Urinary incontinence

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Written by Zhang Lu
Obstetrics
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How to recover from postpartum urinary incontinence?

During the process of natural childbirth, the presenting part of the fetus significantly compresses the woman's pelvic floor, causing conditions such as uterine prolapse and bladder prolapse. Postpartum, many women experience urinary incontinence. Postpartum urinary incontinence can be alleviated through the following methods. First, one can perform Kegel exercises independently. Kegel exercises, a set of movements that contract the pelvic floor muscles, are quite effective in treating mild urinary incontinence. Second, if the urinary incontinence is more pronounced, it is advisable to undergo assisted treatment at a hospital, mainly involving electrical stimulation. This can stimulate the local pelvic floor muscles, promoting recovery and alleviating symptoms of urinary incontinence. Third, if the symptoms are very severe and conservative treatment is ineffective, pelvic floor functional repair surgery should be considered.

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Written by Chen Feng
Urology
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How to treat frequent urination and occasional incontinence in women?

Frequent urination and occasional incontinence in women may be caused by urinary tract infections, as patients with such infections may experience symptoms like frequent urination, urgency, and pain during urination. Urgency can manifest as being unable to hold urine, even leading to incontinence. Generally, this condition requires treatment with antibiotics. Depending on the severity of the patient's condition, either oral antibiotics or intravenous antibiotics may be chosen. For milder cases, oral medications such as cefixime or levofloxacin can be used. If the condition is more severe, such as if there is discomfort in the lower back, nausea, vomiting, and fever symptoms, intravenous antibiotics may be administered. Alongside medication, it is also important to drink plenty of water, urinate frequently, and maintain a light diet rich in fresh vegetables and fruits during treatment. Avoid spicy and irritating foods, such as chili peppers, fried foods, barbecue, and also avoid alcohol. (Please use medication under the guidance of a doctor.)

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Written by Deng Heng
Colorectal Surgery
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How to express fecal incontinence

Fecal incontinence, also known as anal incontinence, means that when the function of the anus is impaired, feces or intestinal fluid involuntarily leaks out of the anus. Therefore, it can be divided into two aspects: the first aspect is that some people only have incontinence of liquid stool, not solid feces; the other is that both solid and liquid stools are incontinent, both can involuntarily leak out, with the latter scenario being more severe. The causes are generally due to damage to the anus, congenital anomalies of the anus, damage to the anal sphincter, or diseases of the anus, among other reasons.

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Written by Wang Shuai
Urology
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Urinary incontinence pelvic floor muscle exercise method

If you want to improve urinary incontinence through pelvic floor muscle exercises, this method is mainly suitable for mild stress urinary incontinence and is not applicable to all types of urinary incontinence. Therefore, if you want to improve urinary incontinence through pelvic floor muscle exercises, you first need to determine if it is mild stress urinary incontinence before proceeding. Usually, we choose to do anal lift exercises to improve this. The specific exercise method for anal lift exercises is to take a deep breath, lift the anus, hold for about five seconds, then relax, and continuously practice 15 times. Perform 15 times per set, about 20 sets a day, and it needs to be maintained for more than half a year to be effective.

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Written by Guan Hai Fang
Urology
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How to treat urinary incontinence?

How to treat urinary incontinence: The most common cause of urinary incontinence is pelvic diaphragm dysfunction. The bladder is located above the pelvic diaphragm. In elderly people, especially elderly women, the pelvic diaphragm and tissues around the urethra are relaxed and weak. Increased abdominal pressure, such as from coughing or changes in body position, can lead to incontinence and stress urinary incontinence. Urinary incontinence is also seen in obstructions of the urethral opening and bladder outlet. Such diseases are more common in elderly women with vaginal inflammation, whereas in men, the main cause is benign prostatic hyperplasia. The third category involves bladder disorders itself, such as bladder tumors, bladder stones, and inflammations, all of which can cause urinary incontinence. Additionally, neurological disorders that control urination are also a significant cause of urinary incontinence in the elderly. Once the diagnosis of urinary incontinence is clear, symptomatic treatment should be adopted and most cases can be controlled. For inflammations, anti-inflammatory treatments can be used. For abnormalities in the bladder or urethra identified through cystourethrography, surgical treatment can be considered.

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Written by Wang Shuai
Urology
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How many types of urinary incontinency are there?

Urinary incontinence is currently mainly divided into stress urinary incontinence, urge urinary incontinence, overflow urinary incontinence, and true urinary incontinence. The main symptom of stress urinary incontinence is urine leakage from the urethra during coughing, sneezing, laughing, or jumping rope. Urge urinary incontinence is commonly seen in acute bladder inflammation, people with diabetes, and those with sclerotic bladder necks, leading to situations of urge incontinence. The main manifestation is a sudden strong urge to urinate, requiring immediate action to urinate; if not managed in time, urine will leak from the urethra. Overflow incontinence, commonly found in lower urinary tract obstructions, especially in elderly men with prostate enlargement, causes overflow incontinence due to urethral blockage, characterized by a distinct feeling of fullness in the lower abdomen.

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Written by Chen Bao Chun
Urology
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How do I deal with painful urination followed by urinary incontinence?

Painful urination followed by urinary incontinence is considered to be due to a urinary tract infection causing urge incontinence. When this occurs, the patient needs to undergo a routine urine test to confirm that it is caused by a urinary tract infection. Initial treatment can involve oral antibiotics to address the infection. After controlling the urinary tract infection, the incontinence will be alleviated or cured. There are also other causes of painful urination and urge incontinence, such as interstitial cystitis or glandular cystitis, which are special bladder diseases. These conditions require further investigation with urinary system ultrasound or cystoscopy for a definitive diagnosis. Treatment then follows based on the specific cause, and after treating conditions like interstitial cystitis, the incontinence will be relieved or cured.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Which part to massage for urinary incontinence

In cases of urinary incontinence, massaging acupoints such as Zusanli (ST36) and Shenshu (BL23) can effectively alleviate the condition, but this does not cure it. It is recommended to visit a formal hospital and follow the doctor's guidance for symptomatic treatment to achieve a cure. It is crucial to seek timely treatment to prevent the condition from worsening, which can be difficult to cure and may affect daily life. It is advised to engage in more physical activities regularly, as this can help strengthen the body's resistance. Doing exercises such as squats, push-ups, and sit-ups can also effectively help relieve symptoms of urinary incontinence.

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Written by Liu Hong Mei
Neurology
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What causes sudden fainting and incontinence?

Sudden fainting accompanied by incontinence can be due to neurogenic syncope, cardiogenic syncope, or vasovagal syncope. Neurogenic syncope generally refers to sudden fainting caused by conditions such as cerebral arteriosclerosis, cerebral vascular narrowing, cerebral vascular occlusion, transient cerebral ischemia, insufficient blood supply from the vertebrobasilar arteries, cerebral embolism, cerebral hemorrhage, intracranial space-occupying lesions, or cerebral vascular malformations, which can lead to incontinence and, in severe cases, convulsions. Cardiogenic syncope is generally caused by myocardial ischemia, myocardial infarction, arrhythmia, or heart failure, leading to a decrease in cardiac output and resulting secondary cerebral ischemia and hypoxia, which cause loss of consciousness.

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Written by Shi De Quan
Neurology
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What should I do about urinary incontinence due to brain atrophy?

Urinary incontinence due to brain atrophy is mainly because the brain centers controlling urination and defecation have atrophied. This can be caused by vascular reasons leading to brain atrophy, such as cerebral infarction or hemorrhage affecting the adjacent centrolobular region, leading to urinary incontinence. Therefore, treatment should primarily target the underlying disease. Rehabilitation treatments are recommended, particularly traditional Chinese medicine methods like acupuncture and moxibustion. Modern rehabilitation, establishing regular urinary habits, and pelvic floor rehabilitation are also beneficial for treating urinary incontinence. Additionally, both traditional Chinese medicine and Western medicine can be used for treatment.