Monday 16 September 2019 ,
Monday 16 September 2019 ,
Latest News
  • 175 Bangladeshi workers return home from Saudi Arabia
  • ‘Robber’ Killed in ‘gunfight’ with police in Rajbari
  • India arrests senior Kashmir leader under controversial law
  • UAE-based investors to develop five economic zones in Bangladesh
  • TIB statement on loan rescheduling slanderous: Beximco
26 August, 2019 00:00 00 AM

Build a better bladder

Exercises, lifestyle change, medications, and procedures can alleviate incontinence and give you your life back.
Harvard Health Publishing
Build a better bladder

A leaky bladder or a sudden urge to go to the bathroom is uncomfortable andembarrassing. But you can take steps to alleviate the problem. "Some people tell me they would have sought treatment sooner if they'd known it was this simple," says Dr. Anurag Das, director of the Center for Neurourology and Continence at Harvard-affiliated Beth Israel Deaconess Medical Center.

Lifestyle changes

One of the first lines of defense is pill-free and costs nothing: lifestyle change. For urge incontinence (see "Types of incontinence"), you can try timed voiding (urinating on a schedule) and bladder guarding, which teaches you to cope with triggers that set off the urge to go, such as washing dishes or hearing water. "You squeeze your muscles to hold in urine before a trigger, which sends a message to the brain that this is not the time to go," says Dr. Das. Other lifestyle changes include watching fluid intake; quitting smoking, to reduce coughing and pressure on the bladder; and minimizing bladder irritants such as caffeine, alcohol, and carbonated drinks.

Pelvic floor rehab

The pelvic floor muscles aid control of your bladder and bowels. Strengthening these muscles can be helpful to people with stress incontinence (see "Types of incontinence") as well as those with urge incontinence.

This is done with Kegel exercises, which involve squeezing and releasing the muscles you use to hold in urine. A physical therapist can help you learn how to do the exercises properly. "The majority of people with urge incontinence will improve with rehab. It may not make it 100% better, but even 75% may be acceptable to many people," says Dr. Das.

Medications

When pill-free measures aren't enough to curb incontinence, medications may help. The most commonly prescribed drugs for urge incontinence are anticholinergics, such as oxybutynin (Ditropan). Side effects can include dry mouth and eyes, headache, constipation, and confusion.

Some drugs relieve stress incontinence, such as tricyclics like imipramine (Tofranil) and alpha-adrenergic agonists like pseudoephedrine (Sudafed), which are often found in cold medicines. However, these, too, are limited by side effects, and their effect declines over time.

When an enlarged prostate causes overflow incontinence (see "Types of incontinence"), alpha blockers such as doxazosin (Cardura) may help by relaxing the smooth muscle of the prostate. It may take trial and error to find the best drugs with the fewest side effects.

Procedures

Injections of botulinum toxin (Botox), a muscle relaxant, are used to treat urge incontinence. "The downside is a higher incidence of urine retention and risk of bladder infection. Some patients won't be able to urinate and may need to use a catheter," says Dr. Das. Injections of calcium hydroxylapatite (Coaptite) are used to treat stress incontinence by tightening the urethra.

A procedure called sacral neuromodulation can help people with urge incontinence. A small device called Interstim is implanted in the lower back to stimulate the sacral nerve, improving both bladder and bowel problems.

Surgery sometimes is used for stress incontinence. This involves creating a sling that wraps around a person's urethra. "You don't have to use artificial mesh materials for the sling; you can use the patient's own fascia (muscle lining) if preferred," says Dr. Das. There is no surgery for overflow incontinence if the bladder muscle does not work. However, in cases of blockage from the prostate, prostate surgery may help.

Types of incontinence

Stress incontinence occurs mostly in women, and it's often the result of a weakened or stretched pelvic floor from childbirth. The telltale symptom is leakage with pressure or stress on the bladder, such as when laughing or coughing. Stress incontinence is less common in men unless they've had an injury or had their prostate removed.

Urge incontinence (overactive bladder) is characterized by an inability to get to the bathroom in time. It's caused by overactive contractions of the bladder muscle that may be related to an enlarged prostate in men; changes to the bladder lining or bladder muscle in postmenopausal women; or a chronic neurological condition, such as multiple sclerosis.

Overflow incontinence occurs when there's no room for additional urine because the bladder is not emptying, either because it is blocked or because it isn't working properly because of a neurological disorder or a medication side effect.

Overflow incontinence primarily affects men with enlarged prostates. Symptoms include frequent leakage or a feeling of lower-belly fullness. The condition increases the risk for bladder infections because the urine pools in the bladder for long periods of time.

 

Comments

Most Viewed
Digital Edition
More story
Editor Speaks

Editor Speaks

Communication between organs to organs is vital and this is done by a chemical messenger comprising feedback loops of hormones released by internal organs…
How to keep your legs healthy?

How to keep your legs healthy?

In this fast changing world, you will be hearing quite often your family members especially in their fifties complaining now and then about all kinds…
What are hormones?

What are hormones?

A hormone is a chemical released by one or more cells that affects cells in other parts of the organism. Only a small amount of hormone is required to…
What to know about hormonal imbalances

What to know about hormonal imbalances

Hormonal imbalances occur when there is too much or too little of a hormone in the bloodstream. Because of their essential role in the body, even small…
Adrenal fatigue is the root of many illnesses

Adrenal fatigue is the root of many illnesses

ALEX HOWARD The adrenal glands sit on top of the kidneys and produce a number of hormones such as adrenalin, noradrenalin, cortisol and DHEA. These hormones…
Andropause

Andropause

Andropause, also sometimes called male menopause, is an acquired type of hypogonadism caused by the gradual decline of testosterone levels as a result…
Can gut bacteria affect how we store fat?

Can gut bacteria affect how we store fat?

DARLA LEAL Gut bacteria or microbes live in our digestive tract helping us digest food, prevent infection, and shown to play a role in our physical fitness.…
How old is too old to go to the pediatrician?

How old is too old to go to the pediatrician?

For most parents, getting started with a pediatrician is the easy part. Chances are that even before you gave birth, you had researched doctors certified…
Britain slumps to bottom of cancer survival league tables – and is two decades behind some countries

Britain slumps to bottom of cancer survival league tables – and is two decades behind some countries

 LAURA DONNELLY   Britain is bottom of international league tables for cancer survival – and is lagging two decades behind some countries…
Hypertension: The No. 1 sign you have high blood pressure

Hypertension: The No. 1 sign you have high blood pressure

KORIN MILLER  Hypertension is known as the “silent killer” and it’s not something that you want to mess with. One in three Americans…
Prof. Dr. Afzal performed the first  zero-contrast angioplasty  in Bangladesh

Prof. Dr. Afzal performed the first zero-contrast angioplasty in Bangladesh

Zero-contrast angioplasty was done, for the first time in Bangladesh, on 30 July 2019 in the National Institute of Cardiovascular Diseases (NICVD). Prof.…
Heavy menstrual bleeding: Keyhole hysterectomy technique 'more effective'

Heavy menstrual bleeding: Keyhole hysterectomy technique 'more effective'

A keyhole-surgery technique for treating heavy menstrual bleeding is more effective and just as safe as a non-invasive alternative, a study of more than…
Full chemo doses may improve survival in breast cancer

Full chemo doses may improve survival in breast cancer

Maintaining full doses of chemotherapy, especially early in the treatment course, is important for survival of intermediate or high-risk breast cancer…
Anti-addiction meds can help teen Opioid abusers

Anti-addiction meds can help teen Opioid abusers

The epidemic of opioid addiction and abuse ravaging the United States is also affecting teenagers. Now, research confirms that anti-addiction medications…

Copyright © All right reserved.

Editor : M. Shamsur Rahman

Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Editor : M. Shamsur Rahman
Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Disclaimer & Privacy Policy
....................................................
About Us
....................................................
Contact Us
....................................................
Advertisement
....................................................
Subscription

Powered by : Frog Hosting