What Causes Urinary Incontinence?
The first step in treating incontinece is to determine underlying causes and diagnose the type of incontinence the person is experiencing.
Urge incontinence results from neurological damage, stokes, diabetes or the aftermath of bladder infections or kidney stones. In this circumstance, the individual does not receive a brain signal in time to reach the bathroom before the bladder begins to empty itself. Over flow incontinece occurs when small amounts of urine leak from a bladder that is always full due to such conditions as obstruction, constipation or nerve damage. In men, enlarged prostate is often the cause.Stress incotinence means the involuntary passing of urine during any increase in abdominal pressure, such as coughing sneezing, laughing or lifting heavy objects. It is caused by weakened pelvic muscles. Fucnctional incontinence occurs when a person has normal bladder control, but is unable to get to the toilet on time because of a mobility problem or dementia.Seniors who are experiencing urinary incontinence often feel all alone. But they are not. Though the topic seldom comes up in conversation, incontinence affects more than half of women past the age of menopause, and also affects many senior men.Many family caregivers report that their loved one avoids discussing incontinence. But this is a problem that needs to be addressed promptly. Incontinence causes skin irritation, interferes with sleep, and can lead to depression. As seniors worry about having and "accident," they begin to stick close to home, leading to a debilitating decline in social connectedness, physical activity and intellectual stimulation. Incontinence seldom gets better without treatment.Yet the National Association for Continence estimates that the average senior waits close to seven years to report the problem to the doctor. It is so important to reassure loved ones and encourage them to seek help!Depending on the underlying cause of a person's Incontinence, the doctor may recommend:Lifestyle changes, such as cutting down on eliminating caffeine, alcohol and tobacco products, all of which can irritate the bladder.Bladder training, which builds a patient's ability to hold urine for longer periods.Pelvic muscle exercises to strengthen the bladder muscles and the muscles of the pelvic floor.Medications targeted to treating the type of incontinence the patient is experiencing.Surgery, which is sometimes recommended when other treatments are inefective.Many people with incontinence feel more secure wearing special absorbent, disposable undergarments that are inconspicuous and quite effective at masking the incontinence. These undergarments are sold in drug stores and supermarkets and can enhance the person's peace of mind.Use tact and sensitivity when discussing this issue with your loved one. Try not to overreact if an older family member or friend has an accident around you. Dignity is a fragile thing in all of us. This is one of those occasions in which you need to be particularly thoughtful in you caring.
