If you Think Urinary Incontinence only Affects Older Women
If you Think Urinary Incontinence only Affects Older Women
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If you think urinary incontinence only affects older women, consider again. Bladder control issues affect younger, active women, as well -- happen to be you one of them? If you enjoyed this short article and you would such as to get even more info pertaining to TRIM FIT THIN NUDE OLDER WOMEN kindly see the internet site.
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4 Types of Urinary Incontinence
Incontinence a Big Problem for Young Women
Coping With Incontinence: Lifestyle Changes
Incontinence Treatments
Amping Up Your Treatment: Medications and Surgery
Often, it starts after the baby's born: You head to aerobics class, ready to shed those extra pounds, and in the middle of the workout...an accident.
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This embarrassing little problem is urinary incontinence, and plenty of women -- of age -- happen to be secretly dealing with it regardless. The rates of urinary incontinence increase with age: 20%-30% of young women , 30%-40% of middle-aged women, and up to 50% of older females suffer from urinary incontinence. More than 13 million Americans have incontinence, and women are as likely to have it as men twice, regarding the Agency for Medical Research and Quality. About 25% to 45% of women undergo from urinary incontinence, 12 months defined due to loss at just minimum after found in the prior.
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"It's embarrassing, and it can definitely affect your high quality of life - your mental state, body image, sexuality," says Linda Brubaker, MD, MS, professor of female pelvic medicine at Loyal University Chicago Stritch School of Medicine.
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Yet many put up with incontinence needlessly, Brubaker tells WebMD. "People don't realize it's a medical condition, and that there's help. Many women think it's normal, part of having children or going into menopause."
Though incontinence is "more common than you might think," it's not normal says Brubaker, who sees teens, and women in their 20s, 30s, or older with thwill be issue. "You don't have to put up with it. There are simple solutions that work frequently."
4 Types of Urinary Incontinence
When you can't control the release of your urine, you have urinary incontinence. For some the nagging issue can come to be as slight as the exceptional dribble, for others as problematic as wetting your clothes. There are four kinds of these plumbing problems, according to the Mayo Clinic:
Stress incontinence is that little leak that happens when you cough, laugh, sneeze -- any motion that stresses or puts much pressure on the bladder too. Pressure incontinence can result from pregnancy and childbirth, when pelvic muscle twill besue and regions can find extended and destroyed. It can happen from high-impact activities furthermore, as a complete direct result of getting older, or from being overweight.
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Urge incontinence aka "overactive bladder," is a bit different - it's the urgent need to go, followed by an involuntary loss of urine -- with anything from a few seconds to a minute's warning. It will be thought to come to be due to spasms of the bladder muscles. Conditions such as multiple sclerosis, Parkinson's disease, or a urinary tract infection can cause urge incontinence.
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Mixed incontinence means you have more than one type of incontinence, with strain and urge incontinence getting the typical combination."I think most women have both types," adds Brubaker. "I don't believe there's as much distinction between the two types as we might are convinced."
Overflow incontinence. If you can't empty your bladder every time you go to the bathroom and experience a frequent or constant dribbling of urine, you have overflow incontinence.Particular medications will trigger this trouble, and persons with nerve harm from diabetes or men with prostate concerns might as well experience this sort of incontinence. It will be callable to damaged bladder lean muscle contractions or bladder interferences.
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Incontinence a Big Problem for Young Women
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Among teens and young women, incontinence complications happen to be generally linked to sports activities incidents, says Pamela Moalli, MD, a professor of urogynecology at the University of Pittsburgh Magee-Womens Research Institute. "About 20% of college athletes report leakage of urine during sports activities," she tells WebMD.
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"Women in high-impact sports are at highest risk -- parachuters, gymnasts, runners," says Moalli. "In these sports, you're hitting the ground hard, which can damage pelvic muscles and connective tissue that support the bladder."
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Many young women have pre-existing biological reasons putting them at higher risk, says Niall Galloway, MD, FRCS, tutor of overseer and urology of the Emory Continence Centre here at Emory College Institution of Remedies inside Smyrna.
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"It runs in families," he tells WebMD. "Just as bad eyesight works in families, so can weak pelvic muscles. It's not that they've been overdoing it with exercise. It's just that they've reached the tolerance of their own tissues."
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For these girls and women, simply wearing a tampon or pessary -- a device similar to a diaphragm -- during exercise is a good solution, says Galloway. "They just need a little something to support those pelvic tissues, something to put pressure on the urethra."
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Coping With Incontinence: Lifestyle Changes
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But for most women, a little absorbent pad is their first weapon, a lifestyle change their second.
For many women the change may be as simple as drinking less water.
"You can't drink two big bottles of water at one time, because it comes through your system as one big [wave] of fluid," says Brubaker. "If you have a little at a time, it's much easier for the bladder."
"Also, caffeine is a diuretic, so Cokes, coffee, any drink with caffeine make you leak more," Brubaker explains. "You need to cut back."
Perhaps you just need to urinate more frequently - especially before getting onto the tennis court, for example.
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You may also simply learn to brace yourself when you laugh or cough, tightening your pelvic muscles to prevent leaks.
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"Women are smart..." says Brubaker. "They try a bunch of things on their own before they get the gumption to talk to someone about it."
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Incontinence Treatments
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When basic changes aren't enough, several treatments are available. "Start with the most conservative, least-expensive treatment," Galloway tells WebMD. Options include:
Muscle training: For stress incontinence, learning muscle control can help manage leakage. That means regularly practicing pelvic muscle (Kegel) exercises, says Brubaker.
"You learn to feel the muscle that controls the bladder, and build strength in that muscle," says Brubaker. "If you're going to play tennis, and it's your backhand that makes you leak, you gain knowledge of to tighten those muscles at that instant."
There's also a traditional Chinese therapy involving vaginal weights, which Galloway says are very effective.
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"They are a means to strengthen muscles in the pelvis that control urination. The calm places the egg in her vagina, and runs to keep it there without losing it," he says. "As her pelvic muscles strengthen, she uses a heavier weight to increase that strength."
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Bladder training: By lengthening the time between trips to the bathroom, bladder training can help women with urge incontinence.
You start by urinating frequently -- every 30 minutes or so -- and increasing the time gradually until you're going every three to four hours.
Relaxation exercises -- breathing slowly and deeply when the urge strikes -- may also help. The urge passes Once, wait five minutes and go to the bathroom even if you don't feel like you need to anymore. Increase the amount of hang oning period Slowly.
Electrical stimulation: This can be used to strengthen muscles with stress incontinence or calm overactive muscles with urge incontinence.
A small probe inserted in the vagina gives quick doses of electrical stimulation to the vaginal wall, Brubaker explains. "It has the same effect as Kegel exercises... and it works as well as medication but without side effects."
Biofeedback: This involves becoming attuned to your body's functioning, to gain control over muscles to suppress urges.
Biofeedback typically involves wearing sensors to track certain bodily functions such as muscle tension, then understanding how to handle those capabilities. It can be very effective in controlling bladder muscles, says Brubaker.
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Hormone Creams: Estrogen creams are intended to restore the tissue of the vagina and urethra to their normal thickness, says Galloway - but they don't really help incontinence.
"Hormone creams are more effective with vaginal dryness than they will be with resolving incontinence," he tells WebMD. "Some [studies] demonstrate significant improvements using hormone products and others have not shown a benefit."
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Bladder Training With Scheduled Toilet Trips: With this technique the clock dictates your toilet visits, not your bladder. Using this method you take routine, planned bathroom trips, every two to four hrs typically.
Implants: When collagen or other materials are injected into tissues around the urethra, it provides pressure that helps prevent leakage.
"These injectables have significantly lower side effects and complications compared to medications," Brubaker explains. "The injection needs to be repeated every 12 to 18 months. Some insurance covers injectables, depending on the material used."
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Amping Up Your Treatment: Medications and Surgery
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When more conservative measures have failed, drugs - procedure - happen to be the options then, says Galloway.
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Medications: No drug helps with stress incontinence, but a class called anticholinergics does help with urge incontinence.
These drugs include Detrol, Oxytrol, Ditropan, and Sanctura -- all with similar effectiveness and similar side effects, like dried out constipation and mouth area, says Galloway.
Medications like Enablexand Vesicare are more effective in controlling the bladder, but don't cause constipation, he adds.
A transdermal patch called Oxytrol has also been effective, says Galloway, who adds that skin irritation at the patch site does occur in some patients.
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Surgery: There are 300 surgical options to treat incontinence, says Brubaker.
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"The hard part is picking the surgery that has the best chance of working well for that woman long-term," he says. "Surgery can create problems. It can cause difficulty in urinating, worsen an urge incontinence problem, or it may well carry out nothing at all to solve the nagging issue."
A large NIH study is examining the use of a sling -- a medical device that will be surgically inserted into the vagina and positioned underneath the urethra, says Brubaker.
"It helps the urethral sphincter remain closed when abdominal pressure tries to open it. At least, we think that's how it works," he says. "We have only five-year outcomes on one group of these devices.
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