Is it normal to have urinary incontinence with morning sickness during pregnancy?

Written by Zhao Su Min
Obstetrics
Updated on November 21, 2024
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Morning sickness and urinary incontinence are considered normal phenomena.

If severe nausea and vomiting occur after pregnancy, it could increase abdominal pressure, leading to stress urinary incontinence. This condition is thought to be caused by the relaxation of pelvic floor muscles. It is crucial to actively engage in pelvic floor rehabilitation after childbirth to aid the recovery of the pelvic floor, to prevent symptoms like urinary incontinence and leakage when coughing postpartum. The best period for pelvic floor recovery is between 42 days to six months after childbirth. Engaging in pelvic floor rehabilitation during this period is beneficial for recovery. The longer the delay, the slower and more challenging the recovery will be.

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Written by Chen Tian Jing
Colorectal Surgery
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Can fecal incontinence be recovered?

If fecal incontinence occurs, the first step is to identify the main cause of the fecal incontinence. If it is caused by relaxation of the anal sphincter and anal canal, then surgery can be performed to tighten this area, specifically through an anal tightening procedure, which can restore control over fecal incontinence. If the patient has other underlying diseases or is elderly and frail, accompanied by changes in the nervous system, the symptoms of fecal incontinence may be alleviated through medication or physical therapy, but complete recovery is unlikely. This is because the recovery of the nervous system requires the integrated regulation of other bodily organs and functions. If there are multiple underlying diseases or if the patient is elderly and frail, especially in the later stages of coma, recovery is difficult.

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Written by Yang Dong
Colorectal Surgery Department
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How to recover from fecal incontinence?

For fecal incontinence, we must first conduct an effective evaluation and complete relevant examinations. For instance, we need to perform anal canal pressure measurements and examine the anal sphincter muscle imaging. Through these examinations, we can determine the extent of fecal incontinence and then adopt corresponding treatment methods. For fecal incontinence, we can initially choose conservative treatments, such as treatment with biofeedback therapy.

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Written by Wang Shuai
Urology
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How to treat stress urinary incontinence?

Stress urinary incontinence primarily refers to the leakage of urine from the urethra while sneezing, coughing, laughing, or lifting heavy objects, which increases abdominal pressure. This condition is commonly seen in women who have given birth, mainly due to the relaxation of the pelvic floor muscles and the detrusor muscles. If the symptoms are not very severe, they can be improved through functional exercises of the pelvic floor muscles and the detrusor muscle. If the condition is moderate or severe stress urinary incontinence, surgical treatment is recommended. Mid-urethral sling procedures can be adopted to control urination.

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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 Chen Tian Jing
Colorectal Surgery
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What department should I go to for fecal incontinence?

If there is fecal incontinence, it is first necessary to determine the cause. If the incontinence is due to general neurological symptoms and neuropathy, then it is necessary to register for a neurology department consultation. If it is due to relaxation of the local anal sphincter, then registration with the proctology department is needed. Generally, for local sphincter relaxation causing fecal incontinence, an anal sphincter tightening procedure can be opted for, to provide local symptom relief. Additionally, it is important to also consider coordinating with traditional Chinese medicine enemas, which can enhance the mucosa within the rectum.