Bladder incontinence
February 27th, 2007 by Steve | View blog reactions
The urine remains in the bladder as a result of the urethral pressure which exceeds the bladder pressure. The pelvis is the sole location of both urethra as well as the bladder. When some one cough or sneeze, the intra-abdominal pressure usually increases which leads to the transmitting of pressure to both the bladder as well as the urethra simultaneously. This leaves the pressure differential unchanged which results in continence.
Another division of incontinence is the stress incontinence which is caused by the weakening of the pelvic floor muscle which reaults automatically in the loss of minute amounts of urine while various activities such as coughing, sneezing, laughing, exercise or any other physical activities which leads to an increase in the intra abdominal pressure.
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Even at certain levels or situations like pregnancy, childbirth and even at menopause which are physical and hormonal changes that takes place within our body, these are termed as the causes of stress incontinence. In men situation is different as it occurs in those who have experienced a prostatectomy recently. As this situation is more common in women due to various physical changes which are seen mostly in them, but it is treatable also.
The fascia of pelvic floor is that which supports urethra and it is suspended by this and weakening of this support would result in the movement of it downwards due to increased abdominal pressure and thus resulting in stress incontinence. Such a situation is seen commonly in pregnant women or those giving birth.
During the week before the menstrual cycle in women the condition of stress incontinence is seen to be worse. During this time, the lower muscular pressure around the urethra results due to lowered estrogen levels. This increases any chances of leakage of urine. In many cases like menopause, women experience stress incontinence due to lowered levels of estrogen in their bodies.
Reflux incontinence is another term which is related that results from overactive nerves which control the bladder. It could also be called as Urge incontinence. There are many who undergo incontinence at situations like sleeping, after drinking small amount of water or even while touching or hearing it running.
The involuntary actions of the bladder occurs due to early damage to the nerves of the bladder which connects to the nervous system that includes the spinal cord and brain or to the muscles itself. There are other serious conditions such as Parkinson’s disease, stroke, injury, Alzheimer’s disease and even multiple sclerosis which could damage the bladder nerves or muscles.
Functional incontinence is yet another situation and it involves problems related to moving, thinking, communicating and many more. People suffering from Alzheimer’s disease will not even think of being able to plan for enough time to go back to the restroom. But bladder weakness can be cured with bladder control exercises.
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