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| All About Incontinence |
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SIGNS & SYMPTOMS OF URINARY INCONTINENCE |
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Urinary
incontinence is the inability to control the release
of urine from your bladder. The problem has varying
degrees of severity. Some people experience only occasional,
minor leaks or dribbles of urine. Others
wet their clothes frequently. For a few, incontinence
means both urinary and fecal incontinence the
uncontrollable loss of stools.
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Main
types of urinary incontinence |
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Stress
incontinence - This is loss of urine when you
exert pressure stress on your bladder
by coughing, sneezing, laughing, exercising or
lifting something heavy. It has nothing to do
with psychological stress. The problem is especially
noticeable when you let your bladder get too full.
Stress incontinence is the most common type of
incontinence, often affecting women. Physical
changes resulting from pregnancy, childbirth and
menopause can cause stress incontinence. In men,
removal of the prostate gland can lead to this
type of incontinence. |
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Urge
incontinence. This is a sudden, intense urge
to urinate, followed by an involuntary loss of
urine. Your body may give you a warning of only
a few seconds to a minute to reach a toilet. With
urge incontinence, you may also need to urinate
often. The need to urinate may even wake you up
several times a night. Some people with urge incontinence
have a strong desire to urinate when they hear
water running or after they drink only a small
amount of liquid. Simply going from sitting to
standing may even cause you to leak urine. Urge
incontinence may be caused by a urinary tract
infection or by anything that irritates the bladder.
It can also be caused by bowel problems or damage
to the nervous system associated with multiple
sclerosis, Parkinson's disease, Alzheimer's disease,
stroke or injury. In urge incontinence, the bladder
is said to be "overactive" it's
contracting even when your bladder isn't full.
In fact, urge incontinence is sometimes called
overactive bladder or irritable bladder.
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Overflow
incontinence. If you frequently or constantly
dribble urine, you may have overflow incontinence.
This is an inability to empty your bladder, so
it overflows uncontrollably and you leak urine.
With overflow incontinence, you may feel as if
you never completely empty your bladder
or that you need to empty your bladder, but can't.
When you try to urinate, you may produce only
a weak stream of urine. This type of incontinence
is common in people with a damaged bladder or
blocked urethra and in men with prostate gland
problems. Nerve damage from diabetes also can
lead to overflow incontinence. Some medications
can cause or increase overflow incontinence.
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Mixed
incontinence. This means having more than
one type of incontinence, typically stress incontinence
and urge incontinence. Usually one type is more
bothersome than the other is. The cause of the
two forms may or may not be related.
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Functional
incontinence. Many older adults, especially
people in nursing homes, experience incontinence
simply because a physical or mental impairment
keeps them from making it to the toilet in time.
For example, a person with severe arthritis may
not be able to unbutton his or her pants quickly.
Someone with Alzheimer's disease may not think
well enough to plan a timely trip to the bathroom.
This type of incontinence is called functional
incontinence.
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