HEALTHY LIV­ING Man­ag­ing loose blad­der in women

Sunday Trust - - TAMBARI - DID YOU KNOW...

Have you been in that sit­u­a­tion where you can’t hold urine and just re­alise that is trick­les with­out your knowl­edge? If yes, then you may have loose blad­der. Uri­nary In­con­ti­nence (UI) is the un­in­ten­tional trick­ling of urine. It can be an un­com­fort­able and em­bar­rass­ing prob­lem that is pretty high up there on the list of med­i­cal Is­sues no one talks about. Those af­fected may be hes­i­tant to speak up or ask ques­tions about their con­di­tion; even at the doc­tor’s of­fice.

Uri­nary In­con­ti­nence oc­curs more of­ten in women and it is a lot more com­mon than you may ex­pect. UI is more than just a med­i­cal con­di­tion; it dis­tresses peo­ple on so­cial, psy­cho­log­i­cal and emo­tional lev­els. Peo­ple who have UI of­ten avoid cer­tain places or sit­u­a­tions for fear of hav­ing an “ac­ci­dent”. Ac­cord­ing to Dr. Aye­sha Adama of Nisa Hos­pi­tal, “There are two main types of UI: Stress UI (SUI) and Ur­gency UI (UUI) and both types can ex­ist con­cur­rently, each type is caused by some­thing dif­fer­ent and needs to be treated dif­fer­ently.” SUI which is more com­mon oc­curs as a re­sult of preg­nancy, child birth, menopause, among oth­ers, be­cause of the phys­i­cal changes which our body un­der­goes like vesi­co­v­agi­nal fis­tula (VVF) which is an ab­nor­mal com­mu­ni­ca­tion be­tween the blad­der and the vagina that leads to urine leak­ing out un­con­trol­lably through the vagina. VVF usu­ally oc­curs in de­vel­op­ing coun­tries due to com­pli­cated child­birth.

In many cases, SUI can be treated with pelvic floor mus­cle ex­er­cise called Kegel ex­er­cises; these move­ments strengthen your pelvic floor mus­cles and uri­nary sphinc­ter or blad­der train­ing. Symp­toms can be im­proved by weight loss, cer­tain med­i­ca­tions and sur­gi­cal in­ter­ven­tion.

UUI is when your blad­der con­tracts in­vol­un­tar­ily, leav­ing you with lit­tle or no time to get to the toi­let. This is a sign of over­ac­tive blad­der.

Older peo­ple are also known to ex­pe­ri­ence higher rates of UUI. Med­i­ca­tion called an­ti­cholin­er­gics or sur­gi­cally placed nerve stim­u­la­tors help. How­ever, ap­pro­pri­ate treat­ment will be de­cided by your doc­tor.

See­ing a doc­tor who has ex­pe­ri­ence treat­ing in­con­ti­nence so as to learn what type you have and to di­ag­nose the prob­lem and find so­lu­tion is a step to­wards find­ing re­lief.

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