Urge incontinence happens when you have a strong need to urinate but can’t reach the toilet in time. This can happen even when your bladder is holding only a small amount of urine. Some women may have no warning before they accidentally leak urine. Other women may leak urine when they drink water or when they hear or touch running water. Overactive bladder is a kind of urge incontinence. But not everyone with overactive bladder leaks urine.
What you should know – The Tranquility Elite is manufactured with the same high quality standards as our best seller Tranquility Premium Overnight Pull Ons. It has all the key features that the Tranquility brand is known for – kufguards, peach mat construction, leg gathers, hook tab closures and latex free. This product is new to the marketplace and is getting great reviews. It has a higher capacity of 44 fluid ounces. That is over 5 cups of fluid. It is a brief with tabs, which gives you the ability to adjust the product as needed, and the higher capacity means less changes during the day or night.
Patient Care. The Agency for Health Care Policy and Research (AHCPR) convened an interdisciplinary, non-Federal panel of physicians, nurses, allied health care professionals, and health care consumers that has identified and published Clinical Practice Guidelines for Urinary Incontinence in Adults. Identification and documentation of urinary incontinence can be improved with more thorough medical history taking, physical examination, and record keeping. Routine tests of lower urinary tract function should be performed for initial identification of incontinence. There are also situations that require further evaluation by qualified specialists.
Urge incontinence is the loss of bladder control that causes involuntary leakage of urine. It starts with a sudden, insuppressible bladder-muscle contraction when the bladder is filling with urine. People with OAB usually have little or no time to recognize the need to urinate. The leakage can be as little as several drops of urine or several ounces. This is perhaps the most disruptive symptom of OAB because it can create a stressful situation. Because you don’t know when leakage is about to occur, you may find yourself in need of fresh clothing at inopportune moments.
One treatment for bedwetting is a moisture alarm. This device includes a water-sensitive pad with a wire connected to a control unit. When moisture is detected, an alarm sounds, waking the child. In some cases, another person may need to be in the room to waken the child if he or she does not do so on his or her own.
According to one study, an estimated 41.25 percent of pregnant women experience an increase in urinary frequency during pregnancy. Of these women, an estimated 68.8 percent report the increase in frequency causes them discomfort or distress.
Appell RA, Sand P, Dmochowski R, Anderson R, Zinner N, Lama D, et al. Prospective randomized controlled trial of extended-release oxybutynin chloride and tolterodine tartrate in the treatment of overactive bladder: results of the OBJECT Study. Mayo Clin Proc. 2001 Apr. 76(4):358-63. [Medline].
The information on Health24 is for educational purposes only, and is not intended as medical advice, diagnosis or treatment. If you are experiencing symptoms or need health advice, please consult a healthcare professional. See additional information.
The exact cause of an overactive bladder is a mystery. However, several factors are known to contribute to the involuntary contraction of the bladder muscle, improper bladder function, and other symptoms associated with an overactive bladder.
Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anticholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.
Gastrointestinal (GI) problems, especially constipation, can make urinary tract health worse and can lead to UI. The opposite is also true: Urinary problems such as UI can make GI problems worse. For example, medications such as antimuscarinics, which health care professionals use to treat UI, have side effects such as constipation.
In cases of overflow incontinence resulting from obstruction, some people respond well to temporary continuous Foley catheter drainage. Their bladder capacity returns to normal, and the strength of their bladder (detrusor) muscle improves. This treatment is more likely to benefit people without neurologic injury. It usually takes at least one week of catheter drainage depending on the degree of bladder muscle injury to see the benefits. If the incontinence has not resolved after four weeks, then the bladder is unlikely to recover using catheter drainage alone.
Poor bladder control can range from the occasional leak when you laugh, cough or exercise to the complete inability to control your bladder, which may cause you to completely wet yourself. Other symptoms you may experience include the constant need to urgently or frequently visit the toilet, associated with ‘accidents’.
One of the highest capacity products is the Tranquility brand. Here are some site links for both the pull on and brief with tab styles. You may need to add a booster pad (link below – the Tranquility TopLiner), which many do, if you plan on not changing during the work day.
A variety of bulking agents, such as collagen and carbon spheres, are available for injection near the urinary sphincter. The doctor injects the bulking agent into tissues around the bladder neck and urethra to make the tissues thicker and close the bladder opening to reduce stress incontinence. After using local anesthesia or sedation, a doctor can inject the material in about half an hour. Over time, the body may slowly eliminate certain bulking agents, so you will need repeat injections. Before you receive an injection, a doctor may perform a skin test to determine whether you could have an allergic reaction to the material. Scientists are testing newer agents, including your own muscle cells, to see if they are effective in treating stress incontinence. Your doctor will discuss which bulking agent may be best for you.
It makes sense that if too much caffeine can make you jittery, it also can make your overactive bladder jumpy. “It is both a diuretic and a bladder irritant,” says Dr. Winkler, meaning it causes your kidneys to make more urine and makes your bladder more sensitive. “I tell patients, ‘If you’re going to have a cup of coffee, expect to have to go to the bathroom.'”
THIS TOOL NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
Bladder symptoms affect women of all ages. However, bladder problems are most prevalent among older women. Women over the age of 60 years are twice as likely as men to experience incontinence; one in three women over the age of 60 years are estimated to have bladder control problems. One reason why women are more affected is the weakening of pelvic floor muscles by pregnancy.
Women who have urgency incontinence can use the same techniques as for stress incontinence, including bladder training, urgency suppression, pelvic floor exercises, and behavioral and lifestyle changes. A woman can also try urgency suppression techniques, medications, Botox injections, and electrical nerve stimulation if necessary.
Individuals who think they have symptoms of OAB may choose to see their primary-care physician or a urologist to be evaluated for this condition. As mentioned earlier, there are other conditions that can mimic overactive bladder syndrome, and these need to be assessed and treated appropriately. Additionally, there are tests that can be done by doctors to determine underlying issues and the severity of this condition.