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Sunday, 24 November 2013

Urinary Incontinence - The The do's and do not's list

Urinary Incontinence, a medical, psychological, social, economic, and hygienic problem, is defined as a condition of loss of the bladder to control that can lead to mild or severe form of involuntary leakage of urine. Involuntary urine leakage or urinary incontinence is frequent among elderly women, adult women, even among adolescent women.
The do's and do not's list 
1. Reduce weight if you are overweight or obese
Obesity is an established and modifiable risk factor for urinary incontinence, In the study of  338 overweight and obese women with at least 10 urinary-incontinence episodes per week to an intensive 6-month weight-loss program that included diet, exercise, and behavior modification (226 patients) or to a structured education program (112 patients), showed that a 6-month behavioral intervention targeting weight loss reduced the frequency of self-reported urinary-incontinence episodes among overweight and obese women as compared with a control group. A decrease in urinary incontinence may be another benefit among the extensive health improvements associated with moderate weight reduction(24)
2. Follow guidance of fluid intake if you have Urinary Incontinence as over intake of fluid is associated to increased risk of bladder leaking.
3. Exercise
Dr. Bø K. at the Norwegian University of Sport and Physical Education, said "Strength training of the pelvic floor muscles has been shown to be effective in treating stress urinary incontinence in parous females in the general population. In randomised controlled trials, reported cure rates, defined as <2g of leakage on pad tests, varied between 44% and 69%. Pelvic floor muscle training has no serious adverse effects and has been recommended as first-line treatment in the general population. Use of preventive devices such as vaginal tampons or pessaries can prevent leakage during high impact physical activity. The pelvic floor muscles need to be much stronger in elite athletes than in other women." in the study of Urinary incontinence, pelvic floor dysfunction, exercise and sport(25).
4. Avoid bladder irritants
Frequent over drinking and certain foods can cause bladder irritant of that can increase the risk of Urinary Incontinence.
5. Quick smoke if you smoke, quit. If you don't smoke, don't start(26)
6.  Avoid frequent constipation as it is a leading cause of  Urinary Incontinence by Including more fiber in your diet. Urinary symptoms were found in a significant number of children who had functional constipation and encopresis(27).
7. Etc.

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Sources
(24) http://www.ncbi.nlm.nih.gov/pubmed/19179316 
(25) http://www.ncbi.nlm.nih.gov/pubmed/15233598
(26) http://www.ncbi.nlm.nih.gov/pubmed/1442969  
(27) http://www.ncbi.nlm.nih.gov/pubmed/9240804