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Management of Urinary Incontinence In Older Adults

Management of Urinary Incontinence In Older Adults - Young and Blissful

Urinary incontinence is a prevalent ailment among the elderly. Urinary incontinence occurs when a person loses control of his or her bladder. In the human body, urine is stored in the urinary bladder. During urination, the muscles of the urinary bladder contract to push urine into a tube called the urethra. The muscles around the urethra relax at the same time, allowing the urine to exit the body. Urine might leak if the muscles in the urinary bladder become weak and do not function properly. Incontinence is most commonly caused by abrupt muscular relaxation.

 

Types of Urinary Incontinence

Functional incontinence

You can't go into the bathroom on time due to a physical or mental disability. You may not be able to unbutton your jeans quickly enough if you have a severe health problem i.e. arthritis.

Overflow incontinence

It occurs when a bladder that is always full, leaks little volumes of urine.

Stress incontinence

Urine leaks when you cough, sneeze, laugh, exercise, or lift something heavy that puts strain on your bladder.

Urge incontinence

You suddenly experience a strong urge to urinate, which is followed by involuntary leakage of urine. You may need to urinate frequently, even at night.

 

Causes

Multiple factors may cause urinary incontinence in older ages, including aging factors, daily behaviors, underlying medical diseases, infections, and physical issues. Your doctor may perform a detailed examination to identify the cause of your urinary incontinence.

Delirium

Delirium is a condition characterized by an abrupt shift in attitudes and consciousness brought on by an underlying acute medical ailment. When this condition exists, a person may be too tired or confused to reach the bathroom on time.

Psychologic disorders

Depression and delirium are examples of psychological problems. Incontinence can be exacerbated by dementia, especially in later stages when the overall function is severely compromised.

Constipation

When the intestine is clogged with stool, it can prevent urine from leaving the bladder, resulting in dribbling overflow urination.

Infection

When an older adult has a urinary tract infection, it can cause burning, pain, confusion, as well as urine frequency and urgency, as well as incontinence.

Excessive urine output

If there are other symptoms such as shortness of breath or swelling in the legs, excessive urine outflow may be noticeable, to conform to these conditions lab testing, or x-rays may be required.

Atrophic urethritis and vaginitis

Urinary incontinence in women is caused by shrinkage of the urinary and genital tissues, which can be treated with topical hormone therapy (creams or gels).

Restricted mobility

If a person not being able to go to the bathroom on time due to a physical disorder i.e. arthritis, Alzheimer's, or Parkinson's disease may lead to cause urine incontinence.

 

Diuretics are beverages, foods, and drugs that stimulate your bladder and increase the volume of pee you produce. They are as follows:

  • Alcohol
  • Caffeine
  • Sparkling water and carbonated beverages
  • Sweeteners made from artificial sources
  • Chocolate
  • Peppers de Chile or Chili pepper
  • High sugar, Spicy, and acid-rich foods i.e. citrus fruits
  • Drugs or Medications for specific diseases, as well as sedatives and muscle relaxants
  • Vitamin C in high doses

                   

                  Prevention

                  It's not always possible to prevent urinary incontinence. There are, however, some steps you can take to help lower your risk:

                  1. Maintain a healthy weight by exercising regularly and eating a well-balanced diet.
                  2. Pelvic floor exercises are recommended to strengthen pelvic floor muscles
                  3. Avoid caffeine, alcohol, and acidic foods, which all irritate the bladder.
                  4. Constipation is a common cause of urinary incontinence, so eat extra fiber to avoid it.
                  5. If you smoke, either stop or get help to quit.

                   

                  Managing Urinary Incontinence

                  Other than bladder control practice, you might wish to discuss with your doctor the following options for managing incontinence:

                  1. Medicines can improve the bladder's full emptying during urination. Certain medications constrict muscles and reduce leaking.
                  2. Using an estrogen vaginal cream to reduce stress or urge incontinence has been found to benefit some women. The vaginal walls and urethral tissue are treated with a low-dose estrogen lotion.
                  3. To assist stop the bladder opening, a doctor may inject a chemical that hardens the region around the urethra. This can help women with stress incontinence. This treatment may need to be repeated.
                  4. If you have a prolapsed bladder or vagina, a pessary, a firm ring put into the vagina, can assist in preventing urine leakage. Medical applicators such as urethral inserts, which are small disposable devices that are put into the urethra, may be beneficial to certain women.
                  5. Another alternative is nerve stimulation, which involves sending a moderate electric current to the nerves that control urine around the bladder
                  6. If incontinence is caused by a change in the position of the bladder or a blockage caused by an enlarged prostate, surgery can sometimes alleviate or cure it.

                   

                  Bladder control products

                  Some persons continue to leak urine even after receiving treatment. Adult diapers, furniture pads, urine deodorizing pills, and special skin cleansers are just some of the bladder control products and other remedies that might help you deal with leaking urine.

                   

                  References

                  https://pubmed.ncbi.nlm.nih.gov/27734727/

                  https://pubmed.ncbi.nlm.nih.gov/29067433/

                  https://pubmed.ncbi.nlm.nih.gov/31030824/

                  https://pubmed.ncbi.nlm.nih.gov/27864495/

                  https://pubmed.ncbi.nlm.nih.gov/33017202/

                  https://pubmed.ncbi.nlm.nih.gov/20025021/

                   

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