Diabetes and urine Leakage (incontinence)
Men and women (common in older women, but that doesn't mean it's a natural part
of aging) of all ages have bladder control problems. It is a common belief that
bladder control problems are something that happens when you get older; truth is
that men/women of all ages may have urine leakage. In men it is less frequent
but the problem is more common in women when they exercise, laugh hard, cough,
or sneeze, during pregnancy or after child birth. Women at menopause often have
bladder control problems; female athletes sometimes have the problem during
strenuous activities. For some it may be a small bother for others a large
problem. Many adult women have had urine leakage at one time or another and for
some it's a daily problem. Our bladder is a balloon-shaped organ that stores and
releases urine. Made of muscle it is situated in the pelvis and held in place by
pelvic muscles. Urethra (a tubular passage) drains urine. Sphincters (ring-like
muscles) help keep the urethra closed so urine doesn't leak from the bladder
before we are ready to release it.
How our body controls the bladder: Pelvic floor muscles hold the bladder
in place. Most bladder control problems are caused by weak pelvic muscles. These
muscles may become stretched and weak during pregnancy and childbirth. Weak
muscles let the bladder sag out of position, which may stretch the opening to
the urethra. Sphincters keep the urethra closed. Bladder relaxes when it fills
with urine and squeezes when it's time to urinate. Nerves carry signals from the
bladder to let the brain know when the bladder is full and from the brain to
tell the bladder when it's time to urinate. Damaged nerves may send signals to
the bladder at the wrong time. As a result, a bladder spasm may push out urine
without warning. Sometimes damaged nerves send no signals at all, and the brain
can't tell when the bladder is full. Diseases (diabetes, Parkinson's, multiple
sclerosis, and stroke) and trauma (pelvic or back surgery, herniated disc, and
radiation) can damage the nerves. Hormones help keep the lining of the bladder
and urethra healthy. If any one of these features is not working properly, then
bladder control problems may arise. Some problems are result of weak muscles,
while others are caused by damaged nerves. Sometimes cause may be a medicine
that dulls the nerves. When pelvic and sphincter muscles are strong, they can
handle the extra pressure from a cough, sneeze, exercise, or laugh. But when
those muscles are weak, that sudden pressure can push urine out of the bladder.
Urine leak after a strong, sudden urge to urinate may be caused by nerve damage
from diabetes, a stroke, an infection, or another medical condition. Leaking can
happen when medicines affect any of the muscles or nerves. You may take medicine
to calm your nerves so that you can sleep or relax. This medicine may dull the
nerves in the bladder and keep them from signalling the brain when the bladder
is full. Without the message and urge, the bladder overflows. Drinking alcohol
can also cause these nerves to fail. Water pills-diuretics-take fluid from
swollen areas of your body and send it to the bladder. This rapid filling may
cause the bladder to leak. Caffeine drinks such as coffee and cola also cause
the bladder to fill quickly. Make sure your drinks are decaf. A urinary tract
infection can irritate bladder nerves and cause the bladder to squeeze without
warning. Being overweight can put pressure on the bladder and contribute to
stress incontinence. Some people have trouble getting to the bathroom because
they can't walk or have other mobility problems causing incontinence. Kegel
exercises strengthen the pelvic muscles and don't require any equipment. You can
do Kegel exercises while lying down, sitting at a desk, or standing up. Some
changes in habits may be helpful: Timed voiding. By keeping track of the times
you leak urine, you may notice certain times of day when you are most likely to
have an accident. You can use that information to make planned trips to the
bathroom ahead of time to avoid the accident. Once you have established a safe
pattern, you can build your bladder control by stretching out the time between
trips to the bathroom. By forcing your pelvic muscles to hold on longer, you
make those muscles stronger. You may notice that certain foods and drinks cause
you to urinate more often. You may find that avoiding caffeinated drinks like
coffee, tea, or cola helps your bladder control. You can choose the decaf
version of your favourite drink. Make sure you are not drinking too much fluid
because that will cause you to make a large amount of urine. If you are bothered
by night-time urination, drink most of your fluids during the day and limit your
drinking after dinner. You should not, however, avoid drinking fluids for fear
of having an accident. Some foods may irritate your bladder and cause urgency.
Extra body weight puts extra pressure on your bladder. By losing weight, you may
be able to relieve some of that pressure and regain your bladder control.
Medicines
ALUMINA
Urination, feeble stream (slow); frequent, menses, before and during ;
involuntary cough, during ; stool, straining at, while; retarded, must wait for
urine to start ; retarded, must press a long time before he can begin .
Urination, unsatisfactory, feeling as if urine remained in urethra .
ANTIMONIUM CRUDUM
Urging, sudden, must hasten to urinate, or urine will escape. Urination,
involuntary during cough.
APIS MELLIFICA
Urination, frequent, menses, before / during ; involuntary at night
(incontinence in bed) ; cough, during; old people, in; unconscious, urethra
insensible .
BRYONIA ALBA
Urination, involuntary at night (incontinence in bed) , cough during , exertion
during , running while .
CAPSICUM
Retention of urine, exertion, after; urination, dribbling (by drops);
involuntary at night, spasmodic enuresis ; involuntary, cough, during .
CAUSTICUM
Urination, involuntary, night, first sleep; when blowing the nose, coughing;
during laughing, when sneezing . Pregnancy, during. Urination, retarded, must
press a long time before he can begin .Retarded when standing, flows
involuntarily while sitting .Urination, unconscious, urethra insensible .
Weaknes of sphincter .
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