Urinary Incontinence: Tips and Treatments for a better life

Table of Contents

Solving Bladder Control Problems: Causes, Symptoms, and Effective Treatment Options

 I’m not sporting a doctor’s coat or wielding a stethoscope—just a friendly reminder that I’m not your go-to for medical advice! For the ultimate health scoop, chat it up with your doctor, thanks.

What is urinary incontinence?

It is an involuntary and overactive bladder that causes leakage.

Definition of Urinary Incontinence

  • Urinary incontinence happens when you are not able to control your bladder.

  • It is a common condition that can range from minor to severely affecting daily life.

  • Types of UI include stress incontinence, urge incontinence, overflow incontinence, functional incontinence, mixed incontinence, and total incontinence.

Does urinary incontinence only happen to older women?

No!

Urinary incontinence may occur more often in older women, but it can happen to men and women at any age for different reasons. This is why seeking medical advice is crucial if you experience incontinence.

Who is at Risk?

Women and men at any age can have urinary incontinence, but it is known to happen more when you are older.

Demographics and Risk Factors

  • Adults are at higher risk if they have a family history of UI.

  • Women are at higher risk due to childbirth, menopause, and hormonal changes.

  • Adults and older people might be at higher risk due to the weakening of the bladder and pelvic floor muscles.

  • Certain health conditions, such as enlarged prostate, prostate gland problems, and kidney diseases, can increase the risk of UI.

Symptoms and Signs of urinary incontinence

Recognizing the Signs of UI

  • Urine leaks or leakage during coughing, sneezing, or laughing.

  • Frequent urination or feeling of urgency.

  • Inability to hold urine or experiencing accidents.

  • Difficulty in emptying the bladder.

  • Urinary tract infections (UTIs) or recurring UTIs.

  • May cause pain during intercourse

Causes of UI

Temporary and Persistent UI

  • Temporary UI can be caused by certain drinks, foods, and medications that act as diuretics.

  • Persistent UI can be caused by underlying physical problems or changes, such as nerve damage, pelvic organ prolapse, and chronic conditions like diabetes or multiple sclerosis.

  • Menopause due to less estrogen.

  • Prolapsed bladder.

  • Pelvic floor: Weakens.

  • Vulval dryness.

  • Less elasticity in the vagina.

  • Weight gain.

  • Weak bladder.

  • Urinary tract infections.

  • Kidney stones.

  • Too much alcohol.

  • Unhealthy diet.

  • Prostate issues (men).

Diagnosing urinary incontinence

Woman with blue dress sitting with note book and woman wearing white sitting in the foreground,
photo by: pexels gustavo fring

Medical Evaluation and Testing

  • Physical exam and medical history.

  • Urinalysis and imaging tests.

  • Cystoscopy and urodynamic testing.

  • Keeping a bladder diary to track symptoms.

  • Postvoid residual measurement.

  • Pelvic ultrasound.

  • *You may need other exams to get a proper diagnosis.

Treatment Options

Behavioral Therapies

  • Reeducating your bladder and pelvic floor exercises.

  • a dish with healthy and colorful food
    photo by: pexels roman odintsov
  • Lifestyle changes, such as dietary modifications and fluid management.

  • Biofeedback and electrical stimulation.

Medications

  • Medications to help manage UI symptoms, such as anticholinergics and alpha-blockers.

  • Vaginal estrogen cream.

  • Wear a pessary: It’s a prosthetic device that goes into the vagina. A pessary helps stop leakage and supports pelvic organ prolapse (bladder prolapse).

  • A pessary will help temporarily and is sometimes used instead of surgery.

  • Bulking agents: Injecting a gel or a paste near the urinary sphincter helps close the bladder opening and diminish leakage.

Surgical Options

  • Surgery to repair or strengthen the pelvic floor muscles.

  • Surgery to treat underlying conditions, such as prostate gland problems or kidney stones.

Alternative and Complementary Therapies

Lifestyle Changes and Natural Remedies

  • Dietary changes, such as avoiding caffeine and citrus fruits.

  • Exercise and physical therapy to strengthen pelvic floor muscles.

  • Stress management and relaxation techniques.

What is bladder prolapse and cystocele?

Prolapsed bladder: This is also known as cystocele. It’s a pelvic organ prolapse- the bladder can fall and create a bulge near the vagina opening.

It can feel uncomfortable during sexual intercourse, but it should not be painful.

Bladder prolapse may cause urinary incontinence.

What causes bladder prolapse?

  • weak vagina muscles

  • Childbirth

  • Smoking

  • Obesity

  • Genetics

  • Chronic constipation

  • Chronic coughing

How can I self-diagnose a prolapsed bladder or cystocele?

You can’t!

While you may recognize some symptoms of a prolapsed bladder, it’s crucial to understand that self-diagnosis is not sufficient. You must see a doctor for a proper diagnosis and treatment plan.

What kind of doctor should you see for a prolapsed bladder?

A urogynecologist, a specialized doctor who understands the pelvic floor and more, is the best professional to consult for a prolapsed bladder.

Can you push a prolapsed bladder back up?

Yes! Some women push it back up before having sex, and it will come back down. Please go to a doctor if this is happening to you.

What causes bladder prolapse?

  • weak vagina muscles

  • Childbirth

  • Smoking

  • Obesity

  • Genetics

  • Chronic constipation

  • Chronic coughing

How can I self-diagnose a prolapsed bladder or cystocele?

You can’t!

While you may recognize some symptoms of a prolapsed bladder, it’s crucial to understand that self-diagnosis is not sufficient. You must see a doctor for a proper diagnosis and treatment plan.

What kind of doctor should you see for a prolapsed bladder?

A urogynecologist is the best professional to consult for a prolapsed bladder.

Managing urinary incontinence and Preventing Complications

Pelvic exercises

There are many exercises you can do to strengthen your pelvic muscles. Kegels are the most popular, but please read on because combining Kegels with other exercises will yield better results.

How do you find the pelvic muscles?

One effective way to locate your pelvic muscles is during urination. Try stopping the flow of urine by squeezing specific muscles. The muscles you use to stop the flow are your pelvic muscles.

What are Kegels?

Kegel exercises involve controlling the muscles that control your bladder. You can find these muscles by squeezing them when you urinate.

How to do Kegels

Empty your bladder.

You can sit down or stand up to do Kegels.

Squeeze, hold, and tighten your muscles for 5 seconds. Release. Relax for 5 seconds. Repeat ten times. These exercises will help you strengthen your bladder muscles.

How many times a day should you do Kegels?

Start by doing them once a day and then do them twice and combine them with the other exercises.

white room, woman doing a bridge pose
The bridge pose. Photo by: pexels shvetsa

More Pelvic floor strengthing exercises

  • The bridge pose.

  • Leg lifts: lie on the floor, bend your knees, feet flat on the ground, tighten your body (activate bottom and thigh muscles), lift your hip, keep your thigh and bottom activated while you lift one leg, hold for a few seconds, lower that leg and lift the other leg for a few seconds, lower your hips, breathe, relax for a few seconds, and repeat.

  • Squats.

    *Exercises suggested by UT Health San Antonio MD Anderson Cancer Center

Prevention Strategies

  • Practicing good bladder habits, such as urinating when the need is felt.

  • Healthy diet.

  • Pelvic floor exercises and exercises in general.

  • Yearly check-ups with your doctor.

What else can you do to alleviate a prolapsed bladder?

Some people swear by the squatty potty! Do you know what it is?

A squatty potty is a small footstool at the bottom of your toilet. You can place your feet on it and raise your legs so that you are almost in a squatting position.

Squatting posture causes less stress on the pelvic floor and helps with constipation issues while using the toilet.

Marguerite Beaty, Blogger, Photographer & Artist

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