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    Urinary Incontinence
    Urinary Incontinence affects twice as many women as men and 50 per cent of elderly women suffer from it. It may affect younger women too.  Urinary incontinence can be caused by daily habits, underlying medical or physical problems. It may be temporary or persistent.   
Submitted by PatientsEngage on 28 September 2015

Causes of urinary incontinence

It is not a disease, it is a symptom. Urinary incontinence can be caused by daily habits, underlying medical or physical problems. 

Urinary incontinence may be temporary or persistent. 

Temporary urinary incontinence 

Certain drinks, foods and medications can act as diuretics by stimulating your bladder and increasing volume of urine. These include: 

  • Alcohol
  • Caffeine
  • Decaffeinated tea and coffee
  • Carbonated drinks
  • Artificial sweeteners
  • Corn syrup
  • Foods high in sugar, spice, acid (especially citrus foods)
  • Medications used for cardiac and hypertensive patients, sedatives and muscle relaxants
  • Large doses of vitamin-B & C
  • Urinary tract infection: Infections can irritate your bladder, causing you to have a strong urge to urinate.
  • Constipation: The rectum is located close to the bladder and shares many of the same nerves. Hard stool in your rectum causes these nerves to be over-active and increases frequency of urine.

Persistent urinary incontinence 

A persistent problem may be caused by the following: 

  • Pregnancy – The increased weight of the uterus and hormonal changes during pregnancy can cause urinary incontinence.
  • Childbirth – Vaginal delivery can weaken muscles, nerves and supportive tissue leading to incontinence. 
  • Changes with age – Ageing of the bladder muscle decreases the bladder capacity to store urine leading to incontinence.
  • Menopause -  In normal conditions, oestrogen helps to keep the lining of the bladder and urethra healthy. In women after menopause, the drop in oestrogen production may lead to incontinence.
  • Hysterectomy – Surgical removal of the uterus can damage the pelvic floor muscles, which may lead to incontinence.
  • Enlarged prostate – In older men incontinence occurs due to enlargement of prostate gland.
  • Prostate cancer – Urinary incontinence is a side effect of treatments for prostate cancer.
  • Neurological disorders – Multiple sclerosis, Parkinson’s disease, stroke, brain tumour or spinal injury 
  • Diabetes – Excess body weight, nerve damage, impaired immunity and medication associated with diabetes may lead to incontinence.

Are you at risk of developing urinary incontinence?

Factors that increase your risk of developing urinary incontinence include: 

Gender: Women are more likely to have urinary incontinence because of hormonal changes. Men with prostate gland problems are also at increased risk of urinary incontinence.

Age: As you become older, the muscles in your bladder and urethra lose some of their strength.

Overweight: Extra weight increases pressure on your bladder and surrounding muscles and weakens them resulting in leakage of urine when you sneeze or cough.

Other diseases: Neurological disease or diabetes may increase your risk of urinary incontinence

Stories

  • Management of Urinary Incontinence
    Fluid and diet management You have to avoid alcohol, caffeine, acidic foods to regain control of your bladder. Reducing liquid consumption, losing weight, increasing physical activity can reduce the problem. Speak to your doctor about a diet and fluid plan. Physical fitness Doing regular exercises can help to strengthen the muscles that control urination. Tighten the muscles you use to stop urinating and hold for 2 – 5 seconds and then relax for 2 – 5 seconds. Do this exercise at least ten…
  • Prevention of Urinary Incontinence
    You cannot prevent all cases of urinary incontinence, but there are some steps to reduce your risk of episodes. Try to live a healthy lifestyle by maintaining a healthy weight, avoid smoking, do regular exercise, and eat well. Have enough fibre in your diet, in order to prevent constipation.
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    Botox injections can be a great alternative for people with leaky or overactive bladders. Overactive bladder (OAB), is a condition where the nerves send wrong signals to the bladder at the wrong time, leading to a sudden, uncontrollable urge to urinate (urinary incontinence). "Anticholinergics is the main treatment option but their side effects, for example, dry mouth, constipation, and blurring of vision, are some of the reasons why patients stop treatment", said Dr. Colin Teo, head and senior…
  • Urinary Incontinence
    What is urinary incontinence? It is the loss of bladder control that results in leakage of urine or faecal matter involuntarily. It is a common problem: the severity ranges from occasional leaking of urine when you cough or sneeze to a sudden and strong urge to urinate so that you can’t get to the toilet on time. It affects twice as many women as men and 50 per cent of elderly women suffer from it. It may affect younger women too.