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It is an extremely embarrassing situation to have a bladder leakage. Social life could be altered, with reduced socialising for fear of losing control in the presence of others. Though not discussed frankly, it is an extremely common issue and about 25 million people in the United States suffer from this, with 75% of these being women.
Treatment depends on the type of incontinence, such as stress, urge, overflow, functional, or mixed. It starts with least invasive methods like lifestyle changes moving over to surgical approaches.
Ways to manage it
With trips to the toilet increasing considerably when you have urinary incontinence, simple measures can help manage leakage.
- Bladder training: Train your bladder to control the urge for another 10 minutes. This happens by voluntarily contracting the muscles and holding up the urge to go to the toilet. Gradually, it will help increase the frequency of the visit to 4 to 6 hours.
- Scheduled toilet trips: Whether or not there is an urge, visit the toilet every 4 to 6 hours.
- Double emptying: Even after you have voided, force yourself to void one more time. The residual urine, which is almost always present in the bladder, also gets emptied.
- Food/diet modifications: Stress incontinence is worsened by alcohol, spicy foods, acidic foods, and caffeine. Avoiding these can help reduce bladder leakage.
- Kegel exercises: The simple repetition of contracting the pelvic floor muscles, holding it in place, and releasing it can do wonders for strengthening the pelvic floor. This can be done anywhere and any time of the day and is very effective for improving bladder control.
- Catheters: These can be used if the incontinence is short-lived; the person would need to learn how to safely insert and remove it.
- Absorbent pads and medical devices: The absorbent pads are helpful in preventing embarrassment during social situations. On the other hand, medical devices like pessary are inserted into the vagina to support the bladder neck and thereby prevent leakage from the bladder.
- Drugs: Anticholinergics/antimuscarinics are useful to control a leaking bladder. Botox injections can help paralyse the overactive bladder muscles and provide a solution. Topical oestrogen may be used in small amounts to improve tone and reduce incontinence. Alpha blockers are also used in some people with good results. There are muscles that relax the bladder and increase the amount of urine it can contain.
- Surgery: In the event that all these measures are not useful, surgical correction is possible. Sling procedure where an artificial mesh is used to support the urethra. Bladder neck suspension is where the bladder neck is given support to prevent leakage. If there is a pelvic organ prolapse, that is corrected to rectify the bladder leakage. If you wish to discuss about any specific problem, you can consult a Urologist.
From past three or four day i'm not feeling hungry Do not know whether it is acidity or cough gathered in chest but from yesterday i'm coughing as due to acidity I was eating ice creams and a bit cold drink.
This is a disease that affects the large intestine and the rectum. The Ulcerative Colitis refers to the inflammation in the innermost lining of the large intestine. The main function of the large intestine is to absorb water from indigestible food matter in the body before throwing away any waste. Hence, the large intestine is a vital part of our body. If left untreated, the disease increases risk of colon cancer.
- Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied with blood or pus.
- Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping.
- Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement.
- Bleeding from the rectum: Bleeding can be observed while passing stools.
This disease can be diagnosed by several methods. A simple stool test may be done to check out for bacteria and parasites. A blood test to check the level of C-reactive protein helps determine the inflation rate of the body. Endoscopy, colonoscopy, biopsy are some other methods of diagnosis.
- Oral medication: Treatment involves drug therapy or surgery. The first step in treating Ulcerative Colitis will be an intake of anti-inflammatory drugs, but these may have a side effect. Another option is immune system suppressors, which help to bring down the inflammation by suppressing the immune system response. Antibiotics, anti-diarrheal medications, pain relievers are some of the additional drug supplements recommended by doctors.
- Surgery: Surgery plays an important role because this disease is pre-malignant in nature. Depending on the severity of the condition, the medical practitioner may advice surgery. The common methods of surgery are:
- Proctocolectomy and Ileostomy: Proctocolectomy involves removal of the colon in part or whole. Ileostomy is carried out by placing a special bag in the small intestine to collect waste from the body.
- Proctocolectomy and Ileo-anal: Ileo-anal pouch is a bag directly created the small intestine and connected to the anus, for diffusing the stools. As colon is removed Ulcerative Colitis cannot re-occur.
Precautions after surgery
It is very important that the patient takes healthy, sufficient and nutritious food so that bowel movement can be carried out with ease and zero strain. The patient has to restrict lifting of heavy grocery, mowing the lawn, any physical activity that can strain the abdomen and related areas.
Sir, my mother aged 70 has 2 gallstones of 6 mm and undergoing treatment in homoeo can it be cured or not ,she is diabetic, hypertension but under control.
I am not having stools, and not feeling hungry at all, and as a result I am getting weak day by day. Please help me.
I was done LIS surgery at chennai apollo by a famous colorectal surgeon due to anal fissure. I am in restricted diet only take vegetables, fruit and lot of water in a day and so I have to go 10-12 times urine pass in a day. I do not take fast food, junk food almost half of the food items are left. generally my stool is soft but some day at the beginning of the motion is very little hard then semi-solid but for this issue still anal fissure is recurring. My age is 23. My operation was done only five month ago and between this period fissure has recurred three times and now it is not healed. So if this problem is going on then how many times I have need of operation. How I shall live by bearing such a pain. It seems to me death is more preferable than such a pain during motion. Before operation colonoscopy was done, during operation biopsy done all normal. So it has any treatment left? How many times I have need of surgery if it recurs again and again. Pls help me I am in extreme painful condition.
I am having brownish stool as if it's blood in the stool and mucus. 4 days back I went to gym after a long time and the trainer made me do more than I should have. I started having very high muscle soreness the very next day and it became worse day after that. Then suddenly I started having loose motion 2 days ago and I then yesterday I took the medicine "Nor-Tz" and "Drotipen-M" 2 tablets each. 2 in the afternoon and other at 2 at night. From last night the loose motion is very much controlled but I am having a constant pain in my lower abdomen and I think I had blood in my stool. It was like mucus mixed with blood. Please help. What do I need to do? Is it serious?
Bloating isn't a medical condition. It doesn't necessarily mean that a person has eaten too much. It can be a case of eating wrong food which has not been digested by the body. Bloating occurs when air and water get trapped inside the stomach or intestine. As a result, the stomach gets swollen well past its normal level.
Culprits of bloating:Bloating can result from a number of cases. Fatty or junk foods are one of the biggest culprits of bloating. It hinders the digestion process and doesn't let the stomach empty on time. Carbohydrates too can cause bloating. Even carbonated drinks can play spoilsport. It creates bubbles in the stomach leading to indigestion and bloating. Some food items related to gas include cauliflower, lettuce, hard candy, beans, Brussels sprouts, broccoli etc. Apart from this, consumption of excessive junk food and soft drinks can lead to bloating.
Steps to avoid bloating: The best way to avoid bloating is to refrain from bloat causing foods as mentioned earlier. If you wear dentures, it should be ensured that it fits properly. There are instances when excess air gets inside the stomach due to an improper fixture of denture leading to bloating. Eating or drinking slowly is another good way of staying away from bloating. When you eat slowly, there are fewer chances of extra air getting inside the stomach. In the case of beverage consumption, avoiding the straw is a good idea. This way the unwanted air cannot make their way inside the tummy and play foul.
Taking a small walk after every meal is another good way of staying away from bloating. This way the gas inside the tummy cannot rise above the surface. The practice of calming technique such as yoga, deep breathing and meditation also goes a long way in giving relief from bloating.
Some home remedies to get rid of bloating include:
- A cup of ginger, lemon and honey in a cup of hot water once everyday
- 1 cup of herbal peppermint tea freshly prepared in boiled water
- In the case of regular stomach bloating, intake of one caraway seed on a daily basis fetches immediate results
- Consumption of a cup of baked pumpkin twice a week
- Consumption of warm lemon water before you start your day is another good way of keeping bloating at bay.
Bloating can also be a symptom of other intestinal related problems as well. If the general method of control and measured diet doesn't suffice, it is time to visit a doctor to find the underlying cause of your problem. Doctors perform a series of tests to understand the problem and prescribe the required medicine to control or cure the problem. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.