Hygiene is such a very personal issue. The stigmatisim of bladder control goes back to when we were a very young age, when we are first trained to control our urges to go to the toilet, so incontinence can make a someone feel that they are losing control. This can affect their sense of dignity and self esteem. Many population find it very hard to accept that they need help from someone else in such an intimate area of their life - even (or sometimes, especially) if the someone is very close to them. It is very difficult to see someone we respect, lose the quality to control of this area of their life. Some families find it terribly embarrassing, and it becomes a taboo subject on both sides. Furthermore the sufferer loses so much reliance in their quality to control their bladder that they cease to want to socialise, thus starting to lose thinking and communal stimulation.
Causes of Incontinence.
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There are many causes of incontinence. It may be "stress incontinence", often noticed by younger women from the age of 25 to 49, maybe after childbirth or while the menopause as the muscles at the neck of the bladder are not strong adequate to hold the urine in when the pressure on the abdomen is increased.
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The other type of urinary incontinence is called the "overactive bladder" and this is when the bladder muscle starts to ageement when it should be stretching to hold more urine also development you go to the loo more frequently. You may have both types!
These are reasons why you may have incontinence.
Obesity puts stress on the pelvic floor muscles.
Smoking whether now, or in the past doubles the likelihood of urinary incontinence.
Drugs, such as muscle relaxants, blood pressure treatments and particularly alpha blockers.
Genes may have a part to play, which explains why this tends to run in families, probably due to a collagen frailness (Obstetrics and Gynecology 2005; 106: 1253-8). But, childbirth is probably the most prominent particular cause of stress incontinence, and why the statistics for incontinence are higher in women than for men. while general delivery the nerves becomes damaged and bruised and are unable to make the pelvic floor fully function after the birth.
A woman who has had a hysterectomy is more likely to form incontinence in middle age than a woman who has not had the operation.
Urinary tract infections. These commonly write back to medication but you must take a sample of urine to the Gp.
Men may also be suffering from prostate gland issue and this must be seen by a Gp and may be resolved by an operation.
Also severe constipation can put pressure on the bladder and lead to both urinary and faecal incontinence.
Practical Advice
In the Uk, if you have leakage at night, a district nurse may be able to dispose a supply of disposable or washable pads for the bed. If you are incontinent, some local authorities in the Uk will collect bed linen from your house, launder it and return it. Urine becomes smelly when it has been exposed to the air for a while. You may become used to the smell and not notice it yourself. Turn wet clothes and bedlinen as soon as you can, and keep them in a bucket with a lid until they can be washed. Open your bedroom window to air it completely every day. Put wet, disposable pads or knickers into a plastic bag, seal it firmly with a rubber band and put it into an covering dustbin as soon as possible. Wear clothes that are easy to carry on when you go to the toilet in a hurry. For example, stockings or 'hold-ups' are easier than tights. Tight skirts, or trousers and belts with a tricky fastenings, can cause delays. possibly your toilet could be made easier for you, especially if you are elderly. 'Grab rails' fixed to the wall, or a free-standing toilet surround, will help you to balance. If you suffer from arthritis, a raised seat to the toilet will help.Do not endanger yourself by rushing to the toilet if you are unsteady. Explore has shown that elderly population who need to rush to the toilet are more likely to fall and fracture a bone than those who do not have a urine problem. Great to have wet underwear than a broken hip. If you are a man, a plastic urine bottle (urinal) by your bed is very helpful. Plastic urinals are also ready for women, but are more awkward to use. Reconsider usng a bedside commode, some are cunningly disguised as chairs. Make sure that you empty and rinse out the urinal or commode as soon as possible. A very few population will wish a catheter. This is a small tube passed into the bladder straight through the urethra. The urine empties down the catheter into a disposable bag that is secured to the ankle and secret under skirts or trousers. There is also an appliance called a convene which is like a condom with a tube at one end, which is favorable for men and similarly to a catheter empties into a leg bag. It also has the benefit of being external an minimises the risk of urinary tract infections.
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