What is urinary urgency incontinence?
Urge incontinence is characterised by a sudden need to defecate. In urgency bladder, the urinary spasms when it shouldn't and resulting in pee leakage via the sphincter muscles. Other terms for this ailment include:
- irritable uterus
- Bladder cramps
- spasms bladder
- itchy bladder
- involuntary muscle instability
Although this is a widespread problem that may affect anybody, women and older persons are more likely to get it.
It is essential to keep in mind that urge incontinence is not a sickness. This is a sign of lifestyle, medical, or physical concerns.
Urge incontinence is a component of urine incontinence as a whole. There are several types of urinary incontinence, ranging from little pee loss after coughing or sneezing to an overactive bladder (OAB).
Your doctor can identify your exact form of incontinence and its underlying cause, as well as provide potential treatments.
Why does urge incontinence occur?
In many cases of urge incontinence, a physician is unable to identify the precise reason. Nonetheless, plausible reasons may include:
- bladder infection
- bladder inflammation
- bladder stones
- blockage of the urethral opening
- enlarged prostate
- bladder cancer
- conditions affecting the neurological system, such as multiple sclerosis (MS)
- damage to the neurological system, such as spinal cord trauma or a stroke
When should you consult a physician?
For many, urge incontinence is only an annoyance that does not necessitate a trip to the doctor.
However, if your urge incontinence is severe, you should get treatment immediately. Your symptoms might indicate:
- bladder infection
- bladder inflammation
- a complication
- renal or urinary bladder stones
In addition to urge incontinence, you should watch out for pelvic pain, burning or pain during urinating, and symptoms that last for many days.
In addition, if urge incontinence interferes with your everyday activities, you may choose to contact your doctor to explore treatment choices or other methods of managing your disease.
How is urinary urgency diagnosed?
In order to diagnose incontinence and create a treatment plan, your healthcare practitioner will inquire about your medical history and incontinence history. They will probably do a physical examination, including a pelvic exam, and collect a urine sample.
Your healthcare practitioner may also administer further tests, such as:
- Pelvic floor evaluation. This evaluates your pelvic floor muscle strength.
- Urinalysis. This test looks for indications of infection or other conditions.
- Urine culture. If an infection of the urinary system is suspected, this test can identify the type of bacteria present.
Ultrasound of the urinary bladder This enables your doctor to examine the structure of the bladder and determine how much pee remains in the bladder following urination.
- Cystoscopy. A fiberoptic scope with a miniature camera is put into the urethra and used to inspect the urethra and bladder.
- X-ray studies. Various X-ray examinations enable your physician to identify incontinence:
- Intravenous pyelogram (IVP). A dye is injected into the circulation, and fluoroscopic X-rays of the urinary tract are obtained to track the dye as it passes through the urinary system.
- Kidney, ureter, and bladder (KUB) research. This plain film X-ray examination can be used to diagnose urinary and gastrointestinal disorders.
- CT scan. Computers and spinning X-ray equipment are utilised to provide detailed images of your inside organs.
- Urodynamic research. These examinations are performed to examine the functionality of your bladder and urethra.
- Cystometrogram. This test determines the size of your bladder and the health of your bladder.
- Uroflowmetry. This test assesses the quantity and rate of your urine production.
The stress test. Your healthcare professional will request that you engage in the activities that trigger your incontinence symptoms.
Your healthcare physician may also urge you to record your fluid consumption and urine output in a bladder diary. This information might assist in identifying activity patterns that may affect your treatment approach.
Treatments vary and rely on the patient's specific symptoms and condition. Each individual will have a somewhat unique treatment strategy.
Before proposing more intrusive treatments, your doctor will likely recommend behavioural therapy such as bladder retraining and bladder relaxing exercises. Your physician may also suggest Kegel exercises.
Exist any natural therapies for urge incontinence?
The majority of individuals with urge incontinence may survive without therapy. However, the illness might be quite unpleasant and negatively impact your daily life. You may wish to consider trying one of the several current treatments for urge incontinence.
Some therapies can be administered at home on one's own. Consult your physician if your symptoms worsen or remain unchanged.
Lifestyle changes
Altering your diet can minimise bladder discomfort. You should minimise your use of alcohol, caffeine, spicy, acidic, and artificially sweetened meals.
Try to consume more fibre to prevent constipation, which can cause pressure on the bladder or the desire to urinate.
Additionally, if you are overweight, strive to reduce weight. If you have diabetes mellitus, you will need to maintain an adequate and stable blood glucose level.
If you use cigarettes, you should consider quitting. Coughing may result in stress incontinence in addition to urge incontinence.
You may choose to use an absorbent pad when engaging in activities that raise your risk of incontinence.
Change your lifestyle to be healthy in general.
Kegel exercises
Urinary incontinence is generally initially treated with Kegel exercises. The treatment strengthens the pelvic floor muscles, which are implicated in urinary retention.
Try tightening the pelvic floor for five to ten seconds, followed by the same duration of rest. The contraction of the pelvic floor is identical to the mechanism utilised to halt the flow of urine midway.
Try pausing your pee midstream if you're uncertain if you're doing it correctly. Performing Kegel exercises should mimic the sensation of holding your urine in.
Simply contracting while focussing on the pelvic floor will stimulate the relevant muscles. Repeat this procedure as many times as possible, at least three times every day.
Kegel exercises may be performed at any time and in any location. Pelvic cones, that are heavy discs maintained in the vaginal by contracting the pelvic floor, may be used under medical supervision. As your muscles get more powerful, you lift heavier weights.
An approach for strengthening the pelvic floor is an electric version of Kegel exercises. A doctor will now put a probe into the vaginal or anal openings in order to contract the pelvic floor muscles. This helps to fortify them. However, effectiveness requires several months and multiple treatments.
Bladder retraining
Retraining your bladder helps strengthen the urination-related muscles. One method includes peeing only at specified, predetermined times every day. Even if you have the need to urinate at other times, you cannot urinate.
Initially, you may need to urinate every hour, and then gradually extend the duration between visits until you can spend three to four hours without leaking.
A second method is to delay urinating when the need arises. This increases your urinary retention capacity. To learn how to thoroughly empty the bladder, you may also attempt peeing and then urinating again shortly after.
What medical therapy options exist?
To assist with muscle strength and sphincter function, your doctor may recommend further treatment choices, such as medication or surgery. Here are some further choices:
Botox administration
Botox (botulinum toxin) in minute doses can prevent the bladder muscles from overcontracting. Several shots may be required. This helps to relax the muscles of the urine bladder, but it also poses the danger of urinary retention.
Nerve stimulators
Nerve stimulators are tiny, pacemaker-like devices. The permanent device, implanted beneath the skin of your belly, is connected to the sacral nerve through a lead cable. It transmits light pulses to the nerve to assist with bladder control.
Urinary catheterization
A urinary catheter is an additional at-home alternative for persons with particular forms of incontinence, such as overflow incontinence. Your doctor will instruct you on how to implant the catheter, which will assist you in completely emptying your bladder when you pee.
What are the complications of urge incontinence?
Due to the fact that urge incontinence is often a chronic illness without major consequences, there are little dangers connected with avoiding treatment.
As long as you do not have other symptoms, such as discomfort or burning while peeing, the risk is minimal.
However, urge incontinence that is not addressed may worsen and interfere with everyday activities and relationships.
Additionally, if an infection, bladder stones, or other source of irritation is considered to be the cause of your incontinence, you must consult a doctor. A bladder infection, if present, might spread to the kidneys, circulation, and other organs.
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