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Doctor insights on: Incontinence

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Dr. Scott Beard
565 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

Dr. Scott Beard
565 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 is Incontinence a risk factor for?

What is Incontinence a risk factor for?

Incontinence can lead to:: Bed sore, Overactive Bladder, Urge incontinence, Stress bladder Incontinence. ...Read more

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Living with Bowel Incontinence (Checklist)

Do not be embarrassed to discuss your issues 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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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; don't consume too much or too little
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Avoid caffeine and alcohol
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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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Dealing with Blood in Urine (Checklist)

Rule out infection as a cause with a urinalysis or culture
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Ask your doctor to review your medications to identify cause
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Rule out kidney stones with your doctor
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If male, schedule a prostate exam
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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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Am I correct in saying that my first line of action to prevent incontinence is not to cut back on fluids, but specifically fluids with caffeine?

Am I correct in saying that my first line of action to prevent incontinence is not to cut back on fluids, but specifically fluids with caffeine?

Yes: Stopping caffiene can hel with urge incontinence so eliminating it may help. If you have stress incontinence though seen a gynecologist for your gynecologist will likely be acquired. ...Read more

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Is there a pill I can take for stress urinary incontinence?

Is there a pill I can take for stress urinary incontinence?

Maybe: There are a number of medications on the market for overactive bladder and urge incontinence. There is no fda approved medication currently for stress urinary incontinence (sui). There are several medications that can be used with variable success. Typically the best treatments for sui are procedure based. ...Read more

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How can I avoid stress incontinence lbl on a long trip?

Kegels: You can decrease your incontinence with regular kegel (pelvic muscle) exercises as well as making sure you regularly empty your bladder. If it is severe, talk to your doctor about a pessary or surgery for treatment of incontinence. ...Read more

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My mom gets stress incontinence, so am I likely to get it later?

Good chance: The number one predictor of stress incontinence (sui) appears to be mom, grandma or sister with the condition. Action you can take to decrease your chances: pelvic muscle exercise, maintain normal weight, and avoid chronic straining, as in constipation. ...Read more

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What is overflow incontinence, and how does it occur and get treated?

It depends on causes: Overflow incontinence generally occurs when the bladder is filled beyond its capacity. This frequently happens when the bladder doesn't empty or empties incompletely. It can be due to obstruction (like the bladder falling or from a prior surgery) or damage to the nerves & muscles which cause the bladder to contract. It is frequently treated with intermittent cauterization but there are other options. ...Read more

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How come I have stress incontinence, but nobody else in the family has it?

Depends: Most cases of stress urinary incontinence (sui) are the result of pelvic relaxation due to vaginal deliveries. For many women, kegel exercises can decrease the symptoms of sui. If your incontinence is affecting your daily activities, you should see a gynecologist or a urologist for diagnostic testing and discussion of treatment options. ...Read more

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I am facing my 2nd surgery for uterine/bladder prolapse. Is there a greater risk for incontinence this time? And can this happen over and over?

I am facing my 2nd surgery for uterine/bladder prolapse. Is there a greater risk for incontinence this time? And can this happen over and over?

Depends: Surgical skill is important, but your underlining condition is a problem. Did you go for 2 nd opinion. What is the success rate of this surgeon with other patients? ...Read more

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What are the risks involved with surgery for rectal prolapse? Incontinence?

What are the risks involved with surgery for rectal prolapse? Incontinence?

Several: see below.: Risks of rectal prolapse surgery depend on approach: surgery through the perineum, or bottom, has few risks, but a higher recurrence rate. Abdominal approach has risks common to abdominal surgery (bleeding, infection, wound problems, adhesions etc) but a lower ecurrence rate. Most people note worsened continence after prolapse repair: most improve, but the degree of improvement varies. ...Read more

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What causes Incontinence?

Depend...: Incontinence can be urge, stress, or mixed, or can be fecal or urinary. Here, let's talk about stress urinary incontinence (SUI) only - resulting from weakened urinary sphincter which is usually related with childbirth, pelvic surgery, aging, etc. In females and with prostate surgery in males. ...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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Could incontinence be cured by itself?

No: It is unlikely the incontinence will go away on its own unless it's caused by an infection or by stress etc. ...Read more

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How is incontinence generally evaluated?

Interview: Then exam, if substantial and no response to initial management (diet and kegels) then urodynamic testing and surgery may be done. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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What are the risk factors for Incontinence?

Dr. James Lin Dr. Lin
1 doctor agreed:

Here are some...: Any factors leading to weaken urethral sphincteric closing ability to overcome a sudden increase in the pressure inside urinary bladder are considered as the risk factors to induce stress urinary incontinence - like childbirth, aging, surgery in or around bladder and urethra, injury to the nerve regulating urinary sphincter, etc. More? To www. HealthTap. Com/dr-Lin with RQPWJC to login. ...Read more

Dr. Jon Ahlstrom
152 Doctors shared insights

Leaking Urine (Definition)

Whenever a person cannot control the Urine and it leaks out ...Read more