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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.
My age is 38 and left Kidney 2.9 mm sized calcify speak noted in the mid PCA 3.2 mm sized calculated noted in the lower PCS of right kidney. Grade I/II fatty liver. Blood Report BLOOD UREA NITROGEN (BUN) PHOTOMETRY 9.6 mg/dl 7.9-20 CREATININE - SERUM PHOTOMETRY 1.14 mg/dl 0.6-1.1 URIC ACID PHOTOMETRY 4.3 mg/dl 3.5-7.2 CALCIUM PHOTOMETRY 9.46 mg/dl 8.8-10.6 BUN / SR. CREATININE RATIO CALCULATED 8.42 Ratio 9: 1-23: 1 TOTAL CHOLESTEROL PHOTOMETRY 114 mg/dl 125-200 HDL CHOLESTEROL - DIRECT PHOTOMETRY 35 mg/dl 35-80 LDL CHOLESTEROL - DIRECT PHOTOMETRY 53 mg/dl 85-130 TRIGLYCERIDES PHOTOMETRY 181 mg/dl 25-200 SERUM GLOBULIN PHOTOMETRY 3.5 gm/dL 2.5-3.4 TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 69 ng/dl 60-200 TOTAL THYROXINE (T4) C.L.I.A 6 μg/dl 4.5-12 THYROID STIMULATING HORMONE (TSH) C.L.I.A 6.16 μIU/ml 0.3-5.5 25-OH VITAMIN D (TOTAL) C.L.I.A 16. 51 ng/ml EST. GLOMERULAR FILTRATION RATE (eGFR) CALCULATED 81 mL /min/1.73 m2 HOMOCYSTEINE C.L.I.A 33.3 μmol/L.
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.
With urine I think drop of sperm is coming. Also during intercourse my sperm get very soon. Kindly suggest me some god medicine.
Now a day’s kidney related problems are increasing day by day. The reason behind this are many like chemically preserved fast food, spicy food, side effect of medicines and infections. Forth stage of kidney failure in with GFR is around 15 modern medicine suggests dialysis. Ayurvedic management of kidney failure is very effective in this condition also. Many times number of dialysis can be reduced and patient condition can be improved.
Panchakarma treatment like basti works as dialysis. My experience says that patient should also consult with Ayurveda kidney expert even in dialysis condition. Without dialysis patients can be treated or managed very effectively. kidney patients required much attention.