Incontinence - Medtick

Incontinence

  • It is when one’s bladder leaks mainly because bladder muscle (spincter muscles) that stops you ‘to go’ going to the toilet becomes weaker and the muscles (detrusor muscles) that make you ‘go’ become more active.
  • It is a combination of these nerve muscles to let the bladder muscles know on when to go to the toilet and hence they need to be working together and hence when they are not effectively together incontinence may occur.
  • Urinary incontinence is more common in women than in men.
  • Symptoms of urinary urgency and frequency are similar between both sexes, however an overactive bladder should not be considered as part of an ageing process, underlying conditions should be investigated.

There are many types of incontinence:

 

Stress incontinence 

  • When the pelvic muscles just below the bladder weaken  and let urine drain out due to pressure from the bladder just above it , the pelvic muscles cannot withstand a “stress”  pushing on the bladder.

 

Urge incontinence (overactive bladder)

  • When the bladder is full  the nerve signals and muscles of the bladder work together and  push urine towards the pelvis in a controlled manner.
  • In urge incontinence  the bladder muscles are overactive due to nerve signals and the bladder muscle contraction not working together as they should and hence constantly push the urine to towards the pelvis and urine drains out even though the bladder mainly be part full.
  • This occurs mainly after child birth and pregnancy (normally, a woman can tighten her vaginal muscles hold such a contraction for 5-10 seconds, if they cannot then pelvic exercises might be required).
  • In postmenopausal women, many of these changes are related to estrogen deficiency.
  • Estrogen deprivation therapy in younger women with breast cancer has also been associated with increased risk for over active bladder.

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Neurological incontinence 

  • Neurologic problems can cause the bladder to overfill and overflow and or as in urge incontinence they can cause the bladder to empty unpredictably.

 

Temporary incontinence

  • This is  short term incontinence normally from an urinary tract infection and irritation in the genital region and/or if in a cold environment.

Symptoms

Does one have:

  • Sneeze or cough a lot and then leaks (stress incontinence)?
  • Laugh or jump or exercise a lot or in an awkward position and then leaks (stress incontinence)?
  • Lift heavy objects or lift heavy weights and then leaks (stress incontinence)?
  • In a cold environment and then leaks?
  • Rush to the toilet (urge continence)?
  • Strong urgency to urinate (urge continence)?
  • Leak when you have sex or an orgasm (if applicable)?
  • Lose control of your bladder and pass urine when you did not mean to (other than drinking alcohol/coffee/fizzy drinks)?
  • Drink a lot of alcohol/coffee/fizzy drinks (urge continence)?
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