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

Hematuria is the medical name of what is commonly known as bloody urine. It s an unpleasant and particularly painful feeling where the discharge of urine from your system is either cola coloured with blood clots or just a light shade of pink. It varies in visibility, that is, it can either appear to the naked eye or it may only appear under a microscope when a sample is examined. If it isn t easily visible then it can only be detected as a part of your regular check-up as the symptoms are more often than not invisible. Which is why it is very important to get a full body check-up done as often as possible.

Hematuria is an indicator of other serious conditions that could be underlying and not easily apparent. You should not sit on it and definitely visit your doctor if you notice something similar or if you feel any sort of discomfort while urinating. The number of reasons that can cause bloody urine are:

UTI: Urinary tract infection is one of the reigning causes of most renal and gynaecological problems. It is when your urethra and bladder are affected and it causes a perineal urge to urinate which is also a painful experience. Along with this your urine might carry a strong stench. Bloody urine, in this case, is not visible to the naked eye so you have to go in for a check-up as soon as the other symptoms arise.
Stones: Stones in your bladder or kidneys are caused due to the accumulation of minerals from highly concentrated urine. These harden over time and become stone-like. Kidney stones are extremely painful and can cause bleeding both microscopic and visible.
Exercise: Exercise should be practised in moderation. If you are not used to regular exercise then the first time you start, take it slow and gradually build up from that point onwards. Even then, if after a workout you see blood in your urine, then visit your doctor immediately. It is rare for exercise to cause bleeding but it can be the trigger to other problems that might be the actual culprits behind the bleeding. If you have any injuries in your kidney from working out or from contact sports then you are likely to see blood in your urine.
Prostrate: This is a problem aging males are likely to face no matter how active and healthy a lifestyle they lead. The prostate gland can sometimes get enlarged and cause obstruction in the flow of urine by pushing the urethra into a compressed corner, as the prostrate takes up more space than is allotted to it. The signs include microscopic bleeding but also a painful need to urinate perpetually. There may also be a visible bloody discharge of urine.
Thus, hematuria can be sneaky or it can come with ringing bells. Either way, it is best to not avoid going to the doctor and most importantly get regular check-ups done for your own health and safety.

4 Underlying Causes Of Hematuria!

A kidney stone is like a small rock that forms in the kidney. Stones form when certain chemicals in the body clump together. A stone can either stay in the kidney or travel through the urinary system by passing though the urine and not causing any harm.

What are the symptoms?

Very small stones might pass through the urinary system without causing much pain. Larger stones can block the flow of urine if they get stuck in the ureters or urethra. Kidney stones do not usually cause any symptoms until they start to pass. Some symptoms might include:

Extreme pain in your back or side that will not go away

Nausea

Blood in your urine

Fever and chills

Who are at risk ?

Anyone can have a kidney stone, but it may be more likely if you:

Are male and are overweight

Have had kidney infections

Have a family member with kidney stones

Have had kidney stones before

Eat a lot of animal protein (such as meat and eggs)

Do not drink enough liquids

Have certain medicines which can cause kidney stones

How are kidney stones treated?

Treatment depends on the location and size of the kidney stone. Drinking plenty of water and taking some medicines can help a small stone to pass more easily. For problem stones, there may be a few options:

Lithotripsy uses shock waves to break a large stone into smaller pieces that can pass.

Ureteroscopic Stone Removal uses a small tool to get and remove stones stuck in the ureters.

Percutaneous Nephrolithotomy uses surgery to remove large stones from the kidneys.

Depending on the location of the kidney stone and many other factors the doctor decides on the most suitable procedure.

How can I prevent kidney stones?

If you have had kidney stones before, you are more likely to have kidney stones again. To help keep stones from forming, try to:

Drink 10 to 12 glasses of water each day

Eat less salt (sodium), meat and eggs

Find out what type of stone you have

Ask your doctor for a urine test

Talk to your doctor about your medicines and other tests for kidney stones

Do NOT reduce the calcium in your diet without talking to your doctor first! Studies show that limiting calcium in your diet may not stop kidney stones from forming and may harm your bones.

Kidney Stones - Are They Troubling You?

Kidneys work aggressively day and night - this pair is responsible for all the cleaning - Waste Removal from your body.

Check out how you can keep your pair of kidneys functional right until you need them:

1) Increase Fluid Intake: No.1 reason for kidney stones/problems is not drinking enough water. When your fluid intake is low, it puts extra work load on the kidneys to pass toxins. Similarly excessive alcohol intake leads to dehydration and puts pressure on your kidneys making them age earlier.

2) Cut Back On Salt: Salt is anti-kidneys. If you have any chronic problem, try to aim for less than 2,300 milligrams of sodium each day.

3) Empty Your Bladder: Do not keep urine stored in bladder for too long. It majorly affects the functioning of kidneys.

4) Check On Chronic Problems: Manage your diabetes, high blood pressure, and heart disease well. These have direct impact on Kidneys, esp. Your cholesterol levels, sugar levels and blood pressure. Having high cholesterol, especially if you have diabetes, puts you more at risk for kidney disease, heart disease and stroke.

5) Balance your Physical Health: Keep your body active to keep organs such as kidneys in good functioning. Do at least 15 min of cardio exercises daily. Also, get sufficient rest for your body.

Click on consult privately to ask me any follow-up questions on this.

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5 Ways to Keep Your Kidneys Active

The kidneys make urine, which is a fluid through which wastes from the body including urea are eliminated from the body. There are two kidneys on the right and left side, which make urine, and pass it down to the bladder through tubes known as ureter. The bladder acts as a reservoir of the urine that is formed in the kidneys. It is stored temporarily there before being excreted out of the body through the urethra. The urinary bladder is a highly muscular organ and has a rich connective tissue. 

Interstitial cystitis (IC) or painful bladder syndrome (PBS) is a very common condition, which affects females more than males. While the exact etiology is not known, it could be age-related and also lifestyle related. People who are used to controlling the urge to pass urine are highly likely to develop this condition. The simple logic is that there is additional pressure on the bladder from the urine that is contained for longer period of time. As such, the muscular wall stretches and begins to feel stressed.

When this habit continues over a period of time, the bladder wall may become irritated or inflamed or even scarred in severe cases. There is no role of bacteria in this condition, and antibiotics are of no help in managing this condition (though the name cystitis usually indicates infection).

The following symptoms are seen as a result of this constant irritation and inflammation.

One may suffer from pain and pressure in the bladder as it continues to collect more and more urine.
This pressure in the bladder also puts pressure on the surrounding tissues in the abdomen including the pelvis, urethra, abdominal organs, uterus, etc.
Women may experience pain in the vaginal tract including vulva and behind the vagina.
Men may experience pain in the area of the scrotum, testicles, prostate, and penis.
There is an increased urge to urinate, which may be as much as 9 to 10 times a day. As the condition progresses, there could be more visits, as many as 40 to 50 visits a day.
This tendency and urge to urinate increases during nighttime.
For women, this urge to urinate and other symptoms including pain are worse during menstruation.
There could be pain during intercourse for both men and women.
There could be pain even otherwise, which can range from a mild dull ache to a piercing pain.
At a structural level, this constant pressure leads to pinpoint bleeding (glomerulations) and sometimes even ulcers in the bladder wall.
There is no definitive treatment for IC or PBS. However, bladder distention and instillation are proven methods of increasing bladder capacity, which therefore helps in relieving symptoms.

Painful Bladder Syndrome - Know The Signs!

An overactive bladder is a condition that is characterized by a problem in the bladder storage function; a problem that eggs one on to urinate frequently. This condition can cause problems in your social and work life. You may isolate yourself from others and feel embarrassed about the situation.

Symptoms
If you have an overactive bladder, you may exhibit symptoms of frequent urination, involuntary leakage of urine and frequent urge to urinate. These symptoms might disrupt your daily life; so it is important to seek advice from a medical practitioner.

Causes
To better understand what causes an overactive bladder, you need to know how the urination process works. Urine is produced by the kidneys, which flows to the bladder. During urination, the urine is excreted from an opening in the bladder and flows out via the urethra. As the kidneys secrete urine, the bladder starts to fill up. During this stage, nerve signals are sent to the brain; signals that trigger your body to urinate. The bladder muscles tighten that pushes the urine out of the body.

An overactive bladder results from the involuntarily contraction of the bladder, which might happen even if the content of urine in the bladder is low. These contractions create the urge to urinate. The various causes of an overactive bladder are:

Excessive fluid intake, if your fluid intake is high, then you may have the tendency to urinate frequently.
Presence of tumors or stones in the bladder can make the bladder overactive as well.
Excessive alcohol or caffeine consumption has the same effect as an excessive intake of fluids has.
Urinary tract infections may interfere with the entire process of urination, thus causing your bladder to swell up and become overactive.
Other diseases and conditions such as constipation and an enlarged prostate can hamper bladder functioning.
Treatment
There are multiple approaches to treat an overactive bladder; your doctor may use one or a combination of multiple methods.

Medications: Medications such as Trospium and Tolterodine help in relaxing the bladder. These medications help treat symptoms of frequent urination.
Bladder injections: Botox is a protein that is injected into the bladder that causes partial paralysis of the bladder muscles. This helps in treating the constant urge to urinate. However, its effects are temporary as they last for 6-9 months.
Lifestyle modifications: Certain lifestyle modifications such as incorporating exercises to strengthen the pelvic muscles, maintaining optimal weight levels and bladder training to control its functioning can help with managing an overactive bladder.
Surgery: If the other treatments do not produce the desired results, then surgery is usually recommended. The aim of the surgery is to enhance the storage capacity of the bladder and reduce bladder pressure.

Frequent Urination - Is It A Symptom of An Overactive Bladder?

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