Incontinence Advice

Urinary Incontinence: Causes and Treatment Options

Urinary incontinence, a condition marked by the loss of bladder control, affects millions globally. Its impact varies, from the occasional discomfort of urine leakage when coughing, to the urge for using the toilet immediately. Many may question how many times a day to wee, in this instance.

This condition isn’t always a normal part of ageing, but if you do experience it, you should not be embarrassed about it. In fact, we are happy to lift the taboo surrounding incontinence, and in this article, we will help you to recognise urinary incontinence, including its causes, symptoms, and how you can improve your lifestyle around it, as well as the medical conditions to consider, and what treatment options are available, such as our pants for incontinence.

Woman speaking to pharmacist about incontinence

Urinary Incontinence Symptoms:

Recognising these symptoms is the first step towards addressing the condition and improving your quality of life. The types of urinary incontinence and their symptoms vary, each presenting unique challenges:

Stress Incontinence: This type occurs when activities like coughing, sneezing, laughing, or exercise put pressure on your bladder, leading to unexpected urine leakage. It's a common issue that many encounter, particularly during physical exertion or moments of forceful laughter.
Urge Incontinence: Characterised by a sudden and intense need to urinate, this type often leads to involuntary urine loss before you can reach a bathroom. Frequent nighttime urination (nocturnal enuresis) can also be a symptom. While sometimes caused by minor conditions like infections, urge incontinence can also signal more serious concerns, including neurological disorders or diabetes.
Overflow Incontinence: This is when you experience continuous or intermittent dribbling, indicative of a bladder that isn't emptying completely. This type of incontinence often leaves you feeling as though you haven’t completely emptied your bladder, leading to frequent, small amounts of urine loss.
Functional Incontinence: This occurs when physical or mental impairments prevent timely bathroom access. An example is functional incontinence is severe arthritis, which might slow down the process of undressing, resulting in accidents.
Mixed Incontinence: A combination of more than one type of incontinence, most commonly stress and urge incontinence. This combination can complicate diagnosis and treatment, as it involves multiple underlying causes.
Total Incontinence: This results from congenital bladder abnormalities from birth, which can result in spinal cord injuries that will affect communication between the brain and the bladder, as well as bladder fistula development.

Medicines That Can Cause Incontinence

Certain medicines can affect the passage of urine, often leading to an increased need to urinate. Medications that may provoke this are: angiotensin converting enzyme (ACE) inhibitors, diuretics, various antidepressants, hormone replacement therapy (HRT), and sedatives.

When to Consult a Healthcare Professional

While discussing urinary incontinence can be uncomfortable, consulting a healthcare provider is crucial, especially if the condition frequently impacts your daily life or social interactions. It's important to recognise that urinary incontinence may:

Cause you to limit your activities or avoid social gatherings.
Negatively affect your overall quality of life.
Increase the risk of falls, particularly in older adults, due to the urgency and frequency of bathroom visits.
Indicate a more serious underlying health issue.

Understanding these symptoms and types of urinary incontinence is pivotal in seeking appropriate urinary incontinence treatment and advice. Early consultation with a healthcare provider can lead to effective management strategies, ensuring that urinary incontinence does not dictate the terms of your daily life.

You can learn more about How Anxiety Affects Your Bladder and Bowel

Urinary Incontinence Causes

Many factors can contribute towards different causes of urinary incontinence. Here is what to consider to receive the correct treatment and management:

Temporary Causes of Urinary Incontinence:

Diet: Certain foods and drinks can temporarily exacerbate urinary incontinence. Alcohol, caffeine, carbonated drinks, and foods high in spice, sugar, or acid (like citrus fruits) can irritate the bladder. Even some medications and supplements, like heart and blood pressure drugs, sedatives, muscle relaxants, and high doses of vitamin C, act as diuretics, stimulating your bladder. Be sure to follow our guidance regarding the right bladder-friendly drinks, as well as foods and drinks that irritate the bladder to improve your diet.
Urinary Tract Infections (UTIs): These can irritate your bladder, leading to strong urges to urinate and potential incontinence. We also our tips on how to control and prevent cystitis, as well as the fastest way to get rid of a bladder infection.
Constipation: The proximity of the rectum to the bladder means hard stool can press against the bladder, causing overactivity and increased urinary frequency. Using our deluxe incontinence skin care products such as MoliCare Skin Barrier Cream can help in preventing skin irritation.

Persistent Causes of Urinary Incontinence:

Pregnancy and Childbirth: Hormonal changes and the weight of the foetus can cause stress incontinence. Childbirth, especially vaginal delivery, can weaken bladder control muscles, damage nerves, and lead to pelvic floor prolapse, contributing to incontinence.
Ageing: The bladder's capacity to store urine can decrease with age, and involuntary bladder contractions may increase.
Menopause: Post-menopause, there's a reduction in oestrogen, which can deteriorate the tissues of the bladder and urethra. Find ways to manage incontinence during menopause now.
Prostate Issues in Men: Conditions like an enlarged prostate (benign prostatic hyperplasia) and prostate cancer, as well as their treatments, can lead to incontinence after prostate cancer and other prostate problems.
Obstructions in the Urinary Tract: Tumours or urinary stones in the urinary tract can obstruct normal urine flow, leading to overflow incontinence.
Neurological Disorders: Disorders like multiple sclerosis, Parkinson's disease, stroke, brain tumours, or spinal injuries can disrupt nerve signals vital for bladder control, resulting in incontinence.

Risk Factors for Urinary Incontinence

Several factors can heighten the likelihood of developing urinary incontinence, including:

Gender: Women often experience stress incontinence due to factors like pregnancy, childbirth, menopause, and female anatomy. Men with prostate gland issues are more prone to urge and overflow incontinence.
Age: Aging can weaken the muscles in the bladder and urethra, diminishing bladder capacity and leading to more frequent involuntary urine release.
Impact of Excess Weight: Carrying extra weight can exert additional pressure on the bladder and its supporting muscles, resulting in leakage during activities like coughing or sneezing.
Smoking and Incontinence: Tobacco use is linked to an increased risk of urinary incontinence.
Family History: A family history of urinary incontinence, particularly urge incontinence, can elevate your risk of developing the condition.
Underlying Health Conditions: Certain diseases, such as neurological disorders or diabetes, can contribute to an increased risk of urinary incontinence.

Understanding these risk factors is key to identifying and managing urinary incontinence effectively. If you fall into one or more of these categories, it's advisable to discuss them with your healthcare provider.

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How To Diagnose Urinary Incontinence

Diagnosing urinary incontinence typically begins with a discussion about your medical history and bladder control issues. Your healthcare provider may ask about the frequency of urination, instances of urine leakage, the amount of leakage, and the duration of incontinence. This information helps identify patterns indicating a specific type of incontinence, not just urinary incontinence. It's crucial to mention all medications and any history of pregnancies and childbirth, as these can impact incontinence.

Diagnostic tests may include:

Physical Exam: Checks for physical causes of incontinence, including a pelvic exam for women or prostate examination for men.
Urine Samples (Urinalysis): Tests for infections or blood in urine.
Bladder Ultrasound: A painless imaging test using sound waves to view the bladder's content and its emptying ability.
Stress Test: Involves coughing or engaging in physical activities to observe urine leakage.
Cystoscopy: A procedure using a camera-equipped tube to examine the interior of the urinary tract.
Urodynamic Testing: Assesses bladder capacity and the functioning of the urethral sphincter muscle, often involving fluid insertion into the bladder.
Pad Test: Involves wearing a special pad to measure urine loss.

Additionally, keeping a journal at home to record urinary habits, leakage occurrences, and related activities can be beneficial. This record provides valuable insights for your provider, aiding in a more accurate diagnosis. Be sure to bring this journal to your appointment for discussion.

Psychotherapy: The well being of the mind can also be a determining factor

All of us are familiar with that urgent need to go to the toilet when we are overstimulated (e.g. before an exam). The mind can affect incontinence: nervousness, stress or anxiety, for example, can trigger urinary incontinence problems.

In addition, there is the enormous psychological stress that afflicts those affected and greatly impacts their emotional well-being7. The psychological stresses that result from incontinence themselves encourage the development of bladder weakness problems. Psychotherapy approaches or relaxation techniques can help to disrupt this vicious cycle8.

Which treatment options and opportunities are specifically established for a typical case of irritable bladder, for example, can only be determined during an initial consultation with a specialist psychologist.

Preventing Urinary Incontinence:

Here are the recommended ways to decrease the risk of urinary incontinence. Remember, prevention of urinary incontinence is impossible, but early recognition can ease later effects:

Keep your weight within a healthy range.
Engage in pelvic floor strengthening exercises.
Steer clear of substances that irritate the bladder, like caffeine, alcohol, and acidic foods.
Increase your fibre intake to avert constipation, a known contributor to urinary incontinence.
Refrain from smoking or seek assistance to stop if you currently smoke.

What Are Pelvic Floor Exercises?

Kegel exercises, advisable for urinary incontinence treatment, offer a straightforward method to strengthen your pelvic floor muscles. These exercises are vital in managing various types of urinary incontinence, especially stress and sudden urinary incontinence.

To perform Kegel exercises, you need to lift, hold, and then relax your pelvic floor muscles. A practical way to identify these muscles is by attempting to halt urine flow mid-stream while urinating, but this should only be a temporary measure to locate the muscles, as regularly stopping urine flow isn't advisable.

For optimal results, aim to complete three sets of these exercises, with each set consisting of 10 repetitions, twice daily. This routine can significantly contribute to alleviating symptoms associated with what is urinary incontinence, helping to regain control over bladder function.

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Continence Products to Treat Urinary Incontinence

No matter what form of urinary incontinence that you may have, it is worthwhile investing in continence products, which will help you to manage your everyday tasks with little complications, and are very discrete and will fit seamlessly with different body types. As such, these include:

C ontinence products for women.

Incontinence products for men.

Large pads and fixation pants.

Pull up pants, perfect for those who wish to partake in sports with incontinence.

Continence bed protection, essential for those who experience bed wetting.

FAQs

Why do older people become incontinent?

Older people often experience incontinence due to natural ageing processes, which can weaken the bladder muscles and reduce bladder capacity. Additionally, age-related health issues like menopause in women, prostate problems in men, and chronic conditions such as diabetes or neurological disorders contribute to incontinence.

How do you fix urinary incontinence?

Treating urinary incontinence depends on its type and cause. Common approaches include lifestyle changes (like fluid and diet management), pelvic floor exercises, medications, and in some cases, surgery. For specific treatment, it's essential to consult a healthcare provider for a personalised plan.

How do you stop urine leakage in old age?

To manage urine leakage in old age, one can practise pelvic floor exercises (like Kegels), make lifestyle adjustments (such as reducing caffeine and alcohol intake, and maintaining a healthy weight), and use continence products. Consulting a healthcare professional for tailored advice is also recommended.

What is the cause of urinary incontinence?

Urge urinary incontinence is often caused by bladder overactivity, which can stem from urinary tract infections, bladder irritants, neurological disorders (like multiple sclerosis or stroke), or diabetes. It is characterised by a sudden, intense urge to urinate and difficulty controlling urine flow.

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