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     All About Incontinence
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  SCREENING & DIAGNOSIS
   
 

The first step in diagnosing urinary incontinence is to see your doctor for a complete medical exam.

 

Your doctor will ask about your symptoms and medical history. How often do you need to urinate? When do you leak urine? Do you have trouble emptying your bladder? Are you experiencing any symptoms in addition to incontinence? Your answers to these questions will help your doctor determine what type of incontinence you have.

 

A complete physical examination, focusing on your abdomen and genitals, also may give clues to your incontinence. Your doctor will look for reasons for your incontinence, such as a urinary tract infection, mass, hernia or compacted stool. If the reason for your incontinence is harder to find, your doctor may want to do some tests.

  Common tests
Common tests for urinary incontinence include:
 
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Bladder diary - Your doctor may go over a bladder diary that he or she has asked you to complete at home over several days. You simply record how much you drink, when you urinate, the amount of urine you produce, whether you had an urge to urinate and the number of incontinence episodes. To measure your urine, your doctor may give you a pan that fits over your toilet rim. The pan has markings like a measuring cup.

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Urinalysis - A sample of your urine is sent to a laboratory, where it's checked for signs of infection, traces of blood or other abnormalities. For the sample to be collected, you're asked to urinate into a container. A urine culture is a lab test that specifically checks for signs of infection in your urine. A urine cytology involves a check of your urine for cancer cells.

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Blood test - Your doctor may have a sample of your blood drawn and sent to a laboratory for analysis. Your blood is checked for various chemicals and substances related to causes of incontinence.

   
 
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