Can shock cause incontinence?

Written by Chen Xiao Jun
Emergency Department
Updated on October 31, 2024
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Shock patients often experience incontinence, which is very common in clinical settings. Various reasons can lead to shock, causing a decrease in the body's blood pressure. This results in severely inadequate perfusion of the brain, heart, and blood vessels, leading to the loss of control over the body's urinary and fecal reflexes and resulting in incontinence. Therefore, when shock occurs, we should strengthen nursing care, actively rehydrate, and actively treat the shock. It is also important to promptly identify and treat the cause of the shock. Only comprehensive treatment can save the patient's life. Moreover, enhancing nursing care is very important for shock patients, as they are prone to suffocation and incontinence.

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Written by Wang Shuai
Urology
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Should I wear diapers for urinary incontinence?

Whether patients with urinary incontinence need to use diapers should be determined based on the severity of the incontinence. If it is only mild incontinence that does not affect normal work and life, it is not necessary to wear diapers. Regular urination schedules, along with exercises like pelvic lift and pelvic floor muscle training, can alleviate the condition. However, if the incontinence is more pronounced, it is best to initially use diapers to prevent excessive urine leakage. If necessary, a urinary catheter can be used temporarily to drain the urine and prevent leakage. At the same time, it is important to actively undergo relevant examinations to determine the cause of the incontinence and carry out targeted treatment.

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Written by Sun Chun
Urology
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Urinary incontinence includes three types: stress incontinence, urge incontinence, and overflow incontinence.

Urinary incontinence, in clinical terms, is divided into the following categories: First, there is urge incontinence, where the main symptom is that as soon as one thinks of urinating, the urine comes out uncontrollably. This is commonly seen in urinary tract infections, among other conditions. Second, there is overflow incontinence, also known as pseudo-incontinence, which is actually due to an obstruction in the lower urinary tract, leading to an overfilled bladder that naturally overflows, causing involuntary urination. Third, there is true incontinence, which occurs because the mechanism controlling the urinary tract is damaged, resulting in leaks as soon as there is a small amount of urine in the bladder. If urinary incontinence occurs, it is recommended to visit a hospital. First, a routine urine test should be conducted; second, a color Doppler ultrasound of the urinary system should be performed, which can be done while holding urine or during routine times; lastly, a urodynamic test should be carried out to examine bladder function and determine the type of urinary incontinence.

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Written by Du Rui Xia
Obstetrics
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Postpartum urinary incontinence symptoms

Postpartum urinary incontinence primarily manifests as uncontrollable urination in women. This occurs when there is increased abdominal pressure, such as during coughing or constipation or when jumping rope, causing urine to involuntarily leak. This condition typically develops during pregnancy as the growing uterus compresses the subcutaneous tissue in the pelvic area. Additionally, the biochemical damage to the pelvic tissues during childbirth reduces their elasticity, leading to a loss of control over the abdominal muscles of some pelvic organs. It is recommended to promptly start pelvic floor muscle rehabilitation training in such cases, and generally, symptoms should improve within six months of consistent rehabilitation exercises.

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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 Chen Feng
Urology
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Can you wear diapers for urinary incontinence?

Urinary incontinence generally requires the use of diapers, as the condition is primarily caused by various pathological changes, leading to the involuntary discharge of urine from the urethra. Due to the easy infiltration of the perineum and around the urethral opening by urine, there might be occurrences of eczema or perineal infections. Wearing diapers can timely absorb the leaked urine, thereby reducing the chances of developing eczema and perineal infections. It is also necessary to actively seek the underlying cause of urinary incontinence and treat it accordingly. Common types of urinary incontinence include persistent, stress-related, overflow, and urge incontinence. By conducting thorough examinations, the specific type of urinary incontinence can be identified, followed by targeted treatment.