Urinary incontinence — the loss of bladder control — is a common and often embarrassing problem. The severity ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that's so sudden and strong you don't get to a toilet in time.
Cause-Urinary incontinence isn't a disease, it's a symptom. It can be caused by everyday habits, underlying medical conditions or physical problems. A thorough evaluation by your doctor can help determine what's behind your incontinence.
Temporary urinary incontinence
Certain drinks, foods and medications can act as diuretics — stimulating your bladder and increasing your volume of urine. They include:
· Alcohol
· Caffeine
· Decaffeinated tea and coffee
· Carbonated drinks
· Artificial sweeteners
· Corn syrup
· Foods that are high in spice, sugar or acid, especially citrus fruits
· Heart and blood pressure medications, sedatives, and muscle relaxants
· Large doses of vitamins B or C
Urinary incontinence also may be caused by an easily treatable medical condition, such as:
· Urinary tract infection. Infections can irritate your bladder, causing you to have strong urges to urinate, and sometimes incontinence. Other signs and symptoms of urinary tract infection include a burning sensation when you urinate and foul-smelling urine.
· Constipation. The rectum is located near the bladder and shares many of the same nerves. Hard, compacted stool in your rectum causes these nerves to be overactive and increase urinary frequency.
Persistent urinary incontinence
Urinary incontinence can also be a persistent condition caused by underlying physical problems or changes, including:
· Pregnancy. Hormonal changes and the increased weight of the uterus can lead to stress incontinence.
· Childbirth. Vaginal delivery can weaken muscles needed for bladder control and also damage bladder nerves and supportive tissue, leading to a dropped (prolapsed) pelvic floor. With prolapse, the bladder, uterus, rectum or small intestine can get pushed down from the usual position and protrude into the vagina. Such protrusions can be associated with incontinence.
· Changes with age. Aging of the bladder muscle can decrease the bladder's capacity to store urine.
· Menopause. After menopause women produce less estrogen, a hormone that helps keep the lining of the bladder and urethra healthy. Deterioration of these tissues can aggravate incontinence.
· Hysterectomy. In women, the bladder and uterus are supported by many of the same muscles and ligaments. Any surgery that involves a woman's reproductive system, including removal of the uterus, may damage the supporting pelvic floor muscles, which can lead to incontinence.
· Enlarged prostate. Especially in older men, incontinence often stems from enlargement of the prostate gland, a condition known as benign prostatic hyperplasia.
· Prostate cancer. In men, stress incontinence or urge incontinence can be associated with untreated prostate cancer. But more often, incontinence is a side effect of treatments for prostate cancer.
· Obstruction. A tumor anywhere along your urinary tract can block the normal flow of urine, leading to overflow incontinence. Urinary stones — hard, stone-like masses that form in the bladder — sometimes cause urine leakage.
· Neurological disorders. Multiple sclerosis, Parkinson's disease, stroke, a brain tumor or a spinal injury can interfere with nerve signals involved in bladder control, causing urinary incontinence.
Symptoms-- Some people experience occasional, minor leaks of urine. Others wet their clothes frequently.
Types of urinary incontinence include:
· Stress incontinence. Urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.
· Urge incontinence. You have a sudden, intense urge to urinate followed by an involuntary loss of urine. You may need to urinate often, including throughout the night. Urge incontinence may be caused by a minor condition, such as infection, or a more severe condition such as neurologic disorder or diabetes.
· Overflow incontinence. You experience frequent or constant dribbling of urine due to a bladder that doesn't empty completely.
· Functional incontinence. A physical or mental impairment keeps you from making it to the toilet in time. For example, if you have severe arthritis, you may not be able to unbutton your pants quickly enough.
· Mixed incontinence. You experience more than one type of urinary incontinence.
HOMOEOPATHIC REMEDIES
CAUSTICUM 200-CM—Homoeopathic medicine Causticum is the leading remedy for this condition. There is involuntary passage of urine during coughing , laughing and sneezingIt has not only control of urine but also any associated complaints of arthritis and spondylitis
AMRA GRESIA 30—200—Another excellent remedy for urinary incontinence. Feeling in urethra as if a few drops passed out. Burning and itching in urethra while urinating
EQUISETUM Q- Incontinence day and night. Profuse emission
BENZOIC ACID – 3X—Incontinence with very strong odor of urine
VERBASCUM 30—Constant dribbling of urine
KALI PHOS 6X—Due to nervous debility
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