Among possible causes to explore are stress urinary incontinence and urgency incontinence also known as overactive bladder. Then be aware of the following common culprits that may add to the problem. Anyone with bladder control issues should watch their alcohol intake. Beer, wine, and other alcoholic beverages can act as a bladder stimulant and lead to incontinence.
Alcohol can also work as a diuretic and result in both more urine production and the need to go more often. Drinking to the point of blackouts can cause a loss of bladder control as well. Antidepressants can be another contributor to urinary incontinence. Vincent Medical Center in Los Angeles. As a diuretic, caffeine can increase urine output and contribute to incontinence. In addition, it can cause inflammation of the bladder, which may increase the urge and sensation of needing to go.
Losing weight by following a healthy diet and exercising regularly, will gradually help to reverse the symptoms of stress urinary incontinence. Studies have shown that smoking can make you three times more likely to develop urge urinary incontinence when the urge to pass urine is sudden and desperate.
Also, smoking can cause a persistent and chronic cough, which adds to the pressure placed on the bladder, leading to more urine leakage. Your pharmacist can help you with nicotine replacement devices, gums and patches and direct you to local support groups that can help you quit. Staying hydrated is important for good overall health and wellbeing. But the more you drink, the more urine your body produces.
If you have urinary incontinence, this will mean that you leak more urine. Caffeinated drinks include tea and coffee as well as cola and energy drinks. But avoiding too many fluids can also make your symptoms worse. Being dehydrated leads to dark, concentrated urine which can irritate the walls of the bladder, causing them to contract more often, and leak more urine.
Every person is unique, so try to balance your need to stay hydrated with how much fluid can make your urinary incontinence worse. Being constipated every once in a while, is perfectly normal.
Straining to pass hard, dry stools puts pressure on the bladder and urethra, just like coughing or sneezing does. It can lead to a permanent weakening of the pelvic floor muscles and worsening urine leakage. Staying active helps to maintain a healthy weight and helps prevent constipation, which can both cause urinary incontinence.
But there are some sports which can make the symptoms of stress urinary incontinence worse. These include high impact activities such as running and activities that include a lot of jumping, such as high intensity interval training HIIT and aerobics.
These kinds of activities place pressure on the bladder, which can cause it to leak urine during exercise. Squeeze the muscles in your genital area as if you were trying to stop the flow of urine or passing gas. Try not to squeeze the muscles in your belly or legs at the same time.
Try to squeeze only the pelvic muscles. Be extra careful not to tighten your stomach, legs, or buttocks because then you will not be using your pelvic floor muscles. Squeeze the muscles again and hold for 3 seconds. Then relax for 3 seconds. Work up to 3 sets of 10 each day. Practice Kegels anywhere. When your muscles get stronger, try doing Kegels while sitting or standing.
You can do these exercises at any time, such as while sitting at your desk or in the car, waiting in line, or doing the dishes.
This can weaken your pelvic floor muscles over time. How soon after starting Kegel exercises will urinary incontinence get better? Should I drink less water or other fluids if I have urinary incontinence?
What are some medical treatments for stress incontinence? If steps you can take at home do not work to improve your stress incontinence, your doctor may talk to you about other options: Medicine. After menopause, applying vaginal creams, rings, or patches with estrogen called topical estrogen can help strengthen the muscles and tissues in the urethra and vaginal areas.
A stronger urethra will help with bladder control. Learn more about menopause treatments. Vaginal pessary. A reusable pessary is a small plastic or silicone device shaped like a ring or small donut that you put into your vagina. The pessary pushes up against the wall of the vagina and the urethra to support the pelvic floor muscles and help reduce stress incontinence.
Pessaries come in different sizes, so your doctor or nurse must write a prescription for the size that will fit you. Another type of pessary looks like a tampon and is used once and then thrown away. You can get this type of pessary at a store that also sells feminine hygiene products.
Bulking agents. Your doctor can inject a bulking agent, such as collagen, into tissues around the bladder and urethra to cause them to thicken. This helps keep the bladder opening closed and reduces the amount of urine that can leak out. Surgery for urinary incontinence is not recommended if you plan to get pregnant in the future.
Pregnancy and childbirth can cause leakage to happen again. The two most common types of surgery for urinary incontinence are: 13 Sling procedures. The mid-urethral sling is the most common type of surgery to treat stress incontinence. The sling is either a narrow piece of synthetic man-made mesh or a piece of tissue from your own body that your doctor places under your urethra.
The sling acts like a hammock to support the urethra and hold the bladder in place. Serious complications from the sling procedure include pain, infection, pain during sex, and damage to nearby organs, such as the bladder.
The Food and Drug Administration FDA reports that in 1 out of every 50 patients who have synthetic mesh for urinary incontinence, the mesh moves after surgery and stick outs, into the vagina, causing pain. This surgery also helps hold the bladder in place with stitches on either side of the urethra.
This is often referred to as a Burch procedure. What are some nonsurgical treatments for urge incontinence? If steps you can take at home do not work to improve your urge incontinence, your doctor may suggest one or more of the following treatments: Medicines. Medicines to treat urge incontinence help relax the bladder muscle and increase the amount of urine your bladder can hold.
Common side effects of these medicines include constipation and dry eyes and mouth. Botox helps relax the bladder and increases the amount of urine your bladder can hold.
You may need to get Botox treatments about once every 3 months. Nerve stimulation. This treatment uses mild electric pulses to stimulate nerves in the bladder. The pulses may increase blood flow to the bladder and strengthen the muscles that help control the bladder.
Talk to your doctor about the different types of nerve stimulation. Biofeedback helps you see how your bladder responds on a screen. A therapist puts an electrical patch on the skin over your bladder and urethral muscles.
A wire connected to the patch is linked to a screen. You and your therapist watch the screen to see when these muscles contract so you can learn to control them. If you have severe urge incontinence, your doctor may recommend surgery to help increase the amount of urine your bladder can hold or to remove your bladder. Removing your bladder is a serious surgery and is an option only when no other treatments work and the quality of your life is seriously affected.
How can I prevent urinary incontinence? Reach or stay at a healthy weight. Eat foods with fiber to help prevent constipation. Did we answer your questions about urinary incontinence? Sources Centers for Disease Control and Prevention. National Center for Health Statistics. Vital Health Statistics; 3 Reddy, J. Stewart, W. World Journal of Urology; 20 6 : — American College of Obstetricians and Gynecologists.
Altman, D. Lancet; : — Gleason, J. Caffeine and Urinary Incontinence in Women. International Urogynecology Journal; 24 2 : — Sangsawang, B. International Urogynecology Journal; 24 6 : — Kim, D. Reviews in Urology ; 8 2 : 91— Comparative Effectiveness Review ; National Library of Medicine. Kegel exercises — self-care. Institute of Medicine. Rosinger, A. Daily water intake among U. Food and Drug Administration. Considerations about surgical mesh for SUI. Bavendam, M. Van Drie, M.
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