FAQ - Urinary Incontinence, Stress
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Is urinary incontinence normal when someone is constipated?


And can being chronically constipated make the urinary incontinence permanent?
No trauma on my back. I just have chronic constipation.
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No this would not make incontinence permanent. Find out what is causing it and get it treated. Get the constipation treated too.  (+ info)

what can I do for stress incontinence?


I have stress incontinence - due to my ex and the problems he caused me, I am on tablets which do no good and have to wear pads some of the time. Any one any ideas - i am fed up with it and need to sort it all my gp does at the moment is throw tablets at me!
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You should asked to be refered to a continance specialist. Have you been properly assessed? If you have stress incontinance the best way to improve it is to strenghen your pelvic floor.
The usual first treatment is to strengthen the pelvic floor muscles. About 6 in 10 cases of stress incontinence can be cured or much improved with this treatment. Medication may be advised in addition to pelvic floor exercises in some cases. Surgery may be advised if the problem persists and other treatments have not worked well.
Strengthening the pelvic floor muscles - 'pelvic floor exercises'
It is important that you exercise the correct muscles. Your doctor may refer you to a continence advisor or physiotherapist for advice on the exercises. The sort of exercises are as follows.
Learning to exercise the right muscles:
Sit in a chair with your knees slightly apart. Imagine you are trying to stop wind escaping from your anus (back passage). You will have to squeeze the muscle just above the entrance to the anus. You should feel some movement in the muscle. Don't move your buttocks or legs.
Now imagine you are passing urine and are trying to stop the stream. You will find yourself using slightly different parts of the pelvic floor muscles to the first exercise (ones nearer the front). These are the ones to strengthen. If you are not sure that you are exercising the right muscles, put a couple of fingers into your vagina. You should feel a gentle squeeze when doing the exercise.
Doing the exercises:
You need to do the exercises every day.
Sit, stand or lie with your knees slightly apart. Slowly tighten your pelvic floor muscles under the bladder as hard as you can. Hold to the count of five, then relax. Repeat at least five times. These are called slow pull-ups.
Then do the same exercise quickly for a second or two. Repeat at least five times. These are called fast pull-ups.
Keep repeating the five slow pull ups and the five fast pull ups for five minutes.
Aim to do the above exercises for about five minutes at least three times a day, and preferably 6-10 times a day.
Ideally, do each five minute bout of exercise in a different position each time. That is, sometimes when sitting, sometimes when standing, and sometimes when lying down.
As the muscles become stronger, increase the length of time you hold each slow pull-up. You are doing well if you can hold each slow pull-up for a count of 10 (about 10 seconds).
Do not squeeze other muscles at the same time as you squeeze your pelvic floor muscles. For example, do not use any muscles in your back, thighs, buttocks, or stomach.
In addition to the times you set aside to do the exercises, try to get into the habit of doing pelvic floor exercises whilst going about everyday life. For example, when answering the phone, when washing up, etc.
After several weeks the muscles will start to feel stronger. You may find you can squeeze the pelvic floor muscles for much longer without the muscles feeling tired.
It takes time, effort and practice to become good at these exercises. You should start to see benefits after a few weeks. However, it often takes 8-20 weeks for most improvement to occur. After this time you may be cured from stress incontinence. If you are not sure that you are doing the correct exercises, ask a doctor, physiotherapist or continence advisor for advice.
If possible, continue exercising as a part of everyday life for the rest of your life to stop the problem recurring. Once incontinence has gone, you may only need to do 1-2 five minute bouts of exercise each day to keep the pelvic floor muscles strong and toned up, and incontinence away.
Sometimes a continence advisor or physiotherapist will advise extra methods. These are in addition to the above exercises. For example:
Electrical stimulation. Sometimes a special electrical device is used to stimulate the pelvic floor muscles with the aim of making them contract and become stronger.
Biofeedback. This is a technique to help you to make sure that you are exercising the correct muscles. For this, a physiotherapist or continence advisor inserts a small device into your vagina when you are doing pelvic floor exercises. When you squeeze the right muscles, the device makes a noise (or some other signal such as a display on a computer screen) to let you know that you are squeezing the correct muscles.
Vaginal cones. These are small plastic cones that you put inside your vagina for about 15 minutes, twice a day. The cones come in a set of different weights. At first, the lightest cone is used. You need to use your pelvic floor muscles to hold the cone in place. So, it is a way to help you to exercise your pelvic floor muscles. Once you can hold onto the lightest one comfortably, you move up to the next weight, and so on.
Other devices. There are various other devices that are sold to help with pelvic floor exercises. Basically, they all rely on placing the device inside the vagina with the aim of helping the pelvic muscles to exercise and squeeze. There is little research evidence to show how well these devices work. It is best to get the advice from a continence advisor or physiotherapist before using any. One general point is that if you use one, it should be in addition to, not instead of, the standard pelvic floor exercises described above.
Medication
Duloxetine is a medicine that is usually used to treat depression. However, it was found to help with stress incontinence separate to it's effect on depression. It is thought to work by interfering with certain chemicals that are used in transmitting nerve impulses to muscles. This helps the muscles around the urethra to contract more strongly.
One study showed that in about 6 in 10 women who took duloxetine, the number of urine 'leakages' were halved compared to the time before they took the medication. Therefore, on it's own, duloxetine is not likely to cure the incontinence but may help to make it less of a problem. However, duloxetine in addition to pelvic floor exercises may give a better chance of curing the incontinence than either treatment alone.
If you are past the menopause and take hormone replacement therapy (HRT), the oestrogen in the HRT affects the tissues around the vagina and urethra. This helps to improve the symptoms of stress incontinence in some women. However, HRT is not as effective as pelvic floor exercises in curing the problem.
Surgery
Various surgical operations are used to treat stress incontinence. They tend only to be used when the above treatments have not helped. The operations aim to 'tighten' or support the muscles and structures below the bladder. Surgery is often successful.
Some general lifestyle measures which may help
Your GP may refer you to the local continence adviser. Continence advisors can give advice on treatments, especially pelvic floor exercises. If incontinence remains a problem, they can also give lots of advice on how to manage. For example, they may be able to supply various appliances and aids to help such as incontinence pads, etc.
Getting to the toilet. Make this as easy as possible. If you have difficulty getting about, consider special adaptations like a handrail or a raised seat in your toilet. Sometimes a commode in the bedroom makes life much easier.
Obesity. It is known that stress incontinence is more common in women who are obese. If you are obese, losing weight may help to ease the problem.
Smoking can cause cough which can aggravate symptoms. It would help not to smoke.  (+ info)

Is daytime urinary incontinence common for children diagnosed with Asperger's Syndrome?


Incontinence as in having two or more accidents every day?
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Yep.

I have a son in the Autism Spectrum as well, he wasn't 100% potty trained until he was almost 12.
Hang in there and best of luck.  (+ info)

Would you use a medical device that cures urinary incontinence and rehabilitates the pelvic floor.?


You would need to do daily exercises for a couple of weeks. These exercises would be monitored by a doctor to make sure that you were doing them correctly.

Most woen don't do the kegel exercises correctly or at all. This device measures daily activity.


Would you do this to end your incontinence?
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it depends on what you mean by medical device...is it something you have to have surgically put in? if so will it last forever or will you have to have it replaced? or is it something you just use daily?
i would also consider how much of a problem your incontinence is. if it is something that really bothers you, then by all means do what you need to to fix it. if i was in your situation most likely i would want that problem cured, especially if you are young.  (+ info)

Is it possible to get stress incontinence from an appendectomy?


I read that operations in the abdominal area can cause incontinence and was wondering if the appendix counts?
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Not that I am aware of, but I would recommend checking with your doctor as well to see what they say.  (+ info)

Does Cystoscopy cause urinary incontinence in women?


I may have Interstitial Cystitis. So, my urologist might do a cystoscopy. What does it feel like? Is there anyone out there with IC or painful bladder syndrome? I am VERY SCARED. Please advice. Will the dilation of the urethra in women cause damage resulting in urinary incontinence?
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I don't believe this will cause incontinece. There may be some very minor dribbling right after the procedure, but that should be gone before you even leave the office.

You should talk this over with your doctor before the procedure. The doctor can explain each step, the associated risks, and what you will feel.

Good luck!  (+ info)

How does vaginal child birth cause stress incontinence in women ? Does it happen with C-sections, too ?


I was wondering if some one coudl explain to me how vaginal child birth disrupts the bladder and causes stress incontinence in women ? Also, does it happen if a woman has a c-section ? And, if natural child birth (vagina) causes al these problems for women, why recommend it instead of a c-section ?
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In vaginal birth the uterus can prolapse and put pressure on the bladder. Vaginal births are preferred to c-sections because there are less risk associated with vaginal births.  (+ info)

Does anyone know of any good incontinence urinary moisture alarms?


I am looking to find a incontinence moisture alarm, but I would like it to be very small, even maybe something that can fit in a pocket so no one can see it when I am out. I found one, but it is a lil bulky, does anyone have any of these or know where I can get one that is portable and small?
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Call Walgreen's or another pharmacy.Ask the Pharmacist if they know of one.  (+ info)

What are some ways to solve urinary incontinence?


I am only 30 years old but I have had 5 children. I do Kegel exercises but it doesn't help much. This problem is embarassing when I sneeze, cough, or laugh too hard. It seems to have gotten worse since my last child was born. Any serious advice would be appreciated.
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You may benefit from a trip to a physical therapist that specializes in women's health issues. That therapist can make certain that you're doing the Kegels correctly (many women think they're doing them right, but they're not.) Also, strengthening your abdomen and other pelvic floor muscles can help. (Just holding your belly in works part of the abdominal muscles.) Ask your doctor for a prescription for physcial therapy for pelvic floor dysfunction or urinary incontinence. Not all Physical Therapy places offer that kind of therapy, so make sure to ask; you need to find a place that works specifically with Women's Health.  (+ info)

What is the remedy for urinary incontinence?...what are the medicines available for it in India?


The case is one of urge incontinence, and Kegel exercises take six months or so to show effects...what can be done?
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sorry but excersises are the best and only real way to cure it htere are some drugs but the main way is pelvic floor or kegal excersises - the effects will start with in a week or so  (+ info)

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