If your child is showing symptoms of frequent urination with or without any accompanying systems, it is advisable to visit your pediatrician. In most cases, the pediatrician may suggest a urine test or a urinalysis to identify the cause of the frequent urination.
Overflow incontinence may also be caused by your detrusor muscles not fully contracting, which means your bladder doesn’t completely empty when you go to the toilet. As a result, the bladder becomes stretched.
Women should let their health care provider, such as a family practice physician, a nurse, an internist, a gynecologist, urologist, or a urogynecologist—a gynecology doctor who has extra training in bladder problems and pelvic problems in women—know they have UI, even if they feel embarrassed. To diagnose UI, a health care professional will take a medical history and conduct a physical exam. The health care professional may order diagnostic tests, such as a urinalysis.
Absorption -The New Tena Classic Plus diaper with tabs is for moderate to heavy incontinence. It is for both urinary and bowel incontinence. If you have bowel incontinence, you need to have a product designed for that particular need. Also featured is a wetness indicator that will advise when it will be necessary to change the product.
Urinalysis. Urinalysis is testing of a urine sample. The patient collects the urine sample in a special container in a health care professional’s office or a commercial facility for testing and analysis. For the test, a nurse or technician places a strip of chemically treated paper, called a dipstick, into the urine. Patches on the dipstick change color when blood or protein is present in urine. A person does not need anesthesia for this test. The test can show if the woman has a UTI, a kidney problem, or diabetes.
Specific treatment is not always required. If treatment is desired pelvic floor exercises, bladder training, and other behavioral methods are initially recommended. Weight loss in those who are overweight, decreasing caffeine consumption, drinking moderate fluids, can also have benefits. Medications, typically of the anti-muscarinic type, are only recommended if other measures are not effective. They are no more effective than behavioral methods; however, they are associated with side effects, particularly in older people. Some non-invasive electrical stimulation methods appear effective while they are in use. Injections of botulinum toxin into the bladder is another option. Urinary catheters or surgery are generally not recommended. A diary to track problems can help determine whether treatments are working.
The most common types of urinary incontinence in women are stress urinary incontinence and urge urinary incontinence. Women with both problems have mixed urinary incontinence. After menopause, estrogen production decreases and in some women urethral tissue will demonstrate atrophy with the tissue of the urethra becoming weaker and thinner. Stress urinary incontinence is caused by loss of support of the urethra which is usually a consequence of damage to pelvic support structures as a result of childbirth. It is characterized by leaking of small amounts of urine with activities which increase abdominal pressure such as coughing, sneezing and lifting. Additionally, frequent exercise in high-impact activities can cause athletic incontinence to develop. Urge urinary incontinence is caused by uninhibited contractions of the detrusor muscle . It is characterized by leaking of large amounts of urine in association with insufficient warning to get to the bathroom in time.
Jump up ^ Pretlow, Robert A. “The internet can reveal previously unknown causes of medical conditions, such as attraction to diapers as a cause of enuresis and incontinence”. Mednet 2002. Archived from the original on 2006-02-17.
Women who develop urinary incontinence while pregnant are more likely to have it afterward. Women after menopause (whose periods have stopped) may develop urinary incontinence. This may be due to the drop in estrogen (the female sex hormone). Taking estrogen, however, has not been shown to help urinary incontinence.
You can get on track for good urologic health with better eating habits and small changes to your lifestyle. Read our Living Healthy section to find healthy recipes and fitness tips to manage and prevent urologic conditions.
Richard H Sinert, DO Associate Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, Research Director, State University of New York College of Medicine; Consulting Staff, Department of Emergency Medicine, Kings County Hospital Center
Overflow incontinence occurs because the bladder is too full and urine passively leaks or overflows through the urinary sphincter. This can occur if the flow of urine out of the bladder is constricted or blocked (bladder outlet obstruction), if the bladder muscle has no strength (detrusor atony), or if there are neurologic problems. Common causes of bladder outlet obstruction in men include benign prostatic hyperplasia (BPH or nonmalignant enlargement of the prostate gland), bladder (vesical) neck contracture (narrowing of the outlet from the bladder due to scarring or excess muscle tissue), and urethral narrowing (strictures). Bladder outlet obstruction can occur in women with significant pelvic organ prolapse (such as a prolapsed uterus). It may even occur after surgery to correct incontinence (such as the sling or bladder neck suspension procedures); this is called iatrogenic induced overflow incontinence.
Making modifications to your diet is one of the first steps in dealing with the problem of frequent urination. Fortunately, there are many dietary adjustments that you can make, in order to alleviate the problem of going to the washroom every now and then.
The prognosis of a patient with incontinence is excellent with current health care. With improvement in information technology, well-trained medical staff, and advances in modern medical knowledge, patients with incontinence should not experience the morbidity and mortality of the past. Although the ultimate well-being of a patient with urinary incontinence depends on the precipitating condition, urinary incontinence itself is easily treated and prevented by properly trained health care personnel.
Stress incontinence occurs during physical activity; urine leaks out of the body when the abdominal muscles contract, leading to an increase in intra-abdominal pressure (for example, when sneezing, laughing, or even standing up from a seated position). Stress incontinence is most commonly caused when the urethra (the tube from the bladder to the outside of the body) is hypermobile because of problems with the muscles of the pelvis. A less common cause of stress incontinence is a muscle defect in the urethra known as intrinsic sphincter deficiency. The sphincter is a muscle that closes off the urethra and prevents urine from leaving the bladder and passing through the urethra to the outside of the body. If this muscle is damaged or deficient, urine can leak out of the bladder. Obviously, some people may have both.
Lifestyle and dietary modifications can play an important role in the treatment of overactive bladder. These modification include things such as limiting the intake of fluid, caffeinated drinks, carbonated sodas, and alcohol, as they can cause increased urination.
A study published in the British Journal of Urology offers another natural treatment option for OAB: acupuncture! The study’s 20 subjects received acupuncture treatment once per week for a total of 10 weeks. Each treatment session was 30 minutes long and targeted acupuncture points SP6, CV4 (RN4) and KI3. The results of this study were excellent: 77 percent of patients with idiopathic detrusor instability were symptomatically cured. (24, 25) Idiopathic detrusor instability (IDI) plays a role in OAB because it a common cause of lower urinary tract storage symptoms including urgency, frequency and urge incontinence. (26)
The capacity (absorption) varies with the size. The size X-Small and small holds up to twenty fluid ounces (that is 2.5 cups of fluid). Remember the average adult bladder holds sixteen fluid ounces. The size medium and up to 2XL will hold thirty-four fluid ounces (that is over four cups of fluid or over two full bladder losses).
Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.
OAB a physical syndrome that can cause physical discomfort and sleep disruption. It causes sudden, strong urges to urinate, with more frequency than usual. You may need to use the bathroom eight or more times per day and wake up at night to use the bathroom.
Urinary incontinence. Urodynamic study revealing detrusor instability in a 75-year-old man with urge incontinence. Note the presence of multiple uninhibited detrusor contractions (phasic contractions) that is generating 40- to 75-cm H2O pressure during the filling cystometrogram (CMG). He also has small bladder capacity (81 mL), which is indicative of poorly compliant bladder.
Your doctor may recommend that you do these exercises frequently to strengthen the muscles that help control urination. Also known as Kegel exercises, these exercises are especially effective for stress incontinence but may also help urge incontinence.