Bladder Control Remedies - How To Keep Your Bladder Under Control
Loss of urinary bladder control (also known as urinary incontinence) affects about 15 to 30 % of the general geriatric population and approximately 7% children older than 5 years in the US. Various bladder control remedies are available to patients of urinary incontinence. These remedies provide different degrees of relief to affected women and men from this embarrassing and inconvenience causing condition.
The condition causes much inconvenience because loss of bladder control means that the affected person must be alert all the time and remain near a toilet. Even that may not help very much. This is because the urge to urinate becomes so strong that before the person can reach a toilet, the detrusor muscle in his/her bladder contracts and the sphincter in the bladder relaxes. This results in immediate voiding of the bladder and urination.
The symptoms of this condition depend on the cause of the incontinence. The most common symptom is a sudden sensation of the imminence of urination regardless of the amount of urine output that follows or the interval. This sudden sensation is known as precipitancy and is a reliable sign of detrusor overactivity. The amount of urine leaked under the condition depends on many factors. It depends on the accessibility of a toilet, the bladder volume, the patient's mobility, the amount of warning sensed, and whether the patient can exercise some control on the bladder sphincter to close it. Urinary frequency is quite a non-specific symptom. It may be due to detrusor overactivity. It may alternatively be also due to presumptive bladder voiding habits, sensory urgency, overflow incontinence, depression, anxiety, or excessive urine production. The last is almost always due to high fluid intake, hypercalcemia, or diabetes. Urinary frequency may also be due to a poorly compliant, but otherwise stable urinary bladder. A patient's voiding diary and direct observation of voiding helps a doctor to make a decision on the diagnosis of urinary incontinence. Testing methods such as a physical, pelvic, and neurological exam helps a doctor to identify the cause of urinary incontinence. The treatment for urinary incontinence includes many bladder retraining remedies, biofeedback, and precipitancy suppression techniques. The purpose of these actions is to extend the voiding interval. In a patient who is voiding urine every three hours, the bladder retraining remedy envisages two hours of holding the urine in the bladder and voiding thereafter. Precipitancy can be controlled by pelvic muscles tightening exercises to prevent urine leakage. In elderly patients bladder retraining fails, so for them prompt voiding is used as an effective technique. This reduces the incontinence frequency to at least half in institutionalized elderly patients. Besides behavior therapy, pharmacotherapy can also support bladder control remedies. However, medicine administered may have side effects. Bladder control pads or underwear are another control measure.
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