MoonDragon's Womens Health Information
(Urge Urinary Incontinence)
For Informational Use Only.
For more detailed information, contact your health care provider
about options that may be available for your specific situation.
Urge Incontinence Description Urge Incontinence Frequent Signs & Symptoms Urge Incontinence Causes Urge Incontinence Risk Factors Urge Incontinence Preventive Measures Urge Incontinence Prognosis - Expected Outcome Urge Incontinence Potential Complications Urge Incontinence Medical Diagnosis Urge Incontinence Conventional Medical Treatment Urge Incontinence Medications Urge Incontinence Activity Recommendations & Restrictions Diet, Nutrition & Lifestyle Recommendations Notify Your Health Care Provider Incontinence Supplies & Supplement Products
URGE INCONTINENCE DESCRIPTION
Urge incontinence is the inability to control the bladder once the urge to urinate occurs resulting in urinary leakage. It may occur alone or sometimes with stress incontinence (involuntary loss of urine on coughing, straining, sneezing, etc.). It is also known as overactive bladder; Detrusor instability, Detrusor hyperreflexia; Irritable bladder; Spasmodic bladder; and Unstable bladder.
More than 13 million people in the United States, male and female, young and old, experience incontinence. It is often temporary, and it always results from an underlying medical condition.
The prevalence of urinary incontinence increases with age and affects women more often than it does men. Women experience incontinence twice as often as men. Pregnancy and childbirth, menopause, and the structure of the female urinary tract account for this difference. But both women and men can become incontinent from neurologic injury, birth defects, strokes, multiple sclerosis, and physical problems associated with aging.
Older women, more often than younger women, experience incontinence. But incontinence is not inevitable with age. Incontinence is treatable and often curable at all ages. If you experience incontinence, you may feel embarrassed. It may help you to remember that loss of bladder control can be treated. You will need to overcome your embarrassment and see your health care provider to learn if you need treatment for an underlying medical condition.
Incontinence in women usually occurs because of problems with muscles that help to hold or release urine. The body stores urine, water and wastes removed by the kidneys, in the bladder, a balloon-like organ. The bladder connects to the urethra, the tube through which urine leaves the body.
Urinary incontinence is not a condition in itself, but rather a symptom of a problem with the lower urinary tract. The body stores urine (water and wastes removed from the kidneys) in the bladder, a balloon-like organ. The bladder connects to the urethra, the tube through which urine leaves the body. During urination, muscles in the wall of the bladder contract, forcing urine out of the bladder and into the urethra. At the same time, sphincter muscles surrounding the urethra relax, letting urine pass out of the body. Incontinence will occur if the bladder muscles suddenly contract or muscles surrounding the urethra suddenly relax.
Urge incontinence is a strong, sudden need to urinate, followed by a bladder contraction, which results in leakage.
COMMON TYPES OF URINARY INCONTINENCE
URINARY STRESS INCONTINENCE: Stress incontinence occurs when coughing, laughing, sneezing, or other movements that put pressure on the bladder result in urine leakage. Pelvic floor muscles support the bladder. If these muscles weaken, the bladder can move downward, pushing slightly out of the bottom of the pelvis. This prevents muscles that ordinarily force the urethra shut from squeezing as tightly as they should. As a result, urine can leak into the urethra during moments of physical stress. Stress incontinence also occurs if the muscles that do the squeezing weaken. Causes of urinary stress incontinence include physical changes resulting from pregnancy, childbirth and menopause. It is the most common form of incontinence in women and is treatable.
MoonDragon's Womens Health Disorders: Stress Incontinence
URINARY URGE INCONTINENCE: People who lose urine for no apparent reason while suddenly feeling the need or urge to urinate suffer from urge incontinence. The most common cause of urge incontinence is inappropriate bladder contractions. Medical professionals describe such a bladder as "unstable," "spastic" or "overactive." Some health care providers may call this condition "reflex incontinence" if it results from overactive nerves controlling the bladder. Urge incontinence can mean that the bladder empties during sleep, after drinking a small amount of water or when a sufferer touches water or hears it running (as when washing dishes or hearing someone else taking a shower). Causes of urinary urge incontinence include involuntary actions of bladder muscles that occur because of damage to the nerves of the bladder, nervous system (spinal cord and brain) or the muscles themselves. Multiple sclerosis, Parkinson's disease, Alzheimer's disease, stroke and injury can harm bladder nerves or muscles. Urge incontinence may be due to prostate problems in men. Difficulty urinating in men may also be due to prostate inflammation. It is often necessary to use a bathroom as frequently as every 2 hours, and bed-wetting is common. With urge incontinence, sometimes a large amount of urine is released. Accidental urination can be triggered by:
FUNCTIONAL INCONTINENCE: This is characterized by an uncontrollable urge to empty the bladder before you can reach the bathroom. It can be caused by stress; changes in environment, such as having to stay in the hospital and not being able to get to the bathroom in time; and mobility restrictions.
- Sudden change in position or activity.
- Hearing or touching running water.
- Drinking a small amount of liquid.
REFLUX INCONTINENCE: Some individuals are not aware when their bladders are full, and this loss of sensation can lead to urine leakage. This is reflex incontinence, and it is most often due to spinal cord injury or other neurological impairment.
TOTAL INCONTINENCE: Total incontinence is the unpredictable loss of urine at all times. It can be caused by neurological dysfunction, abdominal surgery, spinal cord injury, or anatomical defect.
Incontinence is most common in people over 50 years of age, but loss of bladder control can occur at any age, especially in pregnant women. It is wrong to assume that loss of bladder control is an inevitable part of getting older. It is also wrong to assume that nothing can be done about this problem.
THE TYPES OF URINARY INCONTINENCE
Leakage of small amounts of urine during physical movement (coughing, sneezing, exercising).
Leakage of large amounts of urine at unexpected times, including during sleep.
Untimely urination because of physical disability, external obstacles, or problems in thinking or communicating that prevent a person from reaching a toilet.
Unexpected leakage of small amounts of urine because of a full bladder.
Usually the occurrence of stress and urge incontinence together.
Leakage that occurs temporarily because of a condition that will pass (infection, medication).
URGE INCONTINENCE FREQUENT SIGNS & SYMPTOMS
An individual's ability to hold urine and maintain continence depends on the normal function of the lower urinary tract, the kidneys, and the nervous system. The person must have a physical and psychological ability to recognize and appropriately respond to the urge to urinate. The bladder's ability to fill and store urine requires a functional sphincter muscle to control the flow of urine out of the body and a stable bladder wall muscle (detrusor). The process of urination involves two phases:
- Filling & Storage Phase: During the filling and storage phase, the bladder stretches so it can hold the increasing amount of urine. The bladder of an average person can hold 350 mL to 550 mL of urine. Generally, a person feels like they need to urinate when approximately 200 mL of urine fills up in the bladder. The nervous system tells you that you need to urinate, and also allows the bladder to continue to fill.
- Emptying Phase: The emptying phase requires that the detrusor muscle contract, forcing urine out of the bladder. The sphincter muscle must relax at the same time, so that urine can flow out of the body.
Involuntary loss of urine occurs almost immediately after feeling a slight urge to urinate. The volume of lost urine may range from a few drops to complete bladder emptying. Undesired bladder muscle contractions may occur from neurological problems and bladder irritation.
Symptoms of Urge Incontinence include:
- Sudden and urgent need to urinate (urinary urgency).
- Frequent urination, in the daytime and at night.
- Abdominal distension or discomfort.
- Involuntary loss of urine.
URGE INCONTINENCE CAUSES
Urge incontinence is leakage of urine due to bladder muscles that contract inappropriately. Often these contractions occur regardless of the amount of urine that is in the bladder. Urge incontinence may result from neurological injuries (such as spinal cord injury or stroke), neurological diseases (such as multiple sclerosis), infection, bladder cancer, bladder stones, bladder inflammation, or bladder outlet obstruction.
In men, urge incontinence may be due to neurologic disease or bladder changes caused by benign prostatic hypertrophy (BPH) or bladder outlet obstruction from an enlarged prostate.
The majority of cases of urge incontinence are idiopathic, which means a specific cause cannot be identified.
Although urge incontinence may occur in anyone at any age, it is more common in women and the elderly.
BLADDER ABNORMALITIES & NEUROLOGICAL PROBLEMS
Two bladder abnormalities commonly cause urge incontinence. The most common is a neurogenic bladder (overactive type), which is caused by brain or spinal cord injury or disease that interrupts nerve conduction above the sacrum and results in loss of bladder sensation and motor control. There are several neurological diseases and disorders associated with a neurogenic bladder, including the following:
Chronic urinary tract infection, bladder stones, and polyps can irritate the bladder and cause detrusor muscle instability, leading to urge incontinence. Detrusor muscle instability without a known cause is also common. It has been suggested that, in these cases, an unidentified dysfunction in muscle or nerve tissue is responsible.
- Alzheimer's disease
- Diabetes mellitus
- Multiple Sclerosis
- Parkinson's disease
- Ruptured intervertebral disk
- Traumatic brain or upper spinal-cord injury
- Tumors located in the brain or spinal cord
Diuretics increase the amount of urine released from the body. They are commonly used to treat high blood pressure (hypertension) and fluid build-up in the body (edema). Rapid-acting diuretics increase the urgency and frequency of urination in some people, especially the elderly and bedridden. Modifying dosage may alleviate symptoms.
MoonDragon's Womens Health Disorders: Cystitis (Bladder Infection)
MoonDragon's Womens Health Disorders: Interstitial Cystitis (Bladder Wall Inflammation)
MoonDragon's Womens Health Disorders: Urethritis (Urethra Inflammation)
URGE INCONTINENCE RISK FACTORS
Central nervous system disorders (Stroke, Parkinson's).
MoonDragon's Health & Wellness Disorders: Parkinson's Disease
MoonDragon's Health & Wellness Disorders: Stroke
MoonDragon's Womens Health Disorders: Obesity
Surgery that may traumatize the urethra. Injury of the urethra from any cause.
URGE INCONTINENCE PREVENTIVE MEASURES
Eat a normal, well-balanced diet. Exercise regularly to build and maintain muscle strength. Drink plenty of water. Avoid alcoholic beverages, caffeine, soda pop and simple sugars. Do not smoke. Achieve and maintain a healthy weight.
MoonDragon's Womens Health Disorders: Obesity
MoonDragon's Nutrition Information - Diets: Weight Controlled Diet
MoonDragon's Nutrition Information - Diets: Weight Loss Diet
Do not put off emptying the bladder when the urge is evident. Try to empty the bladder every 3 to 4 hours. Early initiation of bladder retraining techniques may be useful in reducing the severity of symptoms.
Kegel exercises are effective in strengthening or retrain pelvic floor muscles and sphincter muscles, which can reduce or cure stress leakage. Learn and practice Kegel Exercises before symptoms of stress incontinence begin.
The purpose of kegel exercises is to recognize, control and develop the muscles of the pelvic floor. These are the ones used to strengthen these muscles so you can control or relax them completely:
- To identify which muscles are involved, alternately start and stop urinating when using the toilet.
- Practice tightening and releasing these muscles while sitting, standing, walking, driving, watching TV or listening to music. For awhile, you may experience some pelvic pain.
- Tighten the muscles a small amount at a time, "like an elevator going up to the 10th floor." Then release very slowly, "one floor at a time."
- Tighten the muscles from front to back, including the anus, as in the previous exercise.
- Practice exercises every morning, afternoon and evening. Start with 5 times each, and gradually work up to 20 to 30 each time.
URGE INCONTINENCE PROGNOSIS - EXPECTED OUTCOME
There are several different forms of treatment available, some still experimental. If the first treatment techniques do not work, get medical advice about alternatives. How well you do depends on your symptoms, an accurate diagnosis, and proper treatment. Many people must try different therapies (some at the same time) to reduce symptoms. Discuss your options for your particular needs with your health care provider.
Instant improvement is unusual. Perseverance and patience are usually required to see improvement. A small number of people need surgery to control their symptoms.
URGE INCONTINENCE POTENTIAL COMPLICATIONS
Skin problems. Urinary tract infections. Social isolation due to concern about embarrassment. Physical complications are rare. Psychosocial problems may arise, particularly if incontinence results from an inability to get to the bathroom when urgency arises.
URGE INCONTINENCE MEDICAL DIAGNOSIS
Any underlying cause for urge incontinence should be identified and treated. A physical examination will include examination of the abdomen and rectum. Women will also have a pelvic exam. Men will also have a genital exam, possibly with a prostate check. In most cases the physical exam reveals nothing abnormal. If there are neurologic causes, other neurologic abnormalities may be found. Tests include the following:
Further tests will be performed to rule out other types of incontinence. These tests may include the "Q-tip test," which measures the change in the angle of the urethra at rest and when straining. An angle change of greater than 30 degrees often indicates significant weakness of the muscles that support the bladder, which is common in stress incontinence.
- Post-void residual (PVR) to measure amount of urine left after urination.
- Urinalysis or urine culture to rule out urinary tract infection.
- Urinary stress test (the patient stands with a full bladder and coughs).
- Pad test (after placement of a pre-weighed sanitary pad, patient exercises, then pad is weighed to determine urine loss).
- Pelvic or abdominal ultrasound.
- X-rays with contrast dye.
- Cystoscopy (inspection of the inside of the bladder)
- Urodynamic studies (measurement of pressure and urine flow).
- EMG (myogram) - rarely needed.
URGE INCONTINENCE CONVENTIONAL MEDICAL TREATMENT
There are several different approaches that may be used in managing and treating urge incontinence. If evidence of infection is found in urine culture, antibiotics will be prescribed. The choice of a specific treatment will depend on the severity of the symptoms and the extent that the symptoms interfere with lifestyle. There are three main approaches to treatment: medication, retraining, and surgery.
Treatment may involve bladder training techniques, medication, surgery, exercises and use of special aids to ease discomfort.
A planned schedule for emptying the bladder is helpful. Prompting by a caregiver will help.
Absorbent pads or diapers may be worn.
Keep a daily diary of fluid intake and urination frequency. This will help assess progress.
Use bedside commodes, urinals, and bedpans if necessary.
A pessary (support device) made of rubber or other material to fit inside the vagina to support the uterus and lower muscular layer of the bladder is helpful for some.
Frequently it is necessary to have urodynamic testing (studies of the actual urine flow), either in the health care provider's office or a special clinic, to evaluate the incontinence and confirm it is stress related and not a combination of stress and urge incontinence.
Learn and practice Kegel Exercises.
Surgery to tighten relaxed or damaged muscles that support the bladder.
Biofeedback behavioral training may be recommended.
Surgery is recommended only after other treatment options have proven unsuccessful.
The goal of any surgery to treat urge incontinence is aimed at increasing the storage ability of the bladder while decreasing the pressure within the bladder. Surgery is reserved for patients who are severely debilitated by their incontinence and who have an unstable bladder (severe inappropriate contraction) and poor ability to store urine.
Augmentation cystoplasty (bladder augmentation) is the most frequently performed surgical procedure for severe urge incontinence of a small, hyperactive, or non-resilient bladder. In this reconstructive surgery, a segment or segments of the bowel (intestine) is or are added to the bladder to increase bladder size and allow the bladder to store more urine. It helps to reduce the muscle-squeezing ability of the bladder (autoaugmentation). Segments from the last part of the small intestine (ileum), the first part of the large intestine (cecum), or the junction between the small and large intestines (ileocecum) can be used to enlarge the bladder. The bladder is opened at the dome and cut on right angles on each side. The bowel segment is joined to the bladder with sutures. People who are unable to perform self-catheterization (i.e., placement of a urinary catheter by the patient) or who have a kidney disorder, bowel disease, or urethral disease are not candidates for bladder augmentation.
In autoaugmentation, the smooth muscle that contracts the bladder to expel urine (detrusor) is cut out of the dome of the bladder, leaving the mucous membrane intact. This results in reduced muscle contraction and improved function in an overactive bladder.
Possible complications include those of any major abdominal surgery, including bowel obstruction, blood clots, infection, and pneumonia. Other postoperative complications include urine leakage, continued incontinence, and kidney problems. There is a risk of developing urinary fistula (abnormal tubelike passages that result in abnormal urine drainage), urinary tract infection, and difficulty urinating.
Long term risks include bladder stones, bladder cancer, and incontinence during and after pregnancy. Augmentation cystoplasty is also linked to a slightly increased risk of developing tumors.
SACRAL NERVE STIMULATION
InterStim therapy is a reversible treatment for people with urge incontinence caused by overactive bladder who do not respond to behavioral treatments or medication. InterStim is an implanted neurostimulation system that sends mild electrical pulses to the sacral nerve, the nerve near the tailbone that influences bladder control muscles. Stimulation of this nerve may relieve the symptoms related to urge incontinence. Prior to implantation, the effectiveness of the therapy is tested on a outpatient basis with an external InterStim device. For a period of 3 to 5 days, the patient records voiding patterns that occur with stimulation. The record is compared to recorded voiding patterns without stimulation. The comparison demonstrates whether the device effectively reduces symptoms. If the test is successful, the patient may choose to have the device implanted. The procedure requires general anesthesia. A lead (a special wire with electrical contacts) is placed near the sacral nerve and is passed under the skin to a neurostimulator, which is about the size of a stopwatch. The neurostimulator is placed under the skin in the upper buttock. Adjustments can be made at the health care provider's office with a programming device that sends a radio signal through the skin to the neurostimulator. Another programming device is given to the patient to further adjust the level of stimulation, if necessary. The system can be turned off at any time. Possible adverse effects include the following:
You will need to find a urologist in your area who is familiar with this procedure.
- Change in bowel function.
- Lead movement.
- Pain at implant sites.
- Unpleasant stimulation or sensation.
Management of urge incontinence usually begins with a program of bladder retraining. Occasionally, electrical stimulation and biofeedback therapy may be used in conjunction with bladder retraining. A program of bladder retraining involves becoming aware of patterns of incontinence episodes and relearning skills necessary for storage and proper emptying of the bladder. Bladder retraining consists of developing a schedule of times when you should try to urinate, while trying to consciously delay urination between these times. One method is to force yourself to wait 1 to 1.5 hours between urinations, despite any leakage or urge to urinate in between these times. As you become skilled at waiting, gradually increase the time intervals by 1/2 hour until you are urinating every 3 to 4 hours.
BIOFEEDBACK AND ELECTRICAL STIMULATION
For people who are unsure if they are performing Kegel exercises correctly, biofeedback and electrical stimulation may be used to help identify the correct muscle group to work. Biofeedback is a method of positive reinforcement in which electrodes are placed on the abdomen and the anal area. Some therapists place a sensor in the vagina (for women) or the anus (for men) to assess contraction of the pelvic floor muscles. A monitor will display a graph showing which muscles are contracting and which are at rest. The therapist can help identify the correct muscles for performing Kegel exercises. About 75 percent of people who use biofeedback to enhance performance of Kegel exercises report symptom improvement, with 15 percent considered cured. Electrical stimulation involves using low-voltage electric current to stimulate the correct group of muscles. The current may be delivered using an anal or vaginal probe. The electrical stimulation therapy may be performed in the clinic or at home. Treatment sessions usually last 20 minutes and may be performed every 1 to 4 days. Another form of electrical stimulation called sacral neuromodulation involves the placement of a "bladder pacemaker," which stimulates the bladder nerves. This device may provide excellent relief of symptoms for those who do not respond to other therapies.
An experimental therapy involves injecting botulinum toxin (Botox) into the bladder muscle to help stop the involuntary contracts that lead to urge incontinence. Early study results suggest this is a promising treatment option for those who do not respond to other therapies.
Urinary incontinence is a chronic (long-term) problem. Although you may be considered cured by various treatments, you should continue to see your provider to evaluate the progress of your symptoms and monitor for possible complications of treatment.
Additional Urge Incontinence Information is available from:
National Association For Continence (NAFC)
P.O. Box 1019
Charleston, SC 29402-1019
Toll Free Phone: 1-800-BLADDER
The Simon Foundation for Continence
Post Office Box 815
Wilmette, Illinois 60091 USA
Toll Free Phone: 1-800-23-SIMON (237-4666)
Chicago HQ Office Phone: 847-864-3913
Chicago HQ Office Fax: 847-864-9758
URGE INCONTINENCE MEDICATIONS
Medications used to treat urge incontinence are aimed at relaxing the involuntary contraction of the bladder and improving bladder function. There are several types of medications that may be used alone or in combination:
- Anticholinergic agents (oxybutynin, tolterodine, enablex, sanctura, vesicare, oxytrol).
- Antispasmodic medications (flavoxate).
- Tricyclic antidepressants (imipramine, doxepin).
- Oxybutynin (Ditropan) and tolterodine (Detrol) are medications to relax the smooth muscle of the bladder. These are the most commonly used medications for urge incontinence and are available in a once-a-day formulation that makes dosing easy and effective.
An antispasmodic drug is flavoxate (Urispas). However, studies have shown inconsistent benefit in controlling symptoms of urge incontinence.
Tricyclic antidepressants have also been used to treat urge incontinence because of their ability to inhibit or "paralyze" the bladder smooth muscle. Possible side effects include fatigue, dry mouth, dizziness, blurred vision, nausea, and insomnia.
Anticholinergic drugs to stimulate muscle contractions may be prescribed. The most common side effects of anticholinergic medicines are dry mouth and constipation. The medications cannot be used by patients with narrow angle glaucoma.
Anticholinergic and alpha-1-adrenergic blocking agents have proven to be effective in some patients with urge incontinence. Anticholinergic agents relax smooth muscle tissue and have an antispasmodic effect on overactive bladder.
Propantheline bromide (Pro-Banthine) is prescribed to stop bladder muscle contractions (overactive bladder). Typical dosage is 7.5 to 30 mg taken without food three to five times per day.
Oxybutynin chloride (DitropanXL) relaxes bladder smooth muscle. It is prescribed to treat urge incontinence caused by overactive bladder.
The oxybutynin transdermal system (Oxytrol) is a thin, flexible, clear patch that is applied to the skin of the abdomen or hip, twice weekly, to treat overactive bladder. This treatment delivers oxybutynin continuously through the skin into the bloodstream and relieves symptoms for up to 4 days.
Patients who have urinary or gastric retention, uncontrolled narrow-angle glaucoma, and those with hypersensitivity to oxybutynin should not use the oxybutynin transdermal system.
Hyoscyamine sulfate (Levbid, Cytospaz) is an antispasmodic prescribed for urge incontinence caused by overactive or neurogenic bladder. Typical dosage is one or two 0.375 mg tablets taken every 12 hours. This drug should not be taken by patients with obstructive urinary tract disorders (e.g., enlarged prostate), glaucoma (i.e., eye disease characterized by increased intraocular pressure), or severe inflammation of the large intestine (ulcerative colitis).
Tricyclic antidepressants (TCAs) have anticholinergic effects that reduce nighttime incontinence and help manage urge incontinence. TCAs include doxepin hydrochloride (Sinequan), desipramine hydrochloride (Norpramin), nortryptyline hydrochloride (Pamelor), and imipramine pamoate (Tofranil-PM). The usual dose of Tofranil is 10 to 25 mg taken one to three times per day for a total of 25 to 75 mg daily.
Side effects associated with anticholinergics include the following:
ALPHA-1-ADRENERGIC BLOCKING AGENTS
- Dry mouth
- Rapid heart rate (tachycardia)
- Urinary retention
- Visual blurring
These agents are used to treat benign prostatic hyperplasia (BPH), which compresses the male urethra and obstructs urine flow resulting in overflow and urge incontinence. Alpha blockers relax striated and smooth muscle, decreasing urethral resistance and relieving symptoms. Three drugs commonly prescribed for treatment of BPH and associated incontinence include the following:
Side effects commonly experienced with these drugs include dizziness, fatigue, and headache.
- Doxazosin mesylate (Cardura), 1 to 8 mg, once daily
- Tamulosin hydrochloride (Flomax), 0.4 to 0.8 mg, once daily
- Terazosin hydrochloride (Hytrin), 1 to 10 mg, once daily
MUSCARINIC RECEPTOR ANTAGONIST
Tolterodine tartrate (DetrolLA) blocks nerve receptors that control bladder contraction and reduces urinary frequency and urgency in overactive bladder and urge incontinence. The typical dose is 2 to 4 mg, twice daily.
Patients who have an adverse reaction to the drug or who have the following conditions should not use this medication.
- Urinary retention
- Gastric retention
- Narrow-angle glaucoma
Antibiotics may be prescribed if there is a complicating urinary tract infection. If antibiotics are prescribed, be sure to include fresh active culture yogurt in your diet or taking an Acidophilus supplement to replace needed intestinal bacteria used in digestion of food that was destroyed along with the bad bacteria causing your UTI.
URGE INCONTINENCE ACTIVITY RECOMMENDATIONS & RESTRICTIONS
No restrictions. However, it is helpful to try to keep the bladder as empty as possible.
Frequent restroom visits should be done. Watch fluid intake when outside of home, traveling, or where a restroom is not conveniently available. Avoid stressful situations where loss of urine may occur such as bending, lifting, rising from a sitting position, etc. People with urge incontinence may find it helpful to avoid activities that irritate the urethra and bladder, such as taking bubble baths or using caustic soaps in the genital area.
DIET, NUTRITION & LIFESTYLE RECOMMENDATIONS
Eliminate your intake of foods that may irritate the bladder. Decrease amount of caffeine, alcohol, spicy foods, and highly acidic foods such as citrus fruits and juices. Coffee is a natural diuretic and alcohol (especially beer) may increase the need for frequent urination. Avoid carbonated beverages, and simple sugars.
Start a weight loss program if being overweight is a problem.
Controlled fluid intake in addition to other therapies may be helpful in the management of urge incontinence. The goal of this program is to distribute the intake of fluids throughout the course of the day, so the bladder does not need to handle a large volume of urine at one time. Do not drink large quantities of fluids with meals - limit your intake to less than 8 ounces at one time. Sip small amounts of fluids between meals. Stop drinking fluids approximately 2 hours before bedtime.
Avoid high volume of fluid intake in situations where access to bathroom facilities is limited (airplane or road trips, shopping).
BENEFICIAL DIETARY SUPPLEMENTS
Vitamin C with Bioflavonoids help with the formation of collagen, which is important for those suffering from incontinence. Vitamin A helps the body produce collagen and can also encourage the strength of cartilage. Manganese is needed for healthy bones, cartilage and skin. Amino Acids helps strengthen the bladder muscle. Multi-Vitamin and Multi-Mineral Supplements supplies all necessary nutrients and relieves stress. MSM and SAM-e normalize the bladder lining. Kava Kava is an anti-spasmodic traditionally used by Hawaiians for urinary difficulties. It can help ease bladder contractions and acts as a sedative. Cranberry is an acidic known to benefit the bladder. Saw Palmetto has shown exceptional results for bladder control problems in both males and females. Zinc is effective in improving bladder function.
The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for adults over the age of 18. For children between the ages of 12 and 17, reduce the dose to 3/4 the recommended amount. For children between the ages of 6 and 12 years old, reduce the dose to 1/2 the recommended amount. For children under 6 years old, use 1/4 the recommended amount.
NUTRIENTS Supplement Suggested Dosage Comments Very Important Cranberry 1 quart pure, unsweetened cranberry juice daily. If pure juice is unavailable, cranberry capsules may be substituted. Take capsules with a large glass of water. Acidifies the urine and inhibits bacterial growth. Free-Form Amino Acid Complex As directed on label. Helps to strengthen bladder muscle. Use a product made from a vegetarian source. Corn Silk (Cornsilk) 2 capsules daily. Have a diuretic effect and reduce bladder spasms. Important Calcium
1,500 mg daily.
750 mg daily.
Reduces bladder irritability and aids in controlling bladder spasms.
Aids in the stress response and works best when balanced with calcium. Use magnesium chelate form.
MultiVitamin & Mineral Complex As directed on label. For essential balanced vitamins and minerals. All nutrients are needed in balance for healing and tissue repair. Essential for normal cell division and function. Use a high potency, hypoallergenic form. Potassium 99 mg daily. Replaces potassium lost as a result of frequent urination. Aids in balancing sodium and potassium in the body. Vitamin A 10,000 IU daily. Antioxidants that enhance immunity and to aid in normalizing bladder muscle function. For essential balanced vitamins and minerals And
Beta-Carotene & Carotene Complex
15,000 IU daily. Antioxidants that enhance immunity and to aid in normalizing bladder muscle function. For essential balanced vitamins and minerals. Vitamin B Complex 50 to 100 mg twice daily, with meals. Amounts of individual vitamins in a complex will vary. Do not exceed a total of 100 mg Vitamin B-3 (Niacin) in any one day until healing is complete. B vitamins that improved circulation, build red blood cells, and aid liver function. Anti-stress vitamins, especially important for normal brain function. Needed for tissue repair. Necessary for proper digestion. High doses are necessary if antibiotics are used. Sublingual forms are recommended. Vitamin C
Vitamin C: 2,000 to 5,000 mg daily and up in divided doses.
Bioflavonoids: 1,000 mg daily.
Vitamin C with Bioflavonoids help with the formation of collagen, which is important for those suffering from incontinence. A powerful antiviral agent. Produces antibacterial effect through acidification of urine. Important in immune function. Vitamin E 200 IU daily or 400 IU every other day. Combats infecting bacteria. Use d-alpha-tocopherol form. Zinc 80 mg daily. Do not exceed a total of 100 mg daily from all supplements. Important for improved bladder function and in tissue repair. Also enhances immunity. Use zinc gluconate lozenges or OptiZinc for best absorption.
NOTIFY YOUR HEALTH CARE PROVIDER
If you or a family member has symptoms of urge incontinence and are causing you problems. Pelvic discomfort or burning with urination occurs, or if symptoms occur daily. Signs of infection: fever, pain on urination, frequent urination or a general ill feeling. If symptoms do not improve after 3 months of Kegel exercises and medicines. If symptoms become intolerable and you wish to consider surgery. New, unexplained symptoms develop. Drugs used in treatment may produce side effects.
MoonDragon's Womens Health Disorders: Cystitis (Bladder Infection)
MoonDragon's Womens Health Disorders: Stress Incontinence
MoonDragon's Womens Health Disorders: Interstitial Cystitis (Bladder Wall Inflammation)
MoonDragon's Womens Health Disorders: Urethritis (Urethra Inflammation)
MoonDragon's Womens Health Procedures: Cystoscopy
MoonDragon's Womens Health Procedures: Kegel Exercises
MoonDragon's Health & Wellness Disorders: Bed Wetting
MoonDragon's Health & Wellness Disorders: Parkinson's Disease
MoonDragon's Health & Wellness Disorders: Prostate Cancer
MoonDragon's Health & Wellness Disorders: Prostatitis
URINARY INCONTINENCE & BLADDER HEALTH SUPPLEMENT PRODUCTS
Information for help with bladder infection and cystitis, a condition that occurs when bacteria (usually E. coli that is normally found in the colon) enters the bladder. Products for urinary tract infection, urinary detox and urinary support.
Acidophilus Supplement Products AHCC Supplement Products Alfalfa Herbal Products Almond (Sweet) Herbal Oil Amino Acids Complex Products Angelica Herbal Products Anantmul Herbal Products Apple Cider Vinegar Products Apricot Kernel Herbal Oil Products Avocado Herbal Oil Products Bath Therapy Products Bedwetting Supplies Products Beet Herbal Products Beta Carotene Supplement Products Bio-Chlor-Dox Supplement Products Bifidus Supplement Products Bioflavonoids Supplement Products Birch Herbal Products Buchu Herbal Products Burdock Herbal Products Butchers Broom Herbal Products Calcium Products Calcium-Magnesium Complex Products Calendula Herbal Products Carotene Complex Supplement Products Cayenne Herbal Products Celery Herbal Products Chamomile Essential Oil Products Chlorophyll Herbal Products Colloidal Silver Supplement Products Copper Supplement Products Cornsilk Herbal Products Couchgrass Herbal Products Cranberry Herbal Products Cysteine Amino Acid Products Dandelion Herbal Products Diuretic Supplement Products D-Mannose Supplement Products Echinacea Herbal Products Elecampane Herbal Products Essiac Herbal Products Fluid Retention Supplement Products Garlic & Kyolic Garlic Herbal Products Garlicin Supplement Products Gokshura Herbal Products Goldenrod Herbal Products Goldenseal Herbal Products Grapeseed Herbal Oil Products
Gravelroot Herbal Products Honeybush Herbal Products Horsetail Herbal Products Hydrangea Herbal Products Incontinence Pads Products Jojoba Herbal Oil Products Juniper Essential Oil Products Juniper Herbal Products Kava Kava Herbal Products Kidney-Bladder Supplement Products Kidney Supplement Products Licorice Herbal Products Magnesium Supplement Products Manganese Supplement Products Marshmallow Herbal Products Molybdenum Supplement Products MSM Supplement Products Multimineral Supplement Products MultiVitamin Supplement Products Nettle Herbal Products Parsley Herbal Products Peach Detox Herbal Products Peppermint Herbal Products Peppermint Essential Oil Products pH Neutral Bath Soap Potassium Supplement Products Prickley Pear Herbal Products Prostactive Supplement Products Prostate Support Formula Products Rose Hips (Rosehips) Herbal Products SAM-3 Supplement Products Sandalwood Essential Oil Products Saw Palmetto Herbal Products Sesame Herbal Oil Products Shilajit Herbal Products Spearmint Herbal Products Theraclear Antiparasite Formula Products Triphala Herbal Products Unscented Soap Products Uva Ursi Herbal Products Vitamin A Supplement Products Vitamin B-Complex Supplement Products Vitamin C Supplement Products Vitamin E Supplement Products Watermelon Herbal Products Whey Supplement Products Wild Carrot Herbal Products Zinc Supplement Products
QUALITY SUPPLIES & PRODUCTS
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Batherapy Mineral Bath Salts helps relief tension and fatigue. Ingredients include Epsom Salt and Siberian Fir Oil. Therapeutic properties of epsom salt to soothe and ease away tension. Siberian Fir Oil to energize and dispel the feeling of tiredness. Creates a rejuvenating spa bath experience. Softens skin and leaves you feeling relaxed and refreshed. Queen Helene brand has been a leader in quality and beauty products for professional and personal use since 1930. Our products are inspired by nature's finest ingredients because they are safer, and often more effective, than harsh chemicals and unnecessary additives. We are proud to have created a full line of affordable and effective body care products that are still passed on from generation to generation.
Amazon: Batherapy Beauty & Personal Care Products
AROMATHERAPY: ESSENTIAL OILS DESCRIPTIONS & USES
Allspice Leaf Oil Angelica Oil Anise Oil Baobab Oil Basil Oil Bay Laurel Oil Bay Oil Benzoin Oil Bergamot Oil Black Pepper Oil Chamomile (German) Oil Cajuput Oil Calamus Oil Camphor (White) Oil Caraway Oil Cardamom Oil Carrot Seed Oil Catnip Oil Cedarwood Oil Chamomile Oil Cinnamon Oil Citronella Oil Clary-Sage Oil Clove Oil Coriander Oil Cypress Oil Dill Oil Eucalyptus Oil Fennel Oil Fir Needle Oil Frankincense Oil Geranium Oil German Chamomile Oil Ginger Oil Grapefruit Oil Helichrysum Oil Hyssop Oil Iris-Root Oil Jasmine Oil Juniper Oil Labdanum Oil Lavender Oil Lemon-Balm Oil Lemongrass Oil Lemon Oil Lime Oil Longleaf-Pine Oil Mandarin Oil Marjoram Oil Mimosa Oil Myrrh Oil Myrtle Oil Neroli Oil Niaouli Oil Nutmeg Oil Orange Oil Oregano Oil Palmarosa Oil Patchouli Oil Peppermint Oil Peru-Balsam Oil Petitgrain Oil Pine-Long Leaf Oil Pine-Needle Oil Pine-Swiss Oil Rosemary Oil Rose Oil Rosewood Oil Sage Oil Sandalwood Oil Savory Oil Spearmint Oil Spikenard Oil Swiss-Pine Oil Tangerine Oil Tea-Tree Oil Thyme Oil Vanilla Oil Verbena Oil Vetiver Oil Violet Oil White-Camphor Oil Yarrow Oil Ylang-Ylang Oil Aromatherapy
Healing Baths For Colds
Using Essential Oils
AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES
Almond, Sweet Oil Apricot Kernel Oil Argan Oil Arnica Oil Avocado Oil Baobab Oil Black Cumin Oil Black Currant Oil Black Seed Oil Borage Seed Oil Calendula Oil Camelina Oil Castor Oil Coconut Oil Comfrey Oil Evening Primrose Oil Flaxseed Oil Grapeseed Oil Hazelnut Oil Hemp Seed Oil Jojoba Oil Kukui Nut Oil Macadamia Nut Oil Meadowfoam Seed Oil Mullein Oil Neem Oil Olive Oil Palm Oil Plantain Oil Plum Kernel Oil Poke Root Oil Pomegranate Seed Oil Pumpkin Seed Oil Rosehip Seed Oil Safflower Oil Sea Buckthorn Oil Sesame Seed Oil Shea Nut Oil Soybean Oil St. Johns Wort Oil Sunflower Oil Tamanu Oil Vitamin E Oil Wheat Germ Oil
HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS
MoonDragon's Nutrition Basics Index MoonDragon's Nutrition Basics: Amino Acids Index MoonDragon's Nutrition Basics: Antioxidants Index MoonDragon's Nutrition Basics: Enzymes Information MoonDragon's Nutrition Basics: Herbs Index MoonDragon's Nutrition Basics: Homeopathics Index MoonDragon's Nutrition Basics: Hydrosols Index MoonDragon's Nutrition Basics: Minerals Index MoonDragon's Nutrition Basics: Mineral Introduction MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index MoonDragon's Nutrition Basics: Dietary Supplements Introduction MoonDragon's Nutrition Basics: Specialty Supplements MoonDragon's Nutrition Basics: Vitamins Index MoonDragon's Nutrition Basics: Vitamins Introduction
NUTRITION BASICS ARTICLES
MoonDragon's Nutrition Basics: 4 Basic Nutrients MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute? MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods MoonDragon's Nutrition Basics: Foods That Destroy MoonDragon's Nutrition Basics: Foods That Heal MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods MoonDragon's Nutrition Basics: Phytochemicals MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce MoonDragon's Nutrition Basics: Limit Your Use of Salt MoonDragon's Nutrition Basics: Use Proper Cooking Utensils MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water
RELATED MOONDRAGON HEALTH LINKS & INFORMATION
MoonDragon's Nutrition Information Index MoonDragon's Nutritional Therapy Index MoonDragon's Nutritional Analysis Index MoonDragon's Nutritional Diet Index MoonDragon's Nutritional Recipe Index MoonDragon's Nutrition Therapy: Preparing Produce for Juicing MoonDragon's Nutrition Information: Food Additives Index MoonDragon's Nutrition Information: Food Safety Links MoonDragon's Aromatherapy Index MoonDragon's Aromatherapy Articles MoonDragon's Aromatherapy For Back Pain MoonDragon's Aromatherapy For Labor & Birth MoonDragon's Aromatherapy Blending Chart MoonDragon's Aromatherapy Essential Oil Details MoonDragon's Aromatherapy Links MoonDragon's Aromatherapy For Miscarriage MoonDragon's Aromatherapy For Post Partum MoonDragon's Aromatherapy For Childbearing MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing MoonDragon's Aromatherapy Chart of Essential Oils #1 MoonDragon's Aromatherapy Chart of Essential Oils #2 MoonDragon's Aromatherapy Tips MoonDragon's Aromatherapy Uses MoonDragon's Alternative Health Index MoonDragon's Alternative Health Information Overview MoonDragon's Alternative Health Therapy Index MoonDragon's Alternative Health: Touch & Movement Therapies Index MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy MoonDragon's Alternative Health: Therapeutic Massage MoonDragon's Holistic Health Links Page 1 MoonDragon's Holistic Health Links Page 2 MoonDragon's Health & Wellness: Nutrition Basics Index MoonDragon's Health & Wellness: Therapy Index MoonDragon's Health & Wellness: Massage Therapy MoonDragon's Health & Wellness: Hydrotherapy MoonDragon's Health & Wellness: Pain Control Therapy MoonDragon's Health & Wellness: Relaxation Therapy MoonDragon's Health & Wellness: Steam Inhalation Therapy MoonDragon's Health & Wellness: Therapy - Herbal Oils Index
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