontinence. It refers to excessive pressure on the bladder and not emotional stress.
An overactive bladder is a separate condition. In some cases, both overactive bladder and stress incontinence can occur, which is called mixed incontinence. Your doctor can do tests to determine which is causing your incontinence.
Question: What are the usual symptoms of incontinence?
The main symptom of stress incontinence is the loss of bladder control during physical activity. You may experience a few drops of urine or a large, involuntary flow. This can happen while you are:
laughing
sneezing
coughing
jumping
exercising
doing heavy lifting
engaging in sexual intercourse
Sometimes even standing up from a seated or reclining position can put additional pressure on your bladder and cause a leakage. Stress incontinence is unique for every individual. You may not show symptoms every time you participate in an activity, and the same activities that cause leakage for you may not affect another person with stress incontinence.
Question: How do doctors usually treat incontinence?
Treatment for stress incontinence varies according to the underlying cause of your problem. Your doctor will help you come up with a treatment plan using a combination of medications and lifestyle adjustments.
Behavioral therapy
You can change your lifestyle and the way you live to reduce episodes of stress incontinence. If you're obese, your doctor may advise you to lose weight. You might also try to avoid activities that cause leakage, such as jumping or jogging.
Nicotine can irritate your bladder and may contribute to incontinence. If you're a smoker, you should quit. The constant cough seen in smokers also contributes to the problem. Also, consider avoiding caffeine and alcohol, because these substances are bladder irritants. You might want to cut back on your overall fluid intake to reduce bladder pressure.
Pelvic muscle training
For many women, pelvic muscle training can help treat stress incontinence. Kegel exercises make your sphincter and pelvic muscles stronger. To perform a Kegel, contract the muscles you use to stop a stream of urine. It can be helpful to practice doing Kegels while sitting on the toilet to help you learn which muscles to use. Once you have mastered the exercise, you can perform them anywhere and at any time.
Electrical stimulation is another treatment, and it sends a mild electrical current through your pelvic floor muscles. The current makes your muscles contract, mimicking a Kegel exercise. You may be able to contract the muscles yourself after feeling exactly which muscles are contracting.
Medication
There are currently no FDA-approved medications to treat stress incontinence. Both oral and topical estrogen supplements may help in women. Sometimes, pseudoephedrine is used with success. The FDA is evaluating Cymbalta, an antidepressant, which seems to show promise in treating stress incontinence.
Surgery
If you have a severe case of stress incontinence, to the point that it interferes with your everyday life, your doctor may recommend surgery. Several types of procedures are available and include vaginal repairs and other procedures to lift the bladder and urethra. These surgeries are being perfected on an ongoing basis and a qualified surgeon can explain your many options.
During the surgery, doctors will try to provide your urethra and bladder with more support. A sling procedure uses your own tissues to create a support structure for the urethra. The Mayo Clinic states that slings are used more often in women than in men.
Your urologist, a doctor who specializes in the urinary tract, may also choose to inject collagen directly into the supportive tissues of your urethra. This strengthens the sphincter muscle by increasing pressure on the urethra. Collagen injections are the least invasive surgical procedure to treat stress incontinence.
Useful Articles on incontinence
- Stop Holding It In! 4 Simple Strategies to Manage Frequent Urination (Without Counting Trips to the Bathroom)
- How to strengthen your pelvic floor naturally
- A Comprehensive Guide to High Risk Pregnancy
- Conquering Chemo at Home: A Guide to Safety and Care
- Top Doctors at CMC Vellore 2023 for all departments
Additional Information and Resources:
Conclusion & Takeaways
Learning about incontinence is the first step toward taking control of your health. By understanding its causes, symptoms, and treatments, you empower yourself to make informed decisions. Remember to consult healthcare professionals for personalized advice and support.