Urinary Incontinence is the sudden urine loss that occurs involuntarily in women. Some of the factors which cause urinary incontinence are pregnancy, menopause and childbirth. It should be noted that urinary incontinence by itself is not a disease, but is a symptom of other underlying disorders such as diabetes, infections and other conditions.

Causes of temporary cases of urinary incontinence include:
1. Constipation
2. Urinary tract infections
3. Excess consumption of alcohol and caffeine
4. Consuming carbonated drinks
5. Use of artificial sweeteners
6. High doses of vitamin B and vitamin C
7. Being on sedatives, muscle relaxants, blood pressure and heart medications
8. Eatables which are too spicy, acidic or sugary

However, persistence of incontinence might be due to a more serious condition. Some of the causes are stated below:

Age: The bladder muscles tend to weaken with age. This affects the bladder s urine holding capacity.
Pregnancy: Hormonal changes and increase in weight during pregnancy can cause incontinence.
Menopause: Oestrogen is responsible for the healthy maintenance of the lining of the urethra and bladder. The onset of menopause causes the oestrogen hormone levels to drop. The gradual damage of the bladder tissues causes incontinence.
Childbirth: The bladder control muscles are weakened during normal vaginal delivery, thus leading to incontinence.
Obstruction: Occurrence of tumours in the urinary tract can block the normal flow of urine which can cause incontinence.
Hysterectomy: The same ligaments and muscles support both the bladder as well as the urethra. With removal of the uterus by hysterectomy, the pelvic floor muscles are deteriorated. This leads to urinary incontinence.
Neurological disorders: Conditions such as multiple sclerosis (autoimmune disorder in which the immune system destroys the protective sheath of the nerves), Parkinson s disease (disorder affecting motor functioning of the body), brain tumours, spinal injury or strokes are capable of causing incontinence.

Different forms of urinary incontinence are classified on the basis of their symptoms:

Urge incontinence: Urge or urgency incontinence occurs when there is a leak before the person reaches the toilet.
Stress incontinence: Small amounts of urine leak out during normal physical movements such as sneezing, coughing and exercising. This happens because of the minimum stress exerted on the body, and hence, the name.
Functional incontinence: Sudden leakage of urine occurs due to external deterrents or physical disabilities such as not being able to find a toilet.
Overactive Bladder: This is characterized by frequent and urgent urination.
Overflow incontinence: A full bladder, at times, leads to unexpected leakage.
Transient incontinence: If urine leakage occurs due to temporary situations such as infections, or new medications.

Did You Know - Constipation Can Also be a Sign of Urinary Incontinence

A Gastroenterologist is a physician with dedicated training and unique experience in the management of diseases of the gastrointestinal tract and liver. If you are planning to visit one, you most likely have a problem in one or many organs like esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. 

Visit your doctor to understand the severity of your condition and the course of treatment, as it is obvious that during this time you must be suffering from anxiety and you may not ask the questions arising in your mind. That is why you need to prepare in advance for your first visit with a gastroenterologist. Being an active partner in the doctor patient relationship is bound to have its benefits. Here are some handy tips:

1. Come mentally prepared: Don't let the anxiety get to you. If you need some extra help calming down, try yoga or meditation. You can simply go out on a walk alone to help you focus your thoughts. This is just like any other doctor visit. The good part is that you are taking the first step in easing your discomfort and starting treatment, so go with a positive mind.

2. Maintain a diary of symptoms: It is likely that you are experiencing discomfort from past few days or weeks before you finally realize the need to seek out a specialist. Try to remember as much as possible about the symptoms you experienced in a chronological order. Write down any over the counter medicines you've tried or anything unusual that you may have consumed in the past week. 

3. Take stock of your medical history: It is likely that your doctor may want to know about any historic conditions you've suffered that may or may not relate to your present condition. Many ask you to fill out forms during your first time patient registration which includes many minor details about your medical past. List down any allergies, especially food allergies you have. 

4. Take stock of your recent medical tests: Bring your latest blood tests and imaging tests (X-rays, ultrasounds, MRIs, and CT scans) with you for the doctor's visit. If you have a pre-existing condition like diabetes, thyroid or you suffer from other chronic conditions like increased uric acid, carry your most recent medical reports with you. 

5. Make a list of questions for the doctor: In most cases, the first visit is a crucial factor in determining whether you want to continue the course of treatment with a particular doctor. This comes out of your ability to trust the doctor, his knowledge and diagnosis and an overall comfort level that comes with how well he handles your questions. Start by making a list of questions you want to ask about your specific condition and course of treatment and see if you get satisfactory answers. 

6. Brace yourself: If you want to suggest a treatment option, make sure you read up all about it before you tell the doctor.

6 Tips For Your First Visit With A Gastroenterologist

Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.


Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.


Symptoms-
The symptoms of lactose intolerance are:
Bloating; on consumption of milk over a period of time
Diarrhea is also very common
Stomach pain
Nausea


Diagnosis-
It is self -diagnosable; just strike out foods containing lactose from your child s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must ve been lactose intolerance.
However, it can be tricky as many non-dairy products also contain lactose.
If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.


Treatment-
This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the  lactose- free  milk variety for your child.


Lactose Intolerance in Kids

Going to the bathroom for pooping is something that most people all over the world take for granted. It is nothing to be thoughtful of unless constipation has loomed in. But according to experts, occasional constipation is not something that creates any health problems when you know about the foods that you should avoid to steer clear of the situation. 

Dairy Products: Cheese or clarified butter may serve your taste buds but too much of them are bad for the digestive system. It has been proved that excessive intake of dairy products make the gastrointestinal track sluggish to such an extent that it causes indigestion and stool problems. This is because most dairy products have a complex structure which the stomach finds difficult in breaking down.
Highly Processed Foods: While most people have become fans of processed foods like pasta, noodles, oats and even chocolates as they save a lot of time, they are not favorable to the digestive system. Highly processed ingredients are known to contribute to constipation and bloating which feels very uncomfortable and do not allow one to focus.
Heavy Painkillers and Allergy Medications: Drugs that contain high doses of opiates are likely to mess with one s bowel movement. This is because the bowel is known as a receptor of opiate which means painkillers are likely to affect them. It has also been found that people who take painkillers on a regular basis have stool problems. Anti-allergy medicines generally contain high doses of antihistamines which aim to dry out the mucus and sinuses present in one s body. This way they also dry out the poop making it hard to pass and contribute to constipation.
Unripe Bananas: The interesting fact is that while unripe bananas can trigger poop problems, ripe and yellow bananas can help in releasing it. This is because the green and unripe bananas are rich in starch content which makes it difficult for the stomach to digest.
Swallowing Chewing Gums: While it is not true that if someone accidentally swallows chewing gum, it would linger in the stomach for several years, too many chewing gums if swallowed over a short period, can cause blockage of the digestive tract leading to constipation problems. The situation turns even worse when chewing gums are swallowed with other indigestible substances like seeds.
Caffeine: Though caffeine is known as a bowel stimulator, it can lead to stool problems when someone has too much of caffeine in the form of chocolate, black tea, coffee and caffeinated water when the body is dehydrated. It leads to constipation, bloating and several other bowel related issues.
The key to having a healthy bowel movement every morning is to keep oneself hydrated by drinking plenty of water and eat a lot of fresh fruits and vegetables with high fiber content. But if the problem persists for over 3 days, it is important to check with a general physician to determine whether there is any underlying health issue. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

Foods That Mess With Your Poop

Ayurvedic medicines teach us that the health of the digestive system is the most important factor and determinant in the long term for your health and well-being. Healthy digestion leads to a healthy life and vice-a-versa. But is it always that simple? Yes! As, healthy digestion ensures that all the nutrients that are ingested through food are assimilated by the cells that compose it. When digestion is weak, the tissues of your body such as muscles, blood and nerves become weak and susceptible to disease. 

Symptoms of poor digestion include 

Excess gas
Constipation
Diarrhea
Belching
Burning
Vomiting
Indigestion
Swelling 
Pain
Through the eyes, the Ayurvedic practitioner comes to understand the cause of the disease, he does so by examining the patient's way of life. Incorrect eating habits are the first amongst many culprits. Poor food choices and poor diet, combined, are next in line. Together they are the main causes of digestive diseases.The following points play a key role in the Ayurvedic pathogenesis of digestive disorders. The nature of its imbalance and how it interacts determines how the disease occurs.

Jatharagni: This is the digestive fire that regulates the catabolism (breakdown) of food into smaller molecules for digestion. When the body is healthy, it is able to assimilate properly. When the initial digestion of the food is very weak, it is compromised, either the malabsorption will take place or ama will be formed. When it is too strong it produces burning.
Samana vayu: This is a sub-type vata that regulates the absorption of nutrients in the body. Assuming it decomposes properly, samana vayu can guide its absorption. Not only does samana vayu govern absorption, but it also directly affects the Agni as well as the wind when it blows over the fire. If the wind is strong, the fire is strong. If the wind is weak, the fire burns low. If the wind varies, so does the fire. A defective samana vayu can cause gas, diarrhea and malabsorption.
Apana vayu: This type of vata governs the downward movement. In particular, the excretion of toxins and feces. At the point when disposal is sound defecations are strong, yet delicate. When apana vayu is defective, a variety of problems such as constipation and diarrhea manifest themselves.
Kledak kapha: This type of kapha governs the mucous lining that protects the digestive system; in particular, of the stomach. When health is in balance, Agni and vayu also protect the membranes from heat or dryness. When there is an excess of mucus, it results in nausea. When it diminishes, the membranes become susceptible to the irritant effects of Agni and the effects that cause drying in vayu. In addition, an increase in the strength of kapha can block the digestive tract and cause constipation.

Constipation - Understanding The Ayurveda Prespective!

Constipation is an uncomfortable problem which causes bloating and build of gas. The problem can be painful if the gas is building up for more than 3 days. The only way to reduce constipation is to make changes in the diet and including leafy vegetables and fluid in daily diet. Fruits and vegetables are the best way to relieve from constipation. The fibre content in fruits and vegetables help in timely stools and hence, reduce constipation.

What Drinks are Good to Relieve Constipation?

Here are some of the drinks that one can try:

Apple Juice -
An apple has the highest fibre contents. You can make fresh apple juice in the home by cutting apples into small pieces and grinding them into a paste. Pass the content in the sieve and extract juice from it. The apple is a good source of pectin, which is soluble fibre and helps in relieving from constipation. Make this drink in the morning and drink it while it is still fresh.

Prune Juice -
Prunes (also known as dried plums) have mild laxative effects. Dried plums are very rich in dietary fibres, and are very healthy for bowel movements. With the laxative properties, they are best suited to people who are unable to go for regular stools. Take some prunes and soak them in water for overnight. In the morning, when they are soft and mushy, grind them into a fine paste. Extract the juice and drink immediately.

Salty Lemon Water -
The easiest drink to calm constipation is the Lemon water with salt. Lemons are a very good source of Vitamin C and fibres which regulate the bowel system. Salt is good for a bowel movement and healthy for maintaining PH balance. You can add lemon juice in a glass of water with two pinches of table salt. You can also add black salt or pink Himalayan salt for energy.
What is a Safe Laxative to Use Daily?

Over the counter, laxatives are not recommended for a long time. There are some natural laxatives available for daily consumption like prunes and pomegranate. Apart from fruits, you can also take fibre supplements which provide essential fibres to the body and help you calm constipation.

How Much Prune Juice Should I Drink to Poop?

Prune juice is not advisable if you are facing dysentery. However, prune juice is recommended by the doctors to treat constipation in adults as well as children. Prune has laxative effects in the body. Hence, its consumption should be limited according to the needs of the patient.

Do Prunes Make You Poop Right Away?

There is no evidence that prunes induce poops right after drinking. They help to add bulk to the food in the digestive system, which allows you to digest food quickly. It contains soluble fibre, which is helpful as a mild laxative.

Takeaway 

There are many fruit juices which help in treating and reducing the problem of constipation. However, it is advisable to consult a Gastrologist before making a change in the diet.

Constipation - Know Best Juices For It!

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