Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Top Health Tips on Living with Urinary Incontinence

Causes and Symptoms of Stress Urinary Incontinence

Multi Speciality Clinic
Multi Speciality, Pune
Causes and Symptoms of Stress Urinary Incontinence
Urinary incontinence is a common problem that afflicts many adults around the world. Stress related urinary incontinence is a fairly common problem that afflicts many as well. This form of incontinence is usually caused by physical activity, which exerts pressure on the bladder and may cause the leakage of small amounts of urine.

Triggers and Symptoms for stress urinary incontinence
In terms of urinary problems, stress is used to describe physical problems in particular and not mental stress. So the triggers or risk factors of it could be any of the following:
1. Exercise
2. Jumping
3. Sneezing
4. Coughing
5. Exercises
6. Sexual activity

This form of urinary incontinence is very common in women who are older or have already been through menopause. It may also be common for women who have recently given birth or are pregnant. The urethra or the bladder may become prone to external stress and then involuntarily leak out some urine.

Causes
The causes can be quite varied from patient to patient but are primarily attributed to the weakening of the pelvic muscles, bladder or the sphincter. If any of these muscles open involuntarily due to physical stress, it leads to urine leaking out. Some of the causes which may lead to this are:
1. Pregnancy and childbirth: Pregnancy or childbirth related problems may cause damage to the urethra or sphincter during childbirth; leading to stress urinary incontinence.
2. Surgery of the prostate: Another common problem, especially with men, is with surgical interventions to correct prostate problems.
3. Menopause: Many older women often complain about stress incontinence after menopause due to the weakening of the muscles.
4. Pelvic surgery: Any surgery to the pelvic area or illnesses which may cause the muscles to become relaxed or act involuntarily due to external stress, may cause incontinence.
5. Weakening of the pelvic muscles: Certain illnesses may cause the pelvic muscles to become weak and thus cause the sphincter as well as the bladder to react involuntarily. UTIs or urinary tract infections have also been known to cause incontinence due to the same reason.
6. Obesity: Obesity has been known to put stress on many of the bodily systems and it may affect the bladder and the urinary sphincters as well.
7937 people found this helpful

Not Having Sex - 5 Things That Can Happen to You!

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
Not Having Sex - 5 Things That Can Happen to You!
An important part of your adult life and a way of expressing your love, sex can be an effort when, both you and your partner do not feel up to it.

However when you completely put a stop to having sex, these 5 things can happen:

You feel more anxious: A study by a group of Scottish researchers reveals that when you go without sex for a long time, you are unable to cope with the pressures of life. Couples who had sex for at least once over a 14 day period were able to cope with stressful situations, the study revealed. During sex, your body releases chemicals like oxytocin and endorphins that leave you with happy feelings. When you abstain from it, you shut down an avenue to get rid of pent-up emotion or energy.
It raises the possibility of prostate cancer in men: Research reveals that men who have sex regularly experience a 20% fall in their chances of developing prostate cancer. The reason is frequent episodes of ejaculation bring about the removal of harmful matter from the prostate gland.
You become more prone to colds and flu: Less sex can affect your body's ability to fight off germs, making you prone to common colds and flu. A research by the Wilkes-Barre University shows that couples who have sex one or two times a week witness a 30% boost in the production of immunoglobulin A or IgA (an antibody that is the body's first line of defense against germs) compared to people who don't.
It increases the risk for erectile dysfunction (ED) in men: Findings published in the American Journal of Medicine highlight the fact that men who have sex less frequently are two times more likely to experience ED than men who have sex about once a week. According to the researchers of the study, frequent sex allows the penis to maintain its strength and effectiveness.
A drop in Urinary Tract Infections (UTI) for women: One good thing comes out of not having sex. It is said that about 80% of UTI occurs within 24 hours of having sex. During intercourse, bacteria from the vagina get transported into the urethra, leading to the infection of the area. For women, the decision to not have sex can reduce the risk of developing this condition.
7298 people found this helpful

Kegel Exercises In Men - The Many Benefits Of It!

Sexual Health Clinic
Sexologist, Delhi
Kegel Exercises In Men - The Many Benefits Of It!
The pelvic area has a number of muscles which need to be maintained healthy for optimal urinary and reproductive functions. From being able to start and maintain a good flow of urine to erections that last long, these muscles play a significant role.

There are specific exercises, known as Kegel exercises, designed to work on these muscles, which can improve overall health and solve issues like premature ejaculation and urinary incontinence.

These exercises were developed by Dr. Arnold Kegel in the 1940s, originally used to tighten the vagina after vaginal birth. Soon, their benefits in men were discovered and so they are today widely advised for both men and women.

How does it work?

The main idea of the Kegel exercise is to strengthen the pelvic floor muscles. It runs from the tailbone up to the pelvic bone and is shaped like a hammock. Strengthening this muscle allows for better functioning of the sphincters, giving better control over urination as well as ejaculation.

There are 4 simple steps to doing the Kegel exercise that is find, contract, hold, and release; and repeat. Read on to know more.

Find: The pelvic floor muscles control the urine stream and the anal opening, so the next time you are urinating, try to stop midstream and locate the muscle. Without any tension on the legs or the abdomen, try to lift the pelvic floor upward.

Contract: The first step is to contract the pelvic floor muscle, while continuing to breathe.

Hold: When you start doing it, it might be difficult to hold it for more than a few seconds. This will gradually increase with time. Make a mental note of it to track progress.

Release and repeat: Release the muscle and repeat for up to 10 times, each contraction lasting for 10 seconds

Benefits

This simple exercise is advised by doctors to men will manage a variety of issues. The fact that it can be done anywhere, requires no equipment and is so simple, but so effective have added to its popularity.

The stronger pelvic floor muscles improve blood flow to the penis, providing harder, longer lasting erections.

The volume and force of ejaculation will also be improved greatly with repeated Kegels, leading to stronger orgasms

Improved control over the muscles improves sexual stamina, thereby allowing you to control your orgasm

Used in managing urinary incontinence

Nocturnal urination can be managed by regular Kegel exercises

Prostate health can be improved in people with benign prostatic hyperplasia (BPH) and prostatitis reducing pain and swelling

Prolapse of pelvic organs can be prevented

Because of these varied benefits, it is widely used by doctors and sexual experts in a number of patients.
6886 people found this helpful

Benefits of Botox Is Not Just Limited to Wrinkles

Benefits of Botox Is Not Just Limited to Wrinkles
The quest to look and feel young is never ending. Almost everybody feels they could look a couple of years younger with a few wrinkles less and firmer skin. While this was within access of only celebrities who could afford the various plastic surgical procedures a few decades ago, times have changed now. Scientists and doctors are doing researches to find more affordable and non-surgical ways of getting to look younger.

Botox was one of the wonderful results of this search. Clostridium botulinum causes food poisoning and produces a toxin known as botulinum. In extremely minor amounts, this toxin can paralyze muscles and this property of it is used to treat facial wrinkles and fine lines.
How Botox works
The muscles react when they receive a message from the nerve through chemicals known as neurotransmitters. Acetylcholine is one such chemical, which is present in the face and sends messages to the facial skin from the nerves. What Botox does is prevent the release of acetylcholine and so the muscle does not receive any message, and so does not contract. This reduces the amount of wrinkles and fine lines.

Medical Indications
Botox is one of the most powerful toxins identified to date. About 2 kg of the toxin is sufficient to wipe out the entire human race from Earth. That being its potency, the dosage and administration should be done only under experienced medical supervision.

For cosmetic purposes, they are most frequently used to reduce wrinkles on face and fine lines under the eyes and on the forehead. The wrinkles appear softened after the use of Botox, producing a younger, firmer skin. Aside from its cosmetic use, there are various other conditions for which Botox is medically approved for a number of medical ailments like

1. Chronic migraines
2. Blepharospasm (spasm of the eyelids)
3. Chronic neck spasms
4. Excessive sweating
5. Overactive bladder (resulting in frequent urination)
6. Spasticity resulting from stroke
7. Crow's feet (outer corner of the eyes)
8. Urinary incontinence
9. Lazy eye (strabismus)
10. Bruxism (tooth grinding)
11. Esophageal motility disorders

The list is only set to get longer as more indications for Botox are identified. However, as mentioned, being an extremely toxic substance, it should be used only under complete medical supervision.

Side effects: Needless to say, there are side effects to this too, but when administered properly, it is an extremely safe procedure.

1. Allergic reaction: Very few people might have an allergic reaction to the toxin
2. Mild pain or redness at the injection site
3. Temporary numbness
However, these are very transient and will subside in a couple of days, by which time the effect of Botox will be visible. Have a thorough discussion with your doctor before going for it.
6488 people found this helpful

Maintaining Intimacy During Pregnancy and Parenthood

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Maintaining Intimacy During Pregnancy and Parenthood
One of the effects of pregnancy is lowered libido. Pregnancy can tire out a woman and put a hold on her relationship with her partner. Even after the baby is born, a woman may not feel inclined to have a sexual relationship with her partner. Though this is normal, it can lead to problems in your relationship. Hence it becomes important to put in an effort towards maintaining intimacy with your partner in a relationship. Here are a few ways to keep the spark alive:


Find alternative ways of staying close: Having intercourse when you have no desire for it makes it a chore. Instead of having sex for the sake of it, find other ways to be intimate. For example, you could take a shower together or massage each other. Being physically intimate can also be as simple as holding hands or touching your partner when you walk past them. A quick hug before leaving the house for work in the morning is also a good idea.
Communicate openly: A woman is not the only person hesitant about sex when pregnant or caring for her newborn. Men may also feel hesitant to initiate sex in the fear of hurting his woman. Many men also become extra gentle with regards to their partner when she is pregnant. Hence, it becomes important to communicate openly and share your feelings and thoughts. Do not be afraid to tell your partner when you feel uncomfortable about your body or when your libido surges suddenly.
Do something together: It is easy to get overwhelmed with preparing for a baby or looking after one. However, it is important to set some time aside for an activity that both of you can do together. It could be as simple as drinking a cup of tea together in the morning, solving a crossword puzzle or watching a television show at before going to bed. The idea is to give each other attention for at least a little time every day.
Accept the changes: A woman s body undergoes a lot of changes when she is pregnant. Do not fight against these changes but accept them as they are and roll with it. Be prepared for breast milk to leak or for a little urinary incontinence. This is normal. It may help to dim the lights while having intercourse or putting down a rubber sheet over the bed.
6487 people found this helpful

Urinary Tract Infection (UTI): Prevention and Cure

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
Urinary Tract Infection (UTI): Prevention and Cure
Urinary Tract Infection (UTI) happens when germs infect your urinary system. It includes the kidneys, bladder, and the connecting tubes. Bladder infections are normal and not a huge risk if treated immediately. Further, if the disease spreads to the kidneys, it can bring about very serious problems. In case you're a woman, your chance of getting a urinary tract disease is higher. Experts rank your lifetime danger of getting a UTI as one in every woman. Many women might even have repeated infections.

UTIs are a key reason why we are frequently advised to wipe ourselves from front to back while or after using the bathroom. That is because of the urethra - the tube that carries the urine outside the body. It is found near the anus. If the infection isn't dealt with, the kidneys are likely to be affected.

Symptoms: To recognize a UTI, watch out for the following side effects:

1. Burning sensation while urinating
2. A regular urge to urinate, despite the fact that little turns out when you do
3. Pressure in your belly
4. Pain in the lower abdomen
5. Dark, bleeding or odd smelling urine
6. Feeling drained or shaky
7. Fever or chills (a sign the disease may have come to your kidneys)

Home Remedies: Some of the home remedies for UTI are:

1. Drink lots of water

One of the main things to do when you have a urinary tract infection is drink a lot of water.

2. Load Up on Vitamin C for a Healthy Urinary Tract

Getting a lot of vitamin C is important, since a lot of vitamin C make your urine more acidic. This prevents bacteria from developing.

3. Cure UTI Pain with Heat

Applying a warming cushion can calm the region.

4. Cut Bladder Irritants from Your Diet

Avoid caffeine, liquor, nicotine, carbonated beverages, and fake sweeteners.

5. Empty Your Bladder Again

Each time you exhaust your bladder - regardless of the possibility that it's only a little, you get rid of bacteria every time. So continue making those washroom runs.

6. Consider Herbal Remedies

You may discover some relief from taking the herb uva ursi (bearberry leaf)

7. Switch to Healthier Habits

Change in lifestyle can make a lot of difference. For instance, quit smoking and wear cotton clothing.

Other Treatment: In case, you have 3 or more UTI bouts in a year, request your specialist for a special treatment plan. Some treatment choices include:

You can take an anti-toxin in low dosage, over a more extended period to avoid repeated infections.

You can also take a single dosage of anti-biotic after sex, as prescribed by your specialist.
A patient can also take anti-toxins for 1 or 2 days as the symptoms show up. The treatments should be only be taken after concerning the specialists. You can also use an at-home urine test kit when you see the symptoms appearing.
5998 people found this helpful

UTI - 6 Preventive Measures!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
UTI - 6 Preventive Measures!
A urinary tract infection can be painful and annoying. Most urinary tract infections affect the bladder and urethra, but it can also affect the kidneys and ureter. Women have a higher risk of suffering from this infection as compared to men. This is because women have a shorter urethra than men and hence the bacteria needs to travel a shorter distance to reach the bladder. Urinary tract infections can usually be treated easily with a course of antibiotics as long as they are detected in time. If not detected in time, it can affect the kidneys which make it a more serious problem. Hence, it becomes important to be able to recognise the signs of this infection.

Some of the symptoms to watch out for are:

A persistent urge to urinate but low volume of urine produced
A burning sensation while urinating
Cloudy urine
Blood in the urine which makes the urine appear red, pink or blackish
Strong smell of the urine
Pelvic pain
A urinary tract infection that affects the urethra is also known as urethritis. A burning sensation when urinating and discharge along with urine are the most prominent symptoms of this type of infection. When this infection affects the bladder it comes to be known as cystitis. Cystitis patients typically suffer from frequent and painful urination along with discomfort in the lower abdomen and pressure in the pelvic area. They may also notice blood in the urine.

Acute pyelonephritis refers to a urinary infection that affects the kidneys. In such cases, along with the typical symptoms, the patient may also experience high fever, nausea, shivering and pain in the upper back and sides of the abdomen.

This infection can affect a person at any age. Most women suffer from at least one bout of urinary tract infections in their lifetime. Some of the factors that increase the risk of suffering from this infection are:
Certain types of birth control such as diaphragms and spermicidal agents

Menopause
New sexual partners
Urinary tract abnormalities
Kidney stones or other blockages in the urinary tract
Weakened immune system
Use of catheters
Recent urinary procedures that involve the use of medical instruments
Urinary tract infection can be easily prevented by living a healthy lifestyle. Drink plenty of fluids to flush bacteria and other toxins from your body. Bacteria multiplies in the bladder if urine stays for too long. Hence, urinate frequently and do not try to control your bladder. Avoid synthetic underwear and wear cotton underwear with loose fitting clothes that keep the area around the urethra dry.

How to prevent recurrent urinary tract infections
A urinary tract infection or UTI can be quite painful and uncomfortable. This infection can be described as an infection that affects the ureter, urethra, bladder or kidneys. Women have a shorter urethra than men which makes this more vulnerable to this kind of infection. It is said that most women suffer from at least one bout of this infection in a lifetime. Urinary tract infections are caused by bacteria and may often recur after treatment. However, in most cases, this can easily be prevented. Here are a few tips to help prevent recurrent urinary tract infections.

Drink plenty of fluids: Ideally, we should drink 8-10 glasses of water a day at regular intervals. This keeps the body hydrated and flushes toxins and bacteria from the body. Water also prevents the formation of kidney stones that could increase your risk of suffering from a urinary tract infection.
Urinate frequently: If you drink the required amount of water, you will typically need to urinate frequently. Do not try to control your bladder. Holding your urine in your bladder allows bacteria to multiply inside the bladder. This is an easy way for a UTI to begin.
Follow healthy bathroom habits: Cleanliness is the first step to preventing any infection. When using public restrooms, flush the toilet before and after urinating. In the case of women, it becomes important to ensure that the seat of the toilet is clean as well. After urinating wipe the residual urine with toilet paper in a motion that goes from front to back. Since the urethra is situated very close to the rectum, this step is very important. For uncircumcised men, it is important to wash the foreskin after urination.
Wear loose clothes: Tight fitting clothes trap moisture and aid in the multiplication of bacteria. Hence, always wear loose fitting clothes that keep the area around the urethra dry. Also, avoid synthetic underwear and only wear cotton underwear.
Urinate after intercourse: The relative closeness of the vagina to the urethra makes it easy for bacteria to enter the urethra during intercourse. Hence, make it a habit of washing your pubic region after urinating. This helps flush out any possible bacteria that may have entered your body.
Choose the correct method of birth control: Certain types of birth control such as diaphragms and spermicidal agents can promote a urinary tract infection. Hence, it is best to avoid these types of birth control and pick alternatives.
5799 people found this helpful

Smelly Urine? Check For Lower UTI

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
Smelly Urine? Check For Lower UTI
Common symptoms of urinary tract infections every woman should know

A urinary tract infection (UTI) can occur in any part of the urinary tract including the kidneys, ureters, bladder or urethra. The causes of UTI can be many, with bacteria being the most common cause. In fact, UTIs are generally more common among women as they have shorter urethras, which make it easier for the UTI causing bacteria to pass through to the bladder.

The symptoms of UTI vary depending on the area of your urinary tract that has been infected. These symptoms are:

Lower urinary tract infection:

1. Bladder cystitis, in which the lining of bladder and urethra become inflamed and irritated

2. Dysuria, which is a burning sensation during urination

3. A frequent or intense urge to urinate, even though little comes out when you do

4. Urinary urgency, which is the sensation of having to urinate urgently

5. Cloudy, dark bloody or strange-smelling urine

6. Cramping or pressure in lower abdomen or lower back

7. Pelvic pain in women particularly in the center of the pelvis and around the area of pubic bone

8. Mild fever or chills indicating that the infection may have reached your kidneys

Upper urinary tract infection:

1. Fairly high fever with fatigue

2. Shaking chills with a feeling of discomfort

3. Nausea and vomiting

4. Flank pain, which is pain in the back or side, usually on only one side at about waist level

Since pregnant women are at an increased risk of contracting UTIs, their urine should be checked during prenatal visits to prevent unrecognized infection that can cause pregnancy complications.


5643 people found this helpful

Urinary Incontinence and How It Can Be Treated with Natural Remedies?

BAMS, MD (Panchkarma)
Ayurveda, Mumbai
Urinary Incontinence and How It Can Be Treated with Natural Remedies?
Urinary incontinence or the involuntary urination is a common and distressing problem, which may have a large impact on quality of life. The most common types of urinary incontinence in women are stress urinary incontinence and urge urinary incontinence. Women with both problems have mixed urinary incontinence. Stress urinary incontinence is caused by loss of support of the urethra which is usually a consequence of damage to pelvic support structures as a result of childbirth. It is characterized by leaking of small amounts of urine with activities which increase abdominal pressure such as coughing, sneezing and lifting.

Additionally, frequent exercise in high-impact activities can cause athletic incontinence to develop. Urge urinary incontinence is caused by uninhibited contractions of the detrusor muscle. It is characterized by leaking of large amounts of urine in association with insufficient warning to get to the bathroom in time.

How to diagnose urinary incontinence?

Stress test: The patient relaxes, then coughs vigorously as the doctor watches for loss of urine.
Urinalysis: Urine is tested for evidence of infection, urinary stones, or other contributing causes.
Blood tests: Blood is taken, sent to a laboratory, and examined for substances related to causes of incontinence.
Ultrasound: Sound waves are used to visualize the kidneys, ureters, bladder, and urethra.
Cystoscopy: A thin tube with a tiny camera is inserted in the urethra and used to see the inside of the urethra and bladder.
Urodynamic: Various techniques measure pressure in the bladder and the flow of urine.
Ayurvedic Management of Urinary Incontinence:
Ayurveda is a very effective natural treatment for Involuntary Urination. Medicines help to treat the root cause of disease. Ayurveda remedies are known to be perfectly safe and have been tried by thousands of patients all over the world bedwetting are perfectly safe. These natural remedies do not have any side effects at all
5556 people found this helpful

Kegel Exercises For Women - Super Benefits of it!

MD-Dermatology, MBBS
Sexologist, Pune
Kegel Exercises For Women - Super Benefits of it!
Kegel exercises are simple contraction-and-relaxation exercises that make the pelvic muscles stronger. The pelvis area holds a person's genitalia, which contains a series of muscles and tissues that work in coordination and combination to perform sexual and bowel functions. A set of weak pelvic muscles would lead to issues such as the inability to control bladder and bowel functions.

Finding the right muscles can be troubling. An easy way to locate these muscles would be to place a clean finger inside the vagina and tighten the vaginal muscles around it. Another way would be to stop urinating mid-flow. This is because the pelvic muscles, which pertain to sex, help to control this action too. Once a woman finds the right muscles, all she has to do is to contract and relax them periodically.

Kegel exercises are highly beneficial for sexual functions in a number of ways. Some of the benefits include:

Kegel exercises help to control stress incontinence, which is a condition that causes spontaneous discharge of urine when abdominal pressure increases suddenly. This means a person would leak urine when he/she laughs, coughs, jogs, sneeze or lifts anything weighty.
Kegel exercises also help to prevent urge incontinence, which has been described as a sudden and strong urge to urinate. In a healthy bladder, the muscles remain relaxed as the bladder progressively fills up. As the bladder finally fills up, a person gets the urge to urinate. In case one has urge incontinence, the bladder might feel full even if it is not. Kegel exercises help to strengthen these muscles and recover control.
Kegel exercises can be particularly helpful after childbirth. This is so because pelvic muscles stretch and weaken during childbirth, which can cause problems such as urinary incontinence and can also cause the muscles to sag. In these cases, Kegel exercises are helpful.
5516 people found this helpful