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Stress incontinence happens when urine leaks during exercise, coughing, sneezing, laughing, lifting heavy objects, or other body movements that put pressure on the bladder. Urge incontinence happens when people can’t hold their urine long enough to get to the toilet in time.
Overflow incontinence happens when small amounts of urine leak from a bladder that is always full. Functional incontinence happens in many older people who have normal bladder control. For the urinary system to do its job, muscles and nerves must work together to hold urine in the bladder and then release it at the right time.
Men who have had diabetes for many years may develop nerve damage that affects their bladder control. Stroke, Parkinson’s disease, and multiple sclerosis all affect the brain and nervous system, so they can also cause bladder emptying problems.
Spinal cord injury may affect bladder emptying by interrupting the nerve signals required for bladder control. Incontinence occurs because of problems with muscles and nerves that help to hold or release urine. During urination, muscles in the wall of the bladder contract; forcing urine out of the bladder and into the urethra.
If coughing, laughing, sneezing, or other movements that put pressure on the bladder cause you to leak urine, you may have stress incontinence. Childbirth and other events can injure the scaffolding that helps support the bladder in women. If you lose urine for no apparent reason after suddenly feeling the need or urge to urinate, you may have urge incontinence. Urge incontinence can mean that your bladder empties during sleep, after drinking a small amount of water, or when you touch water or hear it running (as when washing dishes or hearing someone else taking a shower). Involuntary actions of bladder muscles can occur because of damage to the nerves of the bladder, to the nervous system (spinal cord and brain), or to the muscles themselves.
Overactive bladder occurs when abnormal nerves send signals to the bladder at the wrong time, causing its muscles to squeeze without warning. People with medical problems that interfere with thinking, moving, or communicating may have trouble reaching a toilet. Severe constipation can cause transient incontinence when the impacted stool pushes against the urinary tract and obstructs outflow. Astragalus membranaceous is an herb which has been used in Traditional Chinese Medicine for many centuries. Cranberries and blueberries contain substances that keep bacteria from adhering to the bladder.
To avoid constipation, eat more high fiber foods, including beans, oats, root vegetables (such as potatoes and yams), and psyllium seed.

Eat fewer red meats and more lean meats, cold-water fish, tofu (soy, if no allergy) or beans for protein. Cut down on oxalate-containing foods, such as spinach, rhubarb, beets, nuts, chocolate, black tea, wheat bran, strawberries, and beans. Include foods rich in magnesium and low in calcium, such as barley, bran, corn, rye, oats, soy, brown rice, avocado, banana, and potato, for better muscle support.
Reduce or eliminate trans-fatty acids, found in commercially baked goods such as cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine. Probiotic supplement (containing Lactobacillus acidophilus), 5 - 10 billion CFUs (colony forming units) a day, for maintenance of gastrointestinal and immune health. You may take supplements of Acetyl-L-carnitine, 500 mg daily, for antioxidant and muscle protective activity. For some men, avoiding incontinence is as simple as limiting fluids at certain times of the day or planning regular trips to the bathroom—a therapy called timed voiding or bladder training. One of the reasons for stress incontinence may be weak pelvic muscles, the muscles that hold the bladder in place and hold urine inside. Your browser does not support inline frames or is currently configured not to display inline frames. However, adult women are far more likely than adult men to experience UI because of anatomical differences in the pelvic region and the changes induced by pregnancy and childbirth.
It surrounds the urethra just below the bladder, where it adds fluid to semen before ejaculation.
As the prostate enlarges, it may squeeze the urethra and affect the flow of the urinary stream. Pregnancy and childbirth, menopause, and the structure of the female urinary tract account for this difference. At the same time, sphincter muscles surrounding the urethra relax, letting urine pass out of the body.
Physical changes resulting from pregnancy, childbirth, and menopause often cause stress incontinence. Certain fluids and medications such as diuretics or emotional states such as anxiety can worsen this condition. Voiding up to seven times a day is normal for many women, but women with overactive bladder may find that they must urinate even more frequently.
A person with Alzheimer’s disease, for example, may not think well enough to plan a timely trip to a restroom. Combinations of incontinence and this combination in particular are sometimes referred to as mixed incontinence. Herbs such as Astragalus membranaceous and Equisetum arvense have a beneficial effect on the immune system and promote healthy bladder functioning. This may help prevent infections that can make incontinence worse, while also deodorizing urine. Instead use Omega-3 fatty acids rich foods like cold-water fish such as salmon or halibut.
Your treatment will depend on the type and severity of your problem, your lifestyle, and your preferences, starting with the simpler treatment options. In timed voiding, you keep a chart of urination and leaking to determine the pattern.
A pessary is a stiff ring that a doctor or nurse inserts into the vagina, where it presses against the wall of the vagina and the nearby urethra.
For example, urinary tract infections, vaginal infection or irritation, constipation, and certain medicines can cause bladder control problems that last a short time. This forces urine out of the bladder and into a tube called the urethra that carries urine out of the body.

The lower urinary tract symptoms (LUTS) associated with the development of BPH rarely occur before age 40, but more than half of men in their sixties and up to 90 percent in their seventies and eighties have some LUTS. Others may feel a strong, sudden urge to urinate just before losing a large amount of urine. But both women and men can become incontinent from neurologic injury, birth defects, stroke, multiple sclerosis, and physical problems associated with aging. Incontinence will occur if your bladder muscles suddenly contract or the sphincter muscles are not strong enough to hold back urine. If these structures weaken, your bladder can move downward, pushing slightly out of the bottom of the pelvis toward the vagina. Most women don’t have pure stress or urge incontinence, and many studies show that mixed incontinence is the most common type of urine loss in women.
It can help to maintain tone in the uterus after pregnancy and support bladder functioning in all ages, including the elderly. Equisetum is well known for its beneficial tonic effect on the urinary tract and prostate and can help to maintain the tone of the walls of the bladder and urethra and support healthy bladder functioning.
Many men regain urinary control by changing a few habits and doing exercises to strengthen the muscles that hold urine in the bladder. Bladder training also includes Kegel exercises to strengthen the pelvic muscles, which help hold urine in the bladder. Urine may escape with less pressure than usual if the muscles are damaged, causing a change in the position of the bladder.
This prevents muscles that ordinarily force the urethra shut from squeezing as tightly as they should. Astragalus also helps in the maintenance of normal blood pressure and healthy blood sugar levels. If these behavioral treatments do not work, you may choose to try medicines or a continence device—either an artificial sphincter or a catheter.
Your bladder control may not improve for 3 to 6 weeks, although most people notice an improvement after a few weeks.
When combined with biofeedback and pelvic muscle exercises, these methods may help you control urge and overflow incontinence.
Injections may have to be repeated after a time because your body slowly gets rid of these substances. If you use a pessary, you should watch for possible vaginal and urinary tract infections and see your doctor regularly.
No single treatment works for everyone, but many women can find improvement without surgery.
Conditions such as arthritis often develop with age and account for some of the incontinence of elderly women in nursing homes.
Incontinence occurs if the bladder muscles contract or the muscles surrounding the urethra relax without warning. For some women, the risk of public embarrassment keeps them from enjoying many activities with their family and friends. This position is the easiest for doing Kegel exercises because the muscles then do not need to work against gravity. These drugs can sometimes cause side effects such as dry mouth, eye problems, or urine buildup.
Talk with your doctor about the benefits and side effects of using any of these medicines for a long time.

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