Incontinence Treatment, Incontinence Products, Urinary Incontinence, Stress Incontinence
It is estimated that over 12 million Americans have urinary incontinence. It is also estimated that 15 to 30 percent of people over the age of 60 who live at home have incontinence. For millions of Americans, incontinence is not just a medical problem. Women are twice as likely as men to have this condition. In addition, at least half of the 1.5 million Americans who reside in nursing homes are incontinent. Incontinence affects all ages, both sexes, and people of every social and economic level. Incontinence is a symptom that can be caused by a wide variety of conditions. Some of these causes, such as urinary tract or vaginal infections, medicine effects, or constipation, may be temporary. The exact number of people with incontinence is not known, but the total number of people affected may be far greater than current estimates.
Incontinence is not normal at any age and can be treated. Overactive bladder and incontinence are treatable medical conditions that are estimated to affect more than 17 million people in the United States. The symptoms of incontinence and overactive bladder include urinary frequency, urgency, and accidental loss of urine due to a sudden and unstoppable need to urinate. Although women are twice as likely as men to have incontinence, the condition affects both men and women of all ages.
It?s not at all uncommon and no one really wants to talk about it. Seeing the television commercials are a big step, yet talking about it remains something that might be whispered about behind closed doors. Chances are, your medical provider may not even talk about it. Urinary incontinence or loss of bladder control. It?s been my experience that when women are asked, they are often so surprised that an answer does not appear until a few visits later.
Some contributing factors may include: There are various causes, but interestingly enough; studies have been inconsistent in identifying factors that regularly contribute to UI.
1. Get a medical diagnosis. Your doctor can order tests to find out what is causing your bladder leakage. It may be a problem
that can be corrected by surgery. Find out how serious your problem is, the long-term prognosis, and any options that may
exist with respect to having surgery. Also, ask about possible surgical and anesthesia-related risks.
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image of urine drops Unlike temperature regulation, incontinence is a universal human experience everyone thinks they know
the meaning of. In our achievement-based society, becoming toilet trained, along with learning to walk and speak coherently, is
an essential milepost on the way to full personhood. Fetuses and newborns which may not develop these abilities, on the other
hand, are seen as better off not living. Abortion gets slated for fetuses with spina bifida, for example, precisely because of the fears of incontinence, paralysis, and mental retardation.
Over 100 people received the "benefit" from Jack Kevorkian before he was imprisoned; media and supporters explained away
his actions by labeling his victims "terminally ill." In fact two-thirds of Kevorkian's clients -- including Annette Blackman -- were
not terminally ill in any respect, but in the popular consciousness, they may as well have been: disability blurs into terminal
illness simply because, for many people, both share characteristics which make life not worth living.
stress urinary incontinence
Stress incontinence can be treated with special exercises, called Kegel exercises (see the box below). These exercises help
strengthen the muscles that control the bladder. They can be done anywhere, any time. Although designed for women, the
Kegel exercises can also help men. It may take 3 to 6 months to see an improvement.
Some people with urge incontinence can learn to lengthen the time between urges to go to the bathroom. You start by urinating
at set intervals, such as every 30 minutes to 2 hours--whether you feel the need to go or not. Then gradually lengthen the time
between when you urinate--say by 30 minutes--until you're urinating every 3 to 4 hours.
Holding your breath makes it difficult for the muscles to work correctly. You should contract the pelvic floor muscles as you exhale, then continue to breathe normally as you do the exercises. In the beginning, it is best to do the exercises lying down so that there is little stress on the muscles. Bend your knees or elevate your legs on a pillow or stool so you are comfortable and your legs are relaxed.
Ten years ago, in these pages, Cheryl Marie Wade took the movement to task for not talking about incontinence. "If I can't talk
about the need, then I can't talk about the choices, either," she wrote. "And yes, even weak, vulnerable cripples have choices.
But if our shame tells us that our needs lack dignity, that we lack dignity, then the next thing we hear our shame say is that it is
more dignified to die than to live with these basic needs that take away our privacy and seem like such a burden." What she
said then is equally true now. Our shame still keeps us quiet. We have learned all too well from our rehabilitations or from
those around us that what makes us different should be as hidden as possible. Incontinence is made into a "private" problem.
Our silence, however, has left the field open to ethicists, selection advocates and Kevorkians.
The word "dignity" derives from the Latin for "worthy": that which is deserving of social respect. But while it may look like it
belongs to the individual, "dignity" really comes from the shared judgments of other people. For there to be any general
agreement on what dignity means, this must be so. Dignity is in this way just like its opposite, disgrace, which also comes from
Be honest with your private physician. Don't hide your problem from embarrassment and continue using peripads after
menopause. Take note of how long you have been experiencing the problem and let your doctor know this fact. There can be
many different causes of urinary incontinence. The most common type is "stress incontinence." Stress incontinence occurs
when small amounts of urine leak from an increase in intra-abdominal pressure. This is more common in women who have had
multiple pregnancies. This might happen while coughing, laughing, sneezing and exercising. Let your doctor know if your
urinary incontinence occurs during these times. It could be "stress incontinence." You might write down the times it occurs.
Keeping a journal of your symptoms and times they occur is a great resource to refer to while talking to your doctor.
Urinary incontinence can be successfully treated.
Urinary incontinence is the unintentional loss of urine which has become a significant problem among women. Approximately 11
million women are affected by incontinence. According to the Agency for Health Care Policy and Research, one in four ages
30-59 experience incontinence episodes. Many individuals feel this a natural part of aging when in fact - it is not. Often sufferers
can be helped but never discuss the situation with their Doctors because of embarrassment.
When doing Kegels, it's important to make sure you are doing them correctly. To identify the correct muscles, sit on the toilet
and try and stop your urination. You may notice that your attempts at stopping urinary are ineffective...well those are the very
muscles you need to work on. Use this as a bench mark for yourself and re-test yourself weekly.
urinary incontinence treatment
4. Stop drinking fluids after 6 p.m. Those who drink less fluid in the evening may experience less leakage overnight. The same
holds true for the daytime; if you plan to go out, don?t drink as much before leaving the house so you won?t have as great a
need to void or experience fluid leaking while running errands or driving your car. When you plan to get most of your fluid
intake, try to be at home around those times to avoid possible schedule disruptions or unpleasant surprises.
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Like all bodies, my body is both a joy and a pain in the neck. Some things it does well, while with others it's quite incompetent.
My single greatest hassle comes from the fact that my body, since the time of my spinal cord injury, does not regulate its own
temperature. I must be careful about going out in the cold or the heat. My overheated body wakes me up in the middle of the
night; my too-cold body won't let me fall asleep -- so I lose sleep and I bother my roommate.
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Terminally ill people are supported -- even commended -- for killing themselves when they're seen to lose their autonomy or
control of their bodily wastes: in other words, because of their passage into disability. Non-terminally ill people with disabilities
are also supported in dying for the very same reasons. When 34-year-old Annette Blackman died at the hands of Jack
Kevorkian, "Kevorkian's lawyer Geoffrey Fieger identified Blackman for police and said she suffered from multiple sclerosis
causing 'total incontinence.'" The 1997 Detroit News story presented no other rationale for her death -- it didn't need to. To
someone reading this story, the reason would have made perfect sense; for the uninitiated, it would have served as
Like many bodily issues, it's an annoyance I'd love to be rid of -- but temperature regulation doesn't cause me any worry or
distress. My roommate and I simply make a guess at night about setting the heat or opening the window; about how many
blankets I should have. When I tell people about this "problem," they might react with mild interest -- or not. It carries no
emotional charge, either for me or for them. I almost never see it mentioned as a big problem for quadriplegics. It is simply a
puzzle to solve, like what to eat for dinner.
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Ask your doctor what you can do to improve your bladder?s condition. Some foods may be helpful in helping to eliminate excess
fluid or strengthening the bladder walls. Shedding extra pounds will take some of the pressure off your bladder, and you may
need to change the way you exercise to put less stress on this vital organ, and thereby relieve some of the pressure that
causes leaking. Browse websites dedicated to this topic to learn more about how to keep your bladder healthy and which
products are best able to help you do that. Your doctor will be able to provide guidance toward good sources of information and
appropriate medical support. Don?t suffer in silence anymore. Get the help you need to regain your confidence and composure.
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Be sure to talk to your doctor if you have this problem. If you hide your incontinence, you risk getting rashes, sores, and skin
and urinary tract infections. Also, you may find yourself avoiding friends and family because of fear and embarrassment.
Urge incontinence is the sudden strong urge to urinate with inability to make it to the bathroom in time. This can result in
moderate to large accidents. Again the pelvic floor muscles are unable to hold back the flow of urine usually due to weakness.
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About 12 million adults in the United States have urinary incontinence. It's most common in women over 50 years old. But it
can also affect younger people, especially women who have just given birth.
Incontinence can occur for a variety of reasons. Some common ones are pregnancy, childbirth, hormonal changes with
menopause, obesity, chronic constipation, chronic coughing, and bearing down while lifting. If you?ve been living with
incontinence for months or years, know that it can be improved or completely eliminated with treatment.
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It is important to understand how diet can affect the bladder and knowing how certain foods and drinks affect your bladder can
significantly lessen ones incontinent episodes. Many people with incontinence decide to restrict their water intake out of fear
that they may have an accident. While a decrease in fluid intake does lessen the amount of urine in the bladder, it also makes
the urine more concentrated which is irritating to the bladder. Dark yellow urine encourages bacteria growth, which may lead to
infections making bathroom visits more frequent. Never restrict yourself from water - you need it for a healthy bladder.
Kegels must be done several times each day. Fortunately, they can be done anywhere and no one need know what you are
doing. When they are done frequently enough, most women will be able to tell a difference. In addition to the contractions, try
holding the muscle tight for a count of 8-10.
There is help for individuals who do not want surgery or to take medication. As an Occupational Therapist for fourteen years, I
have seen remarkable results treating incontinence. No need to be embarrassed - take action and take back control of your
The right-to-die movement talks about the unbearable agony of the terminally ill, about their suffering and loss of "dignity."
Beneath all the fancy talk, though, lies the simple horror of incontinence. In a 1996 court ruling later overturned by the U.S.
Supreme Court, the U.S. 9th Circuit Court of Appeals ruled for the constitutionality of the right to die, Judge Stephen Reinhardt
terming it "a choice 'central to personal dignity and autonomy.' A competent terminally ill adult, having lived nearly the full
measure of his life, has a strong liberty interest in choosing a dignified and humane death rather than being reduced at the end
of his existence to a childlike state of helplessness, diapered, sedated, incontinent," Reinhardt wrote. "How a person dies not
only determines the nature of the final period of his existence, but in many cases, the enduring memories held by those who
The assumed incompatibility of incontinence with adulthood works through a combination of assent and coercion. In the face of
a powerful medical profession and cultural horror, people "choose" to withdraw treatment from their newborns or abort their
diagnosed fetus, not incidentally saving themselves the trouble of raising a disabled child without social support or of joining
their child as members of an oppressed minority. People who have labored their entire lives to receive the respect and feel the
self-worth reserved for those defined as able "choose" death rather than lose that status. People around them urge them on.
When oppressed and depressed disabled people find willing executioners, they are labeled "terminally ill" recipients of assisted
suicide. The overall message in each instance is that disability is a fate worse than death.
Treatment depends on what's causing the problem and what type of incontinence you have. If your urinary incontinence is
caused by a medical problem, the incontinence will go away when the problem is treated. Kegel exercises and bladder training
help some types of incontinence. Medicine and surgery are other options.
After the urge passes, wait 5 minutes and then go to the bathroom even if you don't feel you need to go. If you don't go, you
might not be able to control your next urge. When it's easy to wait 5 minutes after an urge, begin waiting 10 minutes. Bladder
training may take 3 to 12 weeks.
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How Do the Types of Incontinence Differ? Incontinence is classified by the symptoms or circumstances occurring at the time of the urine leakage.
Surgery. Several operations for incontinence exist. In men, an operation may be required to relieve the blockage caused by an
enlarged prostate. In women, an operation may be required to restore the support of the pelvic floor muscles or to reconstruct
or compress the sphincter. An artificial urinary sphincter is another surgical treatment for people whose sphincter muscle is
absent or has been severely damaged and whose problem has not responded to simpler treatments.
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The second type of exercise is a quick contraction. The muscles are quickly tightened, lifted up and let go. This works the
muscles that quickly shut off the flow of urine (like a faucet) to help prevent accidents. Now you are ready to begin your
exercise program. Remember:
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Urge Incontinence occurs when an overactive bladder contracts without your wanting it to do so. Although healthy people can
have urge incontinence, it is often found in people who have diabetes, stroke, dementia, Parkinson's disease, or multiple
sclerosis. It can also be a warning sign of early bladder cancer. In men, it is often a sign of an enlarged prostate.
This occurs when the need to urinate comes on too fast -- before you can get to a toilet. Your body may only give you a
warning of a few seconds to minutes before you urinate. Urge incontinence is most common in the elderly and may be a sign of
an infection in the kidneys or bladder.
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To put it bluntly -- because this need is as blunt as it gets -- we must have our asses cleaned after we shit and pee. Or we have
others' fingers inserted in our rectums to assist shitting. Or we have tubes of plastic inserted inside us to assist peeing or we
have re-routed anuses and pissers so we do it all into bags attached to our bodies. . . .
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Remember....urinary incontinence can be successfully treated and it is nothing to be embarrassed about. You just need to be
honest with your doctor with your descriptions of the problem so he/she can prescribe an appropriate treatment for you.
Urinary incontinence is not a normal and/or inevitable part of aging. Don't isolate yourself and let yourself become frustrated
and depressed over it. Seek help openly with your private physician, and continue to enjoy time with your shih tzu and continue
those long, soulful walks without the worry of urinary incontinence.
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In 1983, surgery was withheld from the famous New York newborn, Baby Jane Doe, because, as the father said, "We were told
she would have no control over her bladder or rectal functions. And we were told that she probably had brain malfunction." Last
spring, after a British surgeon sacrificed one conjoined twin to save the other, he predicted that life for the survivor "could
range from a very good quality of survival, where she can walk and function normally, to the other extreme of not being able to
walk and being incontinent." Medicine, ethics and prevailing common sense all hold that these inabilities, by themselves, render
lives not worth living.
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Yet the mere prospect of another kind of bodily experience -- one that unlike temperature fluctuation has caused little actual
disruption of my life -- triggers intense anxiety, even terror. It's incontinence. Its occurrence has more than once led to a
personal death wish.
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You can strengthen the muscles that control urine flow by doing pelvic floor muscle exercises called Kegal exercises. Kegal
exercises can be done by women and men. One way is to tighten the pubococcygeal muscle (ask your doctor how to locate this
muscle). Count slowly to three, then relax. Repeat the exericse 10 times for a set, 5 times per day and gradually increase to
sets of 15 to 20 done 5 times per day. Your abdominal muscles should not move if you are doing the exercise correctly.
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Reinhardt, Good, and much of our society believe that incontinence strips people of their dignity. Being self-contained, calm,
and in control, the reasoning goes, is simply incompatible with having your butt wiped by someone else. It is primarily for this
reason that the titles of existing and proposed assisted-suicide laws prominently display the word dignity -- for example,
Oregon's "Death with Dignity Act." To preserve dignity in such a situation, to stay worthy in the eyes of others, demands that
autonomy and control be reclaimed by dying. And since dignity seems to carry courage in tow, escape from a humiliating
circumstance gets characterized as a courageous act of the will. In fact, the only will on display is the social one.
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Committing suicide for these reasons has been seen as a good thing. As the Associated Press reported after the first year,
"Fears that the law would be used as an easy way out by people afraid of financial ruin or extreme pain proved unfounded.
Rather, health officials found that use of the law has so far been driven overwhelmingly by the desire of strong-willed patients
to exercise some control over the way they died." But this isn't true. People committed suicide, not to control how they died, but
to reject how they lived. People whose sense of autonomy depended upon doing things for themselves, most especially their
own personal care, could not, it seems, face life otherwise.
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If we are ever to be really at home in the world and in ourselves, then we must say these things out loud. And we must say
them with real language. So they are understood as the everyday necessity and struggle they are.
image of 'Ragged Edge anthology' cover
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This type of incontinence is a constant dripping of urine. It's caused by an overfilled bladder. You may feel like you can't empty
your bladder all the way and you may strain when urinating. This often occurs in men and can be caused by something blocking
the urinary flow, such as an enlarged prostate gland or tumor. Diabetes or certain medicines may also cause the problem.
No. But changes with age can reduce how much urine your bladder can hold. Aging can make your stream of urine weaker and
can cause you to feel the urge to urinate more often. This doesn't mean you'll have urinary incontinence just because you're
aging. With treatment it can be controlled or cured.
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Many people are too embarrassed to talk about incontinence with their doctors or feel that incontinence is not treatable. These
people may try to control the condition by limiting fluid intake, wearing pads to protect clothing, and avoiding outings where
there may not be restrooms nearby; however, these are not solutions to the condition and may only allow it to become worse.
Urinary incontinence is a major health problem because it can lead to disability and dependency. Incontinence can be caused
by a variety of conditions, such as infection or constipation, and it?s important to talk to a doctor to find the cause and discuss
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Yet it is in the cultural debate over end-of-life decision-making that the fear of incontinence has become especially dangerous.
Unlike prenatal selection, now accepted culturally and institutionally, the "right-to-die" movement is eminently defeatable -- but
we in the disability rights movement, caught between the larger cultural shame and the effort to protect our lives, have tended
to avoid addressing incontinence head-on. This must change if we are to succeed in defeating those who believe "better dead
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If you are faced with this issue, please do see your health care provider for an exam. Left untreated, it generally does not get
better on its own, but can improve with the proper treatment.
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Other possible treatments include: behavioral modification therapy using biofeedback, physical therapy using weighted cones to
help strengthen pelvic floor muscles, bladder training, acupuncture, medications and surgery.
Treatment often takes a multi-pronged approach beginning with an evaluation to discover the exact type of UI that is present
(they have different treatment approaches). Often times, treatment will consists of a few different modalities.
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Assisted-suicide advocates say suicide should be a right not just for people who are terminally ill but for all who "suffer
unacceptably." "Once you've defined something as a 'benefit,' it is impossible to limit that 'benefit' to a small, narrowly defined
group of people," says Not Dead Yet's Stephen Drake. "It's only a matter of time before pro-euthanasia people start claiming
it's unfair to deny this 'benefit' to people who are disabled or ill, but not close to death."
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This type occurs when you have normal urine control but have trouble getting to the bathroom in time. You may not be able to
get to the bathroom because of arthritis or other diseases that make it hard to move around.
You can practice relaxation techniques when you feel the urge to urinate before your time is up. Breathe slowly and deeply.
Think about your breathing until the urge goes away. You can also do Kegel exercises if they help control your urge.
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Stress incontinence may be due to poor bladder support by the pelvic muscles or to a weak or damaged sphincter. This
condition allows urine to leak when you do anything that strains or stresses the abdomen, such as coughing, sneezing, laughing,
or even walking.
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Overflow incontinence occurs when the bladder is allowed to become so full that it simply overflows. This happens when bladder
weakness or a blocked urethra prevents normal emptying. An enlarged prostate can result in such blockage. For this reason,
overflow incontinence is more common in men than in women. Bladder weakness can develop in both men and women, but it
happens most often in people with diabetes, heavy alcohol users, and others with decreased nerve function.
bladder incontinence treatment
Environmental incontinence (sometimes called functional incontinence) occurs when people cannot get to the toilet or get a
bedpan when they need it. The urinary system may work well, but physical or mental disabilities or other circumstances
prevent normal toilet usage.
Urge incontinence results when an overactive bladder contracts without your wanting it to do so. You may feel as if you can't
wait to reach a toilet. A bladder can become overactive because of infection that irritates the bladder lining. The nerves that
normally control the bladder can also be responsible for an overactive bladder. In other cases, the cause may be unclear.
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Medicine helps some types of urinary incontinence. For example, estrogen cream to put in the vagina can be helpful for some
women who have mild stress incontinence. A medicine called oxybutynin (brand name: Ditropan) can be used for urge
incontinence and too-frequent urination.
Medicine. Medicines can be prescribed to relax the bladder or tighten the sphincter muscles. Certain medications taken for other
conditions can affect your bladder control. Review your medication with your health-care professional.
Absorbent products and devices. For people who are currently participating in a treatment program or whose incontinence
cannot be cured, many absorbent products and devices are available to wear. There are also devices, called pessaries, worn
internally by women to support the bladder and improve control.
The first exercise works on the holding ability of the muscles (building a strong dam to hold back the urine). It is done by slowly
tightening, lifting and drawing in the pelvic floor muscles and holding them to a count of five. At first you will probably notice
that the muscles do not want to stay contracted or tightened very long. If you feel the contraction letting go, just retighten the
muscles. In fact, in the beginning, you may be able to hold the contraction for 1 to 2 seconds. Concentrate on lifting the
muscles and holding the contraction while progressing slowly over a period of weeks to a goal of 10-second holds. Rest for 10
seconds between each contraction.
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Start with a set of 10 repetitions of each type of exercise and do them two to three times per day. It is recommended that you
try to do a total of 30 to 80 repetitions per day.
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It is important to exercise only the muscles of your pelvic floor (between your pubic bone and tailbone). Do not tense or
contract the legs, buttocks or your belly as you do these exercises.
Behavioral therapy. Special exercises and training programs are effective in improving bladder control. Exercises to strengthen
the sphincter muscles must be done correctly and faithfully to regain and maintain continence. Bladder retraining (gradually
prolonging the time between visits to the toilet), along with reasonable fluid intake, has helped many people with incontinence.
Several types of health-care providers are able to offer assistance with this treatment.
Many people are being helped every day. No matter how serious the problem, incontinence is a medical condition that can be
treated. Each year, tens of thousands of people find the solution that works best for them. A number of organizations and
associations provide information about diagnosis, treatment, and management of urinary incontinence (see "Continence
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Other options. Certain materials can be injected around the urethra to add bulk to that area. These serve to compress the
urethra and thereby increase resistance to urine flow.
Surgery can be helpful. It is usually done if other things haven't worked or if the incontinence is severe.
. . . If our shame tells us that our needs lack dignity, that we lack dignity, then the next thing we hear our shame say is that it
is more dignified to die than to live with these basic needs that take away our privacy and seem like such a burden.
Kate Cheney, with terminal cancer, got her suicide pills from an Oregon ethicist after telling him that she might want to die if
she could no longer independently manage her colostomy bag or get out of bed. One day, as her daughter helped her into the
shower to clean up a leaking bag, Cheney resolved on the spot to die, but changed her mind. Her family finally facilitated her
death the very day she returned from a depressing stay in a nursing home. It seems obvious to disability rights observers that
her decision had nothing to do with her terminality but with a mortifying loss of independence in the midst of a family fully
supportive only of her death.
Oregon's "Death with Dignity Act" authorizes people with less than six months to live to receive a deadly prescription for
barbiturates. In reports on the law's first three years, physicians listed leading reasons for a patient choosing death as "losing
autonomy" (83 percent), "decreasing ability to participate in activities that make life enjoyable" (78 percent) and "losing control
of bodily functions" (66 percent).
In perhaps the most notorious such statement, Janet Good, founder of the Michigan Hemlock Society and a colleague of Jack
Kevorkian, told the Washington Post, "Pain is not the main reason we want to die. No. It's the indignity. I can speak for literally
hundreds of people at whose bedsides I've sat at over the years. Every client I've talked to . . . they've had enough when they
can't go to the bathroom by themselves. Most of them say, 'I can't stand my mother, my husband wiping my butt.' That's why
everybody in the movement talks about death with dignity. People have their pride. They want to be in control."
These aren't just my feelings, either. They're widely shared by a society that champions them through a range of deadly social
One brave woman opened up an asked this question in a women?s forum: So, let?s talk about urinary incontinence (UI) in women. To begin with, there are several types, but we?ll focus on the two main
Urge urinary incontinence (UUI) is more common with advancing age (this is the kind that when you gotta go, you GOTTA go
NOW!). Many women will have a mixture of both.
Mixed incontinence is a combination of stress and urge incontinence.
Exercise and examination of diet has been clinically proven to reduce if not eliminate urinary incontinence. Many of the foods
and drinks we consume are bladder irritants. Knowing what foods to eliminate and how to strengthen the pelvic floor muscles
are essential to eliminating urinary incontinence.
It isn?t just the elderly who struggle with bladder incontinence. Anyone can develop bladder problems, leading to embarrassing
leaks that can confine many people to their homes in fear of public embarrassment. Children with emotional disorders or
hereditary conditions often struggle with its symptoms. Women who are pregnant or who have had multiple pregnancies
likewise may experience it. Athletes who run frequently and intensively may develop a sensitive bladder. Yet, there are things
you can do to manage this problem and enjoy freedom of movement once again.
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3. Some people may be eligible to take medication to improve bladder control. This works well with younger patients for those
with few additional health problems. Find out if you are eligible to try it by asking your doctor.
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Urinary incontinence is not an inevitable or normal part of aging. Women are more likely to experience urinary incontinence.
The problems that can occur are: Skin breakdown, embarrassment, frustration, depression, and loss of self-esteem. These
secondary problems of urinary incontinence can lead to social isolation, and loss of independence.
Biofeedback therapy may also help. If these conservative therapies do not work, your doctor may prescribe an
alpha-adrenergic agonist such as pseudoephedrine or a tricyclic antidepressant like imipramine might be prescribed.
Whatever the cause of your urinary incontinence problems, if you will keep a journal of your symptoms and times the problems
occur, it will be much more helpful to your doctor in diagnosing your problem and prescribing an appropriate treatment.
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Is There Help for a Person Who Leaks Urine? Yes. Many types of treatment are available for incontinence. A qualified specialist can recommend the treatment that is best for
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There are two types of exercises you need to do. Doing both types of exercises is the best way to help improve your bladder
Your bladder and bowel control can begin to improve in three to four weeks. However, some people take three to six months to
see a major improvement.
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When individuals have two or more types of incontinence, the causes of each must be considered in planning appropriate
medication for urinary incontinence
Nocturnal enuresis is incontinence that occurs during sleep.
Incontinence must be proclaimed as a natural feature of human variability: ubiquitous in childhood, not uncommon through
adulthood, and increasing with age. It is no more worthy of death than menstruation, another uncontrollable flow of bodily
wastes that has been labeled undignified and reason enough to disqualify those whom it affects.
As any baby could show you, the beliefs and practices attached to incontinence are thoroughly cultural. Cultural meanings can
be shifted. Just as feminists declared "the personal is political," we must assert that incontinence is just another human
condition, no more worthy of the death penalty than uncontrolled body temperature. Like feminists, we need to begin attending
to it among ourselves, raising our consciousnesses. Because even if we aren't talking about it, the "death with dignity" forces
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Other causes can be longer-lasting, even permanent. These include such conditions as an overactive bladder muscle, weakness
of the muscles holding the bladder in place, weakness of the sphincter muscles surrounding the urethra, birth defects, an
enlarged prostrate, spinal cord injuries, surgery, or diseases involving the nerves and/or muscles (multiple sclerosis, muscular
dystrophy, polio, and stroke). In some cases, more than one factor causes incontinence in a single individual.
It is a problem that also affects their emotional, psychological, and social well-being. Many people are afraid to participate in
normal daily activities that might take them too far from a toilet. So it is particularly important to note that the great majority of
incontinence causes can be treated successfully.
treatment of stress incontinence
Stress incontinence is when urine leaks because of sudden pressure on your lower stomach muscles, such as when you cough,
laugh, lift something or exercise. Stress incontinence usually occurs when the pelvic muscles are weakened, for example by
childbirth or surgery. Stress incontinence is common in women.
Urinary incontinence means that you can't always control when you urinate. As a result, you wet your clothes. This can be
embarrassing, but it can be treated. There are various types of incontinence. The most common being stress and urge incontinence.
fecal incontinence procedure secca
Kegels become and important part of treatment with SUI since frequently the pelvic floor muscles are weakened. Just like we
need to do strength training for our overall health, we need to do pelvic muscle strength training to support our bodies.
cause incontinence urinary
2. Better yet, you may be able to improve your bladder?s ability to retain fluid by practicing Kegel exercises that strengthen the
bladder walls and pelvic floor. Many people, especially women, report success from practicing these exercises. Even if your
bladder improvement is just temporary, you can do the Kegel exercises again later if the condition should return.
urinary incontinence dog
5. Wear special padding as needed. Incontinence pads and products are available from drugstores, pharmacies, and
supermarkets. Wear a pad anytime that you feel prone to leakage, whether at home or in public.
With the phrase "childlike state of helplessness" and the words "diapered" and "incontinent," Reinhardt gets to say the same
thing three times: incontinence calls out for "a dignified and humane death." If that is not enough, he also warns that
incontinence could blot out a lifetime of human connection and achievement.
Doctors and "loved ones" have also sought to extend the death benefit to people who are not even asking for it. In the
Netherlands, where physician-assisted suicide is now fully legal, involuntary euthanasia is not infrequent and goes unpunished.
Last year a Dutch doctor, convicted of murder for lethally injecting a woman against her wishes, received no punishment. All
the court had to hear was that the woman's condition was "wretched," since she lay comatose in a bed "soaked in urine," in a
room that stank from decubitus ulcers and necrosis. The court found that the doctor, while making an "error of judgment," had
nevertheless acted "honorably and according to his conscience."
Stress incontinence occurs when there is intra-abdominal pressure such as sneezing, coughing, laughing or lifting. The pelvic
floor muscles (which prevent bladder leakage) are not strong enough to hold back the urine with the added pressure resulting
in urine leaking from the bladder. Most times the accidents are small in nature but can become worse over time.
canine urinary incontinence
Stress urinary incontinence (SUI) (that?s the kind that occurs when you sneeze, cough, lift something, etc) is the most common
form, affecting about 50% of those who experience incontinence. It seems to be more common in younger women, though
occurs in older women as well.
Let's talk about kegels. Or rather, incontinence. I know, it's a very delicate subject, and I have frequently been embarrassed,
ashamed, etc. about this little problem. For one thing, I didn't think I'd even face this until into my 80s or so. I'm too young to
have to wear pads every day. I do kegels, when I think about it. I'm probably 10 pounds overweight, most of it in my belly and
thighs. I don't have health insurance, so getting that little 'tie-up surgery? is out. And besides, my little sister had that done and
6 years later, it's no longer effective. Anyone else struggle with this?
definition of incontinence
For women who wish to try self treatment first, do consider doing kegels, and increase your fluid intake. While that sound
counter-intuitive, concentrated urine, along with caffeine are actually bladder irritant and will make the problem worse. Keep a
diary to assess how often this is a problem, what may be some contributing factors, and what you are doing to address the
problem. When you do see your health care provider, take this diary with you.