Archive for the ‘urge incontinence’ Category

Caffeine And Urinary Incontinence

May 10, 2015

Urinary incontinence affects millions of American men. Caffeine may contribute to the problem. This blog will discuss a new study that implicates our dear cup of joe as a culprit for incontinence.

The amount of caffeine that’s typically found in just two cups of coffee may contribute to urinary incontinence in men, according to a new study.

The amount of caffeine that’s typically found in two cups of coffee may contribute to urinary incontinence in men. Therefore, men who are having problems with urinary incontinence should modify their caffeine intake.

The report doesn’t prove that caffeine causes bladder leakage, but the men in the study who consumed the most caffeine were more likely to have the problem than those who consumed the least.
Plenty of research has linked caffeine to incontinence among women. But little is known about whether there is a similar connection for men.

It’s estimated that 85% of Americans, myself included, consume caffeine regularly, both in beverages like coffee, tea and soft drinks, and in foods like candy, pastries and ice cream containing chocolate.
Estimates of urinary incontinence among US adult men range from 5% to 21%.

The recent study showed that the man who consumed an average of 169 mg of caffeine every day. That’s a little more than the typical 125 mg in a cup of coffee.

About 13% reported leaky bladder, but only 4.5% had a problem considered moderate or severe, i.e., more than a few drops of urine leakage during the course of a month.

After adjusting for the men’s age and other risk factors, the researchers found that those who consumed at least 234 mg of caffeine every day were 72% more likely to have moderate to severe urinary incontinence than those who consumed the least caffeine.

What the study found
Men who consumed more than 392 mg of caffeine daily were more than twice as likely to be incontinent.

Total water intake, in contrast, was not linked to a man’s risk of moderate to severe incontinence.

It’s not just a matter of how much fluid a person takes in. Dr Markland said that some research in women suggests caffeine irritates the bladder, and she believes that may also underlie the association in men.

Bottom Line: I don’t think it’s a call for action to stop drinking coffee but if you are having an incontinence problem, you may want to decrease your caffeine consuption.

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Urinary Incontinence – Don’t Depend on Depends!

March 12, 2015

Urinary incontinence affects millions of American men and women. Help is available. You don’t have to suffer in silence.

If you notice a few drops of urine dribbling out when you laugh, cough or even sneeze, you may need to consult a general practitioner as these could be symptoms of urinary incontinence, or loss of voluntary control over one’s urination. In some cases there may be a total loss of urine from the urinary bladder while in other cases there could be partial leakage too. Most commonly seen in elderly males and females, this is a condition that could cause great embarrassment and mental agony. As the person loses control over his or her urination, it drips into his inner clothes without his knowledge and this causes stains, bad smells as well as embarrassment to the person in question. This problem can prevent the person from socializing as he\she is always preoccupied with the thought that the urine might leak out and others may come to know about his or her condition. As this is a problem that often affects the elderly, it could cause severe mental agony and sometimes elderly persons may even develop depression because of it.

Causes of incontinence

Some cases of incontinence are temporary and often, these instances are caused by an external or lifestyle factor. Drinking alcohol, caffeinated beverages, or too much of any fluid can cause a temporary loss of bladder control. Some medications — such as blood pressure drugs, muscle relaxants, sedatives, and some heart medicines — may also lead to a short spell of incontinence. A urinary tract infection may also lead to instances of incontinence.

Other causes of incontinence include:
Aging: As you age, your bladder muscles becomes weaker and incontinence becomes more likely. Any issues with your blood vessels will make this situation worse.
Vaginal delivery or surgery in the pelvis: Any damage caused to your pelvic floor muscles can lead to incontinence, since these muscles support your bladder. In some cases, they can be damaged or weakened by surgery—usually during a procedure to remove the uterus—or during childbirth.
Enlarged prostate: In nearly all men, the prostate gland enlarges with age. It is common for men to experience some incontinence as a result.
Cancer and stones: Prostate cancer in men, or bladder cancer in men or women can cause incontinence. In some cases, the cancer’s treatment will cause incontinence as a side-effect. A tumor, whether malignant or benign, can also cause incontinence by blocking the usual flow of urine. Kidney or bladder stones can also have the same effect, say experts.

Evaluation of the man or woman with incontinence
The condition is determined after a person records regular urine leakages. Diagnosis of urinary incontinence may involve a physical exam, an ultrasound, urodynamic testing and tests including cystoscopy, urinalysis and a bladder stress test. Sometimes, I may ask the person to keep a bladder diary.

Prevention
Although it is not always possible to prevent UI, one can lower its risk by practicing Kegel exercises, especially during pregnancy, following a healthy high-fiber diet, maintaining a healthy weight and avoiding caffeine and acidic foods.

Treatment of this condition
Most cases of urinary incontinence can be treated with lifestyle changes and bladder training exercises but medication and other coping strategies like use of diapers (that can absorb the excess urine) are also used if the problem is due to urgency or mixed incontinence. There are a few effective ways to put an end to your battle with incontinence, such as –

• Drink fluids in moderation
• Empty the bladder completely
• Lose weight
• Avoid drinking tea and coffee
• Stop drinking alcohol
• Treat digestive problems
• Read labels on medications
• Apart from these, there is a therapy to improve the symptoms of frequency, nocturia, urgency, and urge incontinence.
Treatment options also include anticholinergics, antispasmodic agents, and tricyclic antidepressants (Tofranil). Pharmacologic therapy for stress incontinence and an overactive bladder may be most effective when combined with a pelvic exercise regimen.

Some surgical procedures like tape or sling procedures, bladder suspension, urethral bulking agents, artificial urinary sphincter in men with incontinence after prostate surgery and other surgical procedures are available as treatment.

Bottom Line: Men and women who suffer from incontinence don’t have to suffer in silence and wear diapers. Help is available. See your doctor to discuss an evaluation and treatment options.

Urinary Incontinence-Don’t Suffer In Silence

December 20, 2014

Urinary incontinence is one of life’s most embarrassing problems. Millions of American women suffer from incontinence in silence. I see dozens of women every month with this problem and so many of them have been wearing pads and diapers for years because they were too embarrassed to bring up the problem with their physician. This blog will discuss the problem and why it is important to see a physician to get treatment.

There are millions of people who deal with the embarrassing and disruptive effects of urinary incontinence, yet it’s a health secret that is rarely discussed. Contrary to what a lot of people think, urinary incontinence is not a normal sign of aging. Yes, it is more common in older men and women but you don’t have to live with the problem as treatments are available.

There are several reasons for urinary incontinence, but for women, one of the most common is weakened muscles in the pelvic floor.
A woman’s body goes through many changes during a lifetime and weakness or injury to muscles in the pelvic floor can cause health issues for women of all ages. The group of muscles in the pelvic floor can be affected by aging, childbirth, posture or injury. This loss of support of the pelvic muscles can result in incontinence, pelvic pain, or pain with intercourse.

Weakened pelvic floor muscles can be strengthened with Kegel exercises. (see my website, http://www.neilbaum.com, for more information on Kegel exercises). For the problem of urgency and frequency and urge incontinence or overactive bladder, there are effective medications to treat this condition. Finally, for women with both kinds of incontinence due to weakened pelvic muscles, they can be treated successfully with physical therapy.

If you answer yes to any of these questions, you should speak to your physician as help is available:
Do you usually get a strong urge to urinate?
Do you always make it to the bathroom on time?
Do you leak urine when you sneeze or cough?
Do you leak urine during physical activity?
Do you get up more than once per night to urinate?
Do you feel heaviness in the pelvic area?

Bottom Line: If you’ve been keeping urinary incontinence a secret, you’re not alone. You don’t have to accept it. Help is available. Talk to your doctor.

Bladder Symptoms-Stop Depending On Depends!

November 28, 2014

Millions of American women suffer from urinary bladder problems. Unfortunately, they suffer in silence as women feel too embarrassed to discuss their symptoms with their physicians. This article will discuss the common symptoms of bladder control and what can be done about it that doesn’t require a diaper or Depends.
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The involuntary leaking of urine is a distressing symptom which is associated with loss of confidence, self esteem, relationship difficulties and sometimes depression. Some women deal with the situation by avoiding socializing with family and friends, wearing dark clothes and frequently changing their clothing, using scents, sanitary pads and even diapers.
Bladder difficulties can affect all age groups, but are more common in middle age and older women. It is likely that as many as one in five women experience incontinence at some stage in their lives. Approximately 70 per cent of urinary incontinence sufferers tolerate the symptoms and those who seek medical help wait for an average of four years because of embarrassment, shame and stigma.

Talking about these symptoms is difficult but women do not need to feel reluctant about seeking help as so many women can be effectively treated without surgery.

The biggest risk factor for women is damage to the pelvic floor especially related to pregnancy and child birth. Other conditions include extreme sports, chronic coughing and heavy lifting. Contributing causes include obesity, smoking and drugs that affect the bladder or the muscle that holds urine inside the bladder.
There are two main types of incontinence: stress and urge. Urine loss in the stress type is preceded by increasing the pressure within the abdomen such as occurs with laughing, sneezing, or coughing. Women experiencing urge incontinence have a compelling urge to pass urine, which is impossible to control and causes leaking.

Treatment can start with measures, which do not involve medication, but can be followed by pharmacotherapy if the conservative measure are not effective.

Initially patients are advised to decrease the intake of caffeine and carbonated drinks, smoking and avoiding constipation.
Pelvic floor exercises or Kegel exercises, are the recommended first line treatment for stress, mixed and urgency incontinence and result in significant improvement in up to 80 per cent of cases. Bladder training and electrical stimulation are other effective ways of treating incontinence.

Bottom Line: Wearing a diaper to staying at home because of the loss of urine, is not acceptable to most women who suffer from incontinence. It doesn’t have to be that way. See your doctor and he\she can often find a solution that will make you dry, comfortable, and lead you to a healthy lifestyle.

Urinary Incontinence-Common Problem With Good Solutions

October 22, 2014

Millions of American women suffer from loss of urine or urinary incontinence. The problem is a source of embarrassment and lead to social isolation and even depression. This blog will discuss the three types of incontinence and offer some suggestions for solving the problem.

Some women with incontinence have only occasional leakage such as when they have a respiratory tract infection and have a severe coughing spell, while others may have a great deal of leakage on a daily basis. This can result in various limitations on activities, and can seriously impact quality of life. Bladder control issues are not a normal part of aging and they are not something you should have to live with.

Urologists and gynecologists are physicians with training in the evaluation, diagnosis, and treatment of conditions that include urinary incontinence.

There are three common categories of urinary incontinence.

  1. Stress incontinence is loss of urine that occurs with activities that increase abdominal pressure (such as sneezing, coughing, laughing, and exercising). This rise in pressure within the abdomen is transmitted to the pelvic organs including the bladder which can result in urine leaking through the urethra, the tube from the bladder to the outside of the body. This is usually due to weakness of the muscle that controls urination and support structures, often related to hormone (estrogen) deficiency which is common after menopause and prior vaginal delivery.
  1. Urge incontinence, which is also often referred to as overactive bladder, describes loss of urine with a sense of urgency or inability to hold urine long enough to reach a bathroom. This is usually due to over-activity of the bladder. Often women with urge incontinence report leaking with specific triggers such as running water or putting a key in the lock. Other associated symptoms often include frequent daytime and nighttime voids.
  1. Mixed incontinence is the common situation when women have components of both stress and urge incontinence.

Risk factors for the development of urinary incontinence include pregnancy, vaginal delivery, pelvic surgery, and pelvic radiation. Other potential risk factors include obesity, smoking, caffeine intake, chronic constipation leading to excessive straining, repetitive heavy lifting and neurological diseases such as multiple sclerosis. Certain basic interventions can reduce the risk of developing incontinence or even the severity of leakage.

For instance, maintaining a normal weight, or losing weight if overweight, can be extremely helpful. In fact, studies show that as little as a 10 percent loss in body weight can improve leakage symptoms by up to 50 percent. In addition, avoiding chronic straining which occurs with chronic constipation can prevent injury to the muscles and nerves of the pelvic floor. A diet with plenty of fiber and fluids, as well as good lifting technique, is key.

Next, if you are a smoker, strongly consider kicking the smoking habit. Besides improving your bladder health, there are countless other benefits to your overall well-being if you can quit. Also, avoid significant caffeine intake as it may be a major bladder irritant in some women.

Finally, make sure to keep your pelvic floor muscles nice and strong — this requires learning how to do Kegel exercises. (For more information on Kegel exercises, please go to my website, http://www.neilbaum.com)

Unfortunately, sometimes these basic interventions are not as successful as we would like. Luckily, a significant percentage of women who seek help for urinary incontinence will experience significant improvement in their leakage.

For this reason, women with bothersome leakage should always feel comfortable raising this issue with their physicians. A wide range of treatment options exist, ranging from physical therapy to surgery, and are being used every day to help women with leakage improve their quality of life. If your leakage is bothersome, get evaluated and learn about your treatment options.

Knowledge is power, and the more you know, the more confident you will be in directing your treatment.

Bottom Line: You don’t have to suffer the consequences of urinary incontinence. Help is available; you don’t have to depend on Depends!

Kegel Exercises For Men- Non Medical Treatment of Overactive Bladder

July 24, 2014

For decades, women have been doing Kegel (named after the gynecologist who invited the exercises) to help control urinary incontinence. Now we know that regular, daily exercising of pelvic muscles can improve, and even prevent, urinary incontinence even in men.

Kegel or pelvic muscle exercises are discrete exercises that work the perineal or pubococcygeus muscles. In the past, they have been largely promoted by physicians to their female patients in an effort to aid with stress incontinence following childbirth. However, these same exercises are now being promoted to men in an effort to improve urinary incontinence, fecal continence, and even sexual health such as the treatment for erectile dysfunction and premature ejaculation. Unlike typical exercise routines, these exercises don’t require the participant to buy any weights or expensive machines. You don’t need a trainer, a gym membership, or any special equipment.

Kegel exercises primarily aid men with urinary incontinence. Besides preventing embarrassing urine leakage, they also decrease the urge to void. Secondly, they have been shown to help male sexual health by allowing some men’s erections to last longer when affected by sexual dysfunction and premature ejaculation. These benefits all equate to a better quality of life.
These exercises are often recommended to patients with weakened pelvic floor muscles such as patients with diabetes, patients having had a prostate surgery in the past such as a radical prostatectomy, or obese patients. It should also be mentioned that these exercises have not been scientifically proven to increase penis size and are thus not recommended solely for this purpose.
Kegel exercises are harmless if performed correctly. Chest and abdominal pain have been reported in some, but these occurrences are the result of inappropriately performed exercises.

How can men perform Kegel exercises?
Prior to beginning the exercises, it is important to correctly localize the pubococcygeus muscles. To achieve this, one can simply attempt to stop his urine flow midway through. The muscles allowing for the pause in urination are the ones targeted by the Kegel exercises.
There are many different techniques that can be used to efficiently strengthen one’s pelvic floor muscles. Women often use Kegel balls or Kegel weights to perform the exercises, but those are unnecessary for men.

The first technique requires a contraction of the anus muscles as if trying to hold in gas. The feeling of a pulling or lifting sensation on the anus tells you that you are performing the exercise correctly.

The second exercise is used to observe the movement of your penis vertically without moving the rest of your body. An elevator analogy can be used to illustrate the exercise. The anus, in this case, can represent an elevator. The goal of the exercise is to bring up the elevator over 5 seconds to its maximal level and then to bring it gradually back down to the resting level.
The techniques are interchangeable. Men can perform a different technique each day. However, the important thing is to always use only the pelvic muscles. When men first start performing these exercises, they may use other muscles to help them. Often, they may use their abdominal or gluteal maximus (buttocks) muscles. It is thus important to become aware of which muscles are being contracted. It is also important to avoid holding the breath or crossing the legs.

Arguably, one of the strongest points of Kegel exercises is that they can be performed anywhere without anyone but the participant noticing. Unlike typical core exercises for men requiring sit-ups, planking, or other unusual positions, Kegel exercises can be performed during a variety of activities such as shaving, sitting at one’s desk, or even while driving. This feature allows them to be universally accepted by men.

Men are accustomed to exercises such as push-ups or sit-ups. However, a very small proportion of them know how to efficiently perform Kegel exercises. This is unfortunate since many doctors recommend incorporating these into one’s core routine.
Unlike typical workouts for men, when it comes down to Kegel exercises, there is no magic number of sets one should do in a day. It is recommended, however, for men to perform at least two sessions of Kegel exercises every day. To keep things simple, men should perform their first session in the morning and their second at night. A session comprises of 10 to 30 individual contractions and relaxations exercises. Each exercise should last 10 seconds divided into 5 seconds of contraction and 5 seconds of relaxation. Once a man excels at performing these, he can do them in different positions. Of the 10 to 30 exercises, he can do one-third while laying down, one-third while sitting, and one-third while standing. Counting out loud certainly helps and as time goes by many men are surprised at the ease with which they can perform the exercises that at first seemed unnatural to them.

This is of greatest importance for men undergoing prostate surgery, either for prostate cancer needing radical prostatectomy (complete prostate removal) or for benign prostate hyperplasia (BPH) needing transurethral resection of the prostate. Both of such surgeries reduce the resistance to the bladder which can result in postsurgical urinary incontinence. As we can see from the following image, the anatomic changes reduce bladder outlet resistance. As such, strengthening the pelvic floor and sphincter are of paramount importance and Kegel exercises can help.

Bottom Line: Kegel exercises are not just for women with incontinence. They work for men, too. Results aren’t immediate so stick with it and you will be amazed at the results.

July 12, 2014

Urinary Problems Can Impact Your Sex

Overactive bladder or urge incontinence can have a significant impact on a man or woman’s quality of life include their ability to engage in sexual intimacy with their partner. This blog will discuss the concept of the overactive bladder and what can be done to tame the bladder and improve the intimacy of those who suffer from this condition.

OAB can take its toll in many areas of your life, including your romantic relationships. Women with OAB worry about urine leakage during sex or orgasm.

OAB or urinary incontinence can cause physical symptoms as well as fear, anxiety, and shame about sex and intimacy.
Unfortunately, many women with OAB will avoid sex altogether.
Unless you have a prolapsed bladder, sex is not dangerous and will not cause your bladder to become damaged.
Women may feel embarrassed by leakage during sex or orgasm, and even if their partner knows and says ‘It’s OK,’ it certainly can stop you from allowing oral sex.

Once you are open with your partner, you can face the situation together. For example, if there is urine incontinence during sex or orgasm, you may need a special sheet or towel.
Non-medication treatment for OAB

Natural Treatment for Overactive Bladder
Bladder training and pelvic floor exercises are just two natural treatments for overactive bladder. Research suggests that these non-drug remedies can be very effective for many women, and they have almost no side effects.
Before starting any OAB treatment, however, it’s important to understand bladder function and what factors may cause overactive bladder.
• Bladder training. This is the most common OAB treatment that doesn’t involve medication. Bladder training helps change the way you use the bathroom. Instead of going whenever you feel the urge, you urinate at set times of the day, called scheduled voiding. You learn to control the urge to go by waiting — for a few minutes at first, then gradually increasing to an hour or more between bathroom visits.
• Pelvic floor exercises. Just as you exercise to strengthen your arms, abs, and other parts of your body, you can exercise to strengthen the muscles that control urination. During these pelvic floor exercises, called Kegels, you tighten, hold, and then relax the muscles that you use to start and stop the flow of urination. Using a special form of training called biofeedback can help you locate the right muscles to squeeze. Start with just a few Kegel exercises at a time, and gradually work your way up to three sets of 10. Another method for strengthening pelvic floor muscles is with electrical stimulation, which sends a small electrical pulse to the area via electrodes placed in the vagina or rectum.
Until you get your overactive bladder under control, wearing absorbent pads can help hide any leakage that occurs.
Other behavioral tips for preventing incontinence include:
• Avoiding drinking caffeine or a lot of fluids before activities
Not drinking fluids right before you go to bed
I also suggest that before engaging in sexual intimacy, empty your bladder so there is less fluid in the bladder and not likely to trigger an unwanted bladder contraction.

Bottom Line: Intimacy can take place if either partner has an overactive bladder. Speak to your partner and your physician to find a solution for this common condition that doesn’t have to affect your sex life.

Urinary Incontinence is No Joking Matter

April 16, 2014

Have you ever heard someone say after telling a joke, “I laughed so hard, I peed my pants”? If it is indeed true, then it is no laughing matter. Incontinence affects millions of American men and women. It is more common as men and women age but can occur at any time and may impact a man or woman’s quality of life because of embarrassing leakage. It can affect a man or woman’s self-image and confidence.

There are two categories of urinary incontinence: stress incontinence and urge incontinence. Stress incontinence is due to laughing or sneezing. Basically, small amount of leakage occurs when the pressure in the belly is more than what the urethra – the urine tube leading out of the bladder – can stand. This is what happens when you laugh or sneeze and leak.

Urge incontinence occurs when the bladder contracts and forces usually large volume of urine out. People may describe a sudden urge to urinate, and they simply cannot make it in time to the bathroom. Sometimes both types of incontinence may be present and is referred to mixed incontinence.

Women are more likely to experience urinary incontinence because their anatomy predisposes them to leakage of urine. Also, hormonal changes occurring at the time of menopause with a decrease in estrogen levels, childbirth and aging make leakage more common for women. If the incontinence affects a woman’s day-to-day life and it keeps them from taking part in their daily activities, then they should take the initiative and obtain the assistance of the physicians.
Men with incontinence, on the other hand, should see their doctor as it may represent a more serious problem with their prostate gland.
The good news is that urinary incontinence can be treated. It may be as simple as behavioral changes quit, special exercises and medicines. In some cases it may involve surgery.

Bottom Line: Urinary incontinence affects millions of American men and women. It is not a condition that kills those who suffer but it does affect their quality of life. Help is available and most men and women who suffer from urinary incontinence can be helped. Remember you don’t have to depend on Depends!

Urinary Incontinence-Non-Medication Solutions

March 9, 2014

Millions of Americans suffer from incontinence. Americans are already “polymedicated” or taking far too many drugs. Many of my patients are trying to solve problems naturally without the use of medications. This blog will discuss the treatment of urinary incontinence without prescription medications.

Incontinence is a symptom of a urinary tract problem, and there are different types of urinary incontinence. Women commonly have overactive bladder\urge incontinence or stress incontinence with the loss of urine with coughing, sneezing, or with exercise.

Men most commonly experience stress incontinence — the accidental release of urine when the bladder is under pressure — after being treated for prostate cancer.
Another type of incontinence called overflow incontinence, occurs more commonly in men. This is associated with enlarged prostate — benign prostatic hyperplasia (BPH). BPH can squeeze the urethra and keep the bladder from completely emptying.

Whether you have stress incontinence, urge or overflow incontinence, there are natural steps you can take to support your urinary health and restore continence. If an enlarged prostate is causing your symptoms, you can learn how to promote a normal prostate size.

The lifestyle choices you make and the foods you eat can help you regain control of your bladder. Following are several lifestyle changes you can make that will positively affect your bladder control, prostate and urinary health.
Manage Fluids

Drink pure water. While it is important to stay properly hydrated, you want to avoid drinking in the two to three hours before bedtime.
Supplements

There are several natural supplements that support the urinary tract, and many supplements that shrink the prostate. Many men find urinary health benefits from quercetin, saw palmetto, curcumin, green tea extract, cranberry, stinging nettle and pygeum.

Fruits And Vegetables
These foods are high in antioxidants, vitamins, minerals and fiber. These support prostate health and urinary tract health, as well as being good for the rest of you too.

Consume Healthy Fats
Healthy fats such as omega-3 fatty acids and monounsaturated fats help promote prostate health.

Avoid Food Additives And Sugar
Some foods and additives are harmful to the prostate and your urinary function. Try to avoid the worst ingredients in processed foods.

Maintain A Healthy Weight
Being overweight can worsen symptoms of urinary incontinence by putting excess pressure on the bladder. Exercise helps promote prostate health.

Kegel Exercises
Doing Kegels every day can help improve bladder control. Other alternative treatments such as physical therapy may also be of help.

Avoid Cigarettes Or Drink
Smoking is a risk factor for stress incontinence. Alcohol increases urinary frequency, so try to limit or avoid it.

Drink Green Tea
Green tea health benefits come from its strong antioxidant and anti-inflammatory properties. Whether your drink it or take it as a supplement, look for caffeine-free green tea.

Avoid Caffeine
Caffeine from coffee, tea and soda can promote urinary frequency. A study on incontinence in men and caffeine shows that men who consumed 234 mg or more of caffeine every day were 72 percent more likely to have some urinary incontinence compared to men who drink small amounts.

Avoid Foods That Irritate The Bladder
Foods and drinks that can irritate the bladder include citrus fruits, citrus juice, carbonated drinks and spicy foods.

Go When You Need to Go
Don’t hold your urine when you need to go. Holding it can irritate your urinary tract and possibly lead to a urinary tract infection.

Of course, there are medications and other treatments that can help with urinary symptoms of BPH, but they have some unwanted side effects. Before taking any medications, you should give some of the natural supplements and lifestyle changes a try. They may help and they won’t hurt.

Bottom Line: The first step is to talk to your doctor about what is causing your urinary incontinence and to develop a plan for dealing with the problem. Learn as much as you can about urinary incontinence. If you suffer from urinary incontinence, try some of these non-prescription alternatives. They just might work and will decrease your dependence on Depends!

This blog was inspired and modified by an article Treat Urinary Incontinence Naturally
Dr. Geo Espinosa
http://easyhealthoptions.com/easy-health-options-digest/treat-urinary-incontinence-naturally/

Urine Incontinence — It’s Nothing to Sneeze At

January 17, 2014

One of life’s most embarrassing experiences is not being able to control your urination and soiling your clothes forcing you to leave any situation where you are engaged with others. It is one of the last medical conditions to remain in the closet as many men and women fail to seek medical attention for this common problem.
This blog will discuss the 4 types of urinary incontinence and what treatment options are available for this common problem.

Urge Incontinence occurs in women with an overactive bladder who may not be able to get to the toilet in time to prevent leakage, even though they tighten up all of their pelvic muscles, because they can’t control the bladder and keep urine in. Overactive bladder that leads to urge incontinence affects about 17 percent of women, but it increases to over 50 percent after menopause. Overactive bladder isn’t a normal part of aging.

Stress incontinence is a much more common type of incontinence. Menopause contributes to this problem, but stretching and tearing of the pelvic muscles during childbirth definitely sets the stage. The reduced muscle tone causes the urethra to sag. When pressure builds up in the abdomen from a cough, sneeze, laugh, jump or lift, internal organs put pressure on the bladder and a small amount of urine may escape.

Overflow incontinence occurs when more urine collects in the bladder than the bladder can hold and the excess urine leaks out. It can be caused by blockage of the urinary tract or nerve damage caused by conditions such as diabetes, stroke, or injury.

Functional incontinence is not really a problem with the urinary tract. It happens to people who can’t move quickly, who have eye problems or who suffer from confusion or memory loss. They simply can’t get to the bathroom in time.

Certain prescription drugs such as diuretics and some tranquilizers, and smoking and eating spicy foods or artificial sweeteners, or drinking alcohol and caffeine can irritate the bladder and worsen incontinence.

Mixed incontinence is a combination of both stress and urge incontinence.

Today, there are many more options to consider, from medications, pelvic floor physical therapy, and surgery. The first step is to have a work up to diagnose the underlying problem so that an appropriate treatment plan can be put into place. Sometimes more than one treatment is needed.
Treatment options include:
1. Bladder training — This approach teaches you to urinate only at scheduled times and waiting longer between trips to the bathroom. Start by going to the bathroom every 30 to 60 minutes while you are awake, even if you don’t have to go. After about one week, slowly increase the time interval by 30 minutes every week.

2. Kegel exercises — Dr. Arnold Kegel, a gynecologist at the University of Southern California, developed the exercises to strengthen pelvic floor muscles in 1948. Kegel exercises are often the first line of treatment for the millions of women in the U.S. suffering from unexpected bladder leakage due to coughing, sneezing, laughing or exercise. This if defined as stress incontinence but many women experience frustration because they unknowingly don’t perform the Kegels effectively, which leads to no improvement in symptoms. Most men or women need to do the exercises for 3-6 months before any changes will occur.

3. Pelvic Floor Electrical Stimulation with Biofeedback Therapy — This treatment uses computer graphs and sounds you can hear to show you which muscles you are exercising so you can perfect the exercises. Physical therapists and other professionals specially trained in problems related to women’s health teach exercises for the pelvic floor, trunk, back and extremities that can help strengthen the pelvic muscles and improve bladder control. The physical therapist may use devices that use mild, comfortable, electrical stimulation to train the bladder muscles when and how to squeeze.

4. InTone is a new FDA listed Class II Medical Device for home use that has been shown to effectively strengthen the pelvic floormuscles and helps to prevent embarrassing leakage without surgery or medication and can be done in the privacy of home. InTone is like a personal trainer for Kegel exercises.

5. Medications — Estrogen can be very helpful in improving the symptoms of some cases of incontinence. Studies have demonstrated improvement in 40- 70 percent of women. I have found that estrogen cream (one fourth to half an applicator) works better than either tablets or patches for this particular problem. Medications called smooth muscle relaxants (examples are oxybutynin and tolterodine) can also help if the problem is caused by abnormal bladder contractions.

6. Pessaries — These donut-like plastic or rubber rings are similar to a diaphragm used for birth control. They are fit into the vagina to lift and offer added support for the bladder when the pelvic muscles are weak.

7. Surgery — There are many operations that have been developed to support the bladder and improve or correct incontinence. Women don’t need to have a hysterectomy in order to control urinary incontinence. Most of these operations for incontinence can be performed as one-day surgeries.

8. Botox– If you don’t respond to oral medications, you may be a candidate for Botox injections directly into the bladder muscle. This, too, can be done as a one-day stay procedure and usually produces relief of symptoms of frequency of urination and urgency of urination with urge incontinence

Bottom Line: Women don’t have to suffer in silence. Successful treatment options are available and most women can be helped and made more comfortable and reduce their embarrassment.