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Incontinence

Incontinence

Description

Urinary incontinence is the inability to control urination. Incontinence may also apply to defecation. Urinary incontinence is most commonly a female disorder, relating to birth trauma.

Stress incontinence refers to the release of a small amount of urine when coughing, or laughing. This is especially common in women following childbirth, which stretches the urethral sphincter muscles.

Urge incontinence is an urgent and uncontrollable desire to void urine.

Total incontinence is rare and requires a severe disorder, such as a vesicovaginal fistula to bypass the bladder.

Overflow incontinence affects men most commonly, usually with prostate disorders. The bladder is always full, there is difficulty in voiding and the overflow spills over.

Causes

Weak pelvic floor muscles are usually responsible and may be compounded by prolapse of the uterus. Muscles may be strengthened and the problem overcome in the vast majority of cases.

Infection and inflammation must be ruled out.

Signs & Symptoms

Voiding of urine is easy to notice which adds to the embarrassment often felt by the sufferer. Indeed, lack of embarrassment may be an additional worry and indicative of other neurodegenerative disease processes.

Nutritional Supplements

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General Supplements
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Acidophilus*
Bioflavonoids*
Bromelain*
DMAE liquid
Lysine1,000 mg bid
Vitamin A*
Vitamin C1,000 mg
Vitamin E*



*Please refer to the respective topic for specific nutrient amounts.


Note: All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.

Dietary Considerations

A "Golden Rule" is to eliminate late night drinks.

Salty and extra spicy foods (which induce water retention and irritation, respectively) may need to be avoided.

Foods rich in vitamin A would support the nutritional supplements: apricots, asparagus, beet greens, broccoli, cantaloupe, carrots, collards, dandelion greens, mustard greens, peaches, pumpkins, red peppers, sweet potatoes, turnip greens and yellow squash.

Homeopathic Remedy

DescriptionRemedy
Stinging & burningApis Mellifica
Craving for salty foodsNatrum muriaticum
UrethritisUva ursi tinct.



Treatment Schedule

Over-the-counter homeopathic remedies may be single strength (of fairly weak potency e.g. 6X ) or a blend of several weaker strengths (6X, 8X, 10X).

This may comprise a single remedy, or several remedies.

Doses are administered on a 3 times daily (tid), between meals,schedule and continued for 3 days.

Liquid preparations usually use 8-10 drops per dose.

Solid preparations are usually 2 or 3 pellets per dose.

Children use 1/2 dose i.e. 1 pellet.

If there is aggravation of the symptoms, stop taking the remedy and consult a homeopath.

References

Murphy, R. : Homeopathic Medical Repertory. Hahneman Academy, Pagosa Springs, Colorado. 1993.

Murphy, R. : Lotus Materia Medica. Hahneman Academy, Pagosa Springs, Colorado. 1995.

Pert, J.C.: Homeopathy for the Family. The Homoeopathic Development Foundation, London. 1985 edition.

Tissue Salts

Ferr. Phos.

Herbal Approaches

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Herbs
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Cornsilk
Devil's Claw
Horsetail
Uva Ursi

Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.

Discussion:

Cornsilk and Uva Ursi are diuretics.

Devil's Claw is reputed to strengthen the bladder.

References:

Hoffmann, D: The New Holistic Herbal. Element, 1983. Third edition 1990.


Aromatherapy - Essential Oils

Cypress Essence,Thuja Essence.


Related Health Conditions

Bedwetting

Abstracts

References

Berkelmans-I et al: Perineal descent at defecography in women with straining at stool: a lack of specificity or predictive value for future anal incontinence? Eur-J-Gastroenterol-Hepatol. 1995 Jan; 7(1): 75-9.

Brandeis GH et al., The prevalence of potentially remediable urinary incontinence in frail older people: a study using the Minimum Data Set. J Am Geriatr Soc, 1997 Feb, 45:2, 179-84.

Cundiff GW et al., Clinical predictors of urinary incontinence in women. Am J Obstet Gynecol, 1997 Aug, 177:2, 262-6; discussion 266-7.

Desautel MG et al., Sphincteric incontinence: the primary cause of post-prostatectomy incontinence in patients with prostate cancer. Neurourol Urodyn, 1997, 16:3, 153-60.

Fink-A et al: Alcohol-related problems in older persons. Determinants, consequences, and screening. Arch-Intern-Med. 1996 Jun 10; 156(11): 1150-6.

Gallo ML et al., Urinary incontinence: steps to evaluation, diagnosis, and treatment. Nurse Pract, 1997 Feb, 22:2, 21-4, 26, 28 passim.

Gerard L: Group learning behavior modification and exercise for women with urinary incontinence. Urol Nurs, 1997 Mar, 17:1, 17-22.

Iqbal P & Castleden CM: Management of urinary incontinence in the elderly. Gerontology, 1997, 43:3, 151-7.

Jackson SL et al., Fecal incontinence in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol, 1997 Mar, 89:3, 423-7.

Jeter-KF & Lutz-JB: Skin care in the frail, elderly, dependent, incontinent patient. Adv-Wound-Care. 1996 Jan-Feb; 9(1): 29-34.

Ko CY et al., Biofeedback is effective therapy for fecal incontinence and constipation. Arch Surg, 1997 Aug, 132:8, 829-33; discussion 833-4.

Maklebust-J & Magnan-MA: Risk factors associated with having a pressure ulcer: a secondary data analysis Advances-in-Wound-Care:-The-Journal-for-Prevention-and-Healing. 1994 Nov; 7(6): 25, 27-8, 31-4 passim (28 ref)

Moore-AA & Siu-AL: Screening for common problems in ambulatory elderly: clinical confirmation of a screening instrument [see comments]. Am-J-Med. 1996 Apr; 100(4): 438-43.

Nazarko-L: The therapeutic uses of cranberry juice. Nursing-Standard. 1995 May 17-23; 9(34): 33-5. (26 ref)

Nygaard IE et al., Anal incontinence after anal sphincter disruption: a 30-year retrospective cohort study. Obstet Gynecol, 1997 Jun, 89:6, 896-901.

Read-NW et al: Constipation and incontinence in the elderly. J-Clin-Gastroenterol. 1995 Jan; 20(1): 61-70

Rieger NA et al., Prospective trial of pelvic floor retraining in patients with fecal incontinence. Dis Colon Rectum, 1997 Jul, 40:7, 821-6.

Samuelsson E et al., A population study of urinary incontinence and nocturia among women aged 20-59 years. Prevalence, well-being and wish for treatment. Acta Obstet Gynecol Scand, 1997 Jan, 76:1, 74-80.

Tinetti-ME et al: Shared risk factors for falls, incontinence, and functional dependence. Unifying the approach to geriatric syndromes [see comments]. JAMA. 1995 May 3; 273(17): 1348-53.

USDHHS: Urinary incontinence in adults: clinical practice guideline. United-States-Department-of-Health-and-Human-Services-Publications-Public-Health-Service (US-DEPT-HHS-PUBL-Public-Health-Serv) 1992 Mar #AHCPR 92-0038: (125 p) (278 ref)

 


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