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Doctor insights on: Incontinence

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Dr. Scott Beard
561 doctors shared insights

Incontinence (Overview)

Incontinence denotes involuntary leaks of body wastes from urethra or anus; that from urethra is urinary incontinence, which may be classified as stress, urge, mixed (stress + urge), total, & overflow urinary incontinence, signifying its timing & specifics; that from anus is fecal incontinence, which may be urge, stress, total, etc. reflecting the features of nerve/muscle impairment...


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What causes incontinence? What contributes/causes incontinence?

What causes incontinence? What contributes/causes incontinence?

Long answer: There are different types of urinary incontinence. The two main types are stress urinary incontince (sui)(involuntary urine loss secondary to sudden / intense increase in abdominal pressure), and urge urinary incontinence (uui) ( loss of urine secondary to an involuntary bladder contraction and associated with the urge to urinate). Sui is cause by weakening of the pelvic floor. Uui hasothercauses. ...Read more

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Dr. Scott Beard
561 doctors shared insights

Incontinence (Overview)

Incontinence denotes involuntary leaks of body wastes from urethra or anus; that from urethra is urinary incontinence, which may be classified as stress, urge, mixed (stress + urge), total, & overflow urinary incontinence, signifying its timing & specifics; that from anus is fecal incontinence, which may be urge, stress, total, etc. reflecting the features of nerve/muscle impairment...


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Incontinence (Tip)

Be sure to have a lot of fiber in diet. It can make stools more formed and decrease incontinence. ...See more

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Living with Bowel Incontinence (Checklist)

Don't be embarrassed to discuss with your healthcare professional.
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Avoid trigger foods and activities.
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Use over the counter bulking agents like fiber.
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Use over the counter antidiarrheals.
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What is incontinence and what is the treatment?

Unexpected pee leak: Treatment depends on what type of urine leakage you have. See a urologist for a work up. ...Read more

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What are the tests for bladder incontinence?

What are the tests for bladder incontinence?

History, exam, labs: History and physical are probably most important. You should also have a urine test. I often check a simple flow test with residual to make sure the patient is emptying. Urodynamics for more complex patients and cysto if i'm planning surgery (look in the bladder). For more: @thepeedoc www.Peedoc.Com. ...Read more

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Incontinence (Tip)

Find the cause? Trauma? Prior anal or rectal surgery? See colorectal surgeon to repair? ...See more

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Living with Urinary Incontinence (Checklist)

Find a good urologist for proper evaluation, diagnosis, and treatment
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Find out the type and cause of your UI and educate yourself
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Manage your intake of fluids: neither too much nor too little
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Watch what you drink: avoid caffeine and alcohol. Stop smoking
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What causes incontinence, is it lifestyle, or biological?

What causes incontinence, is it lifestyle, or biological?

Childbirth can: In many women the problems develop from childbirth but do not appear till years after delivery of multiple or large babies. To know if she has incontinence and what treatments are available, a woman should overcome shyness and tell her gyn provider. A referral to a urogynecologist might be needed also. ...Read more

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What does stress urinary incontinence mean?

What does stress urinary incontinence mean?

Physical stress: The term "stress" incontinence has nothing to do with emotional stress but instead means physical stress in the abdomen which increases bladder pressures and causes sudden episodes of leakage. Typical examples are leak with cough, sneeze, jump, lifting, or even getting up out of a chair. ...Read more

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Incontinence (Tip)

You do not have to live with it! See a specialist; there are a lot of successful solutions now. ...See more

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My mother has developed urinary and fecal incontinence. Has unresolved uti's and suffered a bad bout of constipation recently. Treatable conditions?

My mother has developed urinary and fecal incontinence. Has unresolved uti's and suffered a bad bout of constipation recently. Treatable conditions?

Very likely: That she can get some help for these problems - though realistic expectations are important. She should have a consultation with a urogynecologist. Someone who specializes in complex pelvic floor problems. ...Read more

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Which physician treats bowel incontinence?

Which physician treats bowel incontinence?

Colorectal surgeons: Colorectal surgeons treat bowel incontinence. We have a lot of really good treatments available now, including both surgical and non-surgical options. You no longer have to limit your lifestyle because of this embarrassing condition. ...Read more

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How is incontinence generally treated?

Severity determines: Occasional incontinence of stool with fecal leakage is common, but loss of bowel control particularly without warning may signal a significant infection, inflammatory problem, maldigestive concern, or neurologic disorder. Sometimes, particularly in youths, the condition is behavioral. Often, anal manometry followed by biofeedback can be curative without the need of surgery or medication. ...Read more

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What are the dangers of treating bladder incontinence with botox injections?

What are the dangers of treating bladder incontinence with botox injections?

Retention, UTI: Botox is used to treat severe urge incontinence (overactive bladder). It is injected thru a cystoscope (thin telescope) into the detrusor (bladder) muscle. Botox partially paralyzes spastic bladder muscle, there can be a period of temporary urinary retention or trouble emptying the bladder requiring catheterization, typically for a week. Utis may occur during this period. ...Read more

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What's the best treatment for overflow incontinence?

What's the best treatment for overflow incontinence?

Addressing the : Urine retention. Stopping meds that might be the source, correcting prolapse, looking for obstruction. If none of these exist then biofeedback or interstim are options. ...Read more

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Besides kegel's are there nonsurgical treatments for stress incontinence?

Besides kegel's are there nonsurgical treatments for stress incontinence?

Strong pelvic muscle: Is helpful. Agree with dr. G. Also consider using a pessary. This is a small ring or cup-like device that you put inside your vagina. It's extra support help prevent your pee from leaking out when you cough or sneeze or step down. ...Read more

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How to cure incontinence without mesh?

Use the oldr more: Invasive and less successful surgeries or temporary collagen injections. Lose weight and do pelvic floor therapy. Thin small strips of mesh are the gold standard for stress incontinence and the fda agrees its the pelvic floor meshes that are the problem for reconstructiin. ...Read more

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