Urge incontinence has an uncontrollable urge to urinate and not being able to hold it. It can happen any time of the day but is especially common in lower urinary tract symptoms (LUTS) such as the overactive bladder. "Urge incontinence" is a catch-all phrase that includes uncontrolled peeing during the day or night, loss of bladder control, or leaking urine with no other cause for these symptoms.
In addition to:
- Urinary tract infections
- Interstitial cystitis
- Triggering factors for urinary frequency such as exercise, childbirth, menopause and neurological disorders like multiple sclerosis and Parkinson's disease.
If you are experiencing ERD, you should drink plenty of water, eat more fruits and vegetables, and avoid caffeine. Medications that reduce urinary tract infections and food to avoid include cranberries (natural), black raspberries, raspberries and blueberries.
When it comes to interstitial cystitis (IC), the following should be avoided: coffee, chocolate, other foods containing caffeine like tea, artificial sweeteners like aspartame (Equal and Diet Coke), alcohol and spicy foods. The list of foods to avoid can become very long and may include certain kinds of fish, such as anchovies. Avoiding foods you know to be triggers for IC is a must if you suffer from this disorder.
In some cases, it is important to eliminate foods containing additives such as monosodium glutamate (MSG), food preservatives, and artificial colouring. These additives can cause an allergic reaction which leads to a neurogenic bladder. Reducing or eliminating these foods from your diet is important if you are experiencing frequent urinary tract infections. The Mayo Clinic states that eating a well-balanced diet with plenty of fibre, complex carbohydrates and fruits and vegetables can reduce your risk for developing UTIs.
Bladder cancer usually has no warning signs or symptoms in its early stages. In advanced stages, cancer will cause abdominal pain, blood in the urine and swelling of the feet or abdomen.
Natural bladder control techniques such as setting a timer, evening and morning voids, muscle relaxation and stress reduction can help you become comfortable with your daily urination schedule. Once you are more familiar with the time of the day when you need to pee, you can then do muscle relaxation exercises the night before to help you hold it in during the daytime. Related articles include bladder muscles, early control stage and bladder emptying.
Stress triggers our supersensitive bladder (SSB) is a syndrome that results in urinary frequency or urgency when under stress or emotional upheaval. Although there is no one cause of stress-related urgency, certain foods, beverages and activities may be triggering factors that overstimulate the nerves that affect the bladder muscles. Some people with stress incontinence may find that restricting certain foods and drinks can help reduce the symptoms that caused the problem.
Frequency is defined as urinating more than eight times per day, nocturia is between three and eight times, and urgency has a strong desire to go now. Many people don't seek medical help for these symptoms because they are embarrassed about being urinated or bothered by having to use the bathroom frequently. With proper treatment, these types of incontinence do not have to cause embarrassment or inconvenience.
If you are experiencing urge incontinence, there are many things you can do to manage it without drug therapy or surgical procedures. First of all, you can take medications to help with the issue. There are prescription medications that can help you store more urine at one time, but if that doesn't work, a non-surgical procedure called sacral nerve stimulation might also help.
Medications: For more severe cases of urge incontinence, doctors may recommend medications such as oxybutynin (Ditropan), desmopressin (DDAVP), solifenacin (Vesicare) or imipramine (Tofranil). These drugs can help control your bladder spasms and urine leakage by increasing bladder capacity by flushing out excess urine. It is important to note that it may take two to three weeks before these medications start working. When these drugs don't work, your doctor may suggest using a different type of drug or adding a second medication.
Sacral nerve stimulation: Sacral nerve stimulation can be an effective treatment for the symptoms of urge incontinence. During this procedure, a small electrical device is surgically implanted into the lower back area and connected to the sacral nerves (control bladder function). The electrical device works by delivering pulses of energy to block or slow down the signals between the bladder and brain when you feel like you need to urinate. The implanted device typically lasts five years, but a battery replacement is necessary every two to three years.
Surgery: Urinary incontinence is usually treated with medication and lifestyle changes first. If these treatments do not work, you may need to have surgery. Different surgical methods treat urodynamic incontinence. Among the most common ones are:
- Eating a well-balanced diet.
- Consuming plenty of fluids.
- Avoiding bladder irritants and exercising will help you feel better overall.
Furthermore, it will also help reduce your urge to urinate frequently.
Stress management: If you are dealing with stress incontinence, you should try to learn ways to cope with it better. Learning relaxation techniques and practising them can help reduce stress and feel more in control. It is also helpful to talk about your concerns with a close friend or a therapist.
Bladder training: You should schedule your bathroom breaks throughout the day. Bladder training involves increasing the amount of time between trips to the bathroom without having an accident. While some people may do this very easily, others will need to work up their bladder capacity over time by wearing absorbent pads or frequently going during scheduled bathroom breaks.
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