Jamaica Gleaner

Help, I peed myself!

Urinary incontinen­ce

- JESSICA HARRISON Lifestyle Writer jessica. harrison@ gleaner. com

AS AN adult, one of the most embarrassi­ng experience­s you could ever endure is peeing yourself in public. “Why can’t she hold her pee?” “Didn’t she feel it coming?” These questions and more will be whispered as you drown in a sea of shame. So, what’s happening with you? It could be urinary incontinen­ce.

Urinary incontinen­ce is described as the involuntar­y leakage of urine and occurs when the body has lost control over the urinary sphincter, or it has become weakened. In other words, passing urine when you don’t want to. While it affects both males and females, it is more prevalent in women, and the chances of struggling with this disorder increase as one gets older.

“There are several different types of urinary incontinen­ce, some of which are overflow incontinen­ce, functional incontinen­ce, and mixed incontinen­ce. However, the most popular one is stress incontinen­ce,” said Dr Ivan Rawl Williams of Andrews Memorial Hospital.

He explained that stress incontinen­ce is not related to the stress we feel when we are overwhelme­d, but it speaks to pressure in the urinary bladder. “Being overweight, pregnant, sneezing, coughing, or even lifting heavy objects can put pressure on your bladder. Some medical conditions do, too,” said Williams.

What are some factors that increase the risk of developing urinary incontinen­ce?

AGE

As the body ages, the muscles in your bladder and urethra lose some of their strength. Changes with age reduce how much your bladder can hold and increase the chances of involuntar­y urine release.

GENDER

Women are more likely to have stress incontinen­ce because of pregnancy, childbirth, menopause, and sometimes it just happens because of how the female anatomy is.

SMOKING

The use of tobacco may increase your risk of urinary incontinen­ce.

FAMILY HISTORY

Some things are just in your genes. If a close family member has struggled or is struggling with urinary incontinen­ce, you’re at a greater risk of developing the condition.

PREVENTION

While urinary incontinen­ce isn’t necessaril­y preventabl­e, one can take steps in order to lower one’s risk.

“Maintain a healthy weight, practise pelvic-floor exercises such as kegels, avoid bladderact­ive foods such as caffeine and alcohol, quit smoking, and I cannot stress this enough, obey the urge to go,” said Williams.

As much as the issue of urinary incontinen­ce is a very awkward topic to discuss, talk to your doctor about it. It may very well be an indication of other underlying issues, and you may need to be referred to a urologist.

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