How much water should a patient with urinary incontinence drink each day?

Written by Chen Feng

Urology

Updated on December 03, 2024

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Patients with urinary incontinence generally need a daily water intake of about 1000 to 2000 milliliters. Although those suffering from urinary incontinence may involuntarily excrete urine from the urethra, their water intake needs to be the same as that of normal individuals. Drinking more water is beneficial for the body, as it increases urine production, which can dilute the concentration of stone-forming substances in the urine, thus reducing the likelihood of developing urinary stones. Increased urine production due to higher water intake can promptly flush the urinary tract, especially washing away bacteria on the urethra, thereby reducing the chances of urinary tract infections. Furthermore, drinking more water increases urine production and promptly excretes metabolic waste products produced in the body through the urine, thus preventing the accumulation of metabolic products.

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Written by Wang Shuai

Urology

1min 8sec

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What are the characteristics of the various types of urinary incontinence?

There are several types of urinary incontinence, common ones include stress incontinence, urge incontinence, overflow incontinence, and true incontinence. Stress incontinence, which is common in clinical practice, primarily occurs in women, especially in those who have given birth, are obese, or are elderly. It is characterized by the involuntary leakage of urine through the urethra during coughing, laughing, or sneezing. Urge incontinence, often seen in acute bladder inflammation, usually presents with symptoms such as frequent urination, urgency, painful urination, and pain in the lower abdomen before the onset of incontinence. Overflow incontinence is more common in elderly men, caused by urinary obstructions, such as those resulting from prostatic hyperplasia compressing the urethra, leading to urinary retention. In this case, the patient's bladder area may exhibit significant distension and tenderness. True incontinence is often seen in cases of neurological damage, such as from spinal injury or intracranial disorders.

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Written by Du Rui Xia

Obstetrics

45sec

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Does postpartum urinary incontinence require surgery?

In cases of postpartum urinary incontinence, treatment should be selectively based on the individual condition of the mother. For those with mild postpartum urinary incontinence symptoms, normal recovery can be achieved through effective physical exercise and a period of rest and recuperation. However, in severe cases of urinary incontinence, surgery is also a treatment option. Therefore, the treatment for postpartum urinary incontinence should be determined based on the specific cause and severity of the condition. It is not limited to surgical treatment alone, so it is necessary to conduct an examination first and then choose the method of treatment.

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Written by Wang Shuai

Urology

40sec

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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 Zhang Hui

Neurology

1min 23sec

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What to do about urinary incontinence in dementia in the elderly?

Dementia in the elderly is a degenerative neurological disease, and there are currently no particularly effective treatments. In the later stages, it is very common for the elderly to experience urinary incontinence. This is mainly because in the later stages, the autonomic nervous system is affected. Damage to the autonomic nerves leads to dysfunction of the sphincter muscles, resulting in urinary incontinence. Currently, there are no particularly good treatments for urinary incontinence caused by dementia, but some common methods are as follows. First, it is important to kindly remind and encourage the elderly to go to the bathroom frequently, asking every one to two hours whether they feel the need to urinate, which can help avoid urinary incontinence. Second, bathrooms must have conspicuous signs that are prominently placed to help the elderly locate the restrooms easily. Third, when necessary, the elderly can be given diapers to wear to avoid embarrassment from wetting their pants. Also, it's crucial to provide psychological comfort to the elderly and avoid causing them excessive psychological burden. Additionally, other causes must be ruled out. If there is a urinary tract infection or some other urinary system disease causing the incontinence, treatment of the primary disease should be undertaken.

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Written by Zhou Yan

Geriatrics

1min 2sec

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What causes urinary incontinence in the elderly?

Urinary incontinence in the elderly varies due to different mechanisms and types, with the two most common categories being genuine urinary incontinence, which is due to neurogenic bladder dysfunction or overactive detrusor muscles, damage to the urethral sphincter, or loss of bladder storage function. These are commonly seen in conditions like chronic stroke, dementia, Parkinson's disease, and psychiatric diseases. The other major category is caused by relaxation of the urethral sphincter or pelvic floor muscles surrounding the urethra, leading to reduced urethral pressure. Incontinence in this category may occur when negative pressure increases, such as during coughing, sneezing, straining during bowel movements, or changing body position. This type of urinary incontinence is more common in elderly women and in elderly men who have had prostate removal, leading to damage to the external urethral sphincter.