Doctor insights on:
Alcohol And Urinary Incontinence
Depends on the cause and type of incontinence. I recommend further evaluation by urologist, urogynecologist, gynecologist or primary physician. There are many non surgical and surgical options. In addition can consider pelvic physical therapy. Once again, this all depends on type and cause of incontinence and it should be evaluated further.
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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 ...Read more
Depends: Incontinence is a symptom. Finding a "cure" means idenfying the problem and correcting the problem. The problem could be a medication or dietary irritant causing urgency and incontinence associated with it. Or the problem could be a nerve problem related to back surgery. So the cure is really based on what the problem is and identification of the problem is often times the challenging part. ...Read more
Leaking Urine: Incontinence is the leakage of urine. Sometimes one can't tell the difference between sweat, urine, or vaginal discharge. An easy test is to use over the counter AZO that dyes urine orange. Take for 24 hours and evaluate pads. Though vaginal secretions can stain orange, urine will be a more distinct orange color. Consider discussing further with primary doctor, OB/gyn, urogyn. Or urologist ...Read more
Urine leakage: Urinary incontinence (ui) is the unintended loss of urine or urine leakage. The most common types of ui in women are stress (sui) and urge incontinence (uui). Sui is leakage associated w/ physical stress on the bladder, such as cough, sneeze, jump, lifting & causes are weak ligaments and muscles around the bladder opening. Uui occurs with an urge & leakage starts before one is seated on toilet. ...Read more
Begin with kegel exercises to strengthen muscles that close urethra. Some women leak because of poorly supported urethra after having babies, which can be fixed with a urethral sling as an outpatient 10 minute procedure with minimal downtime. Others need medication for over active bladder.
While it's embarrassing don't acquiesce to suffer in silence, ask for help. ...Read more
Kegels: Kegel exercises which contract the muscles used to start and stop the urine stream increase the strength of the pelvic floor muscles which support the bladder. This helps prevent the most common type of incontinence where control is lost with an increase in abdominal pressure (such as with a cough or sneeze) called stress incontinence. ...Read more
Urethral sling: There are several outpatient surgeries that can be done to correct urinary incontinence. The most common is a midurethral sling. There are a variety of techniques and your surgeon likely has one he or she prefers. These can be done through small incisions with minimal recovery. Discuss with your obgyn, urologist or urogynecologist. ...Read more
Stress & incontinenc: The stress in stress incontinence means an increase of pressure like cough sneeze lift or weight causes the leak. Emotional stress increases tone and tends to help close the bladder opening more. Kegels exercises can help increase this tone as well and stop leakage as can biofeedback. ...Read more
No: Stress in terms of urinary incontinence usually refers to sui (stress urinary incontinence) which is when urine involuntarily escapes from the bladder during physical maneuvers which place added mechanical pressure on the bladder. These include coughing, sneezing, laughing, trampoline, jumping, heavy lifting, sports such as running, tennis, golf, aerobics. ...Read more
Involuntary voiding: I.E. Lack of urinary control due to structural, physiological or neurologic causes. Can be continuous leak, total incontinence (i) or intermittent i.e. Only when bladder full, stress urinary I when coughing, sneezing or straining: overflow when full, giggle I when laughing, nocturnal I as in bedwetting.Cause must be identified before treatment with medication, behavior modification or surgery ...Read more
Yes: There are several options, depending on the problem. A cunningham clamp is placed on the penis and only opened when ready to urinate. Certain medications can help. A condom catheter is also effective where one urinates into a bag via a special condom. As a last resort, a urethral catheter or suprapubic catheter may be placed but these have increased complication rates, especially with infection. ...Read more
Depends: All the cities have specialists in urology and urogynecology that can help treat your condition. Is it stress, urge, neurogenic, mixed incontinence. Stress in continence can be treated with bladder training or with surgical therapy. Urge incontinence can also be treated with biofeedback or medications. I would put our san antonio providers up against any in the country or elsewhere in texas. ...Read more
Not a podiatry?: Talk to your family doctor.Get a more detailed answer ›
I have urinary incontinence from last 20 years. Previously it was less common but now days it happening after every 2 days. I have gastric acidity too.?
It is very common: Incontinence is more common as you age. The most likely causes are spasms of the bladder and anatomic mobility. An evaluation by your gyn is important to determine the cause and method of treatment. You do not have to live with it. Treatments include medication, exercises and sometime surgery. ...Read more
Intertrigo (dx'd bad case): Can wearing sanitary napkin 24 hrs day for sporadic urinary incontinence cause intertrigo? I change as needed. Got meds
Risk of any surgery depends on age and other health conditions. Older and more health issues, higher the risk of heart attack, stroke and even death.
With incontinence surgery, specifically, injury to bladder, ureter, bowel and blood vessels. Infection, blood transfusion, though rare. Urine retention, "can't pee".
These are a few, the consent form is a full page, small print. ...Read more
Urinary incontinence refers to the involuntary loss of urine.
There are many forms. It can be a drop or a spurt of urine loss with physical activity, such as cough, jump, lift or even getting up out of chair= stress incontinence.
Getting an urge to urinate and leaking before you get to the toilet is known as urge incontinence, a form of overactive bladder (oab). ...Read more
See a gynecologist: Urinary incontinence is very common and there are many treatments available. The treatment depends on the cause of the leaking. Newer treatment available over the last few years are highly successful. Your gynecologist can do the necessary testing or refer you to someone who can more completely evaluate your symptoms. ...Read more
Many: Some high blood pressure medications (eg hytrin) affect urethral tone and cause incontinence. Diurectics cause the bladder to fill quickly & can aggravate incontinence (but should not be stopped w/o dr's ok). Muscle relaxants can aggravate incontinence. And certain medications such as for myasthenia gravis can affect bladder function. Any drug that worsens constipation can worsen bladder function. ...Read more
Type matters: If you have urge incontinence (leakage with the "gotta-go" feeling), then treatments include bladder training with diet modifications, medications, Botox injections into the bladder wall, or implanted neuromodulating devices. If you have stress incontinence (leakage with cough, lifting, exercise, laughing, etc), then treatments include kegel exercises, vaginal pessaries, or surgery. ...Read more